European Journal of Pediatrics

, Volume 144, Issue 3, pp 236–239 | Cite as

Investigation of serum bile acids; seven patients with Alagille syndrome

  • K. Obinata
  • N. Nakatsu
  • T. Watanabe
  • S. Niijima
  • O. Arisaka
  • H. Sasaki
  • H. Nittono
  • K. Yabuta
  • T. Miyano
Original Investigations


To clarify whether an abnormal bile acid pattern has a role in the pathogenesis of Alagille syndrome, we compared serum bile acid patterns in seven with Alagille syndrome with those of patients with congenital biliary atresia (CBA), neonatal hepatitis (NH) and normal infants.

Of the seven patients with Alagille syndrome, four patients were younger and three were older than 1 year. The mean total serum bile acid level in the infants was higher than in older subjects. There was a dissociation between the levels of serum total bile acid and bilirubin in three of the seven cases. The mean total bile acid levels in serum were in the following decreasing order: CBA, Alagille syndrome, NH and controls.

The ratio of cholate to chenodeoxycholate in the younger patients with Alagille syndrome was significantly higher than CBA (P<0.001). However, no specific bile acid pattern was found in Alagille syndrome by high-performance liquid chromatography (HPLC).

Key words

Serum bile acids Alagille syndrome 



total bile acids


free bile acids


conjugated bile acids


ratio of cholate to chenodeoxycholate


ratio of glycine conjugates to taurine conjugates


glutamic pyruvic transaminase


congenital biliary atresia


neonatal hepatitis


high performance liquid chromatography










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Copyright information

© Springer-Verlag 1985

Authors and Affiliations

  • K. Obinata
    • 1
  • N. Nakatsu
    • 1
  • T. Watanabe
    • 1
  • S. Niijima
    • 1
  • O. Arisaka
    • 1
  • H. Sasaki
    • 1
  • H. Nittono
    • 1
  • K. Yabuta
    • 1
  • T. Miyano
    • 2
  1. 1.Department of PediatricsJuntendo University School of MedicineTokyoJapan
  2. 2.Department of Pediatric SurgeryJuntendo University School of MedicineTokyoJapan

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