Effects of conventional and a novel colonic-release bile acid sequestrant, A3384, on fibroblast growth factor 19 and bile acid metabolism in healthy volunteers and patients with bile acid diarrhoea.

Abstract:

BACKGROUND:Primary bile acid diarrhoea (BAD) is associated with increased bile acid synthesis and low fibroblast growth factor 19 (FGF19). Bile acid sequestrants are used as therapy, but are poorly tolerated and may exacerbate FGF19 deficiency. AIM:The purpose of this study was to evaluate the pharmacological effects of conventional sequestrants and a colonic-release formulation preparation of colestyramine (A3384) on bile acid metabolism and bowel function in patients with BAD. METHODS:Patients with seven-day 75selenium-homocholic acid taurine (SeHCAT) scan retention <10% were randomised in a double-blind protocol to two weeks treatment with twice-daily A3384 250 mg (n = 6), 1 g (n = 7) or placebo (n = 6). Thirteen patients were taking conventional sequestrants at the start of the study. Symptoms were recorded and serum FGF19 and 7α-hydroxy-4-cholesten-3-one (C4) measured. RESULTS:Median serum FGF19 on conventional sequestrant treatment was 28% lower than baseline values in BAD (p < 0.05). C4 on conventional sequestrant treatment was 58% higher in BAD (p < 0.001). No changes were seen on starting or withdrawing A3384. A3384 improved diarrhoeal symptoms, with a median reduction of 2.2 points on a 0-10 Likert scale compared to placebo, p < 0.05. CONCLUSIONS:Serum FGF19 was suppressed and bile acid production up-regulated on conventional bile acid sequestrants, but not with A3384. This colonic-release formulation of colestyramine produced symptomatic benefit in patients with BAD.

authors

Appleby RN,Bajor A,Gillberg PG,Graffner H,Simrén M,Ung KA,Walters J

doi

10.1177/2050640616662432

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

380-388

issue

3

eissn

2050-6406

issn

2050-6414

pii

10.1177_2050640616662432

journal_volume

5

pub_type

杂志文章
  • Effectiveness and safety of vedolizumab in biologically naïve patients: A real-world multi-centre study.

    abstract:BACKGROUND:Biologically naïve patients with inflammatory bowel disease treated with vedolizumab (VDZ) are largely underrepresented in real-world cohorts. A multi-centre, observational cohort study was performed on the effectiveness and safety of VDZ in biologically naïve subjects with Crohn's disease (CD) and ulcerativ...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640620948802

    authors: Macaluso FS,Fries W,Renna S,Viola A,Muscianisi M,Cappello M,Guida L,Siringo S,Camilleri S,Garufi S,Privitera AC,Belluardo N,Giangreco E,Bertolami C,Vassallo R,Rizzuto G,Orlando R,Ventimiglia M,Orlando A,Sicilian Net

    更新日期:2020-11-01 00:00:00

  • Endoscopic modalities for the diagnosis of Barrett's oesophagus.

    abstract::Barrett's oesophagus is a pre-malignant condition associated with the development of oesophageal adenocarcinoma. Currently white light endoscopy and biopsy is the mainstay diagnostic tool. Yet this approach is troubled by issues related to cumbersome biopsy sampling, biopsy sampling errors and cost. Therefore in order...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章,评审

    doi:10.1177/2050640615619281

    authors: Sharma N,Srivastava S,Kern F,Xian W,Ming T,McKeon F,Ho KY

    更新日期:2016-12-01 00:00:00

  • Development of benchmark quality criteria for assessing whole-endoscopy Barrett's esophagus biopsy cases.

    abstract:Background:Dysplasia in Barrett's esophagus (BE) biopsies is associated with low observer agreement among general pathologists. Therefore, expert review is advised. We are developing a web-based, national expert review panel for histological review of BE biopsies. Objective:The aim of this study was to create benchmar...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640618764710

    authors: van der Wel MJ,Duits LC,Klaver E,Pouw RE,Seldenrijk CA,Offerhaus G,Visser M,Ten Kate F,Tijssen JG,Bergman J,Meijer SL

    更新日期:2018-07-01 00:00:00

  • Natural history, diagnosis and treatment approach to fibrostenosing Crohn's disease.

