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Bile acid

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836:(DCA) is increased in the colonic contents of humans in response to a high fat diet. In populations with a high incidence of colorectal cancer, fecal concentrations of bile acids are higher, and this association suggests that increased colonic exposure to bile acids could play a role in the development of cancer. In one particular comparison, the fecal DCA concentrations in Native Africans in South Africa (who eat a low fat diet) compared to African Americans (who eat a higher fat diet) was 7.30 vs. 37.51 nmol/g wet weight stool. Native Africans in South Africa have a low incidence rate of colon cancer of less than 1:100,000, compared to the high incidence rate for male African Americans of 72:100,000. 578:
subsequent removal of the 7α hydroxyl group by intestinal bacteria will then result in a less toxic but still-functional dihydroxy bile acid. Over the course of vertebrate evolution, a number of positions have been chosen for placement of the third hydroxyl group. Initially, the 16α position was favored, in particular in birds. Later, this position was superseded in a large number of species selecting the 12α position. Primates (including humans) utilize 12α for their third hydroxyl group position, producing cholic acid. In mice and other rodents, 6β hydroxylation forms
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labeled A, B, C, and D, from the farthest to the closest to the side chain with the carboxyl group. The D-ring is smaller by one carbon than the other three. The structure is commonly drawn with A at the left and D at the right. The hydroxyl groups can be in either of two configurations: either up (or out), termed beta (β; often drawn by convention as a solid line), or down, termed alpha (α; displayed as a dashed line). All bile acids have a 3-hydroxyl group, derived from the parent molecule, cholesterol, in which the 3-hydroxyl is beta.
452: 466: 164: 497: 438: 480: 531:, from which the "cheno" portion of the name was derived (Greek: χήν = goose). The 5β in the name denotes the orientation of the junction between rings A and B of the steroid nucleus (in this case, they are bent). The term "cholan" denotes a particular steroid structure of 24 carbons, and the "24-oic acid" indicates that the carboxylic acid is found at position 24, at the end of the side-chain. Chenodeoxycholic acid is made by many species, and is the prototypic functional bile acid. 308:. The added solubility of conjugated bile salts aids in their function by preventing passive re-absorption in the small intestine. As a result, the concentration of bile acids/salts in the small intestine is high enough to form micelles and solubilize lipids. "Critical micellar concentration" refers to both an intrinsic property of the bile acid itself and amount of bile acid necessary to function in the spontaneous and dynamic formation of micelles. Bile acid-containing micelles aid 396: 424: 410: 4889: 382: 523:. There are multiple steps in bile acid synthesis requiring 14 enzymes in all. These result in the junction between the first two steroid rings (A and B) being altered, making the molecule bent; in this process, the 3-hydroxyl is converted to the α orientation. The simplest 24-carbon bile acid has two hydroxyl groups at positions 3α and 7α. This is 3α,7α-dihydroxy-5β-cholan-24-oic acid, or, as more usually known, 784:, or from bile stasis. Lower concentrations of bile acids or phospholipids in bile reduce cholesterol solubility and lead to microcrystal formation. Oral therapy with chenodeoxycholic acid and/or ursodeoxycholic acid has been used to dissolve cholesterol gallstones. Stones may recur when treatment is stopped. Bile acid therapy may be of value to prevent stones in certain circumstances such as following 4901: 560:, 3α,7α,12α-trihydroxy-5β-cholan-24-oic acid, the most abundant bile acid in humans and many other species, was discovered before chenodeoxycholic acid. It is a tri-hydroxy-bile acid with 3 hydroxyl groups (3α, 7α and 12α). In its synthesis in the liver, 12α hydroxylation is performed by the additional action of 258:
of the unconjugated bile acids are between 5 and 6.5, and the pH of the duodenum ranges between 3 and 5, so when unconjugated bile acids are in the duodenum, they are almost always protonated (HA form), which makes them relatively insoluble in water. Conjugating bile acids with amino acids lowers the
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Bile salts constitute a large family of molecules, composed of a steroid structure with four rings, a five- or eight-carbon side-chain terminating in a carboxylic acid, and several hydroxyl groups, the number and orientation of which is different among the specific bile salts. The four rings are
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Synthesis of bile acids is a major route of cholesterol metabolism in most species other than humans. The body produces about 800 mg of cholesterol per day and about half of that is used for bile acid synthesis producing 400–600 mg daily. Human adults secrete between 12 and 18 g of
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Many other bile acids have been described, often in small amounts, resulting from bacterial enzymatic or other modifications. The "iso-" epimers have the 3-hydroxyl group in the β position. The "allo-" epimers have the 5α configuration, which changes the relative position of the A and B rings.
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Different vertebrate families have evolved to use modifications of most positions on the steroid nucleus and side-chain of the bile acid structure. To avoid the problems associated with the production of lithocholic acid, most species add a third hydroxyl group to chenodeoxycholic acid. The
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are tightly regulated. Activation of FXR in the liver inhibits synthesis of bile acids, and is one mechanism of feedback control when bile acid levels are too high. Secondly, FXR activation by bile acids during absorption in the intestine increases transcription and synthesis of
886:). Deoxycholic acid as an injectable has received FDA approval to dissolve submental fat. Phase III trials showed significant responses although many subjects had mild adverse reactions of bruising, swelling, pain, numbness, erythema, and firmness around the treated area. 259:
pKa of the bile-acid/amino-acid conjugate to between 1 and 4. Thus conjugated bile acids are almost always in their deprotonated (A-) form in the duodenum, which makes them much more water-soluble and much more able to fulfil their physiologic function of emulsifying fats.
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Singh S, Khanna S, Pardi DS, Loftus EV, Talwalkar JA (2013). "Effect of ursodeoxycholic acid use on the risk of colorectal neoplasia in patients with primary sclerosing cholangitis and inflammatory bowel disease: a systematic review and meta-analysis".
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bind bile acids in the gut, preventing reabsorption. In so doing, more endogenous cholesterol is shunted into the production of bile acids, thereby lowering cholesterol levels. The sequestered bile acids are then excreted in the feces.
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in a multi-step process. Approximately 600 mg of bile salts are synthesized daily to replace bile acids lost in the feces, although, as described below, much larger amounts are secreted, reabsorbed in the gut and recycled.
542:), expressed in liver, and also in macrophages and other tissues. CYP27A1 contributes significantly to total bile acid synthesis by catalyzing sterol side chain oxidation, after which cleavage of a three-carbon unit in the 2873:"Efficacy, patient-reported outcomes and safety profile of ATX-101 (deoxycholic acid), an injectable drug for the reduction of unwanted submental fat: results from a phase III, randomized, placebo-controlled study" 320:
bile acids into the intestine each day, mostly after meals. The bile acid pool size is between 4–6 g, which means that bile acids are recycled several times each day. About 95% of bile acids are reabsorbed by
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The relationship of bile acids to cholesterol saturation in bile and cholesterol precipitation to produce gallstones has been studied extensively. Gallstones may result from increased saturation of cholesterol or
363:. They bind less specifically to some other receptors and have been reported to regulate the activity of certain enzymes and ion channels and the synthesis of diverse substances including endogenous fatty acid 2339:
Reddy BS, Hanson D, Mangat S, et al. (September 1980). "Effect of high-fat, high-beef diet and of mode of cooking of beef in the diet on fecal bacterial enzymes and fecal bile acids and neutral sterols".
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Kulkarni AV, Tevethia HV, Arab JP, Candia R, Premkumar M, Kumar P, Sharma M, Reddy DN, Padaki NR (May 2021). "Efficacy and safety of obeticholic acid in liver disease-A systematic review and meta-analysis".
564:. As this had already been described, the discovery of chenodeoxycholic acid (with 2 hydroxyl groups) made this new bile acid a "deoxycholic acid" in that it had one fewer hydroxyl group than cholic acid. 570:
is formed from cholic acid by 7-dehydroxylation, resulting in 2 hydroxyl groups (3α and 12α). This process with chenodeoxycholic acid results in a bile acid with only a 3α hydroxyl group, termed
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Allen L, Stobie D, Mauldin GN, Baer KE (January 1999). "Clinicopathologic features of dogs with hepatic microvascular dysplasia with and without portosystemic shunts: 42 cases (1991-1996)".
