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Hepatic clearance of unconjugated bilirubin in cholestatic liver diseases

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Abstract

The hepatic clearance of unconjugated bilirubin-14C from the plasma of 5 patients with cholestatic liver disease was normal when compared with values obtained in healthy young adults. In 1 patient with benign recurrent cholestasis, clearance was the same during an attack of cholestasis (serum bilirubin concentration 25.7 mg/100 ml) as when the patient was in remission (serum bilirubin concentration 0.65 mg/100 ml). We conclude that the hepatic clearance of unconjugated bilirubin may not be altered in hepatic disorders where cholestasis is the predominant feature and that other explanations should be considered when patients with these disorders manifest an increased plasma concentration of unconjugated bilirubin.

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References

  1. Perelli WV, Watson CJ: Comparison of the Weber-Schalm method with the Ducci-Watson modification of the Malloy-Evelyn method for serum bilirubin determination. Clin Chem 16:239–246, 1970

    Google Scholar 

  2. Berk PD, Howe RB, Bloomer JR, Berlin NI: Studies of bilirubin kinetics in normal adults. J Clin Invest 48:2176–2190, 1969

    Google Scholar 

  3. Gutstein S, Alpert S, Arias IM: Studies of hepatic excretory function. IV. Biliary excretion of sulfobromophthalein sodium in a patient with the Dubin-Johnson syndrome and a biliary fistula. Isr J Med Sci 4:36–40, 1968

    Google Scholar 

  4. Quarfordt SH, Hilderman HL, Valle D, Waddell E: Compartmental analysis of sulfobromophthalein transport in normal patients and patients with hepatic dysfunction. Gastroenterology 60:246–255, 1971

    Google Scholar 

  5. Raymond GD, Galambos JT: Hepatic storage and excretion of bilirubin in man. Am J Gastroenterol 55:135–144, 1971

    Google Scholar 

  6. Weber AP, Schalm L: Quantitative separation and determination of bilirubin and conjugated bilirubin in human serum. Clin Chim Acta 7:805–810, 1962

    Google Scholar 

  7. Jendrassik L, Grof P: Vereinfacte photometrische methodern zur bestimmung des blut bilirubins. Biochem A 297:81–89, 1938

    Google Scholar 

  8. Schaffner F, Bacchin PG, Hutterer F, Scharnbeck HH, Sarkozi L, Denk H, Popper H: Mechanism of cholestasis. 4. Structural and biochemical changes in the liver and serum in rats after bile duct ligation. Gastroenterology 60:888–897, 1971

    Google Scholar 

  9. Reyes H, Levi J, Gatmaitan Z, Arias IM: Studies of Y and Z, two hepatic cytoplasmic organic anion-binding proteins: effect of drugs, chemicals, hormones, and cholestasis. J Clin Invest 50:2242–2252, 1971

    Google Scholar 

  10. Acocella G, Tenconi LT, Armas-Merino R, Raia S, Billing BH: Does deconjugation of bilirubin glucuronide occur in obstructive jaundice. Lancet 1:68–69, 1968

    Google Scholar 

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the Metabolism Branch, National Cancer Institute, National Institutes of Health.

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Bloomer, J.R., Berk, P.D. & Howe, R.B. Hepatic clearance of unconjugated bilirubin in cholestatic liver diseases. Digest Dis Sci 19, 9–14 (1974). https://doi.org/10.1007/BF01073348

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  • DOI: https://doi.org/10.1007/BF01073348

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