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Impaired release of vitamin a from liver in primary biliary cirrhosis

✍ Scribed by Anders Nyberg; Berit Berne; Hans Nordlinder; Christer Busch; Ulf Eriksson; Lars Lööf; Anders Vahlquist


Publisher
John Wiley and Sons
Year
1988
Tongue
English
Weight
671 KB
Volume
8
Category
Article
ISSN
0270-9139

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✦ Synopsis


In 44 patients with primary biliary cirrhosis serum levels of vitamin A, retinol-binding protein and transthyretin (prealbumin) were found to be significantly lower than in 25 sex-and age-matched controls. Liver biopsies were available for chemical analyses in 28 of the patients. Their mean liver vitamin A concentration (2.8 f 2.0 fimoles per gm wet weight) did not differ significantly from that in 22 cases of sudden death which served as controls (2.0 f 1.5 fimoles per gm wet weight). Immunohistochemical investigation showed a normal distribution of serum retinol-binding protein in the patients' livers, whereas the staining pattern of cellular retinol-binding protein, believed to be involved in the intrahepatic transport of vitamin A, was abnormal. Thus, the number size and cellular retinol-binding protein staining intensity of fat-storing (Ito) cells were clearly higher in the patients as compared with controls. The results suggest that the low serum vitamin A levels in primary biliary cirrhosis are not a consequence of vitamin A deficiency but instead reflect a defective mobilization of vitamin A from the liver.


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