Hepatic Cholesterol Synthesis in Man: Effect of Diazepam and Other Drugs†

Abstract

The hepatic synthesis of cholesterol-measured as incorporation of 14C-acetate into digitonin-precipitable sterols-has been evaluated in needle biopsy material of normal untreated patients and patients under short-term treatment with Diazepam, Phenobarbital, Chlorpromazine or Diphenylhydantoin. A significant increase of cholesterol synthesis was observed in the first two groups with much higher levels of incorporation in the Diazepam-treated patients. Moreover in this group the levels were still elevated from 4 to 7 days after drug withdrawl. Ultrastructural and morphometric studies performed on the same biopsy material showed a significant increase of smooth endoplasmic reticulum in hepatocytes of Diazepam-treated patients; in addition, there seemed to be a positive correlation between the increased cholesterol synthesis and the formation of areas of non vesicular, type 2, smooth endoplasmic reticulum. These findings suggest an early stimulation of the liver cell microsomal system by Diazepam in man; they also point to side effects of some drugs, which are not predictable from studies in Wistar rats.

A morphometric study of the endoplasmic reticulum in human hepatocytes : Correlation between morphological and biochemical data in subjects under treatment with certain drugs

“…The hepatic biosynthesis of cholesterol This was estimated on biopsy material as described elsewhere (Orlandi et al, 1974).…”

“…The normal range of cholesterol biosynthesis in human liver biopsies has been estimated by incorporation of 14C-acetate into Digitonin-precipitable sterols (Orlandi et al, 1974). The patients studied under group 1 (normal untreated) were part of a larger series of 12 normal subjects where the mean value of incorporation was found to be 264 ± 82.5 nmoles per g of tissue in two hours of incubation.…”