Table 2.
Biochemical analyses in plasma and urine from ZSD patients treated with CA (group 1: patients 1–15, group 2: patients 16–19)
| CA treatment | 0 weeks | 4 weeks | 12 weeks | 36 weeks | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Patient # | CA | DHCA | THCA | FGF19 | C4 | Urine# | CA | DHCA | THCA | CA | DHCA | THCA | FGF19 | C4 | Urine# | CA | DHCA | THCA | FGF19 | C4 | Urine# |
| 1 | 0.5 | 0.2 | 0.6 | 0.999 | 30.6 | present | 3.0 | <0.05 | 0.1 | 3.5 | 0.3 | 0.1 | 0.545 | <1.0 | nd | 2.2 | 0.3 | 0.1 | 0.444 | 4.3 | nd |
| 2 | 0.5 | <0.05 | <0.05 | 0.413 | 24.3 | nd | 6.2 | <0.05 | <0.05 | 1.0 | <0.05 | <0.05 | 0.193 | 11.6 | nd | 2.6 | <0.05 | <0.05 | 0.507 | 12.7 | nd |
| 3 | 2.8 | 0.2 | 0.4 | 0.242 | 12.3 | nd | 10.0 | 0.1 | 0.2 | 2.2 | <0.05 | <0.05 | nd | 1.6 | 0.1 | <0.05 | 0.286 | 7.2 | nd | ||
| 4 | 0.8 | 1.6 | 0.9 | 0.055 | 19.1 | nd | 7.7 | 0.4 | <0.05 | 3.7 | 0.5 | 0.1 | 0.647 | 1.0 | nd | 2.7 | <0.05 | 0.1 | 1.166 | <1.0 | nd |
| 5 | 0.1 | 0.3 | 0.1 | 0.186 | 27.4 | nd | 3.4 | <0.05 | <0.05 | 0.4 | <0.05 | <0.05 | 0.601 | <1.9 | nd | 0.2 | <0.05 | <0.05 | 0.387 | 4.4 | nd |
| 6 | 0.3 | <0.05 | <0.05 | 0.134 | 23.5 | present | 3.5 | <0.05 | <0.05 | 4.0 | <0.05 | <0.05 | 1.284 | 1.0 | nd | 0.8 | <0.05 | <0.05 | 0.356 | <1.0 | nd |
| 7 | 0.6 | <0.05 | <0.05 | 0.449 | 28.7 | nd | 2.4 | <0.05 | <0.05 | 1.0 | <0.05 | <0.05 | 0.248 | 10.0 | nd | 1.0 | <0.05 | <0.05 | 0.390 | 17.5 | nd |
| 8 | 1.0 | 0.2 | 0.4 | 0.475 | 18.9 | nd | 2.4 | <0.05 | <0.05 | 9.1 | <0.05 | 0.3 | 0.799 | 1.6 | nd | 2.6 | 0.2 | 0.1 | 0.885 | <1.0 | nd |
| 9 | 0.4 | <0.05 | 0.1 | 0.100 | 12.1 | nd | 8.3 | <0.05 | <0.05 | 5.5 | <0.05 | <0.05 | 0.914 | 1.2 | nd | 1.9 | <0.05 | 0.1 | 0.453 | 1.4 | nd |
| 10 | 0.1 | <0.05 | <0.05 | nd | 1.3 | <0.05 | <0.05 | 1.1 | <0.05 | <0.05 | 0.847 | 11.7 | nd | 1.3 | <0.05 | <0.05 | 0.208 | 7.7 | nd | ||
| 11 | 1.0 | 0.2 | <0.05 | 0.406 | 29.2 | nd | 1.6 | <0.05 | <0.05 | 4.0 | <0.05 | 0.1 | 0.686 | 14.2 | nd | 6.5 | <0.05 | 0.1 | 0.328 | 15.2 | nd |
| 12 | 1.4 | 2.8 | 7.2 | 0.181 | 11.3 | present | 15.1 | 1.0 | 2.4 | 21.6 | 1.3 | 1.4 | 0.319 | 1.7 | nd | 39.9 | 1.3 | 2.5 | 0.573 | 1.2 | nd |
| 13 | 0.6 | 0.5 | 2.0 | 0.142 | <1.0 | nd | 7.2 | 0.4 | 0.1 | 10.1 | 0.4 | <0.05 | 0.328 | <1.0 | nd | 13.3 | 0.3 | 0.4 | 0.353 | <1.0 | nd |
| 14 | 0.5 | 4.1 | 0.4 | 0.114 | 34.3 | present | 11.3 | 0.5 | 0.2 | 15.1 | <0.05 | <0.05 | 0.817 | <1.0 | nd | 9.9 | <0.05 | 0.1 | 0.422 | <1.0 | nd |
| 15 | 3.3 | 4.4 | 1.7 | 0.177 | 8.4 | nd | 12.2 | 1.1 | 0.7 | 9.6 | 1.2 | 0.6 | 0.276 | 2.5 | nd | 13.0 | 0.8 | 0.8 | 0.240 | 3.6 | nd |
| 16 | 3.3 | 6.0 | 10.6 | 0.359 | 2.4 | present | 174.8 | 3.3 | 10.0 | 69.4 | 3.2 | 16.7 | 0.516 | <1.0 | present | excluded | |||||
| 17 | 47.4 | 6.0 | 18.5 | 0.254 | 1.7 | present | 116.6 | 1.0 | 1.5 | 123.2 | 1.6 | 1.7 | 0.483 | <1.0 | nd | 251.8 | 1.5 | 3.7 | 0.815 | <1.0 | nd |
| 18 | 11.0 | 10.8 | 32.4 | 0.423 | 1.8 | no urine | 92.4 | 3.8 | 8.9 | 175.8 | 3.9 | 9.0 | 1.053 | <1.0 | no urine | 154.2 | 4.9 | 10.1 | 1.083 | <1.0 | no urine |
| 19 | 2.4 | 15.5 | 12.0 | 0.094 | 1.1 | present | 60.0 | 9.3 | 6.2 | 20.6 | 8.3 | 3.6 | 0.460 | <1.0 | present | 100.2 | 10.5 | 11.5 | 0.374 | <1.0 | nd |
| Median | 0.8 | 0.3 | 0.4 | 0.2 | 15.6 | 7.7 | 0.1 | 0.1 | 5.5 | 0.0 | 0.1 | 0.6 | 1.1 | 2.7 | 0.1 | 0.1 | 0.4 | 1.3 | |||
Abbreviation: CA cholic acid, DHCA dihydroxycholestanoic acid, THCA trihydroxycholestanoic acid, FGF19 fibroblast growth factor 19, C4 7alpha-hydroxy-4-cholesten-3-one, nd not detected. # Urinary bile acids comprises C27-bile acid intermediates, derivatives and bile alcohols. Plasma bile acids in μmol/L, FGF19 and C4 in μg/L; 10 mg/kg/day cholic acid doses are depicted in bold, 20 mg/kg/day cholic acid doses are depicted in italic. Due to problems with blood withdrawal or hemolysis of the samples, some data points are missing. Note that urinary bile acid were only measured qualitatively
Note: Significance of bold and italic - effect of different doses of cholic acid supplementation on different biochemical parameters