Abstract
Drugs and other environmental chemicals and their metabolic transformation products are usually eliminated from the body by excretion in the urine or bile or sometimes both. Rarely, depending upon the substance, other pathways may be used such as the expired air, sweat, saliva or milk. The role of the bile in the excretion of products of intermediary metabolism (e.g. the bile salts, bilirubin, steroid and thyroid hormones) has long been known. Recent studies suggest that this role may be greater than hitherto appreciated, since cyanocobalamin, vitamin D, a-tocopherol and porphyrins and their metabolites have also been shown to be extensively excreted in bile. Similarly the role of bile in the excretion of foreign chemicals has only in recent years become more widely recognized. Thus, bile can be important in the elimination of naturally occurring substances such as chlorophyll which normally enters the body via the diet as well as many of the synthetic organic compounds encountered such as drugs, food additives and pesticides.
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References
Abel, J. J., Rowntree, L.G.: On the pharmacological action of some phthaleins and their derivatives, with especial reference to their behavior as purgatives. J. Pharm. Pharmacol. 1, 231–264 (1909).
Abou-El-Makarem, M.M., Millburn, P., Smith, R.L., Williams, R.T.: Biliary excretion of foreign compounds: Benzene and its derivatives in the rat. Biochem. J. 105, 1269–1274 (1967a).
Abou-El-Makarem, M.M., Millburn, P., Smith, R.L., Williams, R.T., Biliary excretion of foreign compounds: Species differences in biliary excretion. Biochem. J. 105, 1289–1293 (1967b).
Abou-El-Makarem, M.M., Millburn, P., Smith, R.L., Williams, R.T., Unpublished observations (1967c).
Adamson, R.H., Bridges, J.W., Evans, M.E., Williams, R.T.: Species differences in the aromatization of quinic acid in vivo and the role of gut bacteria. Biochem. J. 116, 437–443 (1970).
Baker, K.J., Bradley, S.E.: Binding of sulfobromophthalein (BSP) sodium by plasma albumin. Its role in hepatic BSP extraction. J. clin. Invest. 45, 281–287 (1966).
Beckett, A.H., Rowland, M.: Urinary excretion kinetics of amphetamine in man. J. Pharm. Pharmacol. 17, 628–639 (1965).
Bettman, R., Spier, E.: Concentration of sulfanilamide in human bile. Proc. Soc. exp. Biol. (N.Y.) 41, 463–464 (1939).
Borgström, B., Dahlqyist, A., Lundh, G., Sjovall, J.: Studies of intestinal digestion and absorption in the human. J. clin. Invest. 36, 1521–1536 (1957).
Boyland, E., Ramsay, G.S., Sims, P.: Metabolism of polycyclic compounds: The secretion of metabolites of naphthalene, 1:2-dihydronaphthalene and l:2-epoxy-1:2:3:4-tetra- hydronaphthalene in rat bile. Biochem. J. 78, 376–384 (1961).
Brauer, R.W.: Mechanisms of bile secretion. J. Amer. med. Ass. 169, 1462–1466 (1959).
Brauer, R.W., Pessotti, R.L.: Hepatic uptake and biliary excretion of bromsulphthalein in the dog. Amer. J. Physiol. 162, 565–574 (1950).
Burns, E.C., Dahm, P. A., Lindquist, D.A.: Secretion of DDT metabolites in the bile of rats. J. Pharmacol, exp. Ther. 121, 55 — 62 (1957).
Caesar, J., Shaldon, S., Chiandussi, L., Guevara, L., Sherlock, S.: The use of indo- cyanine green in the measurement of hepatic blood flow and as a test of hepatic function. Clin. Sci. 21, 43–57 (1961).
Calvey, T.N.: The biliary excretion of neostigmine in the rat. Brit. J. Pharmacol. 28, 348 to 359 (1966).
Cantarow, A., Wirts, C.W., Snape, W.J., Miller, L.L.: Excretion of bilirubin and brom-sulfalein in bile. Amer. J. Physiol. 154, 211 — 219 (1948).
