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Cholesterol catabolism in patients with acute myelogenous leukemia and hypocholesterolemia: suppressed levels of a circulating marker for bile acid synthesis

Identifieur interne : 000C30 ( Main/Exploration ); précédent : 000C29; suivant : 000C31

Cholesterol catabolism in patients with acute myelogenous leukemia and hypocholesterolemia: suppressed levels of a circulating marker for bile acid synthesis

Auteurs : Loukas Tatidis [Suède] ; Sigurd Vitols [Suède] ; Astrid Gruber [Suède] ; Christer Paul [Suède] ; Magnus Axelson [Suède]

Source :

RBID : ISTEX:E84BDF6040593E3097CF97D2AB0955C14E4F790E

Descripteurs français

English descriptors

Abstract

Hypocholesterolemia is a frequent finding in patients with acute myelogenous leukemia (AML) and in other types of malignancies. Since bile acids are major excretion products of cholesterol, the hepatic degradation of cholesterol to bile acids was investigated in AML patients by analyzing a circulating marker for bile acid synthesis. In addition, plasma levels of a marker for cholesterol synthesis were determined. The plasma levels of 7α-hydroxy-4-cholesten-3-one, reflecting bile acid production, were markedly lower in patients with AML than in healthy controls. The median levels were 3.3 and 18.5ng/ml (P<0.0001) in the AML patients (n=29) and the healthy subjects (n=16), respectively. The plasma levels of 7-dehydrocholesterol, reflecting hepatic cholesterol synthesis, were similar for the AML patients and the controls. The results show that the conversion of cholesterol to bile acids was suppressed in AML patients, a phenomenon that may result in a decreased intestinal absorption of cholesterol and subsequent hypocholesterolemia.

Url:
DOI: 10.1016/S0304-3835(01)00592-4


Affiliations:


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<term>Biomarkers (analysis)</term>
<term>Cholestenones (blood)</term>
<term>Cholesterol</term>
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<term>Middle Aged (MeSH)</term>
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<term>Acides et sels biliaires (biosynthèse)</term>
<term>Adulte d'âge moyen (MeSH)</term>
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<term>Cholestérol (métabolisme)</term>
<term>Cholestérol (sang)</term>
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<term>Humains (MeSH)</term>
<term>Leucémie aigüe myéloïde (sang)</term>
<term>Lipoprotéines LDL (métabolisme)</term>
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<div type="abstract" xml:lang="en">Hypocholesterolemia is a frequent finding in patients with acute myelogenous leukemia (AML) and in other types of malignancies. Since bile acids are major excretion products of cholesterol, the hepatic degradation of cholesterol to bile acids was investigated in AML patients by analyzing a circulating marker for bile acid synthesis. In addition, plasma levels of a marker for cholesterol synthesis were determined. The plasma levels of 7α-hydroxy-4-cholesten-3-one, reflecting bile acid production, were markedly lower in patients with AML than in healthy controls. The median levels were 3.3 and 18.5ng/ml (P<0.0001) in the AML patients (n=29) and the healthy subjects (n=16), respectively. The plasma levels of 7-dehydrocholesterol, reflecting hepatic cholesterol synthesis, were similar for the AML patients and the controls. The results show that the conversion of cholesterol to bile acids was suppressed in AML patients, a phenomenon that may result in a decreased intestinal absorption of cholesterol and subsequent hypocholesterolemia.</div>
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