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. 1980 Feb;21(2):123–127. doi: 10.1136/gut.21.2.123

Plasma clearance of oral and intravenous cholic acid in subjects with and without chronic liver disease.

I T Gilmore, R P Thompson
PMCID: PMC1419343  PMID: 7380333

Abstract

The apparent plasms clearances of tracer amounts of radiolabelled cholic acid given orally or intravenously were compared in 14 control subjects and 20 patients with chronic liver disease. The clearance after oral administration was the more sensitive in detecting chronic liver disease and correlated better with the fasting levels of endogenous serum bile acid. This agrees with the predicted effects on clearance of hepatocellular damage and portal-systemic shunting of blood after the two routes of administration. The estimated hepatic extraction ratio, calculated from the ratio of the oral and intravenous clearances, was 0.77+/-0.02 (mean+/-SEM) in control subjects, 0.64+/-0.03 in patients with anicteric chronic liver disease, and 0.46+/-0.05 in those with icteric chronic liver disease.

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Selected References

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  1. Barnes S., Gallo G. A., Trash D. B., Morris J. S. Diagnositic value of serum bile acid estimations in liver disease. J Clin Pathol. 1975 Jun;28(6):506–509. doi: 10.1136/jcp.28.6.506. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Blendis L. M., Ramboer C., Williams R. Studies on the haemodilution anaemia of splenomegaly. Eur J Clin Invest. 1970 Mar;1(1):54–64. doi: 10.1111/j.1365-2362.1970.tb00597.x. [DOI] [PubMed] [Google Scholar]
  3. Burke C. W., Lewis B., Panveliwalla D., Tabaqchali S. The binding of cholic acid and its taurine conjugate to serum proteins. Clin Chim Acta. 1971 Apr;32(2):207–214. doi: 10.1016/0009-8981(71)90334-2. [DOI] [PubMed] [Google Scholar]
  4. Cowen A. E., Korman M. G., Hofmann A. F., Thomas P. J. Plasma disappearance of radioactivity after intravenous injection of labeled bile acids in man. Gastroenterology. 1975 Jun;68(6):1567–1573. [PubMed] [Google Scholar]
  5. Gilmore I. T., Thompson R. P. Kinetics of 14C-glycocholic acid clearance in normal man and in patients with liver disease. Gut. 1978 Dec;19(12):1110–1115. doi: 10.1136/gut.19.12.1110. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Glasinović J. C., Dumont M., Duval M., Erlinger S. Hepatocellular uptake of bile acids in the dog: Evidence for a common carrier-mediated transport system. An indicator dilution study. Gastroenterology. 1975 Oct;69(4):973–981. [PubMed] [Google Scholar]
  7. Hoffman N. E., Iser J. H., Smallwood R. A. Hepatic bile acid transport: effect of conjugation and position of hydroxyl groups. Am J Physiol. 1975 Aug;229(2):298–302. doi: 10.1152/ajplegacy.1975.229.2.298. [DOI] [PubMed] [Google Scholar]
  8. Hofmann A. F., Korman M. G., Krugman S. Sensitivity of serum bile acid assay for detection of liver damage in viral hepatitis type B. Prospective study in five patients. Am J Dig Dis. 1974 Oct;19(10):908–910. doi: 10.1007/BF01076213. [DOI] [PubMed] [Google Scholar]
  9. Neale G., Lewis B., Weaver V., Panveliwalla D. Serum bile acids in liver disease. Gut. 1971 Feb;12(2):145–152. doi: 10.1136/gut.12.2.145. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. O'Máille E. R., Richards T. G., Short A. H. Acute taurine depletion and maximal rates of hepatic conjugation and secretion of cholic acid in the dog. J Physiol. 1965 Sep;180(1):67–79. [PMC free article] [PubMed] [Google Scholar]
  11. O'Máille E. R., Richards T. G., Short A. H. The influence of conjugation of cholic acid on its uptake and secretion: hepatic extraction of taurocholate and cholate in the dog. J Physiol. 1967 Apr;189(2):337–350. doi: 10.1113/jphysiol.1967.sp008172. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Pennington C. R., Ross P. E., Bouchier I. A. Serum bile acids in the diagnosis of hepatobiliary disease. Gut. 1977 Nov;18(11):903–908. doi: 10.1136/gut.18.11.903. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Pessayre D., Lebrec D., Descatoire V., Peignoux M., Benhamou J. P. Mechanism for reduced drug clearance in patients with cirrhosis. Gastroenterology. 1978 Mar;74(3):566–571. [PubMed] [Google Scholar]
  14. Reichen J., Paumgartner G. Uptake of bile acids by perfused rat liver. Am J Physiol. 1976 Sep;231(3):734–742. doi: 10.1152/ajplegacy.1976.231.3.734. [DOI] [PubMed] [Google Scholar]
  15. Thjodleifsson B., Barnes S., Chitranukroh A., Billing B. H., Sherlock S. Assessment of the plasma disappearance of cholyl'l14C-glycine as a test of hepatocellular disease. Gut. 1977 Sep;18(9):697–702. doi: 10.1136/gut.18.9.697. [DOI] [PMC free article] [PubMed] [Google Scholar]

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