Journal ArticleDOI
Overview of Gilbert's syndrome.
D King,Matthew J. Armstrong +1 more
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TLDR
For the patient, however, the condition may be an initial cause for concern as they commonly present with painless, non-pruritic jaundice or an incidental finding of hyperbilirubinaemia on routine blood testing.Abstract:
### Key learning points
Gilbert’s syndrome (GS) is a benign hereditary disorder of bilirubin conjugation resulting in an isolated, elevated blood level of unconjugated bilirubin.1 GS affects 2%–10% of the Caucasian population in the Western world.2,3 The inheritance pattern for GS is commonly autosomal recessive, but can be dominant as well; however, genetic counselling is not necessary as there is no impact on life expectancy. For the patient, however, the condition may be an initial cause for concern as they commonly present with painless, non-pruritic jaundice or an incidental finding of hyperbilirubinaemia on routine blood testing. Episodes of jaundice may be exacerbated by heavy physical exertion, fasting, sleep deprivation, alcohol, dehydration, surgery and concurrent illness. Patients will have normal liver enzymes, normal liver synthetic function (clotting, albumin) and a negative haemolysis screen. GS is a diagnosis of exclusion. The primary care practitioners’ main aim is to confirm the diagnosis, reassure the patient and clarify any concerns related to the condition. GS does not require secondary care referral and is largely asymptomatic. Observational studies highlight that the antioxidant effect of unconjugated bilirubin may confer a survival benefit to patients,4,5 and indeed, the greatest risk to those with the condition is in pursuit of an alternative diagnosis. Patients should …read more
Citations
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Journal ArticleDOI
Serum Total Bilirubin and Risk of Cancer: A Swedish Cohort Study and Meta-Analysis.
Maria J. Monroy-Iglesias,Charlotte Moss,Kerri Beckmann,Niklas Hammar,Göran Walldius,Cecilia Bosco,Mieke Van Hemelrijck,Aida Santaolalla +7 more
TL;DR: In this paper, the authors investigated the association between serum total bilirubin (STB) and risk of overall and site-specific cancers in the large Swedish Apolipoprotein Mortality Risk (AMORIS) cohort.
Journal ArticleDOI
Hepatotoxicity caused by mebendazole in a patient with Gilbert's syndrome
TL;DR: A case of severe hepatitis after administration of MBZ is reported in a patient with Gilbert's syndrome affected by pinworms infestation.
Journal ArticleDOI
Negative correlation of high serum bilirubin with cancer development in adults without hepatobiliary disease.
Kazuki Yamamoto,Takashi Ikeya,Shuhei Okuyama,Takeshi Okamoto,Katsuyuki Fukuda,Daiki Kobayashi +5 more
TL;DR: Increased serum bilirubin negatively correlated with cancer development in a concentration-dependent manner, especially for neoplasms of the female genital organs.
Journal ArticleDOI
Inhibitory Effects of Bilirubin on Colonization and Migration of A431 and SK-MEL-3 Skin Cancer Cells Compared with Human Dermal Fibroblasts (HDF).
Javad Saffari-Chaleshtori,Javad Saffari-Chaleshtori,Ali Shojaeian,Esfandiar Heidarian,Sayed Mohammad Shafiee +4 more
TL;DR: In this paper, the authors evaluated the inhibitory effects of bilirubin on colony formation and cell migration of melanoma and non-melanoma skin cancer cell lines SK-MEL-3 and A431, compared with normal human dermal fibroblasts (HDF).
References
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Journal ArticleDOI
The Genetic Basis of the Reduced Expression of Bilirubin UDP-Glucuronosyltransferase 1 in Gilbert's Syndrome
[No Value] Chowdhury,S Gantla,A Deboer,Ba Oostra,Dick Lindhout,Gnj Tytgat,Plm Jansen,Rpjo Elferink,Nr Chowdhury +8 more
TL;DR: Reduced expression of bilirubin UDP-glucuronosyltransferase 1 due to an abnormality in the promoter region of the gene for this enzyme appears to be necessary for Gilbert's syndrome but not sufficient for the complete manifestation of the syndrome.
Journal ArticleDOI
Genetic variants in the UDP-glucuronosyltransferase 1A1 gene predict the risk of severe neutropenia of irinotecan.
Federico Innocenti,Samir D. Undevia,Lalitha Iyer,Peixian Chen,Soma Das,Masha Kocherginsky,Theodore Karrison,Linda Janisch,Jacqueline Ramírez,Charles M. Rudin,Everett E. Vokes,Mark J. Ratain +11 more
TL;DR: UGT1A1 genotype and total bilirubin levels are strongly associated with severe neutropenia, and could be used to identify cancer patients predisposed to the severe toxicity of irinotecan.
Journal Article
Polymorphisms of UDP-Glucuronosyltransferase Gene and Irinotecan Toxicity: A Pharmacogenetic Analysis
Yuichi Ando,Hideo Saka,M. Ando,Toshiyuki Sawa,Kei Muro,Hiroshi Ueoka,Akira Yokoyama,Soh Saitoh,Kaoru Shimokata,Yoshinori Hasegawa +9 more
TL;DR: It is suggested that determination of the UGT1A1 genotypes might be clinically useful for predicting severe toxicity by irinotecan in cancer patients and warrants a prospective trial to corroborate the usefulness of gene diagnosis of UGT2A1 polymorphisms prior tb irinOTecan chemotherapy.
Journal ArticleDOI
Gilbert syndrome and ischemic heart disease: a protective effect of elevated bilirubin levels.
Libor Vítek,Milan Jirsa,Marie Brodanová,Kaláb M,Zdeněk Mareček,Vilém Danzig,Ladislav Novotný,Kotal P +7 more
TL;DR: It may be presumed that chronic hyperbilirubinemia prevent the development of ischemic heart disease by increasing the serum antioxidant capacity.
Journal ArticleDOI
Effects of Fibrates on Metabolism of Statins in Human Hepatocytes
TL;DR: The results suggest that there is a potential difference between fibrates in their ability to affect the pharmacokinetics of statins, and among statins in their susceptibility to metabolic interactions with GFZ in humans.