Skip to main content
Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1984 Mar;37(3):317–320. doi: 10.1136/jcp.37.3.317

Colorimetric enzymatic measurement of serum total 3 alpha-hydroxy bile acid concentrations without extraction.

M Y Qureshi, S M Smith, G M Murphy
PMCID: PMC498707  PMID: 6583208

Abstract

A new method for the simpler colorimetric assay of serum total 3 alpha-hydroxy bile acid concentrations without prior extraction has been investigated. The lowest concentration that could be reliably measured was 3 mumol/l and the results obtained were in agreement with those obtained using extraction and the spectrofluorimetric enzymatic assay (y = 1.007x - 1.86, r = 0.99, n = 36). Results for 20 normal sera collected after an overnight fast were 6.2 +/- 5.1 mumol/l (mean +/- SD) and in 20 normal plasma randomly collected were 4.9 +/- 4.2 mumol/l. This new assay is comparable in specificity and sensitivity to the older spectrofluorimetric enzymatic assays and convenient for routine use.

Full text

PDF
317

Selected References

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

  1. Barnes S., Chitranukroh A. A simplified procedure for the isolation of bile acids from serum based on a batch extraction with the non-ionic resin--Amberlite XAD-7. Ann Clin Biochem. 1977 Jul;14(4):235–239. doi: 10.1177/000456327701400163. [DOI] [PubMed] [Google Scholar]
  2. 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]
  3. Barnes S., Spenney J. G. Improved enzymatic assays for bile acids using resazurin and NADH oxidoreductase from Clostridium kluyveri. Clin Chim Acta. 1980 Mar 28;102(2-3):241–245. doi: 10.1016/0009-8981(80)90039-x. [DOI] [PubMed] [Google Scholar]
  4. Bruusgaard A., Pedersen L. R., Sørensen H. Determination of total 3 alpha-hydroxy bile acids in serum. Clin Chim Acta. 1979 Apr 2;93(1):1–8. doi: 10.1016/0009-8981(79)90237-7. [DOI] [PubMed] [Google Scholar]
  5. Fausa O. Quantitative determination of serum bile acids using a purified 3 alpha-hydroxysteroid dehydrogenase. Scand J Gastroenterol. 1975;10(7):747–752. [PubMed] [Google Scholar]
  6. Ferraris R., Colombatti G., Fiorentini M. T., Carosso R., Arossa W., De La Pierre M. Diagnostic value of serum bile acids and routine liver function tests in hepatobiliary diseases. Sensitivity, specificity, and predictive value. Dig Dis Sci. 1983 Feb;28(2):129–136. doi: 10.1007/BF01315142. [DOI] [PubMed] [Google Scholar]
  7. IWATA T., YAMASAKI K. ENZYMATIC DETERMINATION AND THIN-LAYER CHROMATOGRAPHY OF BILE ACIDS IN BLOOD. J Biochem. 1964 Nov;56:424–431. doi: 10.1093/oxfordjournals.jbchem.a128013. [DOI] [PubMed] [Google Scholar]
  8. Kaplowitz N., Kok E., Javitt N. B. Postprandial serum bile acid for the detection of hepatobiliary disease. JAMA. 1973 Jul 16;225(3):292–293. [PubMed] [Google Scholar]
  9. Kobayashi K., Allen R. M., Bloomer J. R., Klatskin G. Enzymatic fluorometry for estimating serum total bile acid concentration. JAMA. 1979 May 11;241(19):2043–2045. [PubMed] [Google Scholar]
  10. Korman M. G., Hofmann A. F., Summerskill W. H. Assessment of activity in chronic active liver disease. Serum bile acids compared with conventional tests and histology. N Engl J Med. 1974 Jun 20;290(25):1399–1402. doi: 10.1056/NEJM197406202902503. [DOI] [PubMed] [Google Scholar]
  11. LaRusso N. F., Korman M. G., Hoffman N. E., Hofmann A. F. Dynamics of the enterohepatic circulation of bile acids. Postprandial serum concentrations of conjugates of cholic acid in health, cholecystectomized patients, and patients with bile acid malabsorption. N Engl J Med. 1974 Oct 3;291(14):689–692. doi: 10.1056/NEJM197410032911401. [DOI] [PubMed] [Google Scholar]
  12. Mashige F., Imai K., Osuga T. A simple and sensitive assay of total serum bile acids. Clin Chim Acta. 1976 Jul 1;70(1):79–86. doi: 10.1016/0009-8981(76)90007-3. [DOI] [PubMed] [Google Scholar]
  13. Mashige F., Osuga T., Tanaka N., Imai K., Yamanaka M. Continuous-flow determination of bile acids in serum, and its clinical application. Clin Chem. 1978 Jul;24(7):1150–1154. [PubMed] [Google Scholar]
  14. Murphy G. M., Billing B. H., Baron D. N. A fluorimetric and enzymatic method for the estimation of serum total bile acids. J Clin Pathol. 1970 Oct;23(7):594–598. doi: 10.1136/jcp.23.7.594. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Paré P., Hoefs J. C., Ashcavai M. Determinants of serum bile acids in chronic liver disease. Gastroenterology. 1981 Nov;81(5):959–964. [PubMed] [Google Scholar]
  16. Percy-Robb I. W., Broughton P. M., Jennings R. D., McCormack J. J., Neill D. W., Saunders R. A., Warner M. A recommended scheme for the evaluation of kits in the clinical laboratory. Ann Clin Biochem. 1980 Sep;17(5):217–226. doi: 10.1177/000456328001700501. [DOI] [PubMed] [Google Scholar]
  17. Roda A., Kricka L. J., DeLuca M., Hofmann A. F. Bioluminescence measurement of primary bile acids using immobilized 7 alpha-hydroxysteroid dehydrogenase: application to serum bile acids. J Lipid Res. 1982 Dec;23(9):1354–1361. [PubMed] [Google Scholar]
  18. Samuelson K., Aly A., Johansson C., Norman A. Evaluation of fasting serum bile acid concentration in patients with liver and gastrointestinal disorders. Scand J Gastroenterol. 1981;16(2):225–234. doi: 10.3109/00365528109181960. [DOI] [PubMed] [Google Scholar]
  19. Siskos P. A., Cahill P. T., Javitt N. B. Serum bile acid analysis: a rapid, direct enzymatic method using dual-beam spectrophotofluorimetry. J Lipid Res. 1977 Sep;18(5):666–671. [PubMed] [Google Scholar]
  20. Starkey B. J., Marks V. Determination of total bile acids in serum. A comparison of a radioimmunoassay with an enzymatic-fluorimetric method. Clin Chim Acta. 1982 Mar 12;119(3):165–177. doi: 10.1016/0009-8981(82)90329-1. [DOI] [PubMed] [Google Scholar]
  21. Suchy F. S., Balistreri W. F. Ileal dysfunction in Crohn's disease assessed by the postprandial serum bile acid response. Gut. 1981 Nov;22(11):948–952. doi: 10.1136/gut.22.11.948. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. 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]

Articles from Journal of Clinical Pathology are provided here courtesy of BMJ Publishing Group

RESOURCES