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leads to formation of a C24 bile acid. Minor pathways initiated by 25-hydroxylase in the liver and 24-hydroxylase in the brain also may contribute to bile acid synthesis. 7α-hydroxylase (
632:. Many of their functions as signaling molecules in the liver and the intestines are by activating FXR, whereas TGR5 may be involved in metabolic, endocrine and neurological functions. 160:
It is to be noted that bile acid synthesis is the only manner in which humans or other mammals may excrete excess cholesterol, as the parent compound of all bile acids is cholesterol.
606:, 6α-ethyl-chenodeoxycholic acid, is a semi-synthetic bile acid with greater activity as an FXR agonist, which has been developed as a pharmaceutical agent in certain liver diseases. 267:
Once secreted into the lumen of the intestine, bile salts are modified by gut bacteria. They are partially dehydroxylated. Their glycine and taurine groups are removed to give the
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Bile acids also act as steroid hormones, secreted from the liver, absorbed from the intestine and having various direct metabolic actions in the body through the nuclear receptor
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Uy MC, Talingdan-Te MC, Espinosa WZ, Daez ML, Ong JP (December 2008). "Ursodeoxycholic acid in the prevention of gallstone formation after bariatric surgery: a meta-analysis".
2181:"Ursodeoxycholic acid alone or with chenodeoxycholic acid for dissolution of cholesterol gallstones: a randomized multicentre trial. The British-Italian Gallstone Study group" 343:), emulsifying fat-soluble vitamins to enable their absorption, and aiding in motility and the reduction of the bacteria flora found in the small intestine and biliary tract. 1224:
Fiorucci S, Mencarelli A, Palladino G, Cipriani S (November 2009). "Bile-acid-activated receptors: targeting TGR5 and farnesoid-X-receptor in lipid and glucose disorders".
4099: 4089: 1170:"The intraluminal phase of fat digestion in man: the lipid content of the micellar and oil phases of intestinal content obtained during fat digestion and absorption" 843:, causing oxidative stress, and also increase DNA damage. Mice fed a diet with added DCA mimicking colonic DCA levels in humans on a high fat diet developed colonic 685: 279:. Cholic acid is converted into deoxycholic acid and chenodeoxycholic acid into lithocholic acid. All four of these bile acids are recycled, in a process known as 2753:"High-dose ursodeoxycholic acid is associated with the development of colorectal neoplasia in patients with ulcerative colitis and primary sclerosing cholangitis" 1371:
Nagahashi M, Takabe K, Liu R, Peng K, Wang X, Wang Y, Hait NC, Wang X, Allegood JC, Yamada A, Aoyagi T, Liang J, Pandak WM, Spiegel S, Hylemon PB, Zhou H (2015).
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O'Keefe SJ, Kidd M, Espitalier-Noel G, Owira P (May 1999). "Rarity of colon cancer in Africans is associated with low animal product consumption, not fiber".
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Eaton JE, Silveira MG, Pardi DS, Sinakos E, Kowdley KV, Luketic VA, Harrison ME, McCashland T, Befeler AS, Harnois D, Jorgensen R, Petz J, Lindor KD (2011).
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Bile acids bind to some other proteins in addition to their hormone receptors (FXR and TGR5) and their transporters. Among these protein targets, the enzyme
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Experimental studies also suggest mechanisms for bile acids in colon cancer. Exposure of colonic cells to high DCA concentrations increase formation of
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Bile acids have other functions, including eliminating cholesterol from the body, driving the flow of bile to eliminate certain catabolites (including
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Tests for bile acids are useful in both human and veterinary medicine, as they aid in the diagnosis of a number of conditions, including types of
3864: 3827: 3807: 1474:"Structure of Human N-Acylphosphatidylethanolamine-Hydrolyzing Phospholipase D: Regulation of Fatty Acid Ethanolamide Biosynthesis by Bile Acids" 600:, which has been used medicinally for centuries. Its structure resembles chenodeoxycholic acid but with the 7-hydroxyl group in the β position. 3954: 3787: 3262: 3136: 4124: 3929: 3126: 862:
The effects of ursodeoxycholic acid (UDCA) in modifying the risk of colorectal cancer has been looked at in several studies, particularly in
4773: 3061: 114:, are also found, with derivatives of cholic, chenodeoxycholic and deoxycholic acids accounting for over 90% of human biliary bile acids. 4265: 4144: 4024: 3812: 3524: 4748: 4445: 4385: 2109:
Danzinger RG, Hofmann AF, Schoenfield LJ, Thistle JL (January 1972). "Dissolution of cholesterol gallstones by chenodeoxycholic acid".
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As bile acids are made from endogenous cholesterol, disruption of the enterohepatic circulation of bile acids will lower cholesterol.
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Degirolamo C, Modica S, Palasciano G, Moschetta A (2011). "Bile acids and colon cancer: Solving the puzzle with nuclear receptors".
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of bile acids allows a low rate of synthesis, only about 0.3 g/day, but with large amounts being secreted into the intestine.
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The initial step in the classical pathway of hepatic synthesis of bile acids is the enzymatic addition of a 7α hydroxyl group by
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Thistle JL, Hofmann AF (September 1973). "Efficacy and specificity of chenodeoxycholic acid therapy for dissolving gallstones".
4926: 574:(litho = stone) having been identified first in a gallstone from a calf. It is poorly water-soluble and rather toxic to cells. 106:) are the major bile salts. They are roughly equal in concentration. The salts of their 7-alpha-dehydroxylated derivatives, 3619: 758: 730: 1275:"The function of bile salts in fat absorption. The solvent properties of dilute micellar solutions of conjugated bile salts" 3634: 3435: 2996: 1898:
Davidson MH (2011). "A systematic review of bile acid sequestrant therapy in children with familial hypercholesterolemia".
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Margheritis, E, Castellani B, Magotti P, Peruzzi S, Romeo E, Natali F, Mostarda S, Gioiello A, Piomelli D, Garau G (2016).
695:) that play important roles in several physiological pathways including stress and pain responses, appetite, and lifespan. 629: 625: 360: 1660:
Parks DJ, Blanchard SG, Bledsoe RK, et al. (May 1999). "Bile acids: natural ligands for an orphan nuclear receptor".
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Carey, MC.; Small, DM. (Oct 1972). "Micelle formation by bile salts. Physical-chemical and thermodynamic considerations".
2802:"Risk modification of colorectal adenoma by CYP7A1 polymorphisms and the role of bile acid metabolism in carcinogenesis" 2062:"Intrahepatic cholestasis of pregnancy: a randomized controlled trial comparing dexamethasone and ursodeoxycholic acid" 1373:"Conjugated bile acid-activated S1P receptor 2 is a key regulator of sphingosine kinase 2 and hepatic gene expression" 3898: 2447:"Association between low colonic short-chain fatty acids and high bile acids in high colon cancer risk populations" 586:(3α,6α,7α-trihydroxy-5β-cholanoic acid), and other species have a hydroxyl group on position 23 of the side-chain. 238:
Prior to secreting any of the bile acids (primary or secondary, see below), liver cells conjugate them with either
4673: 2021:"A multicenter, controlled trial of ursodiol for the treatment of primary biliary cirrhosis. UDCA-PBC Study Group" 3627: 3428: 2989: 1617:
Makishima M, Okamoto AY, Repa JJ, et al. (May 1999). "Identification of a nuclear receptor for bile acids".
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recommended ring lettering (left) and atom numbering (right) of the steroid skeleton. The four rings A-D form a
465: 451: 4355: 863: 754: 2537: 859:), unlike mice fed a control diet producing one-tenth the level of colonic DCA who had no colonic neoplasia. 4865: 3844: 870:, with varying results partly related to dosage. Genetic variation in the key bile acid synthesis enzyme, 741:
in dogs. Structural or functional abnormalities of the biliary system result in an increase in bilirubin (
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in synthesis is the addition of a hydroxyl group of the 7th position of the steroid nucleus by the enzyme
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regions, conjugated bile salts sit at the lipid/water interface and, above the right concentration, form
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Prasad AR, Prasad S, Nguyen H, Facista A, Lewis C, Zaitlin B, Bernstein H, Bernstein C (Jul 2014).
