2015
DOI: 10.1097/mog.0000000000000156
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Bile acids as metabolic regulators

Abstract: Summary Small molecule ligands that target to TGR5 and FXR have shown promise in treating various metabolic and inflammation-related human diseases. New insights into the mechanisms underlying the bariatric surgery and bile acid sequestrant treatment suggest that targeting the enterohepatic circulation to modulate gut-liver bile acid signaling, incretin production and microbiota represents a new strategy to treat obesity and type-2 diabetes.

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Cited by 238 publications
(189 citation statements)
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“…5 Through activation of these 2 receptors, bile acids regulate their own synthesis, conjugation, transport and detoxification, as well as lipid, glucose, and energy homeostasis. 6 Furthermore, bile acids play an important role in maintaining intestinal barrier function, as antimicrobial agents that help determine the gut microbiome structure, and as inducers of genes encoding anti-microbial peptides and lectins via FXR. 7 …”
Section: Introductionmentioning
confidence: 99%
“…5 Through activation of these 2 receptors, bile acids regulate their own synthesis, conjugation, transport and detoxification, as well as lipid, glucose, and energy homeostasis. 6 Furthermore, bile acids play an important role in maintaining intestinal barrier function, as antimicrobial agents that help determine the gut microbiome structure, and as inducers of genes encoding anti-microbial peptides and lectins via FXR. 7 …”
Section: Introductionmentioning
confidence: 99%
“…Regulation of plasma TC levels and BA metabolism are tightly linked as cholesterol from plasma serves as substrate for de novo BA synthesis in the liver 46, 47. Increased fecal excretion of BAs thus requires increased production of BAs.…”
Section: Discussionmentioning
confidence: 99%
“…They stimulate bile secretion and are required for the intestinal absorption of lipids and fat-soluble vitamins. BAs also modulate gene expression through signal transduction pathways that regulate lipid metabolism and energy expenditure (1). However, when BA excretion is disrupted, they accumulate in the liver and systemic circulation and cause cholestatic liver injury that often leads to progressive liver damage and subsequent liver failure.…”
Section: Introductionmentioning
confidence: 99%