Cited by 55Liver Diseases and ImmunityDrug Transport and Resistance MechanismsPediatric Hepatobiliary Diseases and Treatments

Nor-Ursodeoxycholic acid as a novel therapeutic approach for cholestatic and metabolic liver diseases

Halilbasic, Emina, Steinacher, Daniel, Trauner, Michael·2017·Digestive Diseases

Abstract

Norursodeoxycholic acid (norUDCA) is a side-chain-shortened derivative of ursodeoxycholic acid with relative resistance to amidation, which enables its cholehepatic shunting. Based on its specific pharmacologic properties, norUDCA is a promising drug for a range of cholestatic liver and bile duct disorders. Recently, norUDCA has been successfully tested clinically in patients with primary sclerosing cholangitis (PSC) as first application in patients. Moreover, hepatic enrichment of norUDCA facilitates direct therapeutic effects on both parenchymal and non-parenchymal liver cells, thereby counteracting cholestasis, steatosis, hepatic inflammation and fibrosis, inhibiting hepatocellular proliferation, and promoting autophagy. This may open its therapeutic use to other non-cholestatic and metabolic liver diseases. This review article is a summary of a lecture given at the XXIV International Bile Acid Meeting (Falk Symposium 203) on "Bile Acids in Health and Disease" held in Düsseldorf, on June 17-18, 2016 and summarizes the recent progress of norUDCA as novel therapeutic approach in cholestatic and metabolic liver disorders with a specific focus on PSC.

Integrity signals

Registry

Crossref · 10.1159/000454904

Cites

23 of 23 references verified0 citation errors · 0 not checkable

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  • norUDCA does not act via FXR or other NRs.

    “Notably, norUDCA does not act via FXR or other NRs,213”
  • Since norUDCA reinforces the HCO3- umbrella, it may also be a therapeutic approach in other cholangiopathies with defective HCO3- secretion such as PBC.

    “Since norUDCA reinforces the HCO3 – umbrella2 it may also be a therapeutic approach in other cholangiopathies with defective HCO3 – secretion such as PBC.213”

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Authors
Halilbasic, E., Steinacher, D., & Trauner, M.
Affiliations
Medical University of Vienna (AT)
Venue
Digestive Diseases
Publisher
S. Karger AG
Published
2017
Volume
35
Issue
3
Pages
288-292
ISSN
  • 0257-2753 (ISSN-L)
  • 1421-9875
OpenAlex
W2594266717
Cited by
55
References
23
Citations by year
2026: 8 · 2025: 6 · 2024: 8 · 2023: 4 · 2022: 9 · 2021: 6 · 2020: 2 · 2019: 5 · 2018: 2 · 2017: 4
FWCI
2.22
Type
journal article
Language
en
Open access
closed
Locations
  • Digestive Diseases (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
  • Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
  • Health Sciences › Medicine › Surgery › Pediatric Hepatobiliary Diseases and Treatments
Keywords
cholestasis, primary sclerosing cholangitis, bile acids, hepatic steatosis, liver fibrosis, hepatocyte proliferation, autophagy, metabolic liver disease, bile duct disorders
MeSH terms
Animals, Cholestasis, Disease Models, Animal, Drug Evaluation, Preclinical, Humans, Liver Diseases, Metabolic Diseases, Ursodeoxycholic Acid

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