    abstract::Stricturing Crohn's disease (CD) is a significant clinical problem. The presence of a stricture may be suggested by clinical symptoms. Cross-sectional imaging using computed tomography or magnetic resonance enterography is essential in diagnosing strictures as it allows further characterization and evaluation for comp...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640620901960

    authors: El Ouali S,Click B,Holubar SD,Rieder F

    更新日期:2020-04-01 00:00:00

  • Low risk of adenocarcinoma and high-grade dysplasia in patients with non-dysplastic Barrett's esophagus: Results from a cohort from a country with low esophageal adenocarcinoma incidence.

    abstract:BACKGROUND:The risk of esophageal adenocarcinoma (EAC) in non-dysplastic Barrett's esophagus (NDBE) is considered to be approximately 0.3% per year or even lower, according to population-based studies. Data from countries with low EAC incidence are scarce. Our principal aim was to determine the incidence of high-grade ...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640615612409

    authors: Pereira AD,Chaves P

    更新日期:2016-06-01 00:00:00

  • Deprescribing medications that may increase the risk of hepatic encephalopathy: A qualitative study of patients with cirrhosis and their doctors.

    abstract:BACKGROUND AND AIMS:Multiple medications are associated with an increased risk of incident hepatic encephalopathy. Despite this known risk, medications such as opioids, benzodiazepines, gabapentin/pregabalin, and/or proton pump inhibitors are increasingly prescribed to persons with cirrhosis. Deprescribing is a promisi...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640620975224

    authors: Williams S,Louissaint J,Nikirk S,Bajaj JS,Tapper EB

    更新日期:2020-11-23 00:00:00

  • Endosonography For Right-sided and Acute Upper Intestinal Misery: the EFRAIM study: A prospective, randomized, controlled, blinded study.

    abstract:BACKGROUND:Acute upper abdominal pain is a frequent symptom leading to hospital admission. OBJECTIVE:To determine whether a primary intra- and extraluminal diagnostic approach enabled by endoscopic ultrasound is as effective as a conventional diagnostic algorithm of transabdominal ultrasound followed by oesophagogastr...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640613498589

    authors: Jung A,Schlag C,Becker V,von Delius S,Lersch C,Jeliazkova P,Herner A,Bajbouj M,Schuster T,Meining A

    更新日期:2013-10-01 00:00:00

  • Gray scale and contrast-enhanced ultrasound imaging of malignant liver tumors of vascular origin.

    abstract:OBJECTIVES:Malignant vascular tumors of the liver are rare. The aim of this study was to investigate the applicability of gray scale and contrast-enhanced ultrasonography in patients with epithelioid hemangioendothelioma (EHE) of the liver and hepatic angiosarcoma (HA) and to describe the clinical presentation. METHOD...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640614560604

    authors: Schweitzer N,Soudah B,Gebel M,Manns MP,Boozari B

    更新日期:2015-02-01 00:00:00

  • The effect of off-hours hospital admission on mortality and clinical outcomes for patients with upper gastrointestinal hemorrhage: A systematic review and meta-analysis of 20 cohorts.

    abstract:Objective:The objective of this article is to evaluate the relationship between off-hours hospital admission (weekends, public holidays or nighttime) and mortality for upper gastrointestinal hemorrhage (UGIH). Methods:Medline, Embase, Scopus, and the Chinese Biomedical Literature were searched through December 2016 to...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640617732651

    authors: Xia XF,Chiu PWY,Tsoi KKF,Chan FKL,Sung JJY,Lau JYW

    更新日期:2018-04-01 00:00:00

  • The microbiome in pancreatic diseases: Recent advances and future perspectives.

    abstract::The human microbiota exerts multiple physiological functions such as the regulation of metabolic and inflammatory processes. High-throughput sequencing techniques such as next-generation sequencing have become widely available in preclinical and clinical settings and have exponentially increased our knowledge about th...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640620944720

    authors: Ammer-Herrmenau C,Pfisterer N,Weingarten MF,Neesse A

    更新日期:2020-10-01 00:00:00

  • Estimation of the prevalence of intraductal papillary mucinous neoplasm of the pancreas in the French population through patients waiting for liver transplantation.

