Role of Gallbladder Mucin in Pathophysiology of Gallstones
J. Thomas Lamont, Bernard F. Smith, James R. L. Moore – 1 September 1984 – A critical step in the formation of cholesterol gallstones is nucleation (i.e., the formation of cholesterol monohydrate crystals from supersaturated bile). The rate of nucleation of cholesterol depends upon a critical balance between pronucleating and antinucleating factors in bile. Mucin, a high molecular weight glycoprotein secreted by the gallbladder and biliary duct epithelium, is a pronucleating agent in experimental and human gallstone disease.