Impact of Nuclear Receptors on the Control of Bile Acid Metabolism and Synthesis: A Comprehensive Review
摘要
This review provides an extensive examination of the role, synthesis, and regulation of bile acids (BAs) by a variety of distinct nuclear receptors (NRs), such as the farnesoid X receptor (FXR), liver X receptor (LXR), pregnane X receptor (PXR), peroxisome proliferator-activated receptor (PPAR), vitamin D receptor (VDR), and glucocorticoid receptor (GR). This review also discusses recent advances in the understanding of the molecular mechanisms of NRs, their interactions with bile acids, and their possible therapeutic implications.
Recent FindingsCholestatic liver disease develops when impaired bile flow affects the biliary tree. The first and most crucial enzyme involved in bile acid synthesis is cholesterol 7 alpha-hydroxylase (CYP7A1). Farnesoid X receptor (FXR) plays a major role in bile acid homeostasis.
SummaryNRs such as FXR, LXR, PXR, PPAR, VDR, and GR are key regulators of BA homeostasis. FXRs control the expression of genes involved in BA transport, reabsorption, conjugation, and detoxification. PXR and FXRs protect against BA toxicity by inducing the expression of detoxification enzymes and transporters. The VDR regulates BA and bone metabolism, whereas LXRs regulate cholesterol and BA homeostasis. PPARs control inflammation and detoxification in cholestatic liver injury. GR activates BA transporters in the ileum and liver.