Cherrick, G.R., Stein, S.W.,Leevy, C.M., Davidson, C.S.: Indocyanine green: Observations on its physical properties, plasma decay and hepatic extraction. J. clin. Invest. 39, 592 — 600 (1960).
Chrzonszczewsky, N.: Zur Anatomie und Physiologie der Leber. Arch. Path. Anat. und Physiol. 35, 153 — 165 (1866).
Clark, A.G., Fischer, L.J., Millburn, P., Smith, R.L., Williams, R.T.: Unpublished observations (1970).
Clark, A.G., Fischer, L.J., Millburn, P., Smith, R.L., Williams, R.T., The role of gut flora in the enterohepatic circulation of stilboestrol in the rat. Biochem. J. 112, 17P (1969b).
Clark, A.G., Fischer, L.J., Hirom, P.C., Millburn, P., Smith, R.L., Williams, R.T.: Reabsorption from the biliary system as a factor influencing the biliary excretion of organic anions. Biochem. J. 11, 5 62P (1969a).
Combes, B., Stakelum, G.S.: Conjugation of sulfobromophthalein sodium with glutathione in thioether linkage by the rat. J. clin. Invest. 39, 1214–1222 (1960).
Cox, E., WRIGHT, S.E.: The hepatic excretion of digitalis glycosides and their genins in the rat. J. Pharmacol, exp. Ther. 126, 117–122 (1959).
Czok, G., Hirom, P., Millburn, P., Smith, R.L., Williams, R.T.: Unpublished observations (1970).
Daniel, J.W., Gage, J.C.: Absorption and excretion of diquat and paraquat in rats. Brit. J. industr. Med. 23, 133–136 (1966).
Davidson, J.D.: The influence of enterohepatic circulation on toxicity of drugs, paper discussed by Williams, R.T., Millburn, P. and Smith, R.L. Ann. N.Y. Acad. Sci. 123, 110–124 (1965).
Davison, C., Williams, R.T.: The metabolism of 5,5’-methylenedisalicylic acid in various species. J. Pharm. Pharmacol. 20, 12–18 (1968).
Delaney, V.G., Millburn, P., Smith, R.L.: Unpublished observations (1969).
Elliott, H.W., Tolbert, B.M., Adler, T.K., Anderson, H.H.: Excretion of carbon-14by man after administration of morphine-N-methyl-C14. Proc. Soc. exp. Biol. (N.Y.) 85, 77–81 (1954).
Farah, A.: On the elimination of G-strophanthin by the rat. J. Pharmacol, exp. Ther. 86, 248–257 (1946).
Fischer, L.J., Millburn, P.: J. Pharmacol, exp. Ther. (in press) (1970).
Fischer, L.J., Millburn, P., Smith, R.L., Williams, R.T.: The fate of [14C] stilboestrol in the rat. Biochem. J. 100, 69P (1966).
Furesz, S., Scotti, R.: Rifomycin: XX-Further studies on rifomycin SV: in vitro activity, absorption and elimination in man. Farmaco, Ed. sci. 16, 262–271 (1961).
Glazko, A. J., Dill, W.A., Wolf, L.M.: Observations on the metabolic disposition of chloramphenicol (Chloromycetin) in the rat. J. Pharmacol, exp. Ther. 104, 452–458 (1952).
Graham, E.A., Cole, W.H., Copher, G.H., Moore, S.: In: “Diseases of the gallbladder and Bile Ducts”. Philadelphia: Lea & Febiger 1928.
Griffith, R.S., Johnstone, D.M., Smith, J.W.: In: “Antibiotics Annual”, p. 496. H. Welch and F. Marti-Ibanez, Eds. Medical Encyclopedia Inc. N.Y. (1953/1954).
Gross, M., Greenberg, L.A.: In: “The Salicylates”, p. 49. New Haven: Hillhouse Press 1948.
Hargreaves, T., Lathe, G.H.: In: “Therapeutic Agents and the Liver”, p. 9. N. McIntyre and S. Sherlock, Eds. Oxford: Blackwell 1965.
