Skip to main content
The Journal of Clinical Investigation logoLink to The Journal of Clinical Investigation
. 1973 Aug;52(8):1937–1945. doi: 10.1172/JCI107378

Estimation of Cholesterol and Bile Acid Turnover in Man by Kinetic Analysis

Steven H Quarfordt 1, Mary F Greenfield 1
PMCID: PMC302476  PMID: 4719670

Abstract

The kinetics of cholesterol and bile acid turnover were determined from an analysis of the biliary lipids after a single intravenous injection of labeled cholesterol. A compartmental model was designed for the system, and the fractional metabolic rates and fluxes were determined in one lean and two obese normal humans. Each of the normals converted about 3% per day of their rapidly miscible cholesterol pool to cholic acid and 1% per day or less to chenodeoxycholate. Cholate was catabolized at about twice the rate of the dihydroxy bile acids in these normals. Two of the normals were fed corn oil with little change in their kinetic parameters from the control state. The other normal received cholestyramine and dramatically increased the bile acid flux with little change in neutral sterol catabolism. A cirrhotic patient was also studied by this technique and noted to have kinetic parameters quite different from the normals.

Full text

PDF
1941

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ABEL L. L., LEVY B. B., BRODIE B. B., KENDALL F. E. A simplified method for the estimation of total cholesterol in serum and demonstration of its specificity. J Biol Chem. 1952 Mar;195(1):357–366. [PubMed] [Google Scholar]
  2. Austad W. I., Lack L., Tyor M. P. Importance of bile acids and of an intact distal small intestine for fat absorption. Gastroenterology. 1967 Apr;52(4):638–646. [PubMed] [Google Scholar]
  3. Avigan J., Steinberg D. Sterol and bile acid excretion in man and the effects of dietary fat. J Clin Invest. 1965 Nov;44(11):1845–1856. doi: 10.1172/JCI105292. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Blum M., Spritz N. The metabolism of intravenously injected isotopic cholic acid in Laennec's cirrhosis. J Clin Invest. 1966 Feb;45(2):187–193. doi: 10.1172/JCI105331. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. CHOBANIAN A. V., BURROWS B. A., HOLLANDER W. Body cholesterol metabolism in man. II. Measurement of the body cholesterol miscible pool and turnover rate. J Clin Invest. 1962 Sep;41:1738–1744. doi: 10.1172/JCI104632. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. DOLE V. P. A relation between non-esterified fatty acids in plasma and the metabolism of glucose. J Clin Invest. 1956 Feb;35(2):150–154. doi: 10.1172/JCI103259. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Diamond G., Forrester J. S. Effect of coronary artery disease and acute myocardial infarction on left ventricular compliance in man. Circulation. 1972 Jan;45(1):11–19. doi: 10.1161/01.cir.45.1.11. [DOI] [PubMed] [Google Scholar]
  8. GRUNDY S. M., AHRENS E. H., Jr, MIETTINEN T. A. QUANTITATIVE ISOLATION AND GAS--LIQUID CHROMATOGRAPHIC ANALYSIS OF TOTAL FECAL BILE ACIDS. J Lipid Res. 1965 Jul;6:397–410. [PubMed] [Google Scholar]
