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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Takeyama, Yasuaki Kanegae, Kazuko Inomata, Shinjiro Takata, Kazuhide Tanaka, Takashi Ueda, Shu-Ichi Yokoyama, Keiji Morihara, Daisuke Nishizawa, Shinya Anan, Akira Irie, Makoto Iwata, Kaoru Shakado, Satoshi Sohda, Tetsuro Sakisaka, Shotaro |
| Description | Country affiliation: Japan Author Affiliation: Takeyama Y ( Department of Gastroenterology and Medicine, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan. yaz@fukuoka-u.ac.jp) |
| Abstract | To examine the mRNA expression of hepatobiliary transporters in primary biliary cirrhosis (PBC) patients and to compare bile acid absorption, synthesis, and efflux in patients with non-end-stage and end-stage PBC, we obtained liver samples from PBC patients by percutaneous needle biopsy. End-stage PBC was defined as follows: histological stage IV; cirrhosis; serum total bilirubin, ≥4.0 mg/dl; and Child-Pugh Class C. The mRNA expression levels of sodium taurocholate cotransporting polypeptide (NTCP), bile salt export pump (BSEP), and hepatic cholesterol 7 -hydroxylase (CYP7A1) were significantly higher in the PBC patients than in the controls (P < 0.01). The mRNA levels of NTCP and BSEP were significantly higher in the end-stage PBC patients than in the controls (P < 0.01). However, hepatic CYP7A1 mRNA expression decreased significantly (by 70%) in the patients with end-stage PBC as compared to the controls and the patients with non-end-stage PBC (P < 0.01). The hepatic expression of transporters mediating bile acid influx and efflux showed sustained elevation, whereas that of the rate-limiting enzyme for bile acid biosynthesis was attenuated in the end-stage PBC patients. Thus, mechanisms may be present preventing the accumulation of toxic bile acids in the hepatocytes of end-stage PBC patients. |
| File Format | HTM / HTML |
| ISSN | 18601480 |
| Issue Number | 3 |
| Volume Number | 43 |
| e-ISSN | 18601499 |
| Journal | Medical Molecular Morphology |
| Language | English |
| Publisher | Springer |
| Publisher Date | 2010-09-01 |
| Publisher Place | Japan |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Cell Biology Discipline Molecular Biology Discipline Pathology Atp-binding Cassette Transporters Biosynthesis Cholesterol 7-alpha-hydroxylase End Stage Liver Disease Metabolism Liver Cirrhosis, Biliary Liver Organic Anion Transporters, Sodium-dependent Symporters Genetics Bile Acids And Salts Down-regulation Humans Rna, Messenger Up-regulation Journal Article Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Molecular Biology Pathology and Forensic Medicine |
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