Wildgrube H J, Stockhausen H, Petri J, Füssel U, Lauer H
J Chromatogr. 1986 Feb 26;353:207-13. doi: 10.1016/s0021-9673(01)87090-4.
The aim of this study was to determine the biliary pattern of conjugated bile acids after stimulation of their enterohepatic circulation. Conjugated bile acids were separated by reversed-phase ion-pair chromatography without prior derivatization. A MicroPak SP-C18-IP-4 column was used as non-polar matrix, and an ionic alkyl compound, tetrabutylammonium phosphate, was added to the mobile phase, which was a mixture of acetonitrile and water. Quantification was made by UV absorption at 210 nm with external standardization. In fourteen human patients with external biliary drainage after papillotomy there was preferential glycine conjugation. The mean values were 36.5% for glycocholic acid, 33% for glycochenodeoxycholic acid, and 10.0% for glycodeoxycholic acid. Only 15.2% of the biliary bile acids were taurine metabolites. Conjugates of ursodeoxycholic acid were below 2.1%. In most cases, conjugated lithocholic acid was not detected. Within 4 h after ingestion of a standardized meal there were no significant changes in the biliary bile acid pattern. In four dogs (beagles), glycine-conjugated bile acids were lacking. The mean values were 74.3% for taurocholic acid, 14.9% for taurodeoxycholic acid, and 5.3% for taurochenodeoxycholic acid. In six rabbits, 87.4% of biliary bile acids was identified as glycodeoxycholic acid and 5.3% as glycocholic acid. In conscious dogs, as well as in rabbits, the stimulation of biliary secretion by cholecystokinin and/or secretin had no effect on the biliary bile acid spectrum. Evidently, there is a difference in the biliary composition of conjugated bile acids between humans, dogs, and rabbits. Because of the different physicochemical behaviour of glycine- and taurine-conjugated bile salts, it seems difficult to compare the therapeutic effect of gallstone dissolution in various species.
本研究的目的是确定刺激肠肝循环后结合型胆汁酸的胆汁模式。结合型胆汁酸通过反相离子对色谱法分离,无需预先衍生化。使用MicroPak SP-C18-IP-4柱作为非极性基质,并向流动相(乙腈和水的混合物)中添加离子烷基化合物磷酸四丁铵。通过210nm处的紫外吸收进行外标法定量。在14例乳头切开术后进行体外胆汁引流的人类患者中,存在优先的甘氨酸结合。甘氨胆酸的平均值为36.5%,甘氨鹅脱氧胆酸为33%,甘氨脱氧胆酸为10.0%。胆汁胆汁酸中仅15.2%是牛磺酸代谢产物。熊去氧胆酸的结合物低于2.1%。在大多数情况下,未检测到结合型石胆酸。摄入标准化餐后4小时内,胆汁胆汁酸模式无显著变化。在四只比格犬中,缺乏甘氨酸结合的胆汁酸。牛磺胆酸的平均值为74.3%,牛磺脱氧胆酸为14.9%,牛磺鹅脱氧胆酸为5.3%。在六只兔子中,87.4%的胆汁胆汁酸被鉴定为甘氨脱氧胆酸,5.3%为甘氨胆酸。在清醒的犬以及兔子中,胆囊收缩素和/或促胰液素刺激胆汁分泌对胆汁胆汁酸谱无影响。显然,人类、犬和兔子之间结合型胆汁酸的胆汁组成存在差异。由于甘氨酸和牛磺酸结合胆汁盐的物理化学行为不同,似乎难以比较不同物种中胆结石溶解的治疗效果。