1. Introduction
After administration, drug molecules must reach the site of action to be effective. Per os delivered drugs during the pharmacokinetic processes, for example, can be inactivated by enzymes in the gut wall cells and hepatocytes [
1,
2,
3,
4]. It is well known that the liver has a vital role in the biotransformation of xenobiotics. However, some new experimental results demonstrated that the extrahepatic drug metabolism could also be significant [
4,
5,
6,
7,
8]. A particular aspect of intestinal metabolism is its location at the site of the entry of xenobiotics. The metabolites of exogenous compounds formed in the small intestine can be excreted by enterocytes back into the intestinal lumen and, after that, can be discharged with the feces [
9,
10]. Enterocytes express several metabolic enzymes that are also found in the liver, including, e.g., UDP-glucuronyltransferases, sulfotransferases, esterases, and cytochromes P450 [
11,
12,
13,
14,
15,
16,
17,
18].
Earlier, we investigated the intestinal disappearance as well as the intestinal and hepatic phase II metabolism of
p-nitrophenol in control and STZ-treated experimental animals [
19,
20,
21,
22,
23].
p-Nitrophenol (PNP) was used as a model compound because it is well known that that PNP is metabolized almost exclusively by phase II metabolic reactions, namely by conjugation with glucuronic acid and sulfate [
19,
24,
25,
26,
27,
28], to form the metabolites
p–nitrophenyl glucuronide (PNP-G) and
p–nitrophenol sulfate (PNP-S). It was demonstrated that excretion of PNP-G into the small intestine gradually decreases towards the terminal ileum, being the highest in the proximal jejunum. On the contrary, the excretion of PNP-S was found to be slightly increased in the same direction. Furthermore, it was found that increasing the concentration of PNP in the small intestine perfusate results in saturation of excretion of the PNP-G metabolite into the perfusate [
20].
4-Nitrophenol is used mainly to manufacture drugs, fungicides, and dyes, and to darken leather. Small amounts of the two substances can be found in the air, water, and soil. Therefore, breathing air, drinking water, and eating foods grown in soils that contain these substances can expose an individual to them. Some people may be exposed to higher than background levels of nitrophenols. Workers who produce or process these chemicals may be exposed to higher doses, particularly during spills or accidents. The reported LD
50 values of the per os administered PNP to rats are 230 and 620 mg/kg/day. The cause of death was not indicated in any of these studies [
28].
As a continuation of our earlier investigation, the present study was designed to investigate the intestinal and hepatic metabolism of PNP in the same experimental animal. Using this experimental protocol, we aimed to collect simultaneous data on the amount of PNP and its two phase II conjugates excreted to the small intestine by the gut epithelium and the liver (through the bile). The parent compound and the metabolites were determined by our previously developed, validated HPLC methods [
19,
22,
23,
29,
30].
Exposure to PNP can occur in a wide range of subtoxic and toxic doses. Data on humans relevant to assessing its potential adverse effects are limited to some patch tests [
31]. Thus, a direct relationship between the results of the animal experiments and the possible human hazard is not known at present [
28,
31]. In the present experiments, PNP was used in different concentrations (0 µM, 20 µM, 100 µM, 500 µM, and 1000 µM) in the luminal perfusion medium to compare the dose dependency of conjugation reactions and elimination (luminal appearance and biliary excretion) of PNP and its two conjugates in the same animal. Selection of the perfusate concentrations refers to low (0.014 mg and 0.070 mg) and high (0.35 mg and 0.70 mg) per os PNP administrations. The highest perfusate concentration (1.0 mM) refers to about an eightieth of the gastric juice concentration (82.7 mM) of the lower reported per os LD
50 value of PNP (considering a 5 mL volume of gastric juice) [
32]. The selected doses ensure a lack of acute toxic effects in the investigated organs during the experiments. Furthermore, the therapeutic dose of several phenolic drugs (e.g., estrons [
33], capsaicinoids [
34]), and the monomer flavonoid content of individual foods [
35], fall into the range of our selected concentrations. PNP, having a simple—almost exclusively glucuronide- and sulfate-forming—metabolic profile, seems to be a proper model compound to investigate the relative importance of these two phase II metabolic pathways in the set concentration range.
