Effective Treatment of Unconjugated Hyperbilirubinemia With Oral Bile Salts in Gunn Rats

2009 ◽  
Vol 136 (2) ◽  
pp. 673-682.e1 ◽  
Author(s):  
Frans J.C. Cuperus ◽  
Anja M. Hafkamp ◽  
Rick Havinga ◽  
Libor Vitek ◽  
Jaroslav Zelenka ◽  
...  
1970 ◽  
Vol 120 (2) ◽  
pp. 311-327 ◽  
Author(s):  
J. Donald Ostrow ◽  
Nancy H. Murphy

1. A simple, rapid solvent partition method is described for isolation of conjugated bilirubin, free of unconjugated bilirubin, bile salts, phospholipids and cholesterol, from rat bile. Yields are 40–58%. The product is a phosphate-buffered solution containing approx. 0.4mg of bilirubin/ml, principally as mono- and di-glucuronide conjugates. The method may be modified for isolation of conjugates from human bile with 15–22% yield, and for preparation of unconjugated bilirubin from rat or human bile with yields of 55–62%. 2. The conjugated pigment has red–brown fluorescence and an absorption maximum at 450nm with ∈mM 59.8cm−1. Diazotization by the Malloy–Evelyn method gives a direct Van den Bergh reaction (in water) 12% greater than the total reaction (in methanol), with ∈total 28.4×103lmol−1cm−1 at 550nm. After desalting by elution from Sephadex LH-20 in 50% (v/v) ethanol, the product gave water-soluble mustard-yellow crystalline needles. Such desalted conjugates were precipitated by Pb2+ but not by Ba2+, Ca2+ or Zn2+. 3. At pH7.0 and 37°C the conjugated bilirubin was oxidized at a rate of 1%/h without hydrolysis, whereas 84% was hydrolysed by β-glucuronidase or aqueous alkali. 4. Mono- and di-glucuronides were separated by elution from Sephadex LH-20 in 95% (v/v) ethanol or by extraction with chloroform at pH3.2–3.4. The monoconjugated bilirubin did not become labelled during incubation with unconjugated [14C]bilirubin, and chromatographed as a single spot without dissociating into unconjugated bilirubin and diglucuronide as would be expected of a complex. 5. After intravenous injection of mono- or di-conjugated [14C]bilirubin into normal or Gunn rats, 79–91% was excreted in bile and 2–7% in urine over 2h. In these experiments injected diglucuronide was not hydrolysed whereas 30–41% of injected monoglucuronide was converted into diglucuronide by the normal but not by the Gunn rats. The evidence favours the existence of a true bilirubin mono-glucuronide that is not a complex.


2011 ◽  
Vol 70 (6) ◽  
pp. 560-565 ◽  
Author(s):  
Frans J C Cuperus ◽  
Arjan A Iemhoff ◽  
Henkjan J Verkade

Hepatology ◽  
2005 ◽  
Vol 41 (3) ◽  
pp. 526-534 ◽  
Author(s):  
Anja M. Hafkamp ◽  
Rick Havinga ◽  
Maarten Sinaasappel ◽  
Henkjan J. Verkade

2006 ◽  
Vol 59 (4 Part 1) ◽  
pp. 506-512 ◽  
Author(s):  
Anja M Hafkamp ◽  
Rick Havinga ◽  
J Donald Ostrow ◽  
Claudio Tiribelli ◽  
Lorella Pascolo ◽  
...  

2003 ◽  
Vol 124 (4) ◽  
pp. A28
Author(s):  
Anja M. Hafkamp ◽  
Rick Havinga ◽  
Maarten Sinaasappel ◽  
Ronald P.J. Oude Elferink ◽  
Henkjan J. Verkade

1988 ◽  
Vol 255 (1) ◽  
pp. G121-G131 ◽  
Author(s):  
J. M. Crawford ◽  
J. L. Gollan

Modulation of bile pigment excretion by bile salts has been attributed to modification of canalicular membrane transport or a physical interaction in bile. Based on the observation that a microtubule-dependent pathway is involved in the hepatocellular transport of bile salts, we investigated the possibility that bilirubin glucuronides are associated with bile salts during intracellular transport. Experiments were conducted in intact rats (basal) or after overnight biliary diversion and intravenous reinfusion of taurocholate (depleted/reinfused). All rats were pretreated with intravenous low-dose colchicine or its inactive isomer lumicolchicine. Biliary excretion of radiolabeled bilirubin glucuronides derived from tracer [14C]bilirubin-[3H]bilirubin monoglucuronide (co-injected iv) was unchanged in basal rats but was consistently delayed in depleted/reinfused rats. This was accompanied by a significant shift toward bilirubin diglucuronide formation from both substrates. In basal Gunn rats, with deficient bilirubin glucuronidation, biliary excretion of intravenous [14C]bilirubin monoglucuronide-[3H] bilirubin diglucuronide was unaffected by colchicine but was retarded in depleted/reinfused Gunn rats. Colchicine had no effect on the rate of bilirubin glucuronidation in vitro in rat liver microsomes. We conclude that a portion of the bilirubin glucuronides generated endogenously in hepatocytes or taken up directly from plasma may be cotransported with bile salts to the bile canalicular membrane via a microtubule-dependent (vesicular?) mechanism.


1979 ◽  
Vol 7 (6) ◽  
pp. 1323-1323
Author(s):  
H. DANIELSSON

1987 ◽  
Vol 18 (3) ◽  
pp. 206-216 ◽  
Author(s):  
Melanie Fried-Oken

A new procedure entitled the Double Administration Naming Technique is proposed to assist the clinician in obtaining qualitative information about a client's visual confrontation naming skills. It involves the administration of the standard naming test followed by a readministration of the instrument. A series of naming cues then are presented. By examining the number and types of naming errors produced during the two test presentations, the clinician distinguishes word-finding problems from expressive vocabulary limitations and qualitatively describes the language disorder. The cues that facilitate correct naming are used to plan effective treatment goals.


2018 ◽  
Vol 18 (4) ◽  
pp. 436-447 ◽  
Author(s):  
Gabrielle T. Lee ◽  
Don E. Williams ◽  
Jason Simmons ◽  
Kate Johnson-Patagoc

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