Abstract | OBJECTIVE: METHODS: Four patients with stage II primary biliary cirrhosis were studied. Two were fed ursocholic acid (900 mg/day), and two were given tauroursocholate (900 mg/day) in three divided doses. After 1 month, all patients were given 900 mg/day of ursodeoxycholic acid. Fasting serum, bile, and 24-hour urine levels were measured before and at the end of ursocholic acid and tauroursocholate feeding and after 1 month of ursodeoxycholic acid feeding. Clinical and biochemical symptoms were measured by routine hospital methods, and bile acids were measured by gas-liquid chromatography. RESULTS: One month of ursocholic acid or tauroursocholate feeding did not improve clinical or biochemical findings in any patient. Approximately 21-25% ursocholic acid was present in the serum and bile, with substantial metabolism to deoxycholic acid. Increased ursocholic acid was excreted in the urine. In comparison, ursodeoxycholic acid improved biochemical parameters and was 45-65% enriched in the serum and bile. CONCLUSION:
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Authors | A K Batta, G Salen, J Abroon |
Journal | The American journal of gastroenterology
(Am J Gastroenterol)
Vol. 92
Issue 6
Pg. 1035-7
(Jun 1997)
ISSN: 0002-9270 [Print] United States |
PMID | 9177526
(Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, U.S. Gov't, Non-P.H.S., Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
- Bile Acids and Salts
- Cholic Acids
- Placebos
- Deoxycholic Acid
- Taurocholic Acid
- Ursodeoxycholic Acid
- Aspartate Aminotransferases
- Alanine Transaminase
- Alkaline Phosphatase
- ursocholic acid
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Topics |
- Alanine Transaminase
(blood)
- Alkaline Phosphatase
(blood)
- Aspartate Aminotransferases
(blood)
- Bile
(chemistry)
- Bile Acids and Salts
(metabolism)
- Cholic Acids
(administration & dosage, blood, therapeutic use, urine)
- Chromatography, Gas
- Deoxycholic Acid
(metabolism)
- Fasting
- Female
- Humans
- Liver
(drug effects, metabolism, physiopathology)
- Liver Cirrhosis, Biliary
(drug therapy, metabolism, physiopathology)
- Placebos
- Taurocholic Acid
(administration & dosage, blood, therapeutic use, urine)
- Ursodeoxycholic Acid
(administration & dosage, blood, therapeutic use, urine)
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