Journal
GUT MICROBES
Volume 11, Issue 2, Pages 158-171Publisher
TAYLOR & FRANCIS INC
DOI: 10.1080/19490976.2019.1674124
Keywords
C. difficile; bile acids; gut microbiota; ursodeoxycholic acid (UDCA); FXR
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Funding
- Ruth L. Kirschstein National Research Service Award Research Training grant, NIH [T32OD011130]
- National Institute of General Medical Sciences of the National Institutes of Health [R35GM119438]
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Bile acid biotransformation is a collaborative effort by the host and the gut microbiome. Host hepatocytes synthesize primary bile acids from cholesterol. Once these host-derived primary bile acids enter the gastrointestinal tract, the gut microbiota chemically modify them into secondary bile acids. Interest into the gut-bile acid-host axis is expanding in diverse fields including gastroenterology, endocrinology, oncology, and infectious disease. This review aims to 1) describe the physiologic aspects of collaborative bile acid metabolism by the host and gut microbiota; 2) to evaluate how gut microbes influence bile acid pools, and in turn how bile acid pools modulate the gut microbial community structure; 3) to compare species differences in bile acid pools; and lastly, 4) discuss the effects of ursodeoxycholic acid (UDCA) administration, a common therapeutic bile acid, on the gut microbiota-bile acid-host axis.
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