Thompson G N
Department of Chemical Pathology, Adelaide Children's Hospital, South Australia.
Clin Chim Acta. 1988 Feb 15;171(2-3):233-7. doi: 10.1016/0009-8981(88)90148-9.
Bile acid taurine deficiency is common in cystic fibrosis (CF) and is thought to be associated with impaired fat absorption. The relationship between the glycine: taurine bile acid conjugation ratio (bile acid G/T ratio) and taurine concentrations in plasma, urine and leucocytes was examined in 27 CF children aged 4-15 yr. The bile acid G/T ratio was elevated in serum in 14 of the 27 and in duodenal juice in 5 of 6 children. Subgroups of CF children with elevated and normal bile acid G/T ratio and controls (n = 8) all had similar plasma, urine and leucocyte taurine concentrations. The results suggest that either taurine measurement in plasma, urine and leucocytes does not accurately reflect stores elsewhere in CF, or that taurine deficiency is confined to bile acids.
胆汁酸牛磺酸缺乏在囊性纤维化(CF)中很常见,并且被认为与脂肪吸收受损有关。对27名4至15岁的CF儿童研究了甘氨酸:牛磺酸胆汁酸结合比率(胆汁酸G/T比率)与血浆、尿液及白细胞中牛磺酸浓度之间的关系。27名儿童中有14名血清中的胆汁酸G/T比率升高,6名儿童中有5名十二指肠液中的胆汁酸G/T比率升高。胆汁酸G/T比率升高和正常的CF儿童亚组以及对照组(n = 8)的血浆、尿液和白细胞牛磺酸浓度均相似。结果表明,要么血浆、尿液和白细胞中的牛磺酸测量不能准确反映CF患者其他部位的储备情况,要么牛磺酸缺乏仅限于胆汁酸。