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Review
. 2021 Jan-Dec;13(1):1949095.
doi: 10.1080/19490976.2021.1949095.

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

Affiliations
Review

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

Junwei Xiang et al. Gut Microbes. 2021 Jan-Dec.

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.

Keywords: Bile acids; FXR; enterohepatic circulation; intestine.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure1.
Figure1.
Structure diagram of bile acids. Abbreviations: Cholic acid (CA), Hyodeoxycholic acid (HCA), α-Muricholic acid (α-MCA), β-Muricholic acid (β-MCA), ω-Muricholic acid (ω-MCA), Ursodeoxycholic acid (UDCA), Chenodeoxycholic acid (CDCA), Deoxycholic acid (DCA), Lithocholic acid (LCA), Murideoxycholic acid (MDCA); Hyodeoxycholic acid (HDCA)
Figure 2.
Figure 2.
FXR receptor structure diagram. Abbreviations: N-terminal ligand-independent transcription activation domain (AF1), DNA binding domain (DBD), ligand binding domain (LBD), carboxy-terminal ligand-dependent transcription activation domain (AF2)
Figure 3.
Figure 3.
Synthesis and transformation of BAs in liver and intestine. Abbreviations: cholesterol 7α-hydroxylase (CYP7A1); sterol 27-hydroxylase (CYP27A1); oxysterol 7α-hydroxylase (CYP7B1); sterol 12α-hydroxylase (CYP8B1); acyl-CoA oxidase 2(ACOX2); bile acid–CoA: amino acid N-acyltransferase (BAAT); bile salt hydrolase (BSH); 3β-hydroxy-Δ5-C27-steroid dehydrogenase (HSD3B7); D-bifunctional protein (HSD17B4)
Figure 4.
Figure 4.
Conversion of bile acids in the intestine. (a). Conjugated BAs: T/GCA structural transformation in the intestine. (b). Conjugated BAs: T/GCDCA structural transformation in the intestine. Abbreviations: 7β-hydroxysteroid dehydrogenase (7β-HSDH); (3α-HSDH) 3α-hydroxysteroid dehydrogenase; sterol 6β-hydroxylase (Cyp2c70); bile salt hydrolase (BSH)

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