Bile acid analysis in human disorders of bile acid biosynthesis

被引：105

作者：

Vaz, Frederic. M. ^{[1
]}

Ferdinandusse, Sacha ^{[1
]}

机构：

[1] Acad Med Ctr, Dept Clin Chem & Pediat, Lab Genet Metab Dis, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands

来源：

MOLECULAR ASPECTS OF MEDICINE | 2017年 / 56卷

关键词：

Bile acid biosynthesis; Inborn errors of metabolism; Mass spectrometry; METHYLACYL-COA RACEMASE; 3-BETA-HYDROXY-DELTA(5)-C-27-STEROID OXIDOREDUCTASE DEFICIENCY; DELTA(4)-3-OXOSTEROID 5-BETA-REDUCTASE DEFICIENCY; OXYSTEROL 7-ALPHA-HYDROXYLASE DEFICIENCY; PROGRESSIVE INTRAHEPATIC CHOLESTASIS; INBORN ERROR; CHENODEOXYCHOLIC ACID; LIVER-DISEASE; CEREBROTENDINOUS XANTHOMATOSIS; N-ACYLTRANSFERASE;

D O I：

10.1016/j.mam.2017.03.003

中图分类号：

Q5 [生物化学]; Q7 [分子生物学];

学科分类号：

071010 ; 081704 ;

摘要：

Bile acids facilitate the absorption of lipids in the gut, but are also needed to maintain cholesterol homeostasis, induce bile flow, excrete toxic substances and regulate energy metabolism by acting as signaling molecules. Bile acid biosynthesis is a complex process distributed across many cellular organelles and requires at least 17 enzymes in addition to different metabolite transport proteins to synthesize the two primary bile acids, cholic acid and chenodeoxycholic acid. Disorders of bile acid synthesis can present from the neonatal period to adulthood and have very diverse clinical symptoms ranging from cholestatic liver disease to neuropsychiatric symptoms and spastic paraplegias. This review describes the different bile acid synthesis pathways followed by a summary of the current knowledge on hereditary disorders of human bile acid biosynthesis with a special focus on diagnostic bile acid profiling using mass spectrometry. (C) 2017 Elsevier Ltd. All rights reserved.

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页码：10 / 24

页数：15

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