805: 516: 137:, which encapsulate nutrients, facilitating their absorption. These micelles are suspended in the 2849: 840: 809: 479: 125:). An increased secretion of bile acids produces an increase in bile flow. Bile acids facilitate 2966: 4345: 3974: 3777: 3772: 3593: 817: 395: 3649: 620: 3782: 3701: 3529: 3477: 2976: 989: 713: 524: 443: 198: 103: 4190: 4180: 423: 409: 4528: 4500: 4490: 4109: 3675: 3650: 3519: 3492: 1669: 1626: 762: 615: 593: 356: 150: 4185: 874:, influenced the effectiveness of UDCA in colorectal adenoma prevention in a large trial. 8: 4931: 4921: 4330: 4230: 4154: 3856: 1796:
Kim, I; Ahn, SH; Inagaki, T; Choi, M; Ito, S; Guo, GL; Kliewer, SA; Gonzalez, FJ (2007).
1093: 734: 4524: 1673: 1630: 914:"Bile salts of vertebrates: structural variation and possible evolutionary significance" 800:. It is commonly found when the ileum is abnormal or has been surgically removed, as in 4803: 4558: 4359: 3890: 3667: 3563: 3497: 2945: 2897: 2872: 2826: 2801: 2777: 2752: 2733: 2684: 2657: 2633: 2608: 2584: 2557: 2519: 2471: 2446: 2245: 2091: 1996: 1969: 1875: 1842: 1773: 1748: 1599: 1550: 1525: 1498: 1473: 1451: 1397: 1372: 1348: 1323: 1299: 1274: 1054: 1027: 940: 913: 801: 699:
orchestrates a direct cross-talk between lipid amide signals and bile acid physiology.
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Magotti P, Bauer I, Igarashi M, Babagoli M, Marotta R, Piomelli D, Garau G (2015).
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Russell DW (2003). "The enzymes, regulation, and genetics of bile acid synthesis".
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by cholic acid, up-regulated by cholesterol and is inhibited by the actions of the
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Cheah PY (1990). "Hypotheses for the etiology of colorectal cancer--an overview".
1946: 1681: 1638: 381: 163: 4905: 4470: 4365: 4245: 3186: 3161: 3156: 3078: 3073: 2721: 2544: 2462: 2317: 1587: 1258:'Essentials of Medical Biochemistry, Lieberman, Marks and Smith, eds, p432, 2007' 1142: 1125: 579: 328:
and recycled back to the liver for further secretion into the biliary system and
202: 79: 2157: 2122: 2037: 2020: 1749:"Bile acid receptors FXR and TGR5 signaling in fatty liver diseases and therapy" 4893: 4818: 4738: 4608: 4465: 4320: 4285: 3944: 3420: 3367: 3362: 3209: 3181: 3176: 3171: 3151: 3146: 1911: 1814: 1797: 1541: 1420:
Wiemuth D, Sahin H, Falkenburger BH, Lefevre CM, Wasmuth HE, Grunder S (2012).
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Bile acids may be used in subcutaneous injections to remove unwanted fat (see
496: 4915: 4758: 4633: 4518: 4480: 4375: 4340: 4275: 4074: 4034: 3934: 3746: 3598: 3272: 3267: 3257: 3114: 2658:"Novel diet-related mouse model of colon cancer parallels human colon cancer" 1866: 1764: 649: 582:(α or β depending on the 7 hydroxyl position). Pigs have 6α hydroxylation in 535: 364: 118: 27:
Steroid acid found predominantly in the bile of mammals and other vertebrates
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Ascher B, Hoffmann K, Walker P, Lippert S, Wollina U, Havlickova B (2014).
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http://www.cancer.org/Research/CancerFactsFigures/cancer-facts-figures-2009
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Bile acids comprise about 80% of the organic compounds in bile (others are
2431: 2396: 2361: 2165: 2130: 2046: 1954: 1339: 1101: 4828: 4798: 4778: 4728: 4603: 4598: 4583: 4553: 4380: 4335: 4295: 4290: 4240: 4235: 4220: 4059: 4019: 3924: 3514: 3509: 3482: 3393: 3301: 3240: 3190: 3131: 3066: 2981: 2768: 2281: 2264: 1858: 1838: 1438: 1422:"BASIC--a bile acid-sensitive ion channel highly expressed in bile ducts" 1421: 1126:"The continuing importance of bile acids in liver and intestinal disease" 883: 745:) and in bile acids in the blood. Bile acids are related to the itching ( 726: 689: 557: 543: 387: 329: 301: 297: 206: 194: 168: 122: 91: 2800:
Wertheim BC, Smith JW, Fang C, Alberts DS, Lance P, Thompson PA (2012).
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Wollina U, Goldman A (2015). "ATX-101 for reduction of submental fat".
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An alternative (acidic) pathway of bile acid synthesis is initiated by
186: 134: 49: 2888: 2558:"Bile acids as endogenous etiologic agents in gastrointestinal cancer" 2078: 2061: 1388: 1290: 1185: 4733: 4723: 4718: 4708: 4693: 4678: 4623: 4578: 4548: 4410: 4390: 4315: 4255: 4119: 4049: 4039: 3984: 3822: 3726: 3706: 3603: 3573: 3568: 2607:
Bernstein C, Holubec H, Bhattacharyya AK, et al. (August 2011).
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American Journal of Physiology. Gastrointestinal and Liver Physiology
781: 645: 597: 340: 1705:"Endogenous bile acids are ligands for the nuclear receptor FXR/BAR" 624:. Another bile acid receptor is the cell membrane receptor known as 4888: 4638: 4618: 4588: 4460: 4420: 4270: 4260: 4134: 3696: 3235: 3228: 2493: 2303: 1223: 844: 746: 742: 696: 352: 305: 232: 2108: 1836: 351:
Bile acids have metabolic actions in the body resembling those of
4848: 4833: 4763: 4225: 3949: 3320: 3056: 3049: 3012: 2265:"Recent advances in the understanding of bile acid malabsorption" 848: 688:(NAPE-PLD) generates bioactive lipid amides (e.g. the endogenous 539: 504: 309: 243: 239: 229: 146: 130: 61: 57: 34: 2060:
Glantz A, Marschall HU, Lammert F, Mattsson LA (December 2005).
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Shapiro, Hagit; Kolodziejczyk, Aleksandra A.; Halstuch, Daniel;
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Excess concentrations of bile acids in the colon are a cause of
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Emerging evidence associates FXR activation with alterations in
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Wang H, Chen J, Hollister K, Sowers LC, Forman BM (May 1999).
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Petroni ML, Jazrawi RP, Pazzi P, et al. (January 2001).
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has been used for many years in these cholestatic disorders.
654: 325: 226: 138: 53: 1471: 3461: 2870: 1795: 1324:"Bile acid signaling in metabolic disease and drug therapy" 804:, or cause a condition that resembles diarrhea-predominant 41: 37: 3886: 2556:
Bernstein H, Bernstein C, Payne CM, Dvorak K (July 2009).
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Bile acids may have some importance in the development of
648:, bile acids are potentially toxic to cells, and so their 2750: 2655: 2536:
American Cancer Society. Cancer Facts and Figures 2009.
3899: 2799: 2609:"Carcinogenicity of deoxycholate, a secondary bile acid" 1843:"Bile acids in glucose metabolism in health and disease" 686:
N-acyl phosphatidylethanolamine-specific phospholipase D
657:, which then inhibits bile acid synthesis in the liver. 2445:
Ou J, DeLany JP, Zhang M, Sharma S, O'Keefe SJ (2012).
