{"title":"Potential bile acid precursors in plasma—Possible indicators of biosynthetic pathways to cholic and chenodeoxycholic acids in man","authors":"Magnus Axelson , Jan SjÖvall","doi":"10.1016/0022-4731(90)90182-R","DOIUrl":null,"url":null,"abstract":"<div><p>The plasma concentrations of 3β-hydroxy-5-cholestenoic acid, 3β,7α-dihydroxy-5-cholestenoic acid and 7α-hydroxy-3-oxo-4-cholestenoic acid have been compared with that of 7α-hydroxy-4-cholesten-3-one in healthy subjects and in patients with an expected decrease or increase of the bile acid production. In controls and patients with liver disease, the level of 7α-hydroxy-3-oxo-4-cholestenoic acid was positively correlated to that of 3β,7α-dihydroxy-5-cholestenoic acid and not to that of 7α-hydroxy-4-cholesten-3-one. In patients with stimulated bile acid formation the levels of the acids were not correlated to each other but there was a significant positive correlation between the levels of 7α-hydroxy-3-oxo-4-cholestenoic acid and 7α-hydroxy-4-cholesten-3-one. These findings indicate that the precursor of 7α-hydroxy-3-oxo-4-cholestenoic acid differs depending on the activity of cholesterol 7α-hydroxylase. Since the activity of this enzyme is reflected by the level of 7α-hydroxy-4-cholesten-3-one in plasma the findings are compatible with a formation of 7α-hydroxy-3-oxo-4-cholestenoic acid from 3β,7α-dihydroxy-5-cholestenoic acid when the rate of bile acid formation is normal or reduced and from 7α-hydroxy-4-cholesten-3-one under conditions of increased bile acid synthesis. In support of this interpretation, 7α,26-dihydroxy-4-cholesten-3-one was identified at elevated levels in plasma from patients with ileal resection or treated with cholestyramine. The levels of 7α,12α-dihydroxy-4-cholesten-3-one were also higher than normal in these patients.</p><p>Based on these findings and previous knowledge, a model is proposed for the biosynthesis of bile acids in man. Under normal conditions, two major pathways, one “neutral” and one “acidic” or “26-oxygenated”, lead to the formation of cholic acid and chenodeoxycholic acid, respectively. These pathways are separately regulated. When the activity of cholesterol 7α-hydroxylase is high, the “neutral” pathway is most important whereas the reverse is true when cholesterol 7α-hydroxylase activity is low. In cases with enhanced activity of cholesterol 7α-hydroxylase, the “neutral” pathway is connected to the “acidic” pathway via 7α,26-dihydroxy-4-cholesten-3-one, whereas a flow from the acidic pathway to cholic acid appears to be of minor importance.</p></div>","PeriodicalId":17138,"journal":{"name":"Journal of steroid biochemistry","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"1990-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0022-4731(90)90182-R","citationCount":"157","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of steroid biochemistry","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/002247319090182R","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 157
Abstract
The plasma concentrations of 3β-hydroxy-5-cholestenoic acid, 3β,7α-dihydroxy-5-cholestenoic acid and 7α-hydroxy-3-oxo-4-cholestenoic acid have been compared with that of 7α-hydroxy-4-cholesten-3-one in healthy subjects and in patients with an expected decrease or increase of the bile acid production. In controls and patients with liver disease, the level of 7α-hydroxy-3-oxo-4-cholestenoic acid was positively correlated to that of 3β,7α-dihydroxy-5-cholestenoic acid and not to that of 7α-hydroxy-4-cholesten-3-one. In patients with stimulated bile acid formation the levels of the acids were not correlated to each other but there was a significant positive correlation between the levels of 7α-hydroxy-3-oxo-4-cholestenoic acid and 7α-hydroxy-4-cholesten-3-one. These findings indicate that the precursor of 7α-hydroxy-3-oxo-4-cholestenoic acid differs depending on the activity of cholesterol 7α-hydroxylase. Since the activity of this enzyme is reflected by the level of 7α-hydroxy-4-cholesten-3-one in plasma the findings are compatible with a formation of 7α-hydroxy-3-oxo-4-cholestenoic acid from 3β,7α-dihydroxy-5-cholestenoic acid when the rate of bile acid formation is normal or reduced and from 7α-hydroxy-4-cholesten-3-one under conditions of increased bile acid synthesis. In support of this interpretation, 7α,26-dihydroxy-4-cholesten-3-one was identified at elevated levels in plasma from patients with ileal resection or treated with cholestyramine. The levels of 7α,12α-dihydroxy-4-cholesten-3-one were also higher than normal in these patients.
Based on these findings and previous knowledge, a model is proposed for the biosynthesis of bile acids in man. Under normal conditions, two major pathways, one “neutral” and one “acidic” or “26-oxygenated”, lead to the formation of cholic acid and chenodeoxycholic acid, respectively. These pathways are separately regulated. When the activity of cholesterol 7α-hydroxylase is high, the “neutral” pathway is most important whereas the reverse is true when cholesterol 7α-hydroxylase activity is low. In cases with enhanced activity of cholesterol 7α-hydroxylase, the “neutral” pathway is connected to the “acidic” pathway via 7α,26-dihydroxy-4-cholesten-3-one, whereas a flow from the acidic pathway to cholic acid appears to be of minor importance.