Hart, L.G., Guarino, A.M., Adamson, R.H.: Effects of phenobarbital on biliary excretion of organic acids in male and female rats. Amer. J. Physiol. 217, 46–52 (1969).
Hearse, D.J., Powell, G.M., Olavesen, A.H., Dodgson, K.S.: The influence of some physic-chemical factors on the biliary excretion of a series of structurally related aryl sulphate esters. Biochem. Pharmacol. 18, 181–195 (1969).
Hirom, P.C., Millburn, P., Smith, R.L., Williams, R.T.: Studies on the relationship between molecular structure and the biliary excretion of organic compounds. Biochem. J. 113, 27–28P (1969).
Hucker, H.B., Zacchei, A.G., Cox, S.V., Brodie, D.A., Cantwell, N.H.R.: Studies on the absorption, distribution and excretion of indomethacin in various species. J. Pharmacol. exp. Ther. 153, 237–249 (1966).
Inscoe, J.K., Axelrod, J.: Some factors affecting glucuronide formation in vitro, J. Pharmacol. exp. Ther. 129, 128–131 (1960).
Javitt, N.B.: In: “Therapeutic Agents and the Liver”, p. 17. N. McIntyre and S.Sherlock Eds. Oxford: Blackwell 1965.
Javitt, N.B., Wheeler, H.O., Baker, K.J., Ramos, O.L., Bradley, S.E.: The intrahepatic conjugation of sulfobromophthalein and glutathione in the dog. J. clin. Invest. 39, 1570–1577 (1960).
Jirsa, M., Dickinson, J.P., Lathe, G.H.: Effect on bilirubin excretion of blocking the carboxyl sites of glucuronide conjugation by methylation. Nature (Lond.) 220, 1322–1234 (1968).
Keberle, H., Hoffmann, K., Bernhard, K.: The metabolism of glutethimide (Doriden). Experientia (Basel) 18, 105–110 (1962).
Kellie, A.E., Smith, E.R.: Renal clearance of 17-oxo steroid conjugates found in human peripheral plasma. Biochem. J. 66, 490–495 (1957).
Krebs, J. S.: Relation of the metabolism of sulfobromophthalein sodium to its blood clearance in the rat. Amer. J. Physiol. 197, 292–296 (1959).
Krebs, J. S., Bratter, R.W.: Metabolism of sulfobromophthalein sodium (BSP) in the rat. Amer. J. Physiol. 194, 37–43 (1958).
Levi, A. J., Gatmaitan, Z., Arias, I.M.: Two cytoplasmic proteins from rat liver and their role in hepatic uptake of sulfobromophthalein (BSP) and bilirubin. J. clin. Invest. 47, 61a (1968).
Levine, R.M., Clark, B.B.: The biotransformation, excretion, and distribution of the anticholinergic quaternary ammonium compound benzomethamine [N-diethylamino-ethyl-N’-methyl-benzilamide methobromide (MC 3199)] and its tertiary amine analogue (MC 3137) and related compounds in animals. J. Pharmacol, exp. Ther. 114, 63–77 (1955).
Levine, R.M., Clark, B.B.: The physiological disposition of oxyphenonium bromide (antrenyl) and related compounds. J. Pharmacol, exp. Ther. 121, 63–70 (1957).
Levine, R. R.: The physiological disposition of hexamethonium and related compounds. J. Pharmacol, exp. Ther. 129, 296–304 (1960).
Levine, W.G., Millburn, P., Smith, R.L., Williams, R.T.: The role of the hepatic endo-plasmic reticulum in the biliary excretion of foreign compounds by the rat. Biochem. Pharmacol. 19, 235–244 (1970).
Levitz, M., Katz, J.: Enterohepatic metabolism of estriol-3-sulfate-16-glucosiduronate in women. J. clin. Endocr. 28, 862–868 (1968).
Linnecar, D.F.: Personal communication (1970).
Maffii, G., Bianchi, G., Schiatti, P., Gallo, G.G.: Rifomycin: XIX Absorption, biliary excretion and distribution of rifomycin SV. Farmaco, Ed. sci. 16, 246–261 (1961).
