Relationships amongst liver bile salt clearance, bile secretion and infusion of lipids in calves.

In order to study the influence of portal lipid loading on the extraction rate of bile salts by the liver, four cholecystectomized calves (mean body weight 103 kg) were fitted with permanent cannulae to the common bile duct, duodenum and portal vein. A venflon catheter was also set up in the jugular vein to collect blood for analysis of fatty acids (FA) and bile salts (PBS) in plasma. The experiments were divided into two parts. In the first part sodium taurocholate (TCHNa) was infused for at least 2 h at a rate of 25 mumol/min into the duodenum to stabilize the bile flow and bile salt output in bile and the concentration in plasma. In the second part, as well as TCHNa, Intralipid (Itlp) (infusible 10% of lipid compounds) was also infused into the portal vein. Itlp was infused for 40 min, starting at a rate of 3 ml/min at the beginning of the 3rd hour of TCHNa infusion followed by a rate of 6 ml/min at the beginning of the 4th hour of TCHNa infusion. During TCHNa infusion the plasma bile salt concentrations were in the range 15.69-20.21 mumol/l, similar to that of the pre-infusion period. Introduction of Itlp to the infusion of TCHNa resulted in a significant (P < 0.05) increase of PBS, about 2 times higher at an Itlp infusion rate of 3 ml/min, and 3 times higher (62.82 +/- 16.42 mumol/l) at 6 ml/min. Under Itlp infusion, all common plasma FA increased, but the largest increases were in levels of linolenic, palmitic and oleic acids. During TCHNa infusion, the bile flow and the content of bile salts in bile did not change. The infusion of TCHNa with Itlp at the rate of 6 ml/min caused a 2-fold decrease both of the bile flow and of the output of bile salts from 18.58 +/- 3.04 microliters/min/kg and from 0.58 +/- 0.07 mumol/min/kg observed at the beginning of both infusions to 9.51 +/- 2.95 microliters/min/kg and 0.28 +/- 0.05 mumol/min/kg, respectively, at the end of the collecting period. When only TCHNa was infused, almost all of it was secreted to the bile, while with the additional infusion of Itlp only about half of the infused TCHNa was secreted to the bile. These results indicate that the extraction rate of PBS by the liver is decreased by loading of the portal blood by lipids, allowing more bile salts to escape into the systemic circulation, and thus reducing bile production.