A study on the influence of bile acid chemical structure on dissolution of insoluble calcium salts: an in vitro study of the use of bile acid-phosphatidylcholine-cholesterol model bile solution

Physicochemical Study of Bile Salt-Polymer Micellar Aggregates

The micellar behavior of Sodium Deoxycholate (NaDC), a bile salt in presence of a neutral water soluble polymer Poly(vinylpyrrolidone) (PVP) has been investigated at four different temperatures (10–40 ºC) using conductometric, tensiometric, viscometric and fluorometric methods. NaDC is found to associate co-operatively with the polymer beyond a critical concentration, saturate the polymer completely and then undergo micellization at a higher concentration. The counter-ion binding capacity to the micelles is considerably reduced in presence of PVP. The thermodynamic properties of micellization and interfacial adsorption depend on the polymer concentration and the entropic contributions are observed to control the complexation process. The NaDC-PVP aggregate exhibits polyelectrolytic behavior. The aggregation number (N) and polarity index (I1/I3) of the NaDC-PVP mixed entities have been explored by pyrene fluorescence probing technique. The values of N and I1/I3 are found to be affected by [PVP] and temperature: the N values decrease with temperature while those of I1/I3 show increasing trend. The dependence of N and I1/I3 values on [PVP] and temperature reveal interesting insights into the NaDC-PVP complexation phenomenon.

IV chenodeoxycholate prevents calcium bilirubinate gallstones during total parenteral nutrition in the prairie dog

BACKGROUND

The purpose of this study was to determine whether IV chenodeoxycholate (CDC) could prevent total parenteral nutrition (TPN)-associated pigmented gallstones in the prairie dog.

METHODS

Twelve prairie dogs were divided into two equal groups, each receiving an identical TPN regimen. Each animal received 92 kcal/d with 61% of the calories from carbohydrate. The total volume of infusate delivered to each animal was 59 mL/d. Animals in one group, termed the TPN + CDC group, received a daily bolus injection of CDC at a dose of 15 mg/kg. Prairie dogs in the second group, termed the TPN group, received water (vehicle carrier) 1 mL/kg/d. The TPN and TPN + CDC groups received TPN for 40.3 +/- 1.3 and 42.5 +/- 0.6 days, respectively.

RESULTS

There was no statistical difference in the initial and final weights between the two groups. None of the TPN + CDC-treated animals had gallstones or calcium bilirubinate crystals. In contrast, all of the TPN-treated animals had calcium bilirubinate crystals (p = .002), and five of six had macroscopic black pigmented gallstones (p = .015). Cholesterol crystals were not observed in either group of animals. The amount of biliary bilirubin and ionized calcium was significantly greater in the TPN group (both p < .001); however, both groups had a similar total biliary calcium concentration.

CONCLUSION

IV CDC is effective in preventing TPN-associated gallstones in the prairie dog.