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A Gerolami

Publications and source records attributed to A Gerolami.

63 records · Page 4Linked to original sources
PubMedDate not supplied

Effect of glycoursodeoxycholate on precipitation of calcium carbonate.

The potential role of bile salts in preventing calcium carbonate precipitation was investigated by studying their interaction of Ca2+ and their inhibitory effects on calcium carbonate formation. Glycochenodeoxycholate micelles bound more calcium than did glycocholate. At bile salt concentrations exceeding 12.5 mM, glycoursodeoxycholate bound calcium as well as glycochenodexycholate did. Similar results for calcium binding were observed in mixed micelles of bile salts and lecithin. In bicarbonate (25 or 50 mM) and CaCl2 (10 mM) solutions, calcium carbonate formation was inhibited by the bile salts. Glycoursodeoxycholate and glycochenodeoxycholate (25 mM) prevented calcium carbonate formation which was delayed by glycocholate. This effect is not due to differences between both series of bile salts for calcium binding since glycoursodeoxycholate or glycochenodeoxycholate (25 mM) more efficiently prevented calcium carbonate precipitation than did 35 mM glycocholate in spite of the same Ca2+ binding. These results suggest that some bile salts may have a specific role in preventing calcium precipitation in bile. The mechanism is unknown. The physical properties of glycoursodeoxycholate and glycochenodeoxycholate do not support a role for CaCO3 precipitation in gallstone calcification during litholytic therapy.

Bicarbonates↗
PubMedDate not supplied

Intrahepatic metabolism and secretion of biliary lipids.

The purpose of this work is to review the arguments which support the role of mixed micelle formation in the biliary secretion of lipids. These arguments are derived from in vitro physicochemical studies and from results obtained in vivo during biliary drainage in animals and in man. They show that, for the essential, mixed micelle formation between lecithins, cholesterol and bile salts can explain the biliary lipid secretion. The amount of lipids transported into the bile depends on the intrahepatic metabolism of cholesterol and lecithins. Different bile salts have opposite effects on the saturation of bile with cholesterol. During chronic administration of bile salts, the differences may be explained by specific actions on cholesterol metabolism and particularly on cholesterol absorption. On the contrary, during acute injection of bile salts, in most animal species, those bile salts which have the greatest ability of dissolving cholesterol in vitro (dihydroxy being more efficient than trihydroxy) are those which determine the greatest biliary secretion of cholesterol.

Animals↗