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Coprostanol

5β-Coprostanol (5β-cholestan-3β-ol) is a 27-carbon stanol formed from the net reductive metabolism of cholesterol (cholest-5en-3β-ol) in the gut of most higher animals and birds. This compound has frequently been used as a biomarker for the presence of human faecal matter in the environment. 5β-coprostanol is thought to be exclusively bacterial in origin.

Coprostanol
Names
IUPAC name
5β-cholestan-3β-ol
Other names
5β-coprostanol
coprostanol
Identifiers
  • 360-68-9 Y
3D model (JSmol)
  • Interactive image
ChEBI
  • CHEBI:89519
ChEMBL
  • ChEMBL2048325
ChemSpider
  • 191826 N
ECHA InfoCard 100.006.036
EC Number
  • 206-638-8
  • 221122
UNII
  • PPT67I3S74 Y
  • DTXSID1052036
  • InChI=1S/C27H48O/c1-18(2)7-6-8-19(3)23-11-12-24-22-10-9-20-17-21(28)13-15-26(20,4)25(22)14-16-27(23,24)5/h18-25,28H,6-17H2,1-5H3/t19-,20-,21+,22+,23-,24+,25+,26+,27-/m1/s1 N
    Key: QYIXCDOBOSTCEI-NWKZBHTNSA-N N
  • InChI=1/C27H48O/c1-18(2)7-6-8-19(3)23-11-12-24-22-10-9-20-17-21(28)13-15-26(20,4)25(22)14-16-27(23,24)5/h18-25,28H,6-17H2,1-5H3/t19-,20-,21+,22+,23-,24+,25+,26+,27-/m1/s1
    Key: QYIXCDOBOSTCEI-NWKZBHTNBU
  • O[C@H]4CC[C@]3([C@H](CC[C@H]2[C@@H]1CC[C@@H]([C@@]1(C)CC[C@@H]23)[C@H](C)CCCC(C)C)C4)C
Properties
C27H48O
Molar mass 388.680 g·mol−1
Melting point 102 °C (216 °F; 375 K)
Poorly soluble
Hazards
Flash point Non-flammable
Related compounds
Related Stanols
24-ethyl coprostanol
5α-cholestanol
epi-coprostanol
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).
N verify (what is YN ?)

Chemical properties edit

Solubility edit

5β-coprostanol has a low water solubility, and consequently a high octanol-water partition coefficient (log Kow = 8.82). In other words, 5β-coprostanol has an affinity nearly 1 billion times higher for octanol than for water. This means that in most environmental systems, 5β-coprostanol will be associated with the solid phase.

Degradation edit

In anaerobic sediments and soils, 5β-coprostanol is stable for many hundreds of years enabling it to be used as an indicator of past faecal discharges. As such, records of 5β-coprostanol from paleo-environmental archives have been used to further constrain the timing of human settlements in a region, as well as reconstruct relative changes in human populations and agricultural activities over several thousand years.[1]

Chemical analysis edit

Since the molecule has a hydroxyl (-OH) group, it is frequently bound to other lipids including fatty acids; most analytical methods, therefore, utilise a strong alkali (KOH or NaOH) to saponify the ester linkages. Typical extraction solvents include 6% KOH in methanol. The free sterols and stanols (saturated sterols) are then separated from the polar lipids by partitioning into a less polar solvent such as hexane. Prior to analysis, the hydroxyl group is frequently derivatised with BSTFA (bis-trimethyl silyl trifluoroacetamide) to replace the hydrogen with the less exchangeable trimethylsilyl (TMS) group. Instrumental analysis is frequently conducted on gas chromatograph (GC) with either a flame ionisation detector (FID) or mass spectrometer (MS). The mass spectrum for 5β-coprostanol - TMS ether can be seen in the figure. Alternatively, liquid-chromatography mass spectrometry (LC-MS) techniques that employ atmospheric pressure chemical ionization (APCI) may also be employed to detect coprostanol under positive mode.
 

Isomers edit

As well as the faecally derived stanol, two other isomers can be identified in the environment; 5α-cholestanol

Formation and occurrence edit

Faecal sources edit

5β-coprostanol is formed by the conversion of cholesterol to coprostanol in the gut of most higher animals by intestinal bacteria. It is generally accepted that the metabolism of cholesterol to coprostanol by gut bacteria proceeds in an indirect manner via ketone intermediates, rather than direct reduction of the Δ5,6 double bond.[2] be seen in the figure proposed by Grimalt et al., (1990).

