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Effect of different bile acids on the intestine through enterohepatic circulation based on FXR

Junwei Xiang, Zhengyan Zhang, Hong-Yi Xie, Chengcheng Zhang, Yan Bai, Hua Cao, Qishi Che, Jiao Guo, Zhengquan Su

2021Gut Microbes130 citationsDOIOpen Access PDF

Abstract

Farnesoid X receptor (FXR) is a nuclear receptor for bile acids (BAs) that is widely expressed in the intestine, liver and kidney. FXR has important regulatory impacts on a wide variety of metabolic pathways (such as glucose, lipid, and sterol metabolism) and has been recognized to ameliorate obesity, liver damage, cholestasis and chronic inflammatory diseases. The types of BAs are complex and diverse. BAs link the intestine with the liver through the enterohepatic circulation. BAs derivatives have entered clinical trials for liver disease. In addition to the liver, the intestine is also targeted by BAs. This article reviews the effects of different BAs on the intestinal tract through the enterohepatic circulation from the perspective of FXR, aiming to elucidate the effects of different BAs on the intestinal tract and lay a foundation for new treatment methods.

Topics & Concepts

Enterohepatic circulationFarnesoid X receptorBiologyBile acidInternal medicineNuclear receptorSmall intestineEndocrinologyBiochemistryMedicineGeneTranscription factorDrug Transport and Resistance MechanismsPediatric Hepatobiliary Diseases and TreatmentsLiver Disease Diagnosis and Treatment