    abstract:BACKGROUND AND AIMS:Some studies have explored the prevalence of pancreatic cystic lesions (PCLs). Only one study based on magnetic resonance imaging (MRI) report examination focused specifically on intraductal papillary mucinous neoplasm (IPMN) in a European general population. The aim of this study was to evaluate th...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640616664842

    authors: Laurent L,Vullierme MP,Rebours V,Maire F,Hentic O,Francoz C,Durand F,Ruszniewski P,Lévy P

    更新日期:2017-06-01 00:00:00

  • In vitro fertilization-induced pregnancies predispose to gastroesophageal reflux disease.

    abstract:BACKGROUND:Women conceiving following in vitro fertilization (IVF) likely have a variety of risk factors that predispose them to gastroesophageal reflux disease (GERD) in the future. OBJECTIVE:We aimed to investigate whether pregnancy through IVF may predispose to subsequent GERD compared with pregnancies without IVF....

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640615597836

    authors: Turan I,Kitapcioglu G,Tavmergen Goker E,Sahin G,Bor S,Ege Reflux Study Group.

    更新日期:2016-04-01 00:00:00

  • Training in endoscopic mucosal resection and endoscopic submucosal dissection: Face, content and expert validity of the live porcine model.

    abstract:Introduction:Endoscopic mucosal resection and endoscopic submucosal dissection are demanding procedures. This study aims to establish face, content and expert validity of the live porcine model in performing endoscopic mucosal resection, endoscopic submucosal dissection, complication management and to assess it as a tr...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640617742484

    authors: Küttner-Magalhães R,Dinis-Ribeiro M,Bruno MJ,Marcos-Pinto R,Rolanda C,Koch AD

    更新日期:2018-05-01 00:00:00

  • Increased risk of second primary tumours in patients with oesophageal squamous cell carcinoma: A nationwide study in a Western population.

    abstract:BACKGROUND:Patients with primary oesophageal squamous cell carcinoma are at risk of developing multiple primary tumours in the upper aero digestive tract. To date, most studies are performed in the Asian population. We aimed to evaluate the risk of multiple primary tumours in the upper aero digestive tract and stomach ...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640620977129

    authors: van de Ven SE,Falger JM,Verhoeven RH,Baatenburg de Jong RJ,Spaander MC,Bruno MJ,Koch AD

    更新日期:2020-12-03 00:00:00

  • Ruling in or out a source of gastrointestinal bleeding.

    abstract:BACKGROUND AND AIMS:The search for a source of gastrointestinal bleeding is associated with two distinct approaches of trying to rule in a specific diagnosis or rule out any potential source of bleeding. The study aim was to understand the conceptual differences underlying the two searches. METHODS:The performance of ...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640614557319

    authors: Sonnenberg A

    更新日期:2014-12-01 00:00:00

  • Sphingosine kinase 1 inhibition improves lipopolysaccharide/D-galactosamine-induced acute liver failure by inhibiting mitogen-activated protein kinases pathway.

    abstract:BACKGROUND:Sphingosine kinase 1 (SphK1)/sphingosine-1-phosphate (S1P)/sphingosine-1-phosphate receptors (S1PRs) signaling plays a key role in inflammatory responses. Lei et al. showed that SphK1 inhibition presented a hepatoprotective effect on acute liver damage via decreasing hepatic high-mobility group box 1 (HMGB1)...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640616637968

    authors: Tian T,Tian W,Yang F,Zhao R,Huang Q,Zhao Y

    更新日期:2016-10-01 00:00:00

  • A multicentre prospective cohort study assessing the effectiveness of budesonide MMX® (Cortiment®MMX®) for active, mild-to-moderate ulcerative colitis.

    abstract:Background:Cortiment®MMX® (budesonide MMX®) is currently approved for the induction of remission in mild-to-moderate ulcerative colitis (UC) patients when 5-ASA treatment is not sufficient. Data in real-life settings are lacking. Methods:This was a multicentre observational prospective cohort study conducted in Europe...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章,多中心研究

    doi:10.1177/2050640619864848

    authors: Danese S,Hart A,Dignass A,Fiorino G,Louis E,Bonovas S,D'Haens G,Dotan I,Rogler G,Paridaens K,Peyrin-Biroulet L

