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Studies on the origin of the plasma pipecokuc acid in man. With special reference to its relevance to chronic liver diseases, especially hepatic encephalo pathy.

Research Project

Project/Area Number 07457143
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Gastroenterology
Research InstitutionHYOGO COLLEGE OF MEDICINE

Principal Investigator

HIGASHINO Kazuya  The Third Department of Internal Medicine, Hyogo College of Medicine, Professor, 医学部, 教授 (30028419)

Co-Investigator(Kenkyū-buntansha) 安室 芳樹  兵庫医科大学, 医学部, 助教授 (90158733)
Project Period (FY) 1995 – 1997
Project Status Completed (Fiscal Year 1997)
Budget Amount *help
¥7,500,000 (Direct Cost: ¥7,500,000)
Fiscal Year 1997: ¥300,000 (Direct Cost: ¥300,000)
Fiscal Year 1996: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 1995: ¥6,800,000 (Direct Cost: ¥6,800,000)
Keywordspipecolic acid / enantiomer / chronic liver diseases / hepatic encephalopathy / vagetable / intestinal flora / リシン / GABAリセプターアゴニスト / 高アンモニア血症
Research Abstract

Pipecolic acid, which is a metabolite of lysine, is a gamma-aminobutyric acid receptor agonist. Stereochemical analysis of pipecolic acid were performed using high-performance liquid chromatography in 55 patients with chronic liver diseases. The plasma levels of D- and L-pipecolic acid were found to be significantly elevated (p<O.O1) in patients with liver cirrhosis and hepatic encephalopathy compared to those in normal subjects. To 7 patients with hepatic encephalopathy, was orally kanamycin sulfate, 1.5-3.Og/day, administrated for 7-14 days to relive the hepatic encephalopathy by inhibition of proliferation of intestinal flora. The plasma levels of D- and L-pipecolic acid were significantly decreased (D-isomer ; p<O.O1, L-isomer ; p<O.05).
We also isolated pipecolic acid from some kinds of plants (for example, cabbage and common bean) and performed oral lysine tolerance test to investigate the origin of plasma pipecolic acid. The plasma levels of pipecolic acid significantly incresed after oral D-lysine administration.
To know the action of PA to the brain, PA, both L-and D-enatiomers were administrated directly into rat brain ventricle and examined the change of electroencepharogram and obtained the results that slow waves frequently appeared. There was nodifference in activity between L-and D-enantiomers.
These results suggest that plasma pipecolic acid, particularly D-isomer, is produced from D-lysine by intestinal bacteria, and that pipecolic acid may play an important role in the pathogenesis of hepatic encephalopathy.

Report

(4 results)
  • 1997 Annual Research Report   Final Research Report Summary
  • 1996 Annual Research Report
  • 1995 Annual Research Report
  • Research Products

    (14 results)

All Other

All Publications (14 results)

  • [Publications] Fujita T, Amuro Y, Hada T and Higashino K: "Plasma levels of pipecolic acid both L- and D-enantiomers in patients with chronic liver diseases, especially with hepatic encephalopathy" In contribution to Clinica Chimica Acta.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Fujita T, Hada T and Higashino K: "Pipecolic acid in edible plants ; the origin of D- and L-pipecolic acid in human physiological fluids" In contribution to Clinica Chimica Acta.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Fujita T, Sugimori G and Higashino K: "Production of D- and L-pipecolic acid by fecal bacteria in patients with liver cirrhosis" In contribution to Hepato-gastroenterology.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Matsuda Y, Fujita T and Higashino K: "Comparative study on the correlation of γ-aminobutyric acid and pipecolic acid with liver function in patients with liver cirrhosis" In contribution to Hepatology Research.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Higashino K, Takahashi K, Kajiwara K, Fujita T, Amuro Y and Hada T: "L-pipecolic acid, not D-pipecolic acid, enhancement of GABA response in rat brain" In contribution to Neuropharmacology.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Matsuda Y, Higashino K, Adachi K, Amuro Y and Hada T: "Production of pipecolic acid from intestinal bacteria: Plasma levels of pipecolic acid in patients with liver cirrhosis decreased after oral kanamycin administration" Int Hepatol Commun. 4. 26-34 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Fujita T, Amuro Y, Hada T and Higashino K: "Plasma levels of pipecolic acid both L- and D-enantiomers in patients with chronic liver diseases, especially with hepatic encephalopathy" In contribution to Clinica Chimica Acta.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Fujita T, Hada T and Higashino K: "Pipecolic acid in edible plants ; the origin of D- and L-pipecolic acid in human physiological fluids" In contribution to Clinica Chimica Acta.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Fujita T, Sugimori G and Higashino K: "Production of D- and L-pipecolic acid by fecal bacteria in patients with liver cirrhosis" In contribution to Hepato-gastroenterology.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Matsuda Y, Fujita T and Higashino K: "Comparative study on the correlation of gamma-aminobutyric acid and pipecolic acid with liver function in patients with liver cirrhosis" In contribution to Hepatology Research.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Higashino K, Takahashi K, Kajiwara K, Fujita T, Amuro Y and Hada T: "L-pipecolic acid, not D-pipecolic acid, enhancement of GABA response in rat brain" In contribution to Neuropharmacology.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Matsuda Y, Higashino K, Adachi K, Amuro Y and Hada T: "Production of pipecolic acid from intestinal bacteria : Plasma levels of pipecolic acid in patients with liver cirrhosis decreased after oral kanamycin administration" Int Hepatol Commun. 4. 26-34 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Fujita,T., Amuro,Y., Hada,T.and Higashino,K.: "Plasma levels of pipecolic acid both L-and D-enantiomers in patients with chronic liver diseases, especially with hepatic encephalopathy" In contricution to Hepatology.

    • Related Report
      1997 Annual Research Report
  • [Publications] 藤田 徹、安室芳樹、波田寿一、足達綱三郎、東野一彌: "肝性脳症患者における血漿ピペコリン酸濃度測定" 第1回日本肝臓学会大会 岩手県盛岡市.

    • Related Report
      1997 Annual Research Report

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Published: 1995-04-01   Modified: 2016-04-21  

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