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Clinics and Research in Hepatology and Gastroenterology
554:, which may be further converted in the liver to CDCA. 250:. These conjugated bile acids are often referred to as 2706: 2019:
Poupon RE, Balkau B, Eschwège E, Poupon R (May 1991).
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actions throughout the body, particularly through the
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Hofmann AF, Hagey LR, Krasowski MD (February 2010).
749:) which is common in cholestatic conditions such as 312:
to digest lipids and bring them near the intestinal
2444: 2178: 2375:Hill MJ (May 1990). "Bile flow and colon cancer". 1519: 1517: 2338: 2262: 4913: 3450: 1167: 376:The structures of the principal human bile acids 1742: 1740: 1514: 2919: 2143: 1268: 1266: 1264: 1219: 1217: 1215: 1213: 1163: 1161: 1119: 1117: 1115: 1113: 1111: 1021: 1019: 1017: 1015: 1013: 1011: 1009: 1007: 971: 969: 967: 965: 963: 961: 959: 907: 905: 903: 901: 899: 823: 808:(IBS-D). This condition of bile acid diarrhea/ 3872: 3635: 3436: 2997: 1746: 527:. This bile acid was first isolated from the 355:, acting through two specific receptors, the 3676: 3651: 2913: 2793: 2744: 2700: 2297: 2213: 2172: 2053: 1961: 1891: 1737: 1696: 1653: 1610: 1566: 1413: 1364: 1315: 52:. Diverse bile acids are synthesized in the 4155: 2137: 2102: 2012: 1926: 1897: 1261: 1210: 1158: 1108: 1004: 956: 896: 316:membrane, which results in fat absorption. 4206:Allopregnanedione (5α-dihydroprogesterone) 3879: 3865: 3642: 3628: 3443: 3429: 3011: 3004: 2990: 1967: 1272: 1123: 1079: 975: 635: 370: 2969:at the U.S. National Library of Medicine 2896: 2825: 2776: 2683: 2673: 2632: 2600: 2583: 2573: 2470: 2280: 2196: 2077: 2036: 1995: 1985: 1874: 1813: 1772: 1720: 1549: 1497: 1437: 1396: 1347: 1298: 1193: 1168:Hofmann AF, Borgström B (February 1964). 1141: 1053: 1043: 1025: 939: 929: 361:G protein-coupled bile acid receptor/TGR5 3904:Tooltip Constitutive androstane receptor 3757: 3660: 2409: 1467: 1465: 1321: 990:10.1146/annurev.biochem.72.121801.161712 702: 495: 171:showing relationship to other bile acids 162: 2374: 1970:"Intrahepatic cholestasis of pregnancy" 1075: 1073: 262: 14: 4914: 4659:Pregnanedione (5β-dihydroprogesterone) 4045:Pregnanedione (5β-dihydroprogesterone) 660: 3860: 3623: 3424: 2985: 1462: 1028:"Bile acids: regulation of synthesis" 791: 759:intrahepatic cholestasis of pregnancy 731:intrahepatic cholestasis of pregnancy 679: 180: 78:result from bacterial actions in the 1747:Chiang JY, Ferrell JM (March 2020). 1094:10.1001/archinte.1972.03650040040005 1070: 626:G protein-coupled bile acid receptor 74:are those synthesized by the liver. 1526:"Bile Acid Recognition by NAPE-PLD" 618:(FXR), also known by its gene name 609: 24: 346: 291: 127:digestion of dietary fats and oils 56:. Bile acids are conjugated with 25: 4943: 2960: 707: 4899: 4887: 2508:10.1111/j.1572-0241.1999.01089.x 2198:10.1046/j.1365-2036.2001.00853.x 1847:Journal of Experimental Medicine 478: 464: 450: 436: 422: 408: 394: 380: 246:, to form a total of 8 possible 2864: 2842: 2649: 2549: 2530: 2487: 2438: 2403: 2368: 2332: 2263:Pattni, S; Walters, JR (2009). 2256: 1830: 1789: 739:hepatic microvascular dysplasia 219:cholesterol 7 alpha-hydroxylase 64:residues to give anions called 4211:Allopregnanolone (brexanolone) 2818:10.1158/1940-6207.CAPR-11-0320 1252: 877: 864:primary sclerosing cholangitis 755:primary sclerosing cholangitis 720: 519:. This is then metabolised to 185:Bile acid synthesis occurs in 13: 1: 4927:Farnesoid X receptor agonists 4866:Receptor/signaling modulators 4824:Tropanyl 3,5-dimethulbenzoate 4674:Pregnenolone 16α-carbonitrile 3845:Receptor/signaling modulators 2977:Special Issue on "Bile Acids" 2934:10.1517/14656566.2015.1019465 1947:10.2460/javma.1999.214.02.218 1722:10.1016/s1097-2765(00)80348-2 1682:10.1126/science.284.5418.1365 1639:10.1126/science.284.5418.1362 889: 768: 175: 3681:Tooltip Farnesoid X receptor 3656:Tooltip Farnesoid X receptor 2877:J Eur Acad Dermatol Venereol 2850:"Deoxycholic acid injection" 2722:10.1097/MIB.0b013e318286fa61 2463:10.1080/01635581.2012.630164 2389:10.1016/0165-1110(90)90023-5 2318:10.1016/j.molmed.2011.05.010 1588:10.1016/j.clinre.2021.101675 1143:10.1001/archinte.159.22.2647 521:7α-hydroxy-4-cholesten-3-one 286: 7: 4401:Dodecylbenzenesulfonic acid 4160:Tooltip Pregnane X receptor 3888:Xenobiotic-sensing receptor 2158:10.1056/NEJM197309272891303 2123:10.1056/NEJM197201062860101 2038:10.1056/NEJM199105303242204 1273:Hofmann AF (October 1963). 824:Bile acids and colon cancer 40:found predominantly in the 10: 4948: 2662:World J Gastrointest Oncol 1912:10.1016/j.jacl.2011.01.005 1815:10.1194/jlr.M700330-JLR200 1542:10.1021/acschembio.6b00624 1238:10.1016/j.tips.2009.08.001 1045:10.1194/jlr.R900010-JLR200 1026:Chiang JY (October 2009). 868:inflammatory bowel disease 772: 513:cholesterol 7α-hydroxylase 472:Taurochenodeoxycholic acid 458:Glycochenodeoxycholic acid 100:glycochenodeoxycholic acid 96:taurochenodeoxycholic acid 4857: 4153: 3897: 3836: 3755: 3674: 3553: 3460: 3402: 3381: 3353: 3334: 3310: 3291: 3218: 3199: 3092: 3039: 3020: 2625:10.1007/s00204-011-0648-7 2424:10.1080/01635589009514073 2234:10.1007/s11695-008-9587-7 1968:Pusl T, Beuers U (2007). 