Eleven patients with primary biliary cirrhosis were surveyed for evidence of vitamin A and zinc deficiencies. Vitamin A deficiency manifested as a low serum vitamin A concentration and abnormal dark adaptation was present in 9 of the 11 patients. A low serum zinc level was present in four patients w
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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