conjugated bilirubin

bilirubin /bil·i·ru·bin/ (-roo´bin) a bile pigment produced by breakdown of heme and reduction of biliverdin; it normally circulates in plasma and is taken up by liver cells and conjugated to form bilirubin diglucuronide, the water-soluble pigment excreted in bile. High concentrations of bilirubin may result in jaundice.

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conjugated bilirubin , direct bilirubin bilirubin that has been taken up by the liver cells and conjugated to form the water-soluble bilirubin diglucuronide.

indirect bilirubin , unconjugated bilirubin the lipid-soluble form of bilirubin that circulates in loose association with the plasma proteins.

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conjugated bilirubin.

See bilirubin.

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bilirubin

an orange bile pigment produced by the breakdown of heme and reduction of biliverdin; it normally circulates in plasma and is taken up by liver cells and conjugated to form bilirubin diglucuronide, the water-soluble pigment excreted in the bile. Failure of the liver cells to excrete bile, or obstruction of the bile ducts, can cause an increased amount of bilirubin in the body fluids and thus lead to obstructive or regurgitation jaundice.

Another type of jaundice results from excessive destruction of erythrocytes (hemolytic or retention jaundice). The more rapid the destruction of red blood cells and the degradation of hemoglobin, the greater the amount of bilirubin in the body fluids.

Most bilirubin is excreted in the feces. A small amount is excreted in the urine as urobilinogen.

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conjugated bilirubin

bilirubin that has been conjugated, mainly to glucuronic acid, in the liver and gives a direct result to the van den bergh test. High blood levels indicate obstructive or hepatocellular origin of the jaundice.

delta bilirubin

see biliprotein.

bilirubin diglucuronide

see conjugated bilirubin (above).

free bilirubin

see unconjugated bilirubin (below).

bilirubin toxicity

see kernicterus.

unconjugated bilirubin

bilirubin that has not been conjugated in the liver. It gives an indirect reaction to the van den bergh test. A high level of it in the blood is indicative of hemolysis or a lack of bilirubin clearance by the liver. Called also free bilirubin.

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conjugated bilirubin

Direct bilirubin Bilirubin chemically bound to a glucuronide in the liver, which is excreted in bile by the liver and stored in the gallbladder or transferred to the duodenum Ref range Direct BR: 0–0.3 mg/dL ↑ in Bile duct obstruction, cirrhosis, Crigler-Najjar syndrome, Dubin-Johnson syndrome, hepatitis. See Bilirubin.