Blood biochemistry: bile acids
Synonym(s): Bile salts
Overview
- In rabbits, bile acids are produced in a circadian rhythm.
- Bile acids are predominantly made up of cholic acid and chenodeoxycholic acid.
- Primary bile acids are derived from cholesterol in the liver.
- Bile acids are conjugated in the liver with taurine or glycine and are excreted in bile via the bile duct as their sodium salts (bile salts).
- Bile acids are secreted at time of eating to small intestine where they aid in digestion and absorption of fat and fat-soluble vitamins.
- Bile acids are reabsorbed from the gastrointestinal tract into the circulation. They are transported to the liver to be re-secreted in the bile.
- In rabbits, caecotrophy significantly reduced the ability to obtain a fasted blood sample and because of this bile acid measurement is not a routine procedure in clinical practice.
- To date, as far as the author is aware, bile acids are not included in published references ranges for rabbits.
- In other species bile acids are a sensitive indicator of liver function and of integrity of liver, biliary and intestinal circulation.
Uses
Alone
- In other species bile acids are used as an assessment of liver function.
- In other species measurement can aid in the diagnosis of a portosystemic shunt.
- In other species a bile acid stimulation test is an even more sensitive test for liver function than fasted bile acids.
- In rabbits, cecotrophy significantly reduced the ability to obtain a fasted blood sample and because of this bile acid measurement is not a routine procedure in clinical practice. Only persistently raised levels are of value in clinical rabbit practice.
Sampling
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Tests
Methodologies
- Enyzmatic (spectrophotometer).
- Radio-immunoassay (RIA) - uncommon in veterinary laboratories.
Availability
- Widely available at commercial laboratories.
Validity
Sensitivity
- Increased by performing bile acid stimulation test in other species; this is not performed in the rabbit.
Specificity
- In other species, performing a liver biopsy may give more indication of the underlying cause.
Technique intrinsic limitations
- Interpret results in conjunction with other laboratory results (liver enzymes) and/or liver biopsy.
Result Data
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Further Reading
Publications
Refereed papers
- Recent reference from PubMed and VetMedResource.
Other sources of information
- Proenca L M (2015) Blood Sampling and Intravenous Access in Exotic Species. In: Proc 2nd International Conference on Avian, Herpetological and Exotic Mammal Medicine. Paris, France. pp 122-126
- Varga M (2014) Clinical Pathology. In: Textbook of Rabbit Medicine. 2nd edn. Butterworth Heinemann Elsevier, UK. pp 111-136.
- Wesche P (2014)C linical Pathology. In: BSAVA Manual of Rabbit Medicine. Eds: Meredith A & Lord B. BSAVA, UK. pp 124-137.
- Eshar D Mayer J (2013) Bile Acids. In: Clinical Veterinary Advisor Birds and Exotic Pets. Eds: Mayer J & Donnelly T M. Elsevier, USA. pp 606-607.
- Suckow M A, Stevens K A & Wilson R P (2012) The Laboratory Rabbit, Guinea Pig, Hamster and Other Rodents. 1st edn. Elsevier, UK.