Kakimoto Toshiaki, Kanemoto Hideyuki, Fukushima Kenjiro, Ohno Koichi, Tsujimoto Hajime
Am J Vet Res. 2017 Feb;78(2):223-229. doi: 10.2460/ajvr.78.2.223.
OBJECTIVE To examine bile acid composition of gallbladder contents in dogs with gallbladder mucocele and biliary sludge. ANIMALS 18 dogs with gallbladder mucocele (GBM group), 8 dogs with immobile biliary sludge (i-BS group), 17 dogs with mobile biliary sludge (m-BS group), and 14 healthy dogs (control group). PROCEDURES Samples of gallbladder contents were obtained by use of percutaneous ultrasound-guided cholecystocentesis or during cholecystectomy or necropsy. Concentrations of 15 bile acids were determined by use of highperformance liquid chromatography, and a bile acid compositional ratio was calculated for each group. RESULTS Concentrations of most bile acids in the GBM group were significantly lower than those in the control and m-BS groups. Compositional ratio of taurodeoxycholic acid, which is 1 of 3 major bile acids in dogs, was significantly lower in the GBM and i-BS groups, compared with ratios for the control and m-BS groups. The compositional ratio of taurocholic acid was significantly higher and that of taurochenodeoxycholic acid significantly lower in the i-BS group than in the control group. CONCLUSIONS AND CLINICAL RELEVANCE In this study, concentrations and fractions of bile acids in gallbladder contents were significantly different in dogs with gallbladder mucocele or immobile biliary sludge, compared with results for healthy control dogs. Studies are needed to determine whether changes in bile acid composition are primary or secondary events of gallbladder abnormalities.
目的 检测患有胆囊黏液囊肿和胆泥的犬胆囊内容物中的胆汁酸成分。动物 18 只患有胆囊黏液囊肿的犬(GBM 组)、8 只患有静止性胆泥的犬(i - BS 组)、17 只患有移动性胆泥的犬(m - BS 组)和 14 只健康犬(对照组)。方法 通过经皮超声引导下胆囊穿刺术或在胆囊切除术或尸检过程中获取胆囊内容物样本。使用高效液相色谱法测定 15 种胆汁酸的浓度,并计算每组的胆汁酸组成比例。结果 GBM 组中大多数胆汁酸的浓度显著低于对照组和 m - BS 组。牛磺脱氧胆酸(犬的三种主要胆汁酸之一)的组成比例在 GBM 组和 i - BS 组中显著低于对照组和 m - BS 组。i - BS 组中牛磺胆酸的组成比例显著高于对照组,而牛磺鹅去氧胆酸的组成比例显著低于对照组。结论及临床意义 在本研究中,与健康对照犬相比,患有胆囊黏液囊肿或静止性胆泥的犬胆囊内容物中胆汁酸的浓度和组分存在显著差异。需要开展研究以确定胆汁酸组成的变化是胆囊异常的原发性还是继发性事件。