1802:Journal of Lipid Research 1490:10.1016/j.str.2014.12.018 751:primary biliary cirrhosis 334:enterohepatic circulation 281:enterohepatic circulation 4784:Testosterone isocaproate 4699:Reverse triiodothyronine 3762:Tooltip Liver X receptor 3665:Tooltip liver X receptor 3451:Bile and liver therapy ( 2971:Medical Subject Headings 2922:Expert Opin Pharmacother 2269:British Medical Bulletin 2185:Aliment. Pharmacol. Ther 1765:10.1152/ajpgi.00223.2019 1322:Li T, Chiang JY (2014). 812:can be diagnosed by the 806:irritable bowel syndrome 596:was first isolated from 4176:17α-Hydroxyprogesterone 4171:17α-Hydroxypregnenolone 2806:Cancer Prev Res (Phila) 841:reactive oxygen species 810:bile acid malabsorption 636:Regulation of synthesis 538:sterol 27-hydroxylase ( 371:Structure and synthesis 205:-mediated oxidation of 145:. Bile acids also have 3778:24S-Hydroxycholesterol 3773:22R-Hydroxycholesterol 3594:Ornithine oxoglutarate 2675:10.4251/wjgo.v6.i7.225 2562:World J. Gastroenterol 1987:10.1186/1750-1172-2-26 1935:J. Am. Vet. Med. Assoc 818:bile acid sequestrants 816:test and treated with 714:Bile acid sequestrants 508: 172: 157:(also known as TGR5). 3915:6,7-Dimethylesculetin 3783:27-Hydroxycholesterol 3702:Chenodeoxycholic acid 3530:Nicotinyl methylamide 3478:Chenodeoxycholic acid 2354:10.1093/jn/110.9.1880 1340:10.1124/pr.113.008201 1226:Trends Pharmacol. Sci 703:Clinical significance 525:chenodeoxycholic acid 517:7α-hydroxycholesterol 499: 444:Chenodeoxycholic acid 248:conjugated bile acids 199:chenodeoxycholic acid 166: 104:chenodeoxycholic acid 4502:Hypericum perforatum 4491:Hetacillin potassium 3520:Maralixibat chloride 3493:Ursodeoxycholic acid 2967:Bile Acids and Salts 2769:10.1038/ajg.2011.156 2757:Am. J. Gastroenterol 2496:Am. J. Gastroenterol 1859:10.1084/jem.20171965 1530:ACS Chemical Biology 1439:10.1096/fj.12-207043 763:ursodeoxycholic acid 676:, and liver growth. 616:Farnesoid X receptor 594:Ursodeoxycholic acid 357:farnesoid X receptor 269:secondary bile acids 263:Secondary bile acids 151:farnesoid X receptor 76:Secondary bile acids 4331:Cyproterone acetate 4231:Amlodipine besylate 3373:Halogenated steroid 2575:10.3748/wjg.15.3329 1974:Orphanet J Rare Dis 1674:1999Sci...284.1365P 1631:1999Sci...284.1362M 1124:Hofmann AF (1999). 931:10.1194/jlr.R000042 735:portosystemic shunt 661:Metabolic functions 189:, which synthesize 4804:Thonzonium bromide 4559:Methylprednisolone 4360:prasterone sulfate 3564:Arginine glutamate 3498:Ursodoxicoltaurine 2710:Inflamm. Bowel Dis 2543:2012-09-13 at the 2282:10.1093/bmb/ldp032 978:Annu. Rev. Biochem 792:Bile acid diarrhea 680:Other interactions 674:glucose metabolism 509: 296:As molecules with 215:rate-limiting step 191:primary bile acids 181:Primary bile acids 173: 143:further processing 72:Primary bile acids 4875: 4874: 4509:Indinavir sulfate 4216:Alpha-Lipoic acid 4191:Δ-Androstenedione 4181:Δ-Androstenedione 3854: 3853: 3793:Cholestenoic acid 3617: 3616: 3609:Tidiacic arginine 3418: 3417: 3403:Elements replaced 2889:10.1111/jdv.12377 2079:10.1002/hep.20952 1536:(10): 2908–2914. 1389:10.1002/hep.27592 1291:10.1042/bj0890057 1186:10.1172/JCI104909 1130:Arch. Intern. Med 830:colorectal cancer 786:bariatric surgery 761:. Treatment with 515:(CYP7A1) forming 221:. This enzyme is 129:. They serve as 16:(Redirected from 4939: 4904: 4903: 4902: 4892: 4891: 4883: 4794:Thiamylal sodium 4529:γ-linolenic acid 4525:α-Linolenic acid 4523:Linolenic acid: 4514:Lasalocid sodium 4504:(St John's wort) 4396:Docusate calcium 4326:Cyclophosphamide 4201:Allopregnanediol 4186:Δ-Androstenediol 4161: 4157: 4115:Ethinylestradiol 3965:Cyclophosphamide 3905: 3901: 3881: 3874: 3867: 3858: 3857: 3763: 3759: 3732:Obeticholic acid 3682: 3678: 3666: 3662: 3657: 3653: 3644: 3637: 3630: 3621: 3620: 3488:Obeticholic acid 3445: 3438: 3431: 3422: 3421: 3382:Elements removed 3355:Functional group 3167:Androstenetrione 3084:Estratrienetriol 3006: 2999: 2992: 2983: 2982: 2954: 2953: 2917: 2911: 2910: 2900: 2868: 2862: 2861: 2859: 2857: 2846: 2840: 2839: 2829: 2797: 2791: 2790: 2780: 2748: 2742: 2741: 2704: 2698: 2697: 2687: 2677: 2653: 2647: 2646: 2636: 2604: 2598: 2597: 2587: 2577: 2553: 2547: 2534: 2528: 2527: 2491: 2485: 2484: 2474: 2442: 2436: 2435: 2407: 2401: 2400: 2372: 2366: 2365: 2336: 2330: 2329: 2301: 2295: 2294: 2284: 2260: 2254: 2253: 2217: 2211: 2210: 2200: 2176: 2170: 2169: 2141: 2135: 2134: 2106: 2100: 2099: 2081: 2057: 2051: 2050: 2040: 2016: 2010: 2009: 1999: 1989: 1965: 1959: 1958: 1930: 1924: 1923: 1895: 1889: 1888: 1878: 1834: 1828: 1827: 1817: 1793: 1787: 1786: 1776: 1759:(3): G554–G573. 1744: 1735: 1734: 1724: 1700: 1694: 1693: 1668:(5418): 1365–8. 1657: 1651: 1650: 1625:(5418): 1362–5. 