Liver
(BA synthesis)
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Control of synthetic pathway [102]
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GPBAR-1 KO (knockout) mice → decreased expression of Cyp7b1 gene (reduction of the alternative BA synthesis) → BA metabolism shifts towards the classic pathway→ assembly of more hydrophobic pool (also hepatic growth hormone-signal transducer and activator of transcription 5, Growth hormone (GH)/STAT5 signalling) [102]
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Intestine
(BA biotransformation)
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Activation of intestinal farnesoid X receptor (FXR) (e.g., FXR agonist fexaramine) might shape gut microbiota → increase of taurolitocholic acid (TLCA) → activation of intestinal GPBAR-1→ release of Glucagon-like peptide 1 (GLP-1) → improved hepatic glucose and insulin sensitivity and increased adipose tissue browning [91,92,103]
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Enterohepatic cycle, ileum, biliary tract, kidney/transepithelial flux of BA
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Largely unknown
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Regulation of BA transport in the gallbladder epithelial cells (namely, cholecysto-hepatic shunt) → decreased intestinal circulation of BA→ decreased biotransformation of primary to secondary BA → decreased hydrophobicity of the BA pool [104,105]
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