Hardison W G
Section of Gastroenterology, Veterans Administration Hospital, San Diego, California 92161.
Gastroenterology. 1978 Jul;75(1):71-5.
Taurine concentration in liver biopsies taken from 20 patients undergoing cholecystectomy or laparotomy for obstructive jaundice correlated with percentage of taurine-conjugated bile acids in hepatic bile. In biliary obstruction, taurine concentrations in muscle did not parallel high hepatic taurine concentrations, suggesting selective hepatic taurine accumulation in biliary obstruction. In fasting subjects with an intact bile acid enterohepatic circulation, per cent taurine-conjugated bile acids in bile was the same as per cent taurine conjugation of bile acids by the liver. Ingestion of small amounts of taurine (250 mg) can increase the per cent taurine conjugation by the liver. Of 10 subjects, 7 increased per cent taurine conjugation of bile acids by the liver by 2.5 to 10% at 2 1/2 hr after intraduodenal taurine administration. We conclude that hepatic taurine concentration is a major determinant of per cent taurine conjugation of bile acids by the liver in man. In the fasting subject with an intact enterohepatic circulation, per cent taurine-conjugated bile acid in the bile acid pool is very close to the per cent taurine conjugation of bile acids by the liver. Hepatic bile acid conjugation pattern may differ from that of the bile acid pool as a result of taurine ingested with meals, but the deviation is small, and acute alteration of the per cent taurine conjugation in the bile acid pool does not occur.
对20例因梗阻性黄疸接受胆囊切除术或剖腹手术的患者进行肝脏活检,其中牛磺酸浓度与肝胆汁中牛磺酸结合型胆汁酸的百分比相关。在胆道梗阻时,肌肉中的牛磺酸浓度与肝脏中高浓度的牛磺酸并不平行,这表明在胆道梗阻时肝脏中存在牛磺酸的选择性蓄积。在胆汁酸肠肝循环正常的空腹受试者中,胆汁中牛磺酸结合型胆汁酸的百分比与肝脏中胆汁酸的牛磺酸结合百分比相同。摄入少量牛磺酸(250毫克)可增加肝脏中胆汁酸的牛磺酸结合百分比。在10名受试者中,7名在十二指肠内给予牛磺酸后2.5小时,肝脏中胆汁酸的牛磺酸结合百分比增加了2.5%至10%。我们得出结论,肝脏中的牛磺酸浓度是人类肝脏中胆汁酸牛磺酸结合百分比的主要决定因素。在胆汁酸肠肝循环正常的空腹受试者中,胆汁酸池中的牛磺酸结合型胆汁酸百分比与肝脏中胆汁酸的牛磺酸结合百分比非常接近。由于进食时摄入的牛磺酸,肝胆汁酸结合模式可能与胆汁酸池的模式不同,但差异很小,胆汁酸池中牛磺酸结合百分比不会发生急性改变。