Bile Acid-Activated Receptors, Intestinal Microbiota, and the Treatment of Metabolic Disorders
Abstract
The composition of the bile acid pool is a function of the microbial metabolism of bile acids in the intestine. Perturbations of the microbiota shape the bile acid pool and modulate the activity of bile acid-activated receptors (BARs) even beyond the gastrointestinal tract, triggering various metabolic axes and altering host metabolism. Bile acids, in turn, can also regulate the composition of the gut microbiome at the highest taxonomic levels. Primary bile acids from the host are preferential ligands for the farnesoid X receptor (FXR), while secondary bile acids from the microbiota are ligands for G-protein-coupled bile acid receptor 1 (GPBAR1). In this review, we examine the role of bile acid signaling in the regulation of intestinal microbiota and how changes in bile acid composition affect human metabolism. Bile acids may offer novel therapeutic modalities in inflammation, obesity, and diabetes.
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High-fat diets likely increase the pool of bile acids that elude epithelial absorption in the GI tract and interact with the gut microbiota.
“Diets high in fat likely increase the pool of bile acids that elude epithelial absorption in the GI tract and interact with the gut microbiota [232].”
From The athletic gut microbiota (2020) · cites this paper as [232]
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Microbial impact on cholesterol and bile acid metabolism: current status and future prospects
Kriaa, A., Bourgin, M., Potiron, A., Mkaouar, H., Jablaoui, A., Gérard, P., Maguin, E., & Rhimi, M. (2019) · Journal of Lipid Research · doi:10.1194/jlr.r088989 · Cited by 264 · see citing works
Metabolic Messengers: bile acids
Perino, A., & Schoonjans, K. (2022) · Nature Metabolism · doi:10.1038/s42255-022-00559-z · Cited by 223 · see citing works
Interactive relationships between intestinal flora and bile acids
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Causality of small and large intestinal microbiota in weight regulation and insulin resistance
Scheithauer, T. P. M., Dallinga-Thie, G. M., de Vos, W. M., Nieuwdorp, M., & van Raalte, D. H. (2016) · Molecular Metabolism · doi:10.1016/j.molmet.2016.06.002 · Cited by 188 · see citing works
Faecal bacterial and short-chain fatty acids signature in hypercholesterolemia
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Bile acids and bariatric surgery
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Bile acids as key modulators of the brain-Gut-Microbiota axis in alzheimer’s disease
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Bile acids activated receptors in inflammatory bowel disease
Biagioli, M., Marchianò, S., Carino, A., Di Giorgio, C., Santucci, L., Distrutti, E., & Fiorucci, S. (2021) · Cells · doi:10.3390/cells10061281 · Cited by 103 · see citing works
Self-citationThe influence of probiotics on bile acids in diseases and aging
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The mechanism of berberine alleviating metabolic disorder based on gut microbiome
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“At the same time, bile acids are modified and regulated by microorganisms in the intestine (Fiorucci and Distrutti, 2015).”
BackgroundTargeting the human gut microbiome with small-molecule inhibitors
Woo, A. Y. M., Aguilar Ramos, M. A., Narayan, R., Richards-Corke, K. C., Wang, M. L., Sandoval-Espinola, W. J., & Balskus, E. P. (2023) · Nature Reviews Chemistry · doi:10.1038/s41570-023-00471-4 · Cited by 42 · see citing works
- Authors
- Fiorucci, S., & Distrutti, E.
- Affiliations
- University of Perugia (IT)
- Azienda Ospedaliera di Perugia (IT)
- ORCID
- Fiorucci, Stefano
- Venue
- Trends in Molecular Medicine
- Publisher
- Elsevier BV
- Published
- 2015-11
- Volume
- 21
- Issue
- 11
- Pages
- 702-714
- ISSN
- 1471-4914 (ISSN-L)
- OpenAlex
- W2097136349
- Cited by
- 539
- References
- 73
- Citations by year
- 2026: 73 · 2025: 38 · 2024: 58 · 2023: 55 · 2022: 75 · 2021: 65 · 2020: 47 · 2019: 49 · 2018: 31 · 2017: 21 · 2016: 26 · 2015: 1
- FWCI
- 2.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Trends in Molecular Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
- Keywords
- gut microbiota, bile acid signaling, farnesoid X receptor, TGR5, secondary bile acids, primary bile acids, host-microbe interactions, metabolic disorders, obesity, diabetes mellitus, inflammation, bile acid pool
- MeSH terms
- Gastrointestinal Microbiome, Receptor, Farnesoid X-Activated, Bile Acids and Salts, Diabetes Mellitus, Humans, Inflammation, Obesity, Signal Transduction, Receptors, Cytoplasmic and Nuclear, Receptors, G-Protein-Coupled, Bariatric Surgery
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