March, C.H., Elliott, H. W.: Distribution and excretion of radioactivity after administration of morphine-N-methyl C14 to rats. Proc. Soc. exp. Biol. (N.Y.) 86, 494 - 497 (1954).
De Marco, J., Levine, R.R.: Role of the lymphatics in the intestinal absorption and distribution of drugs. J. Pharmacol, exp. Ther. 169, 142–151 (1969).
Mellett, L.B., Woods, L.A.: The distribution and fate of morphine in the non-tolerant and tolerant monkey. J. Pharmacol, exp. Ther. 116, 77–83 (1956).
Meltzer, J.I., Wheeler, H.O., Cranston, W.I.: Metabolism of sulfobromophthalein sodium (BSP) in dog and man. Proc. Soc. exp. Biol. (N.Y.) 100, 174–179 (1959).
Meurman, L.: On the distribution and kinetics of injected I131 rose bengal. Chapter IX, Behavior of I131 rose bengal in bile-duct obstructed animals. Acta med. scand. Suppl. 354, 60–67 (1960).
Michel, W. R.: Metabolism of linear alkylate sulfonate and alkyl benzene sulfonate in albino rats. Toxicol, appl. Pharmacol. 12, 473–485 (1968).
Millburn, P., Smith, R.L.: Unpublished observations (1970).
Millburn, P., Smith, R.L., Williams, R.T.: Biliary excretion of foreign compounds: Biphenyl stilboestrol and Phenolphthalein in the rat: Molecular weight, polarity and metabolism as factors in biliary excretion. Biochem. J. 105, 1275–1281 (1967).
Monroe, L.S., Kittinger, A.L.: The biliary dynamics of the metabolites of sulfobromophthalein sodium (BSP) in man. J. Lab. clin. Med. 58, 468–476 (1961).
Mosler, F.: Untersuchungen über den Übergang von Stoffen aus dem Blute in die Galle. Arch. Pathol. Anat. und Physiol. 13, 29–46 (1858).
Moss, G.: Personal communication (1970).
Norman, A., Sjövall, J.: On the transformation and enterohepatic circulation of cholic acid in the rat. J. biol. Chem. 233, 872–885 (1958).
Nosslin, B., Morgan, E.H.: The effect of phloroglucinol derivatives from male fern on dye excretion by the liver in the rabbit and rat. J. Lab. clin. Med. 65, 891–902 (1965).
Okita, G.T., Talso, P.J., Curry, J.H., Jr., Smith, F.D., Jr., Geiling, E.M.K.: Metabolic fate of radioactive digitoxin in human subjects. J. Pharmacol, exp. Ther. 115, 371–379 (1955).
Oliverio, V.T., Davidson, J.D.: The physiological disposition of dichloromethotrexate-Cl in animals. J. Pharmacol, exp. Ther. 137, 76–83 (1962).
Parke, D.V., Williams, R.T.: Species differences in the o- and p-hydroxylation of aniline. Biochem. J. 63, 12P (1956).
Pinto, J.D., Camien, M.N., Dunn, M.S.: Metabolic fate of p,p’-DDT [l,l,l-trichloro-2,2-bis (p-chlorophenyl) ethane] in rats. J. biol. Chem. 240, 2148–2154 (1965).
Radomski, J.L., Melunger, T. J.: The absorption, fate and excretion in rats of the water-soluble azo dyes, FD & C red No. 2, FD & C red No. 4, and FD & C yellow No. 6. J. Pharmacol, exp. Ther. 136, 259–266 (1962).
Robinson, D., Williams, R.T.: Do cats form glucuronides ? Biochem. J. 68, 23P–24P (1958).
Rosenthal, S.M., White, E.C.: Clinical application of the bromsulphalein test for hepatic function. J. Amer. med. Ass. 84, 1112–1114 (1925).
Ryan, A. J., Wright, S.E.: Biliary excretion of some azo dyes related to tartrazine. Nature (Lond.) 195, 1009 (1962).
