“…26 Bacteria create secondary bile acids via deconjugation, dihydroxylation at carbon 7, oxidation, and epimerization of primary bile acids to dampen antimicrobial function, alter intestinal immune microenvironment, and improve bacterial fitness. 26,27 In the liver, circulating FGF15/FGF19 binds to hepatic β-klotho and FGF receptor 4 dimer to inhibit gene expression of cytochrome P450 7a1 (Cyp7a1/CYP7A1) and 8b1 (Cyp8b1/ CYP8B1), ultimately suppressing bile acid synthesis. 13,14,28,29 Circulating bile acids activate hepatic FXR leading to induction of SHP that mainly functions to inhibit Cyp8b1 expression.…”