Takikawa H, Yokote M, Sano N, Kuyama Y, Yamanaka M
Department of Medicine, Teikyo University School of Medicine, Tokyo, Japan.
J Gastroenterol Hepatol. 1997 Dec;12(12):815-21. doi: 10.1111/j.1440-1746.1997.tb00377.x.
The absorption of ursodeoxycholate and its tauro-conjugate by the jejunum and the terminal ileum of rat intestine was compared with that of other unconjugated bile acids and taurocholate. In the ligated jejunum, the efficacy of absorption of unconjugated bile acids was in the following order: ursodeoxycholate = deoxycholate > chenodeoxycholate = cholate > lithocholate. This order cannot be explained by the theory that the passive diffusion of bile acids is faster the less hydroxyl bonds in the molecule. These findings on the unconjugated bile acids in the ligated jejunum were further confirmed by perfusion experiments. In the ligated terminal ileum, ursodeoxycholate, cholate and deoxycholate were absorbed as fast as taurocholate or tauroursodeoxycholate, whereas absorption of chenodeoxycholate was significantly slower. The Na+-dependency of the absorption of ursodeoxycholate and cholate in the terminal ileum was confirmed by perfusion studies. In conclusion, intestinal absorption of ursodeoxycholate was efficient in both the jejunum and ileum and these results may contribute to the high availability of ursodeoxycholate in various hepatobiliary diseases.
将熊去氧胆酸及其牛磺共轭物在大鼠空肠和回肠末端的吸收情况与其他未结合胆汁酸及牛磺胆酸盐的吸收情况进行了比较。在结扎空肠中,未结合胆汁酸的吸收效率顺序如下:熊去氧胆酸=脱氧胆酸>鹅去氧胆酸=胆酸>石胆酸。这种顺序无法用胆汁酸分子中羟基键越少其被动扩散越快这一理论来解释。在结扎空肠中关于未结合胆汁酸的这些发现通过灌注实验得到了进一步证实。在结扎回肠末端,熊去氧胆酸、胆酸和脱氧胆酸的吸收速度与牛磺胆酸盐或牛磺熊去氧胆酸盐一样快,而鹅去氧胆酸的吸收则明显较慢。灌注研究证实了回肠末端熊去氧胆酸和胆酸吸收对Na+的依赖性。总之,熊去氧胆酸在空肠和回肠中的肠道吸收均有效,这些结果可能有助于解释熊去氧胆酸在各种肝胆疾病中的高可用性。