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胆汁瘘患者中脱氧胆酸的代谢

Metabolism of deoxycholic acid in bile fistula patients.

作者信息

Hanson R F, Williams G

出版信息

J Lipid Res. 1971 Nov;12(6):688-91.

PMID:5124534
Abstract

Although it has been assumed that the secondary bile acid deoxycholic acid is not rehydroxylated by the human liver, little direct evidence is available to support this assumption. To investigate the metabolism of deoxycholic acid in man, deoxycholic acid-(14)C was given intravenously to two patients with complete external bile fistulas. After hydrolysis of the bile salts and chromatographic separation of bile acids, more than 94% of the radioactivity was found in deoxycholic acid and the remainder was scattered in several small unidentified peaks, none of which was cholic acid. Approximately 85% of deoxycholate was excreted as glycine conjugates and 13% as taurine conjugates in this experiment. No detectable sulfate esters were found. These results indicate that the metabolism of deoxycholic acid in man involves only the reconjugation with glycine and taurine without rehydroxylation to cholic acid or sulfation.

摘要

尽管一直认为人体肝脏不会将次级胆汁酸脱氧胆酸再羟化,但几乎没有直接证据支持这一假设。为了研究人体内脱氧胆酸的代谢情况,对两名患有完全性外部胆瘘的患者静脉注射了脱氧胆酸-(14)C。在胆汁盐水解和胆汁酸色谱分离后,发现超过94%的放射性存在于脱氧胆酸中,其余则分散在几个未鉴定的小峰中,没有一个是胆酸。在该实验中,约85%的脱氧胆酸盐以甘氨酸共轭物形式排泄,13%以牛磺酸共轭物形式排泄。未发现可检测到的硫酸酯。这些结果表明,人体内脱氧胆酸的代谢仅涉及与甘氨酸和牛磺酸的再共轭,而不会再羟化为胆酸或硫酸化。

相似文献

1
Metabolism of deoxycholic acid in bile fistula patients.胆汁瘘患者中脱氧胆酸的代谢
J Lipid Res. 1971 Nov;12(6):688-91.
2
Metabolism of steroid and amino acid moieties of conjugated bile acids in man. 3. Cholyltaurine (taurocholic acid).人体内结合胆汁酸的类固醇和氨基酸部分的代谢。3. 胆酰牛磺酸(牛磺胆酸)。
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J Clin Invest. 1972 Jul;51(7):1898-905. doi: 10.1172/JCI106992.

引用本文的文献

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Bile acids in glucose metabolism and insulin signalling - mechanisms and research needs.胆汁酸在糖代谢和胰岛素信号转导中的作用——机制和研究需求。
Nat Rev Endocrinol. 2019 Dec;15(12):701-712. doi: 10.1038/s41574-019-0266-7. Epub 2019 Oct 15.
2
Intestinal transport and metabolism of bile acids.胆汁酸的肠道转运与代谢
J Lipid Res. 2015 Jun;56(6):1085-99. doi: 10.1194/jlr.R054114. Epub 2014 Sep 10.
3
Bile salts of vertebrates: structural variation and possible evolutionary significance.脊椎动物的胆盐:结构变化及可能的进化意义。
J Lipid Res. 2010 Feb;51(2):226-46. doi: 10.1194/jlr.R000042. Epub 2009 Jul 28.
4
Effects of bile acid feeding on hepatic deoxycholate 7 alpha-hydroxylase activity in the hamster.胆汁酸喂养对仓鼠肝脏脱氧胆酸7α-羟化酶活性的影响。
Lipids. 1990 Nov;25(11):706-10. doi: 10.1007/BF02544038.