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熊去氧胆酸给药对胆固醇结石患者胆汁脂质成分及胆汁酸动力学的影响。

Effect of ursodeoxycholic acid administration on biliary lipid composition and bile acid kinetics in cholesterol gallstone patients.

作者信息

Roda E, Roda A, Sama C, Festi D, Mazzella G, Aldini R, Barbara L

出版信息

Dig Dis Sci. 1979 Feb;24(2):123-8. doi: 10.1007/BF01324739.

DOI:10.1007/BF01324739
PMID:428300
Abstract

The effect of ursodeoxycholic acid (UDCA) on bile lipid composition and bile acid kinetics was evaluated in seven cholesterol gallstone patients following one month of UDCA administration (12 mg/kg/day). UDCA administration induces a significant reduction in the cholesterol saturation index (SI). After UDCA treatment, UDCA becomes the predominant biliary bile acid while chenodeoxycholic, cholic, and deoxycholic acid are significantly reduced. UDCA pool significantly increases, and chenodeoxycholic, cholic, and total bile acid pools significantly decrease. The reduction in bile lithogenicity during UDCA administration suggests that UDCA may be useful for cholesterol gallstone treatment in man.

摘要

对7例胆固醇结石患者给予熊去氧胆酸(UDCA)治疗1个月(12mg/kg/天)后,评估其对胆汁脂质成分和胆汁酸动力学的影响。给予UDCA可使胆固醇饱和指数(SI)显著降低。UDCA治疗后,UDCA成为主要的胆汁酸,而鹅去氧胆酸、胆酸和脱氧胆酸显著减少。UDCA池显著增加,鹅去氧胆酸、胆酸和总胆汁酸池显著减少。UDCA给药期间胆汁致石性降低表明,UDCA可能对人类胆固醇结石治疗有用。

相似文献

1
Effect of ursodeoxycholic acid administration on biliary lipid composition and bile acid kinetics in cholesterol gallstone patients.熊去氧胆酸给药对胆固醇结石患者胆汁脂质成分及胆汁酸动力学的影响。
Dig Dis Sci. 1979 Feb;24(2):123-8. doi: 10.1007/BF01324739.
2
Effect of oral chenodeoxycholic acid on bile acid kinetics and biliary lipid composition in women with cholelithiasis.口服鹅去氧胆酸对胆石症女性胆汁酸动力学和胆汁脂质成分的影响。
J Clin Invest. 1973 Nov;52(11):2809-21. doi: 10.1172/JCI107477.
3
A combination of chenodeoxycholic acid and ursodeoxycholic acid is more effective than either alone in reducing biliary cholesterol saturation.鹅去氧胆酸和熊去氧胆酸联合使用在降低胆汁胆固醇饱和度方面比单独使用任何一种都更有效。
Hepatology. 1982 May-Jun;2(3):334-9. doi: 10.1002/hep.1840020308.
4
Effect of 7-ketolithocholic acid on bile acid metabolism in humans.7-酮石胆酸对人体胆汁酸代谢的影响。
Gastroenterology. 1982 Aug;83(2):341-7.
5
Differing effects of ursodeoxycholic or chenodeoxycholic acid on biliary cholesterol saturation and bile acid metabolism in man. A dose-response study.熊去氧胆酸或鹅去氧胆酸对人体胆汁胆固醇饱和度及胆汁酸代谢的不同影响。一项剂量反应研究。
Dig Dis Sci. 1982 Feb;27(2):161-8. doi: 10.1007/BF01311711.
6
Effect of primary bile acid ingestion on bile acid metabolism and biliary lipid secretion in gallstone patients.原发性胆汁酸摄入对胆结石患者胆汁酸代谢及胆汁脂质分泌的影响。
Gastroenterology. 1975 Dec;69(6):1301-14.
7
Effect of litholytic bile acids on cholesterol absorption in gallstone patients.溶石胆汁酸对胆结石患者胆固醇吸收的影响。
Gastroenterology. 1983 Feb;84(2):265-71.
8
Effect of ursodeoxycholic acid and chenodeoxycholic acid on cholesterol and bile acid metabolism.熊去氧胆酸和鹅去氧胆酸对胆固醇及胆汁酸代谢的影响。
Gastroenterology. 1986 Oct;91(4):1007-18. doi: 10.1016/0016-5085(86)90708-0.
9
Changes in biliary lipid and biliary bile acid composition in patients after administration of ursodeoxycholic acid.
J Lipid Res. 1978 Aug;19(6):723-8.
10
Role of gallbladder in gallstone formation.胆囊在胆结石形成中的作用。
Acta Chir Scand. 1974;140(1):45-9.

引用本文的文献

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Acute and chronic effects of different bile acids on indomethacin-induced intestinal inflammation.不同胆汁酸对吲哚美辛诱导的肠道炎症的急性和慢性影响。
Inflammation. 1997 Dec;21(6):553-67. doi: 10.1023/a:1027390920570.
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Clinical pharmacokinetics of therapeutic bile acids.治疗性胆汁酸的临床药代动力学
Clin Pharmacokinet. 1996 May;30(5):333-58. doi: 10.2165/00003088-199630050-00002.
3
Ursodeoxycholic acid administration on bile acid metabolism in patients with early stages of primary biliary cirrhosis.熊去氧胆酸对原发性胆汁性肝硬化早期患者胆汁酸代谢的影响

本文引用的文献

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The turnover of cholic acid in man: bile acids and steroids.人体内胆酸的周转:胆汁酸与类固醇
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Increased formation of ursodeoxycholic acid in patients treated with chenodeoxycholic acid.用鹅去氧胆酸治疗的患者中熊去氧胆酸的生成增加。
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Differing effects of ursodeoxycholic or chenodeoxycholic acid on biliary cholesterol saturation and bile acid metabolism in man. A dose-response study.熊去氧胆酸或鹅去氧胆酸对人体胆汁胆固醇饱和度及胆汁酸代谢的不同影响。一项剂量反应研究。
Dig Dis Sci. 1982 Feb;27(2):161-8. doi: 10.1007/BF01311711.
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Effect of oral chenodeoxycholic acid on bile acid kinetics and biliary lipid composition in women with cholelithiasis.口服鹅去氧胆酸对胆石症女性胆汁酸动力学和胆汁脂质成分的影响。
J Clin Invest. 1973 Nov;52(11):2809-21. doi: 10.1172/JCI107477.
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Efficacy and specificity of chenodeoxycholic acid therapy for dissolving gallstones.鹅去氧胆酸治疗胆囊结石的疗效与特异性
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Measurement and validation of human bile salt pool size and synthesis.人体胆盐池大小及合成的测量与验证
Clin Chim Acta. 1974 Dec 17;57(3):239-48. doi: 10.1016/0009-8981(74)90403-3.
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[Enzymatic determination of total cholesterol in serum (author's transl)].血清总胆固醇的酶法测定(作者译)
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Acta Gastroenterol Belg. 1975 Jan-Feb;38(1-2):24-33.
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Effect of primary bile acid ingestion on bile acid metabolism and biliary lipid secretion in gallstone patients.原发性胆汁酸摄入对胆结石患者胆汁酸代谢及胆汁脂质分泌的影响。
Gastroenterology. 1975 Dec;69(6):1301-14.