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. 2023 Apr 1;14(2):261–282. doi: 10.14336/AD.2022.0817

Table 2.

Behavior of bile acids and their derivatives via their associated receptors in cardiovascular disease.

Types of BA or its Derivatives Receptors Diseases Roles in Diseases REF.
UDCA TGR5 Diabetic cardiomyopathy Improvement of endoplasmic reticulum stress, blood glucose level and GLP-1 secretion in diabetic cardiomyopathy rats [108]
/ Atherosclerosis Anti-atherosclerotic effects by reducing endoplasmic reticulum (ER) stress and pro-inflammatory responses [122-124]
M2/TGR5 Arrhythmia Protection of the myocardium by antagonizing other hydrophobic BAs and cardiac wavelengths to mediate antiarrhythmic effects [57, 130-135]
TGR5 Heart failure Enhancement of the adaptability of the heart to physiological, muscle strength, and hemodynamic stress [137]
FXR Cirrhosis cardiomyopathy Protection of liver cells by promoting bile flow, reducing liver enzyme levels and replacing hydrophobic BA [10, 145]
DCA TGR5 Myocardial infarction Inhibition of inflammatory responses in cardiomyocytes and fibroblasts through activation of the DCA-TGR5 signaling pathway [88, 98]
CA PXR Diabetic cardiomyopathy Regulation of lipid and energy metabolism to combat high-fat diet-induced obesity and insulin resistance, and increase in insulin secretion in pancreatic B cells for antidiabetic effects [102, 103]
OCA FXR Improvement of metabolic abnormalities and impaired glucose tolerance, including lowering blood glucose and insulin levels and reducing body weight and heart weight,and protection against diabetic cardiomyopathy by activating the FXR-mediated Nrf2 signaling pathway [110, 111]
INT-747 Atherosclerosis Downregulation of the vasoconstrictor endothelin-1, thereby preventing smooth muscle cell-mediated atherosclerotic effects and migration processes [95]
Inhibition of the accumulation of triglyceride- and phosphate-induced mineralization [9]
INT-777 TGR5 Improvement of metabolic syndrome and atherosclerosis [71]
GUDCA FXR 1) Improvement of cholesterol homeostasis by modulating gut microbiota, and by inhibiting foam cell formation. 2) improvement of local chronic inflammation, lipid deposition, plaque area, and plaque stability to slow the progression of atherosclerosis [120]
CDCA Reduces hepatic lipolysis, cholesterol levels and bile acid efflux, activates hepatic FXR-BSEP signaling and reduces atherosclerotic damage [119]
LXR Diabetic cardiomyopathy Promotion of glucose metabolism by upregulating the expression of LXRs and increasing the secretion of GLP-1 and glucagon [106, 107]