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  • 1970-1974  (2)
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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Digestive diseases and sciences 18 (1973), S. 1067-1074 
    ISSN: 1573-2568
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Reflux of pancreatic secretions and bacterial infection have been suggested as important factors in gallstone formation in some instances by introducing into bile phospholipases hydrolyzing lecithin to lysolecithin, mono- and diglycerides, and free fatty acids. Since there is little data on free fatty acids, we studied the effect of sodium oleate, the soap of one of the major fatty acid derivatives of lecithin, on cholesterol solubility in unconjugated bile salt-lecithin model solutions to see if an increase in this component might lead to saturation of bile with cholesterol. In the absence of lecithin, sodium oleate decreased cholesterol solubility in bile salt solutions at concentrations physiologic for bile, although cholesterol solubility was increased by oleate at higher oleate-bile salt ratios. In the presence of lecithin, sodium oleate decreased cholesterol solubility at all concentrations studied. Significant differences in cholesterol solubility were found for all comparable concentrations of sodium cholate and deoxycholate studied, both in the presence and absence of lecithin. Our studies showed that an increase in free fatty acid concentration can increase cholesterol saturation significantly in unconjugated bile salt-lecithin model solutions. Whether or not free fatty acid concentrations in pathologic bile reach levels sufficient to contribute to cholesterol saturation and gallstone formation cannot be determined until more adequate data on the minor lipid composition of bile becomes available.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Digestive diseases and sciences 18 (1973), S. 670-678 
    ISSN: 1573-2568
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Cholesterol solubility was determined in model systems of unconjugated and conjugated bile salts and lecithin at physiologic concentrations. Conjugated bile salts had somewhat less dissolving power than unconjugated forms, with taurine conjugates showing less power than glycine conjugates. Lecithin increased the dissolving power of each bile salt species proportionally up to a lecithin-bile salt molar ratio of 1.0, at which point the amount of cholesterol dissolved was triple that in the absence of lecithin. At most physiologic ratios of lecithin-bile salt, however, lecithin only doubles the amount of cholesterol dissolved. Lecithin reduces, but does not eliminate, significant differences in the cholesterol dissolving power of both unconjugated and conjugated bile salt species. Mixtures of unconjugated bile salts show a simple additive effect in the absence of lecithin, but when lecithin is present the dissolving power of deoxycholate predominates over cholate, and of cholate over chenodeoxycholate. Mixtures of conjugated bile salt species produce a simple additive effect on dissolving power in both the presence and the absence of lecithin. Our cholesterol saturation curves for glycodeoxycholate and glycocholate at a total bile salt concentration of 150 mM, which we consider representative of the cholesterol dissolving power of human gallbladder bile, showed less dissolving power at lecithin-bile salt ratios of 0.25 to 0.50 than did the curve of Adminrand and Small; our curves were reasonably similar to those of Hegardt and Dam on the trilinear graph. Our studies show that changes in total bile salt concentration encountered in human gallbladder bile do produce significant shifts in the saturation curve.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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