Sandberg, A.A., Slaunwhite, W.R., Jr.: Biliary excretion and protein binding of radio-active steroids in human subjects: their possible relationship. J. clin. Endocr. 16, 923–924 (1956).
Schanker, L.S.: In: “Proceedings of the First International Pharmacological Meeting”, Vol. 4, p. 121. New York: Pergamon Press 1963.
Schanker, L.S.: In: “Handbook of Physiology” Section 6: Alimentary Canal, Vol. 5, Chapter 114, p. 2433. American Physiological Society, Washington, D. C., 1968.
Scheline, R.R.: Drug metabolism by intestinal microorganisms. J. pharm. Sci. 57, 2021 to 2037 (1968).
Schenker, S., Goldstein, J., Combes, B.: Sulfobromophthalein sodium (BSP) conjugation and excretion in fetal guinea pigs. Amer. J. Physiol. 208, 563–572 (1965).
Smith, R.L.: Fortschritte der Arzneimittelforschung. H. Jucker, Ed. Progr. Drug. Res. 9, 299 (1966).
Smith, R.L.: Proceedings European Society for the Study of Drug Toxicity 11, 19 (1970).
Smith, R.L., Williams, R.T.: In: “Glucuronic Acid”. G.J. Dutton, Ed. New York: Academic Press 1966.
Sobotka, H.: In: “Physiological Chemistry of the Bile”, pp. 100–101. London: Balliere, Tindall and Cox 1937.
Sperber, I.: The excretion of some glucuronic acid derivatives and phenol sulphuric esters in the chicken. K. Lantbr. Högsk. Annlr. 15, 317–349 (1948).
Sperber, I.: Secretion of organic anions in the formation of urine and bile. Pharmacol. Rev. 11, 109 to 134 (1959).
Sperber, I.: Proceedings of the First International Pharmacological Meeting, Vol. 4, p. 137. C.A.M. Hogden, Ed. New York: Macmillan 1963.
Thompson, R., Sturtevant, M., Bird, O.D., Glazko, A.J.: The effect of metabolites of chloramphenicol (Chloromycetin) on the thyroid of the rat. Endocrinology 55, 665–681 (1954).
Weiner, I.M., Mudge, G.H.: Renal tubular mechanisms for excretion of organic acids and bases. Amer. J. Med. 36, 743–762 (1964).
Weisburger, J.H., Hadidian, Z., Fredrickson, T.N., Weisburger, E.K.: Host properties determine target, bladder or liver in chemical carcinogenesis. In: “Bladder Cancer” Aesculapius Publ. Co., Florida (1967).
Weithaler, K., Wilfeingseder, P., Friza, F.: Zur Frage der Ausscheidung von Tetra-cyclin in die Galle. Klin. Wschr. 35, 297–300 (1957).
Wheeler, H.O., Cranston, W.I., Meltzer, J.I.: Hepatic uptake and biliary excretion of indocyanine green in the dog. Proc. Soc. exp. Biol. (N.Y.) 99, 11–14 (1958).
Williams, R. T.: Comparative patterns of drug metabolism. Fed. Proc. 26, 1026–1039 (1967).
Williams, R. T., Mellburn, P., Smith, R.L.: The influence of enterohepatic circulation on toxicity of drugs. Ann. N.Y. Acad. Sci. 123, 110–124 (1965).
Woods, L.A.: Distribution and fate of morphine in non-tolerant and tolerant dogs and rats. J. Pharmacol, exp. Ther. 112, 158–175 (1954).
Zaslow, J., Cohen, E.M., Ball, W.: In: “Antibiotics Annual”, p. 964. H. Welch and F. Marti-Ibanez, Eds. New York: Medical Encyclopedia Inc. 1955.
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Smith, R.L. (1971). Excretion of Drugs in Bile. In: Brodie, B.B., Gillette, J.R., Ackerman, H.S. (eds) Concepts in Biochemical Pharmacology. Handbuch der experimentellen Pharmakologie/Handbook of Experimental Pharmacology, vol 28 / 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-65052-9_19
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