  9. Garbutt J. T., Kenney T. J. Effect of cholestyramine on bile acid metabolism in normal man. J Clin Invest. 1972 Nov;51(11):2781–2789. doi: 10.1172/JCI107100. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Goodman D. S., Noble R. P. Turnover of plasma cholesterol in man. J Clin Invest. 1968 Feb;47(2):231–241. doi: 10.1172/JCI105719. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Grundy S. M., Ahrens E. H., Jr An evaluation of the relative merits of two methods for measuring the balance of sterols in man: isotopic balance versus chromatographic analysis. J Clin Invest. 1966 Sep;45(9):1503–1515. doi: 10.1172/JCI105457. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Grundy S. M., Ahrens E. H., Jr Measurements of cholesterol turnover, synthesis, and absorption in man, carried out by isotope kinetic and sterol balance methods. J Lipid Res. 1969 Jan;10(1):91–107. [PubMed] [Google Scholar]
  13. Hepner G. W., Hofmann A. F., Thomas P. J. Metabolism of steroid and amino acid moieties of conjugated bile acids in man. II. Glycine-conjugated dihydroxy bile acids. J Clin Invest. 1972 Jul;51(7):1898–1905. doi: 10.1172/JCI106992. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. LINDSTEDT S., AHRENS E. H., Jr Conversion of cholesterol to bile acids in man. Proc Soc Exp Biol Med. 1961 Nov;108:286–288. doi: 10.3181/00379727-108-26916. [DOI] [PubMed] [Google Scholar]
  15. LINDSTEDT S. Equilibration of dietary cholesterol and bile acids in man. Bile acids and steroids. Clin Chim Acta. 1962 Jan;7:1–4. doi: 10.1016/0009-8981(62)90108-0. [DOI] [PubMed] [Google Scholar]
  16. MIETTINEN T. A., AHRENS E. H., Jr, GRUNDY S. M. QUANTITATIVE ISOLATION AND GAS--LIQUID CHROMATOGRAPHIC ANALYSIS OF TOTAL DIETARY AND FECAL NEUTRAL STEROIDS. J Lipid Res. 1965 Jul;6:411–424. [PubMed] [Google Scholar]
  17. Nestel P. J., Whyte H. M., Goodman D. S. Distribution and turnover of cholesterol in humans. J Clin Invest. 1969 Jun;48(6):982–991. doi: 10.1172/JCI106079. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. SANDBERG D. H., SJOEVALL J., SJOEVALL K., TURNER D. A. MEASUREMENT OF HUMAN SERUM BILE ACIDS BY GAS-LIQUID CHROMATOGRAPHY. J Lipid Res. 1965 Apr;6:182–192. [PubMed] [Google Scholar]
  19. SPRITZ N., AHRENS E. H., Jr, GRUNDY S. STEROL BALANCE IN MAN AS PLASMA CHOLESTEROL CONCENTRATIONS ARE ALTERED BY EXCHANGES OF DIETARY FATS. J Clin Invest. 1965 Sep;44:1482–1493. doi: 10.1172/JCI105255. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Samuel P., Holtzman C. H., Meilman E., Perl W. Effect of neomycin on exchangeable pools of cholesterol in the steady state. J Clin Invest. 1968 Aug;47(8):1806–1818. doi: 10.1172/JCI105870. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Samuel P., Perl W. Long-term decay of serum cholesterol radioactivity: body cholesterol metabolism in normals and in patients with hyperlipoproteinemia and atherosclerosis. J Clin Invest. 1970 Feb;49(2):346–357. doi: 10.1172/JCI106243. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Vlahcevic Z. R., Buhac I., Farrar J. T., Bell C. C., Jr, Swell L. Bile acid metabolism in patients with cirrhosis. I. Kinetic aspects of cholic acid metabolism. Gastroenterology. 1971 Apr;60(4):491–498. [PubMed] [Google Scholar]
  23. Vlahcevic Z. R., Miller J. R., Farrar J. T., Swell L. Kinetics and pool size of primary bile acids in man. Gastroenterology. 1971 Jul;61(1):85–90. [PubMed] [Google Scholar]
  24. Wilson J. D., Lindsey C. A., Jr Studies on the influence of dietary cholesterol on cholesterol metabolism in the isotopic steady state in man. J Clin Invest. 1965 Nov;44(11):1805–1814. doi: 10.1172/JCI105288. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. ZILVERSMIT D. B. The design and analysis of isotope experiments. Am J Med. 1960 Nov;29:832–848. doi: 10.1016/0002-9343(60)90117-0. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Clinical Investigation are provided here courtesy of American Society for Clinical Investigation

RESOURCES