Sossé Djessou P, Aké Mondé A, Tiahou G, Koffi G, Cissé Camara M, Djohan F, Yapo E, Kassayou S, Peuchant E, Essiagne Sess D, Monnet D
Laboratoire de biochimie médicale, UFR des sciences médicales, Abidjan, Côte d'Ivoire.
Ann Biol Clin (Paris). 2010 Jan-Feb;68(1):39-42. doi: 10.1684/abc.2010.0400.
This study reports biochemical composition and morphological aspect of gallstones as investigated by spectroscopy IR method. Participants were 24 patients composed of 12 males and 12 females who underwent cholecystectomy with age mean of 44.8 years. The gallstones were classified either as pigments stones (n = 12), cholesterol stones (n = 8) or as mixed stones (n = 4) according to analysis by Fourier transform infrared spectroscopy. The infrared spectroscopy quantification reported eight stones contained 100% of cholesterol, eight of 100% of calcium bilirubinate, four stones were composed of 65% calcium bilirubinate phosphate and 35% calcium carbonate, and four stones contained 65% cholesterol, 30% neutral calcium bilirubinate, 5% protein and traces of calcium bilirubinate acid. Our findings showed that most gallstones were composed of pigment stones with relative large proportion of cholesterol stones, whereas previous study in Caucasian reported predominance of cholesterol stones. These findings indicate the influence of diet and chronic haemolysis in the stones formation in regard to biochemical composition differences between those found in European area and our results. Therefore, Fourier transform infrared spectroscopy method allowed to determine quality and quantity of biochemical components of gallstones. Therefore, a careful survey must allow knowing the nutritional and environmental factors in the occurrence of gallstones to Côte d'Ivoire, in order to prevent this disease.
本研究报告了通过红外光谱法研究的胆结石的生化组成和形态学方面。参与者为24例患者,其中男性12例,女性12例,均接受了胆囊切除术,平均年龄44.8岁。根据傅里叶变换红外光谱分析,胆结石分为色素结石(n = 12)、胆固醇结石(n = 8)或混合结石(n = 4)。红外光谱定量分析报告称,8颗结石含100%胆固醇,8颗含100%胆红素钙,4颗结石由65%胆红素钙磷酸盐和35%碳酸钙组成,4颗结石含65%胆固醇、30%中性胆红素钙、5%蛋白质和微量胆红素钙酸。我们的研究结果表明,大多数胆结石由色素结石组成,胆固醇结石占比较大,而此前对白种人的研究报告称胆固醇结石占主导地位。这些发现表明,饮食和慢性溶血对结石形成有影响,这与欧洲地区发现的结石在生化组成上的差异以及我们的研究结果有关。因此,傅里叶变换红外光谱法能够确定胆结石生化成分的质量和数量。因此,必须进行仔细调查,以便了解科特迪瓦胆结石发生中的营养和环境因素,从而预防这种疾病。