 

List of animals in which 5β-coprostanol has been identified in faecal matter.
Animals producing coprostanol Animals NOT producing coprostanol
Humans Dogs
Cattle ?
Sheep ?
Birds ?


There are a small number of animals, however, that have been shown not to produce 5β-coprostanol and these can be seen in the table.

Use as a tracer for sewage edit

The principal source of 5β-coprostanol in the environment is from human wastes. The concentration of 5β-coprostanol in raw, untreated sewage is around 2-6% of the dry solids. This relatively high concentration and its stability allows it to be used in the assessment of the faecal matter in samples, especially sediments.

5β-coprostanol / cholesterol ratio edit

Since 5β-coprostanol is formed from cholesterol in the vertebrate gut, the ratio of the product over reactant can be used to indicate the degree of faecal matter in samples. Raw untreated sewage typically has a 5β-coprostanol / cholesterol ratio of ~10 which decreases through a sewage treatment plant (STP) such that in the discharged liquid wastewaters the ratio is ~2. Undiluted STP wastewaters may be identified by this high ratio. As the faecal matter is dispersed in the environment, the ratio will decrease as more (non-faecal) cholesterol from animals is encountered. Grimalt & Albaiges (year?)[citation needed] have suggested that samples with a 5β-coprostanol / cholesterol greater than 0.2 may be considered as contaminated by faecal material.

5β-coprostanol / (5β-coprostanol + 5α-cholestanol) ratio edit

Another measure of human faecal contamination is the proportion of the two 3β-ol isomers of the saturated sterol form. 5α-cholestanol is formed naturally in the environment by bacteria and generally does not have a faecal origin. Samples with ratios greater than 0.7 may be contaminated with human faecal matter; samples with values less than 0.3 may be considered uncontaminated. Samples with ratios between these two cut-offs can not readily be categorised on the basis of this ratio alone.
 

Sediments falling in the red region are classed as “contaminated” by both of the two ratios and those in the green region are classified as “uncontaminated” by the same measures. Those in the blue region are “uncontaminated” according to the 5β-coprostanol / cholesterol ratio and “uncertain” in the 5β-coprostanol / (5β-coprostanol + 5α-cholestanol) ratio. The majority of the samples between the 0.3 and 0.7 cut-offs are considered as “uncontaminated” according to the 5β-coprostanol / cholesterol ratio and so the 0.3 value must be considered as somewhat conservative.

5β-coprostanol / total sterols ratio edit

Cut-off values etc.

5β-coprostanol / 24-ethyl coprostanol edit

Herbivores such as cows and sheep consume terrestrial plant matter (grass) which contains β-sitosterol as the principal sterol. β-sitosterol is the 24-ethyl derivative of cholesterol and can be used as a biomarker for terrestrial plant matter (see section). In the gut of these animals, bacteria biohydrogenate the double bond in the 5 position to create 24-ethyl coprostanol and so this compound can be used as a biomarker for faecal matter from herbivores. Typical values in different source materials can be seen in the table after Gilpin (year?).[citation needed]

Source 5β-cop / 24-ethyl cop
Septic tanks 2.9 – 3.7
Community wastewater 2.6 – 4.1
Abattoir – sheep, cattle 0.5 – 0.9
Dairy shed wash-down 0.2

Epi-coprostanol / 5β-coprostanol edit

During sewage treatment, 5β-coprostanol may be converted to 5β-cholestan-3α-ol form, epi-coprostanol. There is also a slow conversion of 5β-coprostanol to epi-coprostanol in the environment and so this ratio will indicate either the degree of treatment of sewage or its age in the environment. A cross-plot of the 5β-coprostanol / cholesterol ratio with the epi-coprostanol / 5β-coprostanol can indicate both faecal contamination and treatment.
 

Related markers edit

5α-cholestanol / cholesterol edit

In the environment, bacteria preferentially produce 5α-cholestan-3β-ol (5α-cholestanol) from cholesterol rather than the 5β isomer. This reaction occurs principally in anaerobic reducing sediments and the 5α-cholestanol / cholesterol ratio may be used as a secondary (process) biomarker for such conditions. No cut-off values have been suggested for this marker and so it is used in a relative sense; the greater the ratio, the more reducing the environment. Reducing environments are frequently associated with areas experiencing high organic matter input; this may include sewage derived discharges. The relationship between reducing conditions and the potential source can be seen in a cross plot with a sewage indicator.
 
