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肝疾病中油酸细胞色素 P450 代谢的测定和诊断应用。

Measurement and diagnostic use of hepatic cytochrome P450 metabolism of oleic acid in liver disease.

机构信息

Institute for Molecular and Translational Therapeutic Strategies, Hannover Medical School, Hannover, Germany.

出版信息

Liver Int. 2010 Sep;30(8):1181-8. doi: 10.1111/j.1478-3231.2010.02310.x. Epub 2010 Jul 8.

DOI:10.1111/j.1478-3231.2010.02310.x
PMID:20629947
Abstract

BACKGROUND

Oleic acid is a major systemically circulating fatty acid in humans with atheroprotective and immunomodulatory properties. As of today, the contribution of individual cytochrome P450 (CYP) mono-oxygenases to the epoxidation of this fatty acid is unknown. Furthermore, the extent of the oleic acid oxidation product cis-9,10-epoxyoctadecanoic acid (cis-EODA) in humans and its plasma levels in patients with impaired liver function are not known.

PATIENTS AND METHODS

We studied cis-EODA in plasma of patients suffering from chronic liver diseases, a condition that often displays impaired liver CYP enzyme activities. Fifteen CYP mono-oxygenases were investigated in vitro as a potential source of cis-EODA.

RESULTS

Strikingly, plasma levels of cis-EODA were significantly repressed (P<0.0005) when patients with liver impairment (n=16) were compared with healthy subjects (n=14). Production of cis-EODA was catalysed by CYP in the following order: 2C8, 2C9, 2C19, 3A4, 1A2 and CYP3A7.

CONCLUSION

cis-EODA plasma concentrations are decreased in hepatic disease with impaired liver function. Oleic acid is primarily oxidized to oleic acid oxide (cis-EODA) by CYP2C and CYP3A mono-oxygenases. The liver is the major organ responsible for the oxidation of oleic acid to cis-EODA, and thus, cis-EODA may be a suitable biomarker to assess liver function.

摘要

背景

油酸是人体内主要的循环脂肪酸,具有抗动脉粥样硬化和免疫调节作用。截至目前,尚不清楚个体细胞色素 P450(CYP)单加氧酶在这种脂肪酸环氧化中的作用。此外,尚不清楚人类油酸氧化产物顺-9,10-环氧十八烷酸(cis-EODA)的程度及其在肝功能受损患者中的血浆水平。

患者和方法

我们研究了慢性肝病患者血浆中的 cis-EODA,这种疾病通常表现出肝 CYP 酶活性受损。我们在体外研究了 15 种 CYP 单加氧酶,作为 cis-EODA 的潜在来源。

结果

令人惊讶的是,与健康受试者(n=14)相比,肝功能受损的患者(n=16)的 cis-EODA 血浆水平显著降低(P<0.0005)。cis-EODA 的产生由 CYP 以以下顺序催化:2C8、2C9、2C19、3A4、1A2 和 CYP3A7。

结论

cis-EODA 血浆浓度在肝功能受损的肝脏疾病中降低。油酸主要由 CYP2C 和 CYP3A 单加氧酶氧化为油酸氧化物(cis-EODA)。肝脏是氧化油酸生成 cis-EODA 的主要器官,因此,cis-EODA 可能是评估肝功能的合适生物标志物。

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