Volume 34, Issue 7 pp. 1040-1048
Liver Pathobiology

Coenzyme Q in pregnant women and rats with intrahepatic cholestasis

Manuela R. Martinefski

Manuela R. Martinefski

Analytical Chemistry, School of Pharmacy and Biochemistry, Universidad de Buenos Aires, Buenos Aires, Argentina

Both authors contributed equally to the study.Search for more papers by this author
Mario D. Contin

Mario D. Contin

Analytical Chemistry, School of Pharmacy and Biochemistry, Universidad de Buenos Aires, Buenos Aires, Argentina

Both authors contributed equally to the study.Search for more papers by this author
Myrian R. Rodriguez

Myrian R. Rodriguez

Pathophysiology-INIGEM, School of Pharmacy and Biochemistry, Universidad de Buenos Aires, Buenos Aires, Argentina

Consejo Nacional de Investigaciones Científicas y Tecnológicas, CONICET, Buenos Aires, Argentina

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Estefanía M. Geréz

Estefanía M. Geréz

Physical Chemistry-IBIMOL, School of Pharmacy and Biochemistry, Universidad de Buenos Aires, Buenos Aires, Argentina

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Mónica L. Galleano

Mónica L. Galleano

Physical Chemistry-IBIMOL, School of Pharmacy and Biochemistry, Universidad de Buenos Aires, Buenos Aires, Argentina

Consejo Nacional de Investigaciones Científicas y Tecnológicas, CONICET, Buenos Aires, Argentina

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Silvia E. Lucangioli

Silvia E. Lucangioli

Drug Quality, School of Pharmacy and Biochemistry, Universidad de Buenos Aires, Buenos Aires, Argentina

Consejo Nacional de Investigaciones Científicas y Tecnológicas, CONICET, Buenos Aires, Argentina

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Liliana G. Bianciotti

Liliana G. Bianciotti

Pathophysiology-INIGEM, School of Pharmacy and Biochemistry, Universidad de Buenos Aires, Buenos Aires, Argentina

Consejo Nacional de Investigaciones Científicas y Tecnológicas, CONICET, Buenos Aires, Argentina

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Valeria P. Tripodi

Corresponding Author

Valeria P. Tripodi

Drug Quality, School of Pharmacy and Biochemistry, Universidad de Buenos Aires, Buenos Aires, Argentina

Consejo Nacional de Investigaciones Científicas y Tecnológicas, CONICET, Buenos Aires, Argentina

Correspondence

Professor Dr Valeria P. Tripodi, School of Pharmacy and Biochemistry, Universidad de Buenos Aires, Junin 956, 5th floor, Buenos Aires 1113, Argentina

Tel/Fax: +54 11 4964 8200 (int. 8267)

e-mail: [email protected]

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First published: 11 September 2013
Citations: 8

Abstract

Background & Aims

Intrahepatic cholestasis of pregnancy is a high-risk liver disease given the eventual deleterious consequences that may occur in the foetus. It is accepted that the abnormal accumulation of hydrophobic bile acids in maternal serum are responsible for the disease development. Hydrophobic bile acids induce oxidative stress and apoptosis leading to the damage of the hepatic parenchyma and eventually extrahepatic tissues. As coenzyme Q (CoQ) is considered an early marker of oxidative stress in this study, we sought to assess CoQ levels, bile acid profile and oxidative stress status in intrahepatic cholestasis.

Methods

CoQ, vitamin E and malondialdehyde were measured in plasma and/or tissues by HPLC-UV method whereas serum bile acids by capillary electrophoresis in rats with ethinyl estradiol-induced cholestasis and women with pregnancy cholestasis.

Results

CoQ and vitamin E plasma levels were diminished in both rats and women with intrahepatic cholestasis. Furthermore, reduced CoQ was also found in muscle and brain of cholestatic rats but no changes were observed in heart or liver. In addition, a positive correlation between CoQ and ursodeoxycholic/lithocholic acid ratio was found in intrahepatic cholestasis suggesting that increased plasma lithocholic acid may be intimately related to CoQ depletion in blood and tissues.

Conclusion

Significant CoQ and vitamin E depletion occur in both animals and humans with intrahepatic cholestasis likely as the result of increased hydrophobic bile acids known to produce significant oxidative stress. Present findings further suggest that antioxidant supplementation complementary to traditional treatment may improve cholestasis outcome.

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