In contrast to current methods of bile acid analysis that require the
separation of bile acids into different groups prior to their analysis
, the HPLC method using a reverse phase column and gradient elution th
at we developed permits the separation and detection of nonconjugated,
glycine-conjugated, and esterified bile acids as their fluorescent di
methoxycoumarin esters. The mild conditions for ester formation make p
ossible the identification of allylic bile acids characteristic of met
abolic errors in bile acid synthesis. Quantification is obtained using
7 alpha,12 alpha-dihydroxy-5 beta-cholanoic acid as an internal stand
ard. In addition to identification based on retention time, peak-shift
strategy is used by treatment of aliquots with cholyglycine hydrolase
and/or solvolysis. sis. Loss of the parent peak and appearance of the
derivative provide further assurance of the identity of each bile aci
d in biologic fluids that contain other organic acids.