Work

Understanding Bile Acid Signaling in Diabetes: From Pathophysiology to Therapeutic Targets

Year: 2019
Type: article
Abstract: Diabetes and obesity have reached an epidemic status worldwide. Diabetes increases the risk for cardiovascular disease and non-alcoholic fatty liver disease. Primary bile acids are synthesized in hepatocytes and are transformed to secondary bile acids in the intestine by gut bacteria. Bile acids are nutrient sensors and metabolic integrators that regulate lipid, glucose, and energy homeostasis by activating nuclear farnesoid X receptor and membrane Takeda G protein-coupled receptor 5. Bile acids control gut bacteria overgrowth, species population, and protect the integrity of the intestinal barrier. Gut bacteria, in turn, control circulating bile acid composition and pool size. Dysregulation of bile acid homeostasis and dysbiosis causes diabetes and obesity. Targeting bile acid signaling and the gut microbiome have therapeutic potential for treating diabetes, obesity, and non-alcoholic fatty liver disease.
Language: English
Subfield: Oncology
Field: Medicine
Open Access status: gold
Estimated APC paid: $500
OpenAlex ID: W2953324747
FWCI: 5.711
Cites: 136
Cited by: 139
Related to: 10