向胆汁酸代谢在胆固醇胆囊多和胆结石:从分析方法的开发到临床样本的应用
Jiaojiao Wei1, Tao Chen2, Yamin Liu1
1The MOE Key Laboratory of Standardization of Chinese Medicines, The SATCM Key Laboratory of New Resources and Quality Evaluation of Chinese Medicines, The Shanghai Key Laboratory for Compound Chinese Medicines, Institute of Chinese Materia Medica, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
Journal of pharmaceutical analysis
|October 16, 2023
概括
胆固醇胆囊聚合体 (CGP) 和胆固醇胆结石 (CGS) 显示出血胆酸 (BAs) 的减少. 这些情况具有共同的代谢特征,特定的BA可能作为诊断的生物标志物.
科学领域:
- 代谢学 代谢学 代谢学
- 肝病学 肝病学是一种肝病学.
- 胃肠病学 胃肠病学
背景情况:
- 异常的胆固醇代谢与胆固醇胆囊聚体 (CGP) 和胆固醇胆结石 (CGS) 有关.
- 关于CGP和CGS患者的胆酸 (BA) 概况及其相互关系的研究有限.
研究的目的:
- 在健康志愿者,CGP患者和CGS患者中研究血胆酸 (BA) 代谢概况.
- 开发和验证一种敏感的UPLC-MS/MS方法,用于量化人体血中的自由和结合BA.
主要方法:
- 超高性能液体色谱-并联质谱法 (UPLC-MS/MS) 用于同时确定42个自由和结合BA.
- 分析了来自健康志愿者,CGP患者和CGS患者的血样本.
主要成果:
- 与健康个体相比,CGP和CGS患者的整体血BA池大小显著下降.
- CGP和CGS共享了不同的异常BA代谢特征.
- 陈氧胆酸,糖氧胆酸,λ-muricholic 酸,deoxycholic 酸和7-ketolithocholic 酸被确定为潜在的共享生物标志物.
结论:
- 这项研究为CGP和CGS的病变发生提供了新的代谢学见解.
- 特定的血BA可以作为这些胆囊疾病的胆固醇诊断生物标志物.
- 临床因素如氨酸,甲氨酸和BMI可能与胆囊疾病中的BA代谢相关.
相关概念视频
Gallbladder
576
The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
576
Bile
890
Bile is a crucial bodily fluid, characterized by its yellow-green color and alkaline nature. Produced in the liver, it is transported through the common hepatic duct into either the cystic duct, leading to the gallbladder, or directly into the common bile duct. The flow of bile is regulated by the sphincter of Oddi located at the entrance of the duodenum. When this sphincter is closed, bile is redirected to the gallbladder for storage and concentration.
Bile is released when dietary fats enter...
Bile is released when dietary fats enter...
890
Hepatic Drug Excretion: Influencing Factors
135
The biliary system of the liver, crucial for bile secretion and drug excretion, comprises intrahepatic bile ducts that merge to form the common hepatic duct. This duct, carrying hepatic bile, combines with the cystic duct, draining the gallbladder and forming the common bile duct, which empties into the duodenum. Bile, produced by hepatic cells lining the bile canaliculi, is composed primarily of water, bile salts, pigments, electrolytes, and lesser amounts of cholesterol and fatty acids. Bile...
135
Cholesterol: Significance and Regulation
560
Although not a source of energy, cholesterol plays a significant role as a foundational structure for bile salts, steroid hormones, and vitamin D, as well as being a crucial component of plasma membranes. Approximately 15% of blood cholesterol is derived from our diet, with the remainder synthesized from acetyl CoA by the liver and intestines. Cholesterol is eliminated from the body through its conversion into bile salts, which are eventually discarded in the feces.
Considering cholesterol and...
Considering cholesterol and...
560
Lipid-Lowering Drugs: Statins and Miscellaneous Agents
678
Hyperlipidemia, a medical condition often referred to as high cholesterol, is characterized by abnormally elevated levels of lipids in the bloodstream. When present in excess, these lipids, specifically cholesterol and triglycerides, can lead to serious health complications, often involving cardiovascular diseases. Illnesses like atherosclerosis, heart attacks, and pancreatitis have all been linked to untreated hyperlipidemia. This means controlling and regulating cholesterol and triglyceride...
678


