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the orientation of the 7-hydroxy group has an influence on the physiological properties of acids. Chenodeoxycholic acid, which has a 7cr-hydroxy group, causes epitheliolysis and induces water secretion from the colon at concentrations of 3-10 mM, whereas its 7p epimer, ursodeoxycholic acid, is inert at these concentrations (9). Removal of the 7-hydroxyl group from these compounds results in the formation of lithocholic acid, a potent hepatotoxin in experimental animals (39). The bacterial flora of the distal intestine contain many 7-hydroxysteroid dehydrogenases which dehydrogenate the 7~ or âI@-hydroxy group of the two major acids to form 7-0~0 acids (3, 18, 21, 30). Despite the formation of thesecompounds, which is well documented in humans (12, 13, 20), and despite the convincing evidence that some acids are absorbed from the colon (34, 35), 7-0~0 acids are rarely detected in in humans in appreciable amounts (19, 25). This suggests that either 700x0 acids are not absorbed from the colon or, if absorbed, are reduced to 7-hydroxy acids during hepatic passage. Indeed, efficient and stereospecific reduction of 3cu-hydroxy-7-oxocholanoic acid, the 70x0 derivative of chenodeoxycholic acid, was recently well documented for humans by Fromm et al. (15), confirg and extending previous work in the
AJP - Gastrointestinal and Liver Physiology – The American Physiological Society
Published: Sep 1, 1983
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