It may be suggested from this relationship that sewage discharges are in part responsible for the anaerobic reducing conditions in the sediments.

Use in archaeological studies edit

Coprostanol and its derivative epicoprostanol are used in archaeological and paleoenvironmental studies as indicators of past human activity due to their longevity in soils and strong association with production in the human gut.[3][4] Researchers have used the presence of coprostanol to identify archaeological features such as cesspits or landscape activities like manuring.[5][6] Variations in the concentration of coprostanol over time can be used to create human population reconstructions within a specific depositional environment.[1][7]

See also edit

References edit

  1. ^ a b D'Anjou RM, Bradley RS, Balascio NL, Finkelstein DB (December 2012). "Climate impacts on human settlement and agricultural activities in northern Norway revealed through sediment biogeochemistry". Proceedings of the National Academy of Sciences of the United States of America. 109 (50): 20332–20337. Bibcode:2012PNAS..10920332D. doi:10.1073/pnas.1212730109. PMC 3528558. PMID 23185025.
  2. ^ Kenny DJ, Plichta DR, Shungin D, Koppel N, Hall AB, Fu B, et al. (August 2020). "Cholesterol Metabolism by Uncultured Human Gut Bacteria Influences Host Cholesterol Level". Cell Host & Microbe. 28 (2): 245–257.e6. doi:10.1016/j.chom.2020.05.013. PMC 7435688. PMID 32544460.
  3. ^ Bull ID, Simpson IA, van Bergen PF, Evershed RP (1999). "Muck 'n' molecules: organic geochemical methods for detecting ancient manuring". Antiquity. 73 (279): 86–96. doi:10.1017/S0003598X0008786X. ISSN 0003-598X. S2CID 56237722.
  4. ^ Sistiaga A, Berna F, Laursen R, Goldberg P (2014-01-01). "Steroidal biomarker analysis of a 14,000 years old putative human coprolite from Paisley Cave, Oregon". Journal of Archaeological Science. 41: 813–817. Bibcode:2014JArSc..41..813S. doi:10.1016/j.jas.2013.10.016. ISSN 0305-4403.
  5. ^ Bethell PH, Goad LJ, Evershed RP, Ottaway J (September 1994). "The Study of Molecular Markers of Human Activity: The Use of Coprostanol in the Soil as an Indicator of Human Faecal Material". Journal of Archaeological Science. 21 (5): 619–632. Bibcode:1994JArSc..21..619B. doi:10.1006/jasc.1994.1061. ISSN 0305-4403.
  6. ^ Bull ID, Evershed RP, Betancourt PP (2001). "An organic geochemical investigation of the practice of manuring at a Minoan site on Pseira Island, Crete". Geoarchaeology. 16 (2): 223–242. doi:10.1002/1520-6548(200102)16:2<223::AID-GEA1002>3.0.CO;2-7. ISSN 1520-6548.
  7. ^ White AJ, Stevens LR, Lorenzi V, Munoz SE, Lipo CP, Schroeder S (2018-05-01). "An evaluation of fecal stanols as indicators of population change at Cahokia, Illinois". Journal of Archaeological Science. 93: 129–134. Bibcode:2018JArSc..93..129W. doi:10.1016/j.jas.2018.03.009. ISSN 0305-4403.

Further reading edit

  • Mudge SM, Ball AS (2006). Morrison R, Murphy B (eds.). Sewage In: Environmental Forensics: A Contaminant Specific Approach. Elsevier. p. 533.
  • Bethell P (1994). "The study of molecular markers of human activity: the use of coprostanol in the soil as an indicator of human faecal material". Journal of Archaeological Science. 21 (5): 619–632. Bibcode:1994JArSc..21..619B. doi:10.1006/jasc.1994.1061.
  • Bull ID, Lockheart MJ, Elhmmali MM, Roberts DJ, Evershed RP (March 2002). "The origin of faeces by means of biomarker detection". Environment International. 27 (8): 647–654. Bibcode:2002EnInt..27..647B. doi:10.1016/S0160-4120(01)00124-6. PMID 11934114.

