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通过部分小肠旁路手术或消胆胺进行胆汁酸引流。对渡边遗传性高脂血症兔血清胆固醇的影响。

Bile acid drainage by partial small bowel bypass or cholestyramine. Effects on serum cholesterol in Watanabe heritable hyperlipidemic rabbits.

作者信息

van Niekerk J L, Hendriks T, de Boer H H

出版信息

Eur Surg Res. 1984;16(5):282-7. doi: 10.1159/000128420.

DOI:10.1159/000128420
PMID:6468464
Abstract

The effects of bile acid drainage on serum cholesterol levels have been investigated in Watanabe heritable hyperlipidemic rabbits, a unique model for homozygous familial hypercholesterolemia. Cholestyramine medication lowered serum cholesterol concentrations with 38%, while a 33% and a 50% small bowel bypass resulted in a decrease of 56 and 48%, respectively. Cholestyramine treatment after either bypass induced a minor additional fall in serum cholesterol. Ileal bypass and ileal resection were equally effective in reducing serum cholesterol. These results indicate the necessity for further investigation into the potential of bile acid drainage as a therapy in homozygous familial hypercholesterolemia.

摘要

在渡边遗传性高脂血症兔(一种纯合子家族性高胆固醇血症的独特模型)中,研究了胆汁酸引流对血清胆固醇水平的影响。消胆胺治疗使血清胆固醇浓度降低了38%,而33%和50%的小肠旁路手术分别导致血清胆固醇降低56%和48%。在任何一种旁路手术后进行消胆胺治疗,会使血清胆固醇进一步出现轻微下降。回肠旁路手术和回肠切除术在降低血清胆固醇方面同样有效。这些结果表明,有必要进一步研究胆汁酸引流作为纯合子家族性高胆固醇血症治疗方法的潜力。

相似文献

1
Bile acid drainage by partial small bowel bypass or cholestyramine. Effects on serum cholesterol in Watanabe heritable hyperlipidemic rabbits.通过部分小肠旁路手术或消胆胺进行胆汁酸引流。对渡边遗传性高脂血症兔血清胆固醇的影响。
Eur Surg Res. 1984;16(5):282-7. doi: 10.1159/000128420.
2
Superiority of partial ileal bypass over cholestyramine reducing cholesterol in familial hypercholesterolaemia.在家族性高胆固醇血症中,部分回肠旁路术在降低胆固醇方面优于消胆胺。
Lancet. 1981 Oct 10;2(8250):768-70. doi: 10.1016/s0140-6736(81)90183-5.
3
The lipid-lowering effects of 3-hydroxy-3-methylglutaric acid and bile acid drainage in WHHL rabbits.3-羟基-3-甲基戊二酸和胆汁酸引流对WHHL兔的降脂作用。
Clin Sci (Lond). 1984 Oct;67(4):439-44. doi: 10.1042/cs0670439.
4
Cholestyramine and ileal by-pass in the treatment of familial hypercholesterolaemia.消胆胺和回肠旁路术治疗家族性高胆固醇血症。
Eur J Clin Invest. 1977 Dec;7(6):509-14. doi: 10.1111/j.1365-2362.1977.tb01644.x.
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Cholestyramine treatment reduces postprandial but not fasting serum bile acid levels in humans.消胆胺治疗可降低人体餐后血清胆汁酸水平,但对空腹血清胆汁酸水平无影响。
Gastroenterology. 1982 Nov;83(5):1097-101.
6
Cholesterol and bile acid synthesis in two families with homozygous and heterozygous hypercholesterolemia.两个患有纯合子和杂合子高胆固醇血症家族中的胆固醇和胆汁酸合成
Arteriosclerosis. 1984 Jul-Aug;4(4):383-8. doi: 10.1161/01.atv.4.4.383.
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A comparative study on serum lipids and atherosclerotic plaque formation in diet-induced and familial hypercholesterolemia in rabbits, and the effect of partial ileal bypass.饮食诱导和家族性高胆固醇血症兔血清脂质与动脉粥样硬化斑块形成的比较研究及部分回肠旁路的作用
Artery. 1985;12(4):263-76.
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Induction of mRNA for low-density lipoprotein receptors in heterozygous Watanabe heritable hyperlipidemic rabbits treated with CS-514 (Pravastatin) and cholestyramine.
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9
Reduction of serum cholesterol in heterozygous patients with familial hypercholesterolemia. Additive effects of compactin and cholestyramine.家族性高胆固醇血症杂合子患者血清胆固醇的降低。洛伐他汀与消胆胺的相加作用。
N Engl J Med. 1983 Mar 17;308(11):609-13. doi: 10.1056/NEJM198303173081101.
10
Effects of neomycin alone and in combination with cholestyramine on serum cholesterol and fecal steroids in hypercholesterolemic subjects.新霉素单独及与消胆胺联合应用对高胆固醇血症患者血清胆固醇及粪便类固醇的影响。
J Clin Invest. 1979 Nov;64(5):1485-93. doi: 10.1172/JCI109607.

引用本文的文献

1
Effect of low density lipoprotein receptor deficiency on the metabolism of apolipoprotein B-100 in blood plasma. Kinetic studies in normal and Watanabe heritable hyperlipidemic rabbits.低密度脂蛋白受体缺乏对血浆中载脂蛋白B - 100代谢的影响。正常及渡边遗传性高脂血症兔的动力学研究。
J Clin Invest. 1987 Aug;80(2):507-15. doi: 10.1172/JCI113099.
2
Alterations in the metabolism of very-low- and low-density lipoproteins after partial ileal-bypass surgery in the Watanabe heritable hyperlipidaemic rabbit.渡边遗传性高脂血症兔部分回肠旁路手术后极低密度脂蛋白和低密度脂蛋白代谢的改变
Biochem J. 1991 Sep 15;278 ( Pt 3)(Pt 3):651-7. doi: 10.1042/bj2780651.