Newly synthesized cholesterol in human bile and plasma: quantitation by mass isotopomer distribution analysis. Empen, Klaus, Kerstin Lange, Eduard F. Stange, and J[umlaut]urgen Scheibner. Department of Internal Medicine, Division of Gastroenterology, Medical University of L[umlaut]ubeck, L[umlaut]ubeck, Germany
APStracts 3:0154G, 1996.
The purpose of this study was to quantitate the contribution of newly synthesized cholesterol to bile and plasma in humans. Eight healthy volunteers were intravenously infused with 0.125 mmol [1-13C]acetate per kg per h for 15 h. During continuous enteral nutrition plasma aliquots and samples of duodenal bile were collected hourly. The trimethysilylether of unesterified cholesterol was analyzed by gas chromatography/mass spectrometry for quantitation of the mass fragments M+0 (m/z 368), M+1 (m/z 369), M+2 (m/z 370), M+3 (m/z 371) and M+4 (m/z 372). The fractional syntheses of plasma and biliary cholesterol were determined using mass isotopomer distribution analysis (MIDA). After 6 h of infusion, the [13C]enrichment of the acetate pool remained constant at 12 %. The fractional synthesis increased continuously during [13C]acetate infusion and reached 4.2 % and 5.3 % in cholesterol of plasma and bile, respectively. Both were highly correlated but the fractional synthesis of biliary cholesterol exceeded that of plasma (p &LT 0.05). It may be concluded that the contribution of de novo cholesterol synthesis to bile exceeds that to plasma but is minor in man.

Received 2 July 1996; accepted in final form 31 July 1996.
APS Manuscript Number G262-6.
Article publication pending Am. J. Physiol. (Gastrointest. Liver
Physiology).
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 29 August 1996