coprostanol, this, article, includes, list, general, references, lacks, sufficient, corresponding, inline, citations, please, help, improve, this, article, introducing, more, precise, citations, march, 2019, learn, when, remove, this, message, cholestan, carbo. This article includes a list of general references but it lacks sufficient corresponding inline citations Please help to improve this article by introducing more precise citations March 2019 Learn how and when to remove this message 5b Coprostanol 5b cholestan 3b ol is a 27 carbon stanol formed from the net reductive metabolism of cholesterol cholest 5en 3b ol in the gut of most higher animals and birds This compound has frequently been used as a biomarker for the presence of human faecal matter in the environment 5b coprostanol is thought to be exclusively bacterial in origin Coprostanol Names IUPAC name 5b cholestan 3b ol Other names 5b coprostanolcoprostanol Identifiers CAS Number 360 68 9 Y 3D model JSmol Interactive image ChEBI CHEBI 89519 ChEMBL ChEMBL2048325 ChemSpider 191826 N ECHA InfoCard 100 006 036 EC Number 206 638 8 PubChem CID 221122 UNII PPT67I3S74 Y CompTox Dashboard EPA DTXSID1052036 InChI InChI 1S C27H48O c1 18 2 7 6 8 19 3 23 11 12 24 22 10 9 20 17 21 28 13 15 26 20 4 25 22 14 16 27 23 24 5 h18 25 28H 6 17H2 1 5H3 t19 20 21 22 23 24 25 26 27 m1 s1 NKey QYIXCDOBOSTCEI NWKZBHTNSA N NInChI 1 C27H48O c1 18 2 7 6 8 19 3 23 11 12 24 22 10 9 20 17 21 28 13 15 26 20 4 25 22 14 16 27 23 24 5 h18 25 28H 6 17H2 1 5H3 t19 20 21 22 23 24 25 26 27 m1 s1Key QYIXCDOBOSTCEI NWKZBHTNBU SMILES O C H 4CC C 3 C H CC C H 2 C H 1CC C H C 1 C CC C H 23 C H C CCCC C C C4 C Properties Chemical formula C 27H 48O Molar mass 388 680 g mol 1 Melting point 102 C 216 F 375 K Solubility in water Poorly soluble Hazards Flash point Non flammable Related compounds Related Stanols 24 ethyl coprostanol5a cholestanolepi coprostanol Except where otherwise noted data are given for materials in their standard state at 25 C 77 F 100 kPa N verify what is Y N Infobox references Contents 1 Chemical properties 1 1 Solubility 1 2 Degradation 1 3 Chemical analysis 1 4 Isomers 2 Formation and occurrence 2 1 Faecal sources 3 Use as a tracer for sewage 3 1 5b coprostanol cholesterol ratio 3 2 5b coprostanol 5b coprostanol 5a cholestanol ratio 3 3 5b coprostanol total sterols ratio 3 4 5b coprostanol 24 ethyl coprostanol 3 5 Epi coprostanol 5b coprostanol 4 Related markers 4 1 5a cholestanol cholesterol 5 Use in archaeological studies 6 See also 7 References 8 Further readingChemical properties editSolubility edit 5b coprostanol has a low water solubility and consequently a high octanol water partition coefficient log Kow 8 82 In other words 5b coprostanol has an affinity nearly 1 billion times higher for octanol than for water This means that in most environmental systems 5b coprostanol will be associated with the solid phase Degradation edit In anaerobic sediments and soils 5b coprostanol is stable for many hundreds of years enabling it to be used as an indicator of past faecal discharges As such records of 5b coprostanol from paleo environmental archives have been used to further constrain the timing of human settlements in a region as well as reconstruct relative changes in human populations and agricultural activities over several thousand years 1 Chemical analysis edit Since the molecule has a hydroxyl OH group it is frequently bound to other lipids including fatty acids most analytical methods therefore utilise a strong alkali KOH or NaOH to saponify the ester linkages Typical extraction solvents include 6 KOH in methanol The free sterols and stanols saturated sterols are then separated from the polar lipids by partitioning into a less polar solvent such as hexane Prior to analysis the hydroxyl group is frequently derivatised with BSTFA bis trimethyl silyl trifluoroacetamide to replace the hydrogen with the less exchangeable trimethylsilyl TMS group Instrumental analysis is frequently conducted on gas chromatograph GC with either a flame ionisation detector FID or mass spectrometer MS The mass spectrum for 5b coprostanol TMS ether can be seen in the figure Alternatively liquid chromatography mass spectrometry LC MS techniques that employ atmospheric pressure chemical ionization APCI may also be employed to