    更新日期:2019-11-01 00:00:00

  • The two sides of the coin: Similarities and differences in the pathomechanisms of fistulas and stricture formations in irritable bowel disease.

    abstract::Fistulas and fibrosis or strictures represent frequent complications in irritable bowel disease (IBD) patients. To date, treatment options for fistulas are limited and surgery is often required. Similarly, no preventive treatment for fibrosis and stricture formation has been established. Frequently, stricture formatio...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章,评审

    doi:10.1177/2050640616635957

    authors: Scharl M,Bruckner RS,Rogler G

    更新日期:2016-08-01 00:00:00

  • Risk of histologic Barrett's esophagus between African Americans and non-Hispanic whites: A meta-analysis.

    abstract:Background:Barrett's esophagus (BE) is rare in African Americans (AA). However, the risk difference magnitude in histologic BE prevalence between AA and non-Hispanic whites (nHw) has not been quantified to date. Objective:The objective of this article is to determine the degree of histologic BE risk difference between...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640617707862

    authors: Alkaddour A,Palacio C,Vega KJ

    更新日期:2018-02-01 00:00:00

  • Underwater endoscopic colorectal polyp resection: Feasibility in everyday clinical practice.

    abstract:Background:Endoscopic mucosal resection is well-established for resecting flat or sessile benign colon polyps. The novel underwater endoscopic mucosal resection eschews submucosal injection prior to endoscopic mucosal resection. Reports about underwater endoscopic mucosal resection were limited to small series of singl...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640617733923

    authors: Cadoni S,Liggi M,Gallittu P,Mura D,Fuccio L,Koo M,Ishaq S

    更新日期:2018-04-01 00:00:00

  • Clostridium difficile fecal toxin level is associated with disease severity and prognosis.

    abstract:Background:Antibiotic-associated colitis caused by Clostridium difficile (C. difficile) is the most common cause of hospital-acquired diarrhea. The pathogenesis of C. difficile colitis is mediated by bacterial toxins. C. difficile infection (CDI) severity may be determined by the fecal level of these toxins. Objective...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640617750809

    authors: Cohen NA,Miller T,Na'aminh W,Hod K,Adler A,Cohen D,Guzner-Gur H,Santo E,Halpern Z,Carmeli Y,Maharshak N

    更新日期:2018-06-01 00:00:00

  • Absence of high-risk stigmata predicts good prognosis even in severely anemic patients with suspected acute upper gastrointestinal bleeding.

    abstract:Background:The need for a blood transfusion, defined as hemoglobin < 70 g/L, is the measure for assessing the risk levels in patients with upper gastrointestinal bleeding (UGIB). However, not all patients with a low hemoglobin level have a poor prognosis. Objective:We assessed the clinical predictive factors associate...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640618764161

    authors: Horibe M,Ogura Y,Matsuzaki J,Kaneko T,Yokota T,Okawa O,Nakatani Y,Iwasaki E,Nishizawa T,Hosoe N,Masaoka T,Yahagi N,Namiki S,Kanai T

    更新日期:2018-06-01 00:00:00

  • Suboptimal care for chronic pancreatitis patients revealed by moderate to low adherence to the United European Gastroenterology evidence-based guidelines (HaPanEU): A Netherlands nationwide analysis.

    abstract:BACKGROUND AND OBJECTIVE:The 2016, United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis (HaPanEU) provided evidence-based recommendations for the management of chronic pancreatitis and allowed for the objective evaluation of the quality of care in several doma...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640620937610

    authors: de Rijk FE,Kempeneers MA,Bruno MJ,Besselink MG,van Goor H,Boermeester MA,van Geenen EJ,van Hooft JE,van Santvoort HC,Verdonk RC,Dutch Pancreatitis Study Group.