1614: 1608: 1607: 1570: 1564: 1563: 1553: 1521: 1512: 1511: 1501: 1469: 1460: 1459: 1441: 1417: 1411: 1410: 1400: 1368: 1362: 1361: 1351: 1319: 1313: 1312: 1302: 1270: 1259: 1256: 1250: 1249: 1221: 1208: 1207: 1197: 1165: 1156: 1155: 1145: 1121: 1106: 1105: 1077: 1068: 1067: 1057: 1047: 1023: 1002: 1001: 973: 954: 953: 943: 933: 909: 834:Deoxycholic acid 798:chronic diarrhea 610:Hormonal actions 604:Obeticholic acid 580:muricholic acids 572:lithocholic acid 568:Deoxycholic acid 486:Lithocholic acid 482: 468: 454: 440: 430:Deoxycholic acid 426: 416:Taurocholic acid 412: 402:Glycocholic acid 398: 384: 322:active transport 277:lithocholic acid 273:deoxycholic acid 112:lithocholic acid 108:deoxycholic acid 102:(derivatives of 90:(derivatives of 88:glycocholic acid 84:taurocholic acid 21: 4947: 4946: 4942: 4941: 4940: 4938: 4937: 4936: 4912: 4911: 4910: 4900: 4898: 4886: 4878: 4876: 4871: 4853: 4754:Suberoylanilide 4471:Fluorometholone 4366:Dibunate sodium 4246:Aurothioglucose 4159: 4149: 4085:3,17β-Estradiol 3903: 3893: 3885: 3855: 3850: 3832: 3761: 3751: 3680: 3670: 3664: 3655: 3648: 3618: 3613: 3549: 3456: 3449: 3419: 3414: 3398: 3377: 3349: 3338: 3330: 3314: 3306: 3295: 3287: 3233:Dehydrogenated: 3222: 3214: 3203: 3195: 3187:Androstadienone 3162:Androstenedione 3157:Androstanedione 3107:Dehydrogenated: 3096: 3088: 3079:Estratrienediol 3074:Estratrienolone 3054:Dehydrogenated: 3043: 3035: 3024: 3016: 3010: 2963: 2958: 2957: 2918: 2914: 2883:(12): 1707–15. 2869: 2865: 2855: 2853: 2848: 2847: 2843: 2798: 2794: 2749: 2745: 2705: 2701: 2654: 2650: 2605: 2601: 2568:(27): 3329–40. 2554: 2550: 2545:Wayback Machine 2535: 2531: 2492: 2488: 2443: 2439: 2408: 2404: 2373: 2369: 2337: 2333: 2302: 2298: 2261: 2257: 2218: 2214: 2177: 2173: 2146:N. Engl. J. Med 2142: 2138: 2111:N. Engl. J. Med 2107: 2103: 2072:(6): 1399–405. 2058: 2054: 2031:(22): 1548–54. 2025:N. Engl. J. Med 2017: 2013: 1966: 1962: 1931: 1927: 1896: 1892: 1835: 1831: 1808:(12): 2664–72. 1794: 1790: 1745: 1738: 1701: 1697: 1658: 1654: 1615: 1611: 1571: 1567: 1522: 1515: 1470: 1463: 1432:(10): 4122–30. 1418: 1414: 1369: 1365: 1320: 1316: 1271: 1262: 1257: 1253: 1222: 1211: 1174:J. Clin. Invest 1166: 1159: 1136:(22): 2647–58. 1122: 1109: 1082:Arch Intern Med 1078: 1071: 1038:(10): 1955–66. 1024: 1005: 974: 957: 910: 897: 892: 880: 853:adenocarcinomas 826: 802:Crohn's disease 794: 777: 771: 723: 710: 705: 682: 663: 638: 612: 488: 483: 474: 469: 460: 455: 446: 441: 432: 427: 418: 413: 404: 399: 390: 385: 373: 349: 347:Cell signalling 294: 292:Lipid digestion 289: 265: 203:cytochrome P450 201:in humans) via 183: 178: 28: 23: 22: 15: 12: 11: 5: 4945: 4935: 4934: 4929: 4924: 4909: 4908: 4896: 4873: 4872: 4870: 4869: 4862: 4858: 4855: 4854: 4852: 4851: 4846: 4837: 4836: 4831: 4826: 4821: 4819:Troleandomycin 4816: 4811: 4806: 4801: 4796: 4791: 4786: 4781: 4776: 4771: 4766: 4761: 4756: 4751: 4746: 4741: 4739:Spironolactone 4736: 4731: 4726: 4721: 4716: 4711: 4706: 4701: 4696: 4691: 4686: 4681: 4676: 4671: 4666: 4661: 4656: 4651: 4646: 4641: 4636: 4631: 4626: 4621: 4616: 4611: 4609:Norelgestromin 4606: 4601: 4596: 4591: 4586: 4581: 4576: 4571: 4566: 4561: 4556: 4551: 4546: 4541: 4536: 4531: 4521: 4516: 4511: 4506: 4498: 4493: 4488: 4483: 4478: 4473: 4468: 4466:Flucloxacillin 4463: 4458: 4453: 4448: 4443: 4438: 4433: 4428: 4423: 4418: 4413: 4408: 4403: 4398: 4393: 4388: 4383: 4378: 4373: 4368: 4363: 4353: 4343: 4338: 4333: 4328: 4323: 4321:Corticosterone 4318: 4313: 4308: 4303: 4298: 4293: 4288: 4286:Chlorpromazine 4283: 4278: 4273: 4268: 4263: 4258: 4253: 4248: 4243: 4238: 4233: 4228: 4223: 4218: 4213: 4208: 4203: 4198: 4193: 4188: 4183: 4178: 4173: 4164: 4162: 4151: 4150: 4148: 4147: 4142: 4137: 4132: 4127: 4122: 4117: 4112: 4107: 4105:17-Androstanol 4102: 4100:3β-Androstanol 4097: 4095:3α-Androstenol 4092: 4090:3α-Androstanol 4087: 4078: 4077: 4072: 4067: 4062: 4057: 4052: 4047: 4042: 4037: 4032: 4027: 4022: 4017: 4012: 4007: 4002: 3997: 3992: 3987: 3982: 3972: 3967: 3962: 3957: 3952: 3947: 3945:Chlorpromazine 3942: 3937: 3932: 3927: 3922: 3917: 3908: 3906: 3895: 3894: 3884: 3883: 3876: 3869: 3861: 3852: 3851: 3849: 3848: 3841: 3837: 3834: 3833: 3831: 3830: 3825: 3816: 3815: 3810: 3805: 3800: 3795: 3790: 3785: 3780: 3775: 3766: 3764: 3753: 3752: 3750: 3749: 3740: 3739: 3734: 3729: 3724: 3719: 3714: 3709: 3704: 3699: 3694: 3685: 3683: 3672: 3671: 3647: 3646: 3639: 3632: 3624: 3615: 3614: 3612: 3611: 3606: 3601: 3596: 3591: 3586: 3581: 3576: 3571: 3566: 3560: 3558: 3551: 3550: 3548: 3547: 3542: 3537: 3532: 3527: 3522: 3517: 3512: 3507: 3502: 3501: 3500: 3495: 3490: 3485: 3480: 3467: 3465: 3458: 3457: 3448: 3447: 3440: 3433: 3425: 3416: 3415: 3413: 3412: 3406: 3404: 3400: 3399: 3397: 3396: 3391: 3385: 3383: 3379: 3378: 3376: 3375: 3370: 3368:Hydroxysteroid 3365: 3363:17-Ketosteroid 3359: 3357: 3351: 3350: 3348: 3347: 3341: 3339: 3336: 3332: 3331: 3329: 3328: 3323: 3317: 3315: 3312: 3308: 3307: 3305: 3304: 3298: 3296: 3293: 3289: 3288: 3286: 3285: 3280: 3275: 3270: 3265: 3260: 3255: 3243: 3238: 3225: 3223: 3220: 3216: 3215: 3213: 3212: 3210:19-Norpregnane 3206: 3204: 3201: 3197: 3196: 3194: 3193: 3184: 3182:Androstadienol 3179: 3177:Androstenolone 3174: 3172:Androstanolone 3169: 3164: 3159: 3154: 3152:Androstenediol 3149: 3147:Androstanediol 3144: 3139: 3134: 3129: 3120:Androstatriene 3117: 3112: 3099: 3097: 3094: 3090: 3089: 3087: 3086: 3081: 3076: 3064: 3059: 3046: 3044: 3041: 3037: 3036: 3034: 3033: 3027: 3025: 3022: 3018: 3017: 3015:classification 3009: 3008: 3001: 2994: 2986: 2980: 2979: 2974: 2962: 2961:External links 2959: 2956: 2955: 2912: 2863: 2852:. Medline plus 2841: 2812:(2): 197–204. 2792: 2763:(9): 1638–45. 2743: 2699: 2648: 2599: 2548: 2529: 2502:(5): 1373–80. 2486: 2437: 2402: 2367: 2331: 2312:(10): 564–72. 2306:Trends Mol Med 2296: 2255: 2228:(12): 1532–8. 2212: 2171: 2136: 2101: 2052: 2011: 1960: 1925: 1900:J Clin Lipidol 1890: 1853:(2): 383–396. 1841:(2018-01-16). 1829: 1788: 1736: 1695: 1652: 1609: 1565: 1513: 1484:(3): 598–604. 1461: 1412: 1383:(4): 1216–26. 1363: 1328:Pharmacol. Rev 1314: 1260: 1251: 1232:(11): 570–80. 