Document Detail

S-adenosylmethionine prevents total parenteral nutrition-induced cholestasis in the rat.
MedLine Citation:
PMID:  7963417     Owner:  NLM     Status:  MEDLINE    
Both an excess and an imbalance of amino acids have been associated with total parenteral nutrition-induced cholestasis. The present study was undertaken to further our understanding of this condition in light of observations that methyl donor amino acids may be protective. Rats were maintained on Travasol (3.4 g amino acids/24 h) and dextrose (10.2 g/24 h) with and without the "active methyl" S-adenosylmethionine at a dose of 75 mg/kg/24 h for 5 days, and compared to control rats on dextrose alone (10.2 g/24 h) with free access to rat chow. Bile flow (microliters/min) was lower (p < 0.025) in the Travasol (8.65 +/- 0.78) than in the control group (12.30 +/- 0.52) and was restored in the Travasol+S-adenosylmethionine animals (11.42 +/- 10). Furthermore, the bile acid secretory rate (mumol/h) was higher (p < 0.05) with S-adenosylmethionine (23.34 +/- 3.71) than without S-adenosylmethionine (14.16 +/- 2.19). As expected, the molar ratio of biliary cholesterol was lower (p < 0.005) in both total parenteral nutrition groups. However, in the total parenteral nutrition group without S-adenosylmethionine, there was also a decrease in the molar ratio of phospholipids which correlated well with the bile acid secretory rate. Analysis of liver plasma membranes showed that a lower activity of Na+K(+)-ATPase (mumol Pi/mg protein/h) (p < 0.005) in the Travasol animals (6.26 +/- 0.53) was restored to control values (15.20 +/- 1.43) by the addition of S-adenosylmethionine (17.07 +/- 2.87). In the three groups, a close correlation was observed between Na+K(+)-ATPase activity and bile flow.(ABSTRACT TRUNCATED AT 250 WORDS)
D C Belli; L A Fournier; G Lepage; I Yousef; C C Roy
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of hepatology     Volume:  21     ISSN:  0168-8278     ISO Abbreviation:  J. Hepatol.     Publication Date:  1994 Jul 
Date Detail:
Created Date:  1994-12-08     Completed Date:  1994-12-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8503886     Medline TA:  J Hepatol     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  18-23     Citation Subset:  IM    
Paediatric Gastroenterology Unit, Clinique Universitaire de Pédiatrie, Faculté de Médecine, Genève, Switzerland.
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MeSH Terms
Amino Acids
Bile / secretion
Cell Membrane / metabolism
Cholestasis / etiology*,  prevention & control*
Cholesterol / metabolism
Energy Intake
Liver / drug effects,  metabolism
Membrane Lipids / metabolism
Parenteral Nutrition, Total / adverse effects*
Phospholipids / metabolism
Rats, Sprague-Dawley
Regression Analysis
S-Adenosylmethionine / pharmacology*
Sodium-Potassium-Exchanging ATPase / metabolism
Reg. No./Substance:
0/Amino Acids; 0/Membrane Lipids; 0/Phospholipids; 29908-03-0/S-Adenosylmethionine; 50-99-7/Glucose; 57-88-5/Cholesterol; 65072-01-7/Travasol; EC ATPase

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