4. Discussion
p-Nitrophenol has been reported to be effectively absorbed from the small intestine [
20,
21,
22,
29]. To obtain comparable data on the intestinal absorption as well as intestinal and hepatic metabolism from the same animals, HPLC–UV–Vis determination of the disappearance of PNP from the small intestine (proximal jejunum) was carried out. As shown in
Figure 1 and
Figure 2, the luminal amount of PNP decreased rapidly and continuously, and PNP-G and PNP-S metabolites appeared in the lumen of the in vivo isolated jejunal loop. At the same time, both PNP-G and PNP-S were also excreted into the bile (
Figure 3).
The appearance of the glucuronide metabolite in the perfusate is in accordance with the results of our previous investigation with capsaicinoids [
37]. On the contrary, results with ibuprofen—an NSAID with carboxyl moiety—showed no respective glucuronide in the perfusate [
38]. The explanation of these differences can be rationalized by previous results, which demonstrated that the conjugation reaction on the carboxyl moiety with glucuronic acid is mediated by UGT2B1 (UDP-glucuronosyltransferase 2B1), in the rat [
39]—UGT2B7 in humans [
40]—which is expressed at an insignificant level in the rat small intestine. On the contrary, formation of the phenol–glucuronide conjugates is presumably associated with the preference of the UGT1A1, UGT1A6, and UGT1A8 isoforms, which catalyze ether-O-glucuronidation reactions [
41,
42].
Luminal appearance and biliary excretion of the PNP-G and PNP-S metabolites were investigated with experiments with different PNP concentrations (20 µM, 100 µM, 500 µM, and 1000 µM) in the small intestinal perfusate. These experiments demonstrated dose-dependent changes in the relative luminal appearance of PNP-G. At the lower PNP concentrations (20 µM and 100 µM), the luminal appearance of PNP-G was higher than its biliary excretion. However, while elevating the substrate (PNP) supply, the luminal appearance of PNP-G tended to be saturated: at a 500 µM PNP concentration, there was no significant difference between the intestinal and biliary excretion of PNP-G. Furthermore, at the 1000 µM PNP concentration, the biliary excretion exceeded the luminal appearance of PNP-G. Theoretically, excretion of the PNP-G (and the PNP-S) metabolites formed in the small intestine to the bile cannot be excluded. In our earlier study, it was demonstrated that the activity of UDP-glucuronyltransferase and sulfotransferase (SULT) was about three times higher in the rat liver than in the small intestine. The activity of the β-glucuronidase was about six times higher and that of the of the arylsulfatase, which was approximately seven times greater in the liver than in the small intestine [
21]. Taking into consideration these experimental data, it can be concluded that most of the PNP-G and the PNP-S conjugates excreted to the bile are formed in the liver. Further experiments are needed to obtain a more detailed quantitative aspect of the question.
The luminal appearance of PNP-S was lower than the biliary excretion of the sulfate conjugate and showed a tendency to saturation. However, the biliary excretion of the sulfate metabolite was increased with elevation of the PNP concentration of the perfusate. Similar to our results, different rates of sulfation were measured by other authors in the human liver and intestinal cytosol with various drugs [
2].
These results demonstrate that in contrast to the saturability of the metabolic and excretory function of the small intestine, the hepatic elimination of PNP-glucuronide is continuously elevated with the increasing concentrations (20–1000 µM) of the luminally perfused PNP. Similar results were also found by other authors while investigating glucuronidation of drugs by the human liver and intestinal microsomes [
12,
13,
43].