1209: 1157: 1107: 1069: 1003: 955: 894: 893: 891: 888: 879: 876: 825: 822: 793: 790: 773:Main article: 770: 767: 722: 719: 709: 708:Hyperlipidemia 706: 704: 701: 681: 678: 662: 659: 650:concentrations 637: 634: 611: 608: 584:hyocholic acid 529:domestic goose 490: 489: 484: 477: 475: 470: 463: 461: 456: 449: 447: 442: 435: 433: 428: 421: 419: 414: 407: 405: 400: 393: 391: 386: 379: 377: 372: 369: 348: 345: 293: 290: 288: 285: 264: 261: 223:down-regulated 182: 179: 177: 174: 26: 9: 6: 4: 3: 2: 4944: 4933: 4930: 4928: 4925: 4923: 4920: 4919: 4917: 4907: 4897: 4895: 4890: 4885: 4884: 4881: 4868: 4867: 4863: 4860: 4859: 4856: 4850: 4847: 4845: 4842: 4839: 4838: 4835: 4832: 4830: 4827: 4825: 4822: 4820: 4817: 4815: 4812: 4810: 4807: 4805: 4802: 4800: 4797: 4795: 4792: 4790: 4787: 4785: 4782: 4780: 4777: 4775: 4772: 4770: 4767: 4765: 4762: 4760: 4759:Sulfisoxazole 4757: 4755: 4752: 4750: 4747: 4745: 4742: 4740: 4737: 4735: 4732: 4730: 4727: 4725: 4722: 4720: 4717: 4715: 4712: 4710: 4707: 4705: 4702: 4700: 4697: 4695: 4692: 4690: 4687: 4685: 4682: 4680: 4677: 4675: 4672: 4670: 4667: 4665: 4662: 4660: 4657: 4655: 4652: 4650: 4647: 4645: 4642: 4640: 4637: 4635: 4634:Phenobarbital 4632: 4630: 4627: 4625: 4622: 4620: 4617: 4615: 4612: 4610: 4607: 4605: 4602: 4600: 4597: 4595: 4592: 4590: 4587: 4585: 4582: 4580: 4577: 4575: 4572: 4570: 4567: 4565: 4562: 4560: 4557: 4555: 4552: 4550: 4547: 4545: 4542: 4540: 4537: 4535: 4532: 4530: 4526: 4522: 4520: 4519:Levothyroxine 4517: 4515: 4512: 4510: 4507: 4505: 4503: 4499: 4497: 4494: 4492: 4489: 4487: 4484: 4482: 4481:Guggulsterone 4479: 4477: 4474: 4472: 4469: 4467: 4464: 4462: 4459: 4457: 4454: 4452: 4449: 4447: 4444: 4442: 4439: 4437: 4434: 4432: 4429: 4427: 4424: 4422: 4419: 4417: 4414: 4412: 4409: 4407: 4404: 4402: 4399: 4397: 4394: 4392: 4389: 4387: 4384: 4382: 4379: 4377: 4376:Dicloxacillin 4374: 4372: 4369: 4367: 4364: 4361: 4357: 4354: 4351: 4347: 4344: 4342: 4341:Dexamethasone 4339: 4337: 4334: 4332: 4329: 4327: 4324: 4322: 4319: 4317: 4314: 4312: 4309: 4307: 4304: 4302: 4299: 4297: 4294: 4292: 4289: 4287: 4284: 4282: 4279: 4277: 4276:Cephaloridine 4274: 4272: 4269: 4267: 4264: 4262: 4259: 4257: 4254: 4252: 4249: 4247: 4244: 4242: 4239: 4237: 4234: 4232: 4229: 4227: 4224: 4222: 4219: 4217: 4214: 4212: 4209: 4207: 4204: 4202: 4199: 4197: 4194: 4192: 4189: 4187: 4184: 4182: 4179: 4177: 4174: 4172: 4169: 4166: 4165: 4163: 4158: 4152: 4146: 4143: 4141: 4138: 4136: 4133: 4131: 4128: 4126: 4123: 4121: 4118: 4116: 4113: 4111: 4108: 4106: 4103: 4101: 4098: 4096: 4093: 4091: 4088: 4086: 4083: 4080: 4079: 4076: 4075:Valproic acid 4073: 4071: 4068: 4066: 4063: 4061: 4058: 4056: 4053: 4051: 4048: 4046: 4043: 4041: 4038: 4036: 4035:Phenobarbital 4033: 4031: 4028: 4026: 4023: 4021: 4018: 4016: 4013: 4011: 4008: 4006: 4003: 4001: 3998: 3996: 3993: 3991: 3988: 3986: 3983: 3980: 3976: 3973: 3971: 3968: 3966: 3963: 3961: 3958: 3956: 3953: 3951: 3948: 3946: 3943: 3941: 3938: 3936: 3935:Carbamazepine 3933: 3931: 3928: 3926: 3923: 3921: 3918: 3916: 3913: 3910: 3909: 3907: 3902: 3896: 3892: 3889: 3882: 3877: 3875: 3870: 3868: 3863: 3862: 3859: 3847: 3846: 3842: 3839: 3838: 3835: 3829: 3828:Larsucosterol 3826: 3824: 3821: 3818: 3817: 3814: 3811: 3809: 3808:Hypocholamide 3806: 3804: 3801: 3799: 3796: 3794: 3791: 3789: 3786: 3784: 3781: 3779: 3776: 3774: 3771: 3768: 3767: 3765: 3760: 3754: 3748: 3747:Guggulsterone 3745: 3742: 3741: 3738: 3735: 3733: 3730: 3728: 3725: 3723: 3720: 3718: 3715: 3713: 3710: 3708: 3705: 3703: 3700: 3698: 3695: 3693: 3690: 3687: 3686: 3684: 3679: 3673: 3669: 3663: 3654: 3645: 3640: 3638: 3633: 3631: 3626: 3625: 3622: 3610: 3607: 3605: 3602: 3600: 3599:Phospholipids 3597: 3595: 3592: 3590: 3587: 3585: 3582: 3580: 3577: 3575: 3572: 3570: 3567: 3565: 3562: 3561: 3559: 3556: 3552: 3546: 3543: 3541: 3538: 3536: 3533: 3531: 3528: 3526: 3523: 3521: 3518: 3516: 3513: 3511: 3508: 3506: 3503: 3499: 3496: 3494: 3491: 3489: 3486: 3484: 3481: 3479: 3476: 3475: 3474: 3473: 3469: 3468: 3466: 3463: 3459: 3454: 3446: 3441: 3439: 3434: 3432: 3427: 3426: 3423: 3411: 3408: 3407: 3405: 3401: 3395: 3392: 3390: 3387: 3386: 3384: 3380: 3374: 3371: 3369: 3366: 3364: 3361: 3360: 3358: 3356: 3352: 3346: 3343: 3342: 3340: 3333: 3327: 3324: 3322: 3319: 3318: 3316: 3309: 3303: 3300: 3299: 3297: 3290: 3284: 3281: 3279: 3276: 3274: 3273:Pregnenedione 3271: 3269: 3268:Pregnanedione 3266: 3264: 3261: 3259: 3258:Pregnanetriol 3256: 3254: 3251: 3247: 3244: 3242: 3239: 3237: 3234: 3230: 3227: 3226: 3224: 3217: 3211: 3208: 3207: 3205: 3198: 3192: 3188: 3185: 3183: 3180: 3178: 3175: 3173: 3170: 3168: 3165: 3163: 3160: 3158: 3155: 3153: 3150: 3148: 3145: 3143: 3140: 3138: 3135: 3133: 3130: 3128: 3125: 3121: 3118: 3116: 3115:Androstadiene 3113: 3111: 3108: 3104: 3101: 3100: 3098: 3091: 3085: 3082: 3080: 3077: 3075: 3072: 3068: 3065: 3063: 3060: 3058: 3055: 3051: 3048: 3047: 3045: 3038: 3032: 3029: 3028: 3026: 3019: 3014: 3007: 3002: 3000: 2995: 2993: 2988: 2987: 2984: 2978: 2975: 2972: 2968: 2965: 2964: 2951: 2947: 2943: 2939: 2935: 2931: 2928:(5): 755–62. 2927: 2923: 2916: 2908: 2904: 2899: 2894: 2890: 2886: 2882: 2878: 2874: 2867: 2851: 2845: 2837: 2833: 2828: 2823: 2819: 2815: 2811: 2807: 2803: 2796: 2788: 2784: 2779: 2774: 2770: 2766: 2762: 2758: 2754: 2747: 2739: 2735: 2731: 2727: 2723: 2719: 2716:(8): 1631–8. 