detect coprostanol under positive mode nbsp Isomers edit As well as the faecally derived stanol two other isomers can be identified in the environment 5a cholestanolFormation and occurrence editFaecal sources edit 5b coprostanol is formed by the conversion of cholesterol to coprostanol in the gut of most higher animals by intestinal bacteria It is generally accepted that the metabolism of cholesterol to coprostanol by gut bacteria proceeds in an indirect manner via ketone intermediates rather than direct reduction of the D5 6 double bond 2 be seen in the figure proposed by Grimalt et al 1990 nbsp List of animals in which 5b coprostanol has been identified in faecal matter Animals producing coprostanol Animals NOT producing coprostanol Humans Dogs Cattle Sheep Birds There are a small number of animals however that have been shown not to produce 5b coprostanol and these can be seen in the table Use as a tracer for sewage editThe principal source of 5b coprostanol in the environment is from human wastes The concentration of 5b coprostanol in raw untreated sewage is around 2 6 of the dry solids This relatively high concentration and its stability allows it to be used in the assessment of the faecal matter in samples especially sediments 5b coprostanol cholesterol ratio edit Since 5b coprostanol is formed from cholesterol in the vertebrate gut the ratio of the product over reactant can be used to indicate the degree of faecal matter in samples Raw untreated sewage typically has a 5b coprostanol cholesterol ratio of 10 which decreases through a sewage treatment plant STP such that in the discharged liquid wastewaters the ratio is 2 Undiluted STP wastewaters may be identified by this high ratio As the faecal matter is dispersed in the environment the ratio will decrease as more non faecal cholesterol from animals is encountered Grimalt amp Albaiges year citation needed have suggested that samples with a 5b coprostanol cholesterol greater than 0 2 may be considered as contaminated by faecal material 5b coprostanol 5b coprostanol 5a cholestanol ratio edit Another measure of human faecal contamination is the proportion of the two 3b ol isomers of the saturated sterol form 5a cholestanol is formed naturally in the environment by bacteria and generally does not have a faecal origin Samples with ratios greater than 0 7 may be contaminated with human faecal matter samples with values less than 0 3 may be considered uncontaminated Samples with ratios between these two cut offs can not readily be categorised on the basis of this ratio alone nbsp Sediments falling in the red region are classed as contaminated by both of the two ratios and those in the green region are classified as uncontaminated by the same measures Those in the blue region are uncontaminated according to the 5b coprostanol cholesterol ratio and uncertain in the 5b coprostanol 5b coprostanol 5a cholestanol ratio The majority of the samples between the 0 3 and 0 7 cut offs are considered as uncontaminated according to the 5b coprostanol cholesterol ratio and so the 0 3 value must be considered as somewhat conservative 5b coprostanol total sterols ratio edit Cut off values etc 5b coprostanol 24 ethyl coprostanol edit Herbivores such as cows and sheep consume terrestrial plant matter grass which contains b sitosterol as the principal sterol b sitosterol is the 24 ethyl derivative of cholesterol and can be used as a biomarker for terrestrial plant matter see section In the gut of these animals bacteria biohydrogenate the double bond in the 5 position to create 24 ethyl coprostanol and so this compound can be used as a biomarker for faecal matter from herbivores Typical values in different source materials can be seen in the table after Gilpin year citation needed Source 5b cop 24 ethyl cop Septic tanks 2 9 3 7 Community wastewater 2 6 4 1 Abattoir sheep cattle 0 5 0 9 Dairy shed wash down 0 2 Epi coprostanol 5b coprostanol edit During sewage treatment 5b coprostanol may be converted to 5b cholestan 3a ol form epi coprostanol There is also a slow conversion of 5b coprostanol to epi coprostanol in the environment and so this ratio will indicate either the degree of treatment of sewage or its age in the environment A cross plot of the 5b coprostanol cholesterol ratio with the epi coprostanol 5b