Expression of bacterial β-glucuronidase in human bile:: an in vitro study

被引:49
作者
Leung, JW
Liu, YL
Leung, PSC
Chan, RCY
Inciardi, JF
Cheng, AF
机构
[1] Univ Calif Davis, Med Ctr, Div Gastroenterol, Sacramento, CA 95817 USA
[2] Univ Calif Davis, Mr & Mrs CW Law Biofilm Res Ctr, Sacramento, CA USA
[3] VA No California Hlth Care Syst, Gastroenterol Sect, Martinez, CA USA
[4] Prince Wales Hosp, Dept Microbiol, Hong Kong, Peoples R China
[5] Univ Calif Davis, Dept Internal Med, Div Rheumatol & Allergy, Sacramento, CA 95817 USA
[6] Univ Calif Davis, Pharmacokinet Consult Serv, Sacramento, CA 95817 USA
关键词
D O I
10.1067/mge.2001.117546
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background. Bacterial beta -glucuronidase causes deconjugation of bilirubin diglucuronide resulting in the precipitation of calcium bilirubinate, which contributes to biliary sludge and stone formation. This process is attributed to enzyme activity produced by the aerobic enterobacteriaceae such as Escherichia coli and Klebsiella sp. The presence of Clostridium sp. was detected in 48 of 56 intrahepatic stones by using polymerase chain reaction techniques and cultured Clostridium perfringens from 14 of 18 unblocked biliary stents. Such bacteria are reported to produce beta -glucuronidase activity. The aim of this study was to determine the proportion of biliary bacteria isolated from pigment stones and stents that produce beta -glucuronidase and to compare the enzyme activity expressed by the different bacteria in human bile. Methods; A total of 202 bacteria were isolated from blocked and unblocked biliary stents and pigment ductal stones recovered from patients. Of these, 61 bacteria expressed beta -glucuronidase activity in brain heart infusion broth. These 61 bacteria were subsequently grown in human bile under aerobic or anaerobic conditions to the early stationary phase and assayed for beta -glucuronidase activity by using rho -nitrophenyl beta -D glucuronide as substrate. Results were normalized and reported as units of enzyme activity per milligram protein of the bacteria. Results: C perfringens produced beta -glucuronidase enzyme activity that was 34-fold higher than that for E coli, Staphylococcus, Corynebacterium sp., Bacillus sp., Enterococcus sp., Acinetobacter sp., Streptococcus sp., and Klebsiella sp. Conclusion: C perfringens with its higher enzyme activity is more important in the deconjugation of bilirubin diglucuronide than E coli and Klebsiella sp.
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页码:346 / 350
页数:5
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