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消胆胺对家族性高胆固醇血症患者粪便中胆汁酸和中性类固醇排泄的影响。

The effect of cholestyramine on the faecal excretion of bile acids and neutral steroids in familial hypercholesterolaemia.

作者信息

Moutafis C D, Simons L A, Myant N B, Adams P W, Wynn V

出版信息

Atherosclerosis. 1977 Mar;26(3):329-34. doi: 10.1016/0021-9150(77)90085-5.

DOI:10.1016/0021-9150(77)90085-5
PMID:849377
Abstract

The faecal excretion of total bile acids was measured in two normal subjects and in seven patients with familial hypercholesterolaemia (four heterozygotes and three homozygotes) in the untreated state and during treatment with near-maximal doses of cholestyramine. There were no significant differences between the three groups. The increase in bile-acid excretion in response to cholestyramine was as great in the homozygotes as in the normal subjects. It is concluded that familial hypercholesterolaemia is not generally due to an inherited defect in the mechanisms for catabolizing cholesterol to bile acids.

摘要

在两名正常受试者以及七名家族性高胆固醇血症患者(四名杂合子和三名纯合子)中,测量了未治疗状态下以及使用接近最大剂量消胆胺治疗期间总胆汁酸的粪便排泄量。三组之间没有显著差异。纯合子对消胆胺产生的胆汁酸排泄增加与正常受试者一样显著。由此得出结论,家族性高胆固醇血症通常并非由于胆固醇分解为胆汁酸的机制存在遗传性缺陷所致。

相似文献

1
The effect of cholestyramine on the faecal excretion of bile acids and neutral steroids in familial hypercholesterolaemia.消胆胺对家族性高胆固醇血症患者粪便中胆汁酸和中性类固醇排泄的影响。
Atherosclerosis. 1977 Mar;26(3):329-34. doi: 10.1016/0021-9150(77)90085-5.
2
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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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。
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Influence of dietary retrograded starch on the metabolism of neutral steroids and bile acids in rats.膳食回生淀粉对大鼠中性类固醇和胆汁酸代谢的影响。
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The metabolism of cholesterol in two hypercholesterolaemic patients treated with cholestyramine.两名接受消胆胺治疗的高胆固醇血症患者的胆固醇代谢
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Changes in cholesterol metabolism with dietary cholesterol in children with familial hypercholesterolaemia.家族性高胆固醇血症患儿饮食胆固醇对胆固醇代谢的影响
Clin Sci (Lond). 1979 Apr;56(4):377-80. doi: 10.1042/cs0560377.
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Effect of cholestyramine on the fecal excretion of intravenously administered cholesterol-4-14C and its degradation products in a hypercholesterolemic patient.消胆胺对一名高胆固醇血症患者静脉注射胆固醇-4-¹⁴C及其降解产物粪便排泄的影响。
J Clin Invest. 1968 Jul;47(7):1664-71. doi: 10.1172/JCI105857.
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Cholestyramine treatment during pregnancy in the rat results in hypercholesterolemia.大鼠孕期使用消胆胺治疗会导致高胆固醇血症。
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Impact of beta-cyclodextrin and resistant starch on bile acid metabolism and fecal steroid excretion in regard to their hypolipidemic action in hamsters.β-环糊精和抗性淀粉对仓鼠胆汁酸代谢及粪便类固醇排泄的影响及其降血脂作用
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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.

引用本文的文献

1
Receptor-mediated low-density lipoprotein catabolism.受体介导的低密度脂蛋白分解代谢
Klin Wochenschr. 1982 Apr 1;60(7):319-25. doi: 10.1007/BF01721621.
2
Combination treatment with cholestyramine and bezafibrate for heterozygous familial hypercholesterolaemia.考来烯胺与苯扎贝特联合治疗杂合子家族性高胆固醇血症。
BMJ. 1988 Jul 16;297(6642):173-5. doi: 10.1136/bmj.297.6642.173.
3
Metabolic studies in familial hypercholesterolemia. Evidence for a gene-dosage effect in vivo.家族性高胆固醇血症的代谢研究。体内基因剂量效应的证据。
J Clin Invest. 1979 Aug;64(2):524-33. doi: 10.1172/JCI109490.