    更新日期:2020-08-01 00:00:00

  • Association of proton pump inhibitors with the risk of hepatic encephalopathy during hospitalization for liver cirrhosis.

    abstract:Background:Hepatic encephalopathy is associated with altered gut microbiota. Proton pump inhibitors increase the risk of small bowel bacterial overgrowth. Objectives:This was a case-control study aimed at exploring the relationship of proton pump inhibitor use with the risk of hepatic encephalopathy during hospitaliza...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640618773564

    authors: Zhu J,Qi X,Yu H,Yoshida EM,Mendez-Sanchez N,Zhang X,Wang R,Deng H,Li J,Han D,Guo X

    更新日期:2018-10-01 00:00:00

  • Efficacy and safety of infliximab in very early onset inflammatory bowel disease: a national comparative retrospective study.

    abstract:Background:Very few data regarding the use of infliximab in children with very early-onset inflammatory bowel disease (VEO-IBD) have been reported. Objective:We aimed to assess the efficacy and the safety of infliximab in children with VEO-IBD compared with older children. Methods:Children treated with infliximab wer...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640619847592

    authors: Bramuzzo M,Arrigo S,Romano C,Filardi MC,Lionetti P,Agrusti A,Dipasquale V,Paci M,Zuin G,Aloi M,Strisciuglio C,Miele E,Pastore M,Martelossi S,Alvisi P,SIGENP IBD Working Group.

    更新日期:2019-07-01 00:00:00

  • Distinct metaplastic and inflammatory phenotypes in autoimmune and adenocarcinoma-associated chronic atrophic gastritis.

    abstract:BACKGROUND:Autoimmune gastritis (AIG) and adenocarcinoma-associated chronic atrophic gastritis (CAG) are both associated with oxyntic atrophy, but AIG patients demonstrate an increased risk of carcinoid tumors rather than the elevated risk of adenocarcinoma observed with CAG. We therefore sought to compare the characte...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640616644142

    authors: Jeong S,Choi E,Petersen CP,Roland JT,Federico A,Ippolito R,D'Armiento FP,Nardone G,Nagano O,Saya H,Romano M,Goldenring JR

    更新日期:2017-02-01 00:00:00

  • Systematic review and meta-analysis: Efficacy and safety of POEM for achalasia.

    abstract:BACKGROUND:Peroral endoscopic esophageal myotomy (POEM) represents a less invasive alternative, as compared with conventional laparoscopic Heller myotomy for treating achalasia patients. In the last years, a number of prospective and retrospective experiences with POEM use for achalasia have been published. METHODS:Re...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640615581732

    authors: Barbieri LA,Hassan C,Rosati R,Romario UF,Correale L,Repici A

    更新日期:2015-08-01 00:00:00

  • Italian consensus conference for colonic diverticulosis and diverticular disease.

    abstract::The statements produced by the Consensus Conference on Diverticular Disease promoted by GRIMAD (Gruppo Italiano Malattia Diverticolare, Italian Group on Diverticular Diseases) are reported. Topics such as epidemiology, risk factors, diagnosis, medical and surgical treatment of diverticular disease (DD) in patients wit...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640614547068

    authors: Cuomo R,Barbara G,Pace F,Annese V,Bassotti G,Binda GA,Casetti T,Colecchia A,Festi D,Fiocca R,Laghi A,Maconi G,Nascimbeni R,Scarpignato C,Villanacci V,Annibale B

    更新日期:2014-10-01 00:00:00

  • Prevalence estimation of celiac disease in the general adult population of Latvia using serology and HLA genotyping.

    abstract:BACKGROUND:Prevalence estimates for celiac disease (CD) depend on the method used. The role of deamidated gliadin peptide (DGP) and genetic testing in epidemiological studies and diagnostic settings of celiac disease (CD) has still to be established. OBJECTIVES:The objective of this article is to assess the prevalence...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640615569379

    authors: Leja M,Shums Z,Nikitina-Zake L,Gavars M,Kikuste I,Milo J,Daugule I,Pahomova J,Pirags V,Dzerve V,Klovins J,Erglis A,Norman GL

    更新日期:2015-04-01 00:00:00

  • A combined bile and urine proteomic test for cholangiocarcinoma diagnosis in patients with biliary strictures of unknown origin.

    abstract:BACKGROUND:Detection of cholangiocarcinoma (CC) remains a diagnostic challenge particularly in patients with primary sclerosing cholangitis (PSC). We recently established diagnostic peptide marker models in bile and urine to detect CC. Our aim was to combine both models to reach a higher diagnostic accuracy of CC diagn...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640616687836

    authors: Voigtländer T,Metzger J,Schönemeier B,Jäger M,Mischak H,Manns MP,Lankisch TO

    更新日期:2017-08-01 00:00:00