Activity and expression of the relevant metabolic enzymes (glucuronyl transferases/glucuronidases and sulfotransferases/sulfatases) and transporters are different in the two organs. The main UGT isoforms expressed in the rat liver and intestine are UGT1A1, UGT1A6, UGT1A7, and UGT1A8 [
44,
45]. In rats, the PNP-dependent UGT activity of the liver has been reported to be about ten times higher than that of the different segments of the small intestine [
46]. In rodents, cytosolic sulfotransferases are present in the liver, gut, adrenal, kidney, lung, skin, brain, and other extrahepatic tissues. The overall expression level of SULTs in the intestine, however, is much lower than that in the liver [
47]. In published reports, many glucuronide conjugates were demonstrated to be substrates of ATP-dependent efflux (ABC) transporters, including breast cancer resistance protein (BCRP) and multidrug resistance-associated protein (MRP) 1/2/3/4 [
48,
49,
50,
51]. These efflux transporters function as efflux pumps to extrude intracellular conjugates and facilitate their excretion into the lumen and bile or uptake into the blood. BCRP and MRP2, which can transport glucuronide conjugates into the lumen and the bile, are rather non-selective transporters and accept most of the glucuronides. The expression of MRP2 is higher in the liver than along the intestine. [
52,
53]. Besides glucuronide conjugates, BCRP can also transport sulfate conjugates. The kinetics of the metabolic enzymes and the transport of most of the substrates follows the Michaelis–Menten kinetics [
54]. Accordingly, the observed differences could be the result—at least partially—of the different local concentrations of the substrate (PNP) in the enterocytes and the hepatocytes.
Another aspect of the concentration-dependent differences in the metabolic and excretory function of the small intestine and the liver is the microsomal uncoupling effect of PNP [
55]. Both conjugation reactions, as well as the transportation of the metabolites, are ATP-dependent processes. Since the local concentration of PNP is higher in the epithelial cells of the small intestine than in the liver, the higher PNP concentrations (500 µM and 1000 µM) have a higher impact on the ATP-dependent metabolic transformations and transportations in the small intestine. Since glucuronidation has a much higher capacity than sulfation, the changes are more highly expressed in the glucuronidation processes.
These results indicate that both the small intestine and the liver can conjugate PNP with glucuronic acid and sulfate. Our data show that at the lower doses (20 µM and 100 µM), the small intestine can rapidly and efficiently metabolize PNP to form PNP-G and PNP-S. At these concentrations, the luminal appearance of PNP-G was higher than its biliary excretion; i.e., at the 20 µM and 100 µM PNP concentrations, the metabolic activity of the small intestine is more important than that of the liver. In our experimental protocol, the data of the luminal appearance of the conjugates represent only the function of the cannulated jejunal loop (length about 10 cm). In contrast, the biliary excretion rate indicates the metabolic function of the whole liver. On the other hand, when the concentration of PNP was elevated (500 µM and 1000 µM), and the luminal appearance of PNP-G tended to be saturated, the relative metabolic activity of the liver became more pronounced, and the biliary excretion of PNP-G exceeded its luminal appearance.
Formation of phenyl glucuronides and phenyl sulfates are generally considered to be detoxification processes [
56]. As our present and previous results [
22,
23,
29,
30,
34] demonstrate, the formed phenol conjugates can be reexcreted into the gastrointestinal system both by the liver and the small intestine. At the lower PNP concentrations (up to 500 µM), a higher fraction of the absorbed dose is reexcreted into the small intestine in the PNP-G form. Accordingly, reduction of the phenolic drug’s dose results in its lower bioavailability. Furthermore, the glucuronide and the sulfate conjugates of phenolic drugs can be hydrolyzed by gut microbial glucuronidases and sulfatases. Acetylases, methylases, and glucuronidases are particularly widespread in the gut microbiome, as they are a rich carbon source for energy metabolism. Accordingly, the phenolic drugs with high efficacy and potency—after reactivation of the gut microbiome—can exert their (desired or undesired) effects on the lower part (colon) of the gastrointestinal system [
57].