Enterohepatic circulation of vitamin D: a reappraisal of the hypothesis

Lancet. 1984 Jun 23;1(8391):1376-9. doi: 10.1016/s0140-6736(84)91874-9.

Abstract

Vitamin-D metabolites in bile were investigated after oral and intravenous doses of radioactively labelled vitamin D had been given to six patients with T-tube biliary drainage after cholecystectomy. The vitamin was mainly excreted as highly polar inactivation products and less than 4% of the metabolites in bile were present as 25-hydroxyvitamin D or its glucuronide conjugate. There was insufficient vitamin D or 25-hydroxyvitamin D in bile for the reabsorption of these metabolites to make a significant contribution to normal vitamin-D status. Therefore interference with an enterohepatic circulation of vitamin-D metabolites cannot be a cause of vitamin-D deficiency.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Aged
  • Bile / metabolism*
  • Calcifediol / metabolism
  • Carbon Radioisotopes
  • Cholecalciferol / metabolism
  • Cholecystectomy
  • Enterohepatic Circulation*
  • Female
  • Glucuronidase / pharmacology
  • Humans
  • Injections, Intravenous
  • Male
  • Middle Aged
  • Tritium
  • Vitamin D / administration & dosage
  • Vitamin D / metabolism*

Substances

  • Carbon Radioisotopes
  • Tritium
  • Vitamin D
  • Cholecalciferol
  • Glucuronidase
  • Calcifediol