We analyzed the isomeric composition of bilirubin-IX in human fetal bile using HPLC. The approximate ratio of the bilirubin-IX isomers obtained from the fetal bile at 20 weeks of gestation was IXa, 6 % ; IXP, 87 % ; IXy, 0.5 % ; and 1x6, 6 %.From 15 to 22 weeks, bilirubin-IXP was predominant and bilirubin-1x8 and bilirubin-IXa were also present in the bile as minor components. By 28 weeks, bilirubin-IXa constituted about 50% of the total bilirubin.There was a general correlation between fetal age and the proportion of bilirubin-IXa to bilirubin-IXP in the bile and the small intestinal contents of fetuses. As development proceeded from mid-gestation to near term, the isomeric composition dramatically changed, with a decrease in the IXP isomer and a subsequent increment of the IXa isomer. In contrast, the 1x6 isomer changes little.Recently, we identified four forms of biliverdin reductase including two biliverdin-IXa reductases and two biliverdin-IXP reductases in human liver cytosolic fractions [Yamaguchi, T.) Komoda, Y. & Nakajima, H. (1994) J. B i d . Chem. 269, 24343-243481. The proportion of the total activity of biliverdin-IXP reductases to that of biliverdin-IXa reductases was considerably higher in the fetal, than in the adult liver.Keywords: bilirubin-IX isomer; biliverdin-IX isomer ; bile pigment; biliverdin reductase ; heme metabolism.Protoheme-IX, undergoes enzymic ring cleavage and is converted to biliverdin via several intermediate metabolic pathways (Nakajima et al., 1963;Tenhunen et al., 1969; Maines et al., 1977;Yoshida and Kikuchi, 1978;Yoshinaga et al., 1982).To salvage and reuse the iron within heme, the sites of ring cleavage of heme are theoretically considered to be the 5(a)-, lo@-, 15(y)-, and 20(6)-methene bridges. The end products of heme degradation are biliverdin-IXa,-IXP,-IXy and -1X6, respectively. In most mammals, heme is converted by heme oxygenase at the a-methene bridge into biliverdin, and biliverdin is reduced to bilirubin by the cytosolic enzyme, biliverdin reductase (Singleton and Laster, 1965;Tenhunen et al.. 1970;Colleran and O'Carra, 1977) and excreted into the bile after conjugation.Naturally occurring bilirubin is believed to have mainly a IXa configuration due to the cleavage of heme at the S(a)-methene bridge and the subsequent reduction of the formed biliverdin. However, small amounts of other bilirubin isomers as well as several similar unidentified pigments have been found under both physiological and pathological conditions in vivo (Heirwegh et al., 1970;Gordon et al., 1977;.Several procedures for investigating the isomeric structure of biliverdin-IX and bilirubin-IX have been reported. These are alkaline permanganate degradation (Petryka et al., 1962), dichromate degradation (Rudiger, 1968), combined mass spectrometry and NMR (Nichol and Morel], 1969) and one-dimensional (Rudiger, 1968) or two-dimensional TLC (Bonnett and McDonagh, 1973). All these methods have disadvantages when applied to biological specimens since they are often obtainable only in small amount...