PT - JOURNAL ARTICLE AU - Zhong Xian AU - Jingzhuo Tian AU - Lianmei Wang AU - Yushi Zhang AU - Jiayin Han AU - Nuo Deng AU - Suyan Liu AU - Yong Zhao AU - Chunying Li AU - Yan Yi AU - Dunfang Wang AU - Jing Meng AU - Chen Pan AU - Aihua Liang TI - Effects of rhein on bile acid homeostasis in rats AID - 10.1101/2020.01.29.925297 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.01.29.925297 4099 - http://biorxiv.org/content/early/2020/01/30/2020.01.29.925297.short 4100 - http://biorxiv.org/content/early/2020/01/30/2020.01.29.925297.full AB - Rhein, the active ingredient of rhubarb, a medicinal and edible plant, is widely used in clinical practice. In this work, we investigated the alterations of 14 bile acids and hepatic transporters after rats were administered rhein for 5 consecutive weeks. There was no obvious injury to the liver and kidney, and there were no significant changes in biochemical indicators. However, 1,000 mg/kg rhein increased the liver total bile acid (TBA) levels, especially taurine-conjugated bile acids (t-CBAs), inhibited the expression of Farnesoid X receptor (FXR) and (bile salt export pump) BSEP mRNA, and upregulated the expression of (cholesterol 7α-hydroxylase) CYP7A1 mRNA. Rhein close to the clinical dose reduced the amounts of TBAs, especially unconjugated bile acids (UCBAs), and elevated the expression of FXR and multidrug resistance-associated protein 3 (Mrp3) mRNA. These results denote that rhein is not toxic and is safe to use at a reasonable dose and timing.