coprostanol can indicate both faecal contamination and treatment nbsp Related markers edit5a cholestanol cholesterol edit In the environment bacteria preferentially produce 5a cholestan 3b ol 5a cholestanol from cholesterol rather than the 5b isomer This reaction occurs principally in anaerobic reducing sediments and the 5a cholestanol cholesterol ratio may be used as a secondary process biomarker for such conditions No cut off values have been suggested for this marker and so it is used in a relative sense the greater the ratio the more reducing the environment Reducing environments are frequently associated with areas experiencing high organic matter input this may include sewage derived discharges The relationship between reducing conditions and the potential source can be seen in a cross plot with a sewage indicator nbsp It may be suggested from this relationship that sewage discharges are in part responsible for the anaerobic reducing conditions in the sediments Use in archaeological studies editCoprostanol and its derivative epicoprostanol are used in archaeological and paleoenvironmental studies as indicators of past human activity due to their longevity in soils and strong association with production in the human gut 3 4 Researchers have used the presence of coprostanol to identify archaeological features such as cesspits or landscape activities like manuring 5 6 Variations in the concentration of coprostanol over time can be used to create human population reconstructions within a specific depositional environment 1 7 See also editCoprostaneReferences edit a b D Anjou RM Bradley RS Balascio NL Finkelstein DB December 2012 Climate impacts on human settlement and agricultural activities in northern Norway revealed through sediment biogeochemistry Proceedings of the National Academy of Sciences of the United States of America 109 50 20332 20337 Bibcode 2012PNAS 10920332D doi 10 1073 pnas 1212730109 PMC 3528558 PMID 23185025 Kenny DJ Plichta DR Shungin D Koppel N Hall AB Fu B et al August 2020 Cholesterol Metabolism by Uncultured Human Gut Bacteria Influences Host Cholesterol Level Cell Host amp Microbe 28 2 245 257 e6 doi 10 1016 j chom 2020 05 013 PMC 7435688 PMID 32544460 Bull ID Simpson IA van Bergen PF Evershed RP 1999 Muck n molecules organic geochemical methods for detecting ancient manuring Antiquity 73 279 86 96 doi 10 1017 S0003598X0008786X ISSN 0003 598X S2CID 56237722 Sistiaga A Berna F Laursen R Goldberg P 2014 01 01 Steroidal biomarker analysis of a 14 000 years old putative human coprolite from Paisley Cave Oregon Journal of Archaeological Science 41 813 817 Bibcode 2014JArSc 41 813S doi 10 1016 j jas 2013 10 016 ISSN 0305 4403 Bethell PH Goad LJ Evershed RP Ottaway J September 1994 The Study of Molecular Markers of Human Activity The Use of Coprostanol in the Soil as an Indicator of Human Faecal Material Journal of Archaeological Science 21 5 619 632 Bibcode 1994JArSc 21 619B doi 10 1006 jasc 1994 1061 ISSN 0305 4403 Bull ID Evershed RP Betancourt PP 2001 An organic geochemical investigation of the practice of manuring at a Minoan site on Pseira Island Crete Geoarchaeology 16 2 223 242 doi 10 1002 1520 6548 200102 16 2 lt 223 AID GEA1002 gt 3 0 CO 2 7 ISSN 1520 6548 White AJ Stevens LR Lorenzi V Munoz SE Lipo CP Schroeder S 2018 05 01 An evaluation of fecal stanols as indicators of population change at Cahokia Illinois Journal of Archaeological Science 93 129 134 Bibcode 2018JArSc 93 129W doi 10 1016 j jas 2018 03 009 ISSN 0305 4403 Further reading editMudge SM Ball AS 2006 Morrison R Murphy B eds Sewage In Environmental Forensics A Contaminant Specific Approach Elsevier p 533 Bethell P 1994 The study of molecular markers of human activity the use of coprostanol in the soil as an indicator of human faecal material Journal of Archaeological Science 21 5 619 632 Bibcode 1994JArSc 21 619B doi 10 1006 jasc 1994 1061 Bull ID Lockheart MJ Elhmmali MM Roberts DJ Evershed RP March 2002 The origin of faeces by means of biomarker detection Environment International 27 8 647 654 Bibcode 2002EnInt 27 647B doi 10 1016 S0160 4120 01 00124 6 PMID 11934114 Retrieved from https en wikipedia org w index php title Coprostanol amp oldid 1215831003, wikipedia, wiki, book, books, library,

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