2715: 2711: 2703: 2695: 2691: 2686: 2681: 2676: 2671: 2668:(7): 225–43. 2667: 2663: 2659: 2652: 2644: 2640: 2635: 2630: 2626: 2622: 2619:(8): 863–71. 2618: 2614: 2613:Arch. Toxicol 2610: 2603: 2595: 2591: 2586: 2581: 2576: 2571: 2567: 2563: 2559: 2552: 2546: 2542: 2539: 2533: 2525: 2521: 2517: 2513: 2509: 2505: 2501: 2497: 2490: 2482: 2478: 2473: 2468: 2464: 2460: 2456: 2452: 2448: 2441: 2433: 2429: 2425: 2421: 2417: 2413: 2406: 2398: 2394: 2390: 2386: 2383:(3): 313–20. 2382: 2378: 2371: 2363: 2359: 2355: 2351: 2348:(9): 1880–7. 2347: 2343: 2335: 2327: 2323: 2319: 2315: 2311: 2307: 2300: 2292: 2288: 2283: 2278: 2274: 2270: 2266: 2259: 2251: 2247: 2243: 2239: 2235: 2231: 2227: 2223: 2216: 2208: 2204: 2199: 2194: 2190: 2186: 2182: 2175: 2167: 2163: 2159: 2155: 2152:(13): 655–9. 2151: 2147: 2140: 2132: 2128: 2124: 2120: 2116: 2112: 2105: 2097: 2093: 2089: 2085: 2080: 2075: 2071: 2067: 2063: 2056: 2048: 2044: 2039: 2034: 2030: 2026: 2022: 2015: 2007: 2003: 1998: 1993: 1988: 1983: 1979: 1975: 1971: 1964: 1956: 1952: 1948: 1944: 1941:(2): 218–20. 1940: 1936: 1929: 1921: 1917: 1913: 1909: 1905: 1901: 1894: 1886: 1882: 1877: 1872: 1868: 1864: 1860: 1856: 1852: 1848: 1844: 1840: 1833: 1825: 1821: 1816: 1811: 1807: 1803: 1799: 1792: 1784: 1780: 1775: 1770: 1766: 1762: 1758: 1754: 1750: 1743: 1741: 1732: 1728: 1723: 1718: 1715:(5): 543–53. 1714: 1710: 1706: 1699: 1691: 1687: 1683: 1679: 1675: 1671: 1667: 1663: 1656: 1648: 1644: 1640: 1636: 1632: 1628: 1624: 1620: 1613: 1605: 1601: 1597: 1593: 1589: 1585: 1582:(3): 101675. 1581: 1577: 1569: 1561: 1557: 1552: 1547: 1543: 1539: 1535: 1531: 1527: 1520: 1518: 1509: 1505: 1500: 1495: 1491: 1487: 1483: 1479: 1475: 1468: 1466: 1457: 1453: 1449: 1445: 1440: 1435: 1431: 1427: 1423: 1416: 1408: 1404: 1399: 1394: 1390: 1386: 1382: 1378: 1374: 1367: 1359: 1355: 1350: 1345: 1341: 1337: 1334:(4): 948–83. 1333: 1329: 1325: 1318: 1310: 1306: 1301: 1296: 1292: 1288: 1284: 1280: 1276: 1269: 1267: 1265: 1255: 1247: 1243: 1239: 1235: 1231: 1227: 1220: 1218: 1216: 1214: 1205: 1201: 1196: 1191: 1187: 1183: 1180:(2): 247–57. 1179: 1175: 1171: 1164: 1162: 1153: 1149: 1144: 1139: 1135: 1131: 1127: 1120: 1118: 1116: 1114: 1112: 1103: 1099: 1095: 1091: 1088:(4): 506–27. 1087: 1083: 1076: 1074: 1065: 1061: 1056: 1051: 1046: 1041: 1037: 1033: 1029: 1022: 1020: 1018: 1016: 1014: 1012: 1010: 1008: 999: 995: 991: 987: 983: 979: 972: 970: 968: 966: 964: 962: 960: 951: 947: 942: 937: 932: 927: 924:(2): 226–46. 923: 919: 915: 908: 906: 904: 902: 900: 895: 887: 885: 875: 873: 869: 865: 860: 858: 854: 850: 846: 842: 837: 835: 831: 821: 819: 815: 811: 807: 803: 799: 789: 787: 783: 776: 766: 764: 760: 756: 752: 748: 744: 740: 736: 732: 728: 718: 715: 700: 698: 694: 691: 687: 677: 675: 671: 668: 658: 656: 651: 647: 643: 633: 631: 627: 623: 622: 617: 607: 605: 601: 599: 595: 591: 587: 585: 581: 575: 573: 569: 565: 563: 559: 555: 553: 549: 545: 541: 537: 536:mitochondrial 532: 530: 526: 522: 518: 514: 506: 502: 498: 494: 487: 481: 476: 473: 467: 462: 459: 453: 448: 445: 439: 434: 431: 425: 420: 417: 411: 406: 403: 397: 392: 389: 383: 378: 375: 374: 368: 366: 365:ethanolamides 362: 358: 354: 344: 342: 337: 335: 331: 327: 323: 317: 315: 311: 307: 303: 299: 284: 282: 278: 274: 270: 260: 257: 253: 249: 245: 241: 236: 234: 231: 228: 224: 220: 216: 211: 208: 204: 200: 196: 192: 188: 170: 167:Structure of 165: 161: 158: 156: 152: 148: 144: 140: 136: 132: 128: 124: 120: 119:phospholipids 115: 113: 109: 105: 101: 97: 93: 89: 85: 82:. In humans, 81: 77: 73: 69: 67: 63: 59: 55: 51: 47: 43: 39: 36: 32: 19: 4864: 4844:Ketoconazole 4841:Antagonists: 4840: 4814:Troglitazone 4789:Tetracycline 4744:Spiroxatrine 4689:Quingestrone 4684:Progesterone 4669:Pregnenolone 4664:Pregnanolone 4654:Pregnanediol 4649:Prednisolone 4574:Mifepristone 4501: 4476:Griseofulvin 4456:Fenbendazole 4441:Famprofazone 4436:Erythromycin 4431:Epothilone B 4416:Eburnamonine 4311:Clotrimazole 4301:Clofenvinfos 4250: 4236:Antimycotics 4167: 4130:Okadaic acid 4082:Antagonists: 4081: 4070:Troglitazone 4005:Mifepristone 4000:Methoxychlor 3995:Griseofulvin 3990:Ellagic acid 3970:Cypermethrin 3960:Clotrimazole 3911: 3843: 3820:Antagonists: 3819: 3788:Abequolixron 3769: 3744:Antagonists: 3743: 3691: 3688: 3579:Glycyrrhizin 3505:Cyclobutyrol 3471: 3470: 3325: 3263:Pregnenediol 3253:Pregnanediol 3250:Substituted: 3249: 3246:Pregnatriene 3232: 3142:Androstenone 3137:Androstanone 3124:Substituted: 3123: 3106: 3071:Substituted: 3070: 3053: 2925: 2921: 2915: 2880: 2876: 2866: 2854:. Retrieved 2844: 2809: 2805: 2795: 2760: 2756: 2746: 2713: 2709: 2702: 2665: 2661: 2651: 2616: 2612: 2602: 2565: 2561: 2551: 2532: 2499: 2495: 2489: 2457:(1): 34–40. 2454: 2450: 2440: 2415: 2411: 2405: 2380: 2376: 2370: 2345: 2341: 2334: 2309: 2305: 2299: 2272: 2268: 2258: 2225: 2221: 2215: 2191:(1): 123–8. 2188: 2184: 2174: 2149: 2145: 2139: 2114: 2110: 2104: 2069: 2065: 2055: 2028: 2024: 2014: 1977: 1973: 1963: 1938: 1934: 1928: 1906:(2): 76–81. 1903: 1899: 1893: 1850: 1846: 1839:Elinav, Eran 1832: 1805: 1801: 1791: 1756: 1752: 1712: 1708: 1698: 1665: 1661: 1655: 1622: 1618: 1612: 1579: 1575: 1568: 1533: 1529: 1481: 1477: 1429: 1425: 1415: 1380: 1376: 1366: 1331: 1327: 1317: 1285:(1): 57–68. 1282: 1278: 1254: 1229: 1225: 1177: 1173: 1133: 1129: 1085: 1081: 1035: 1032:J. Lipid Res 1031: 981: 977: 921: 918:J. Lipid Res 917: 881: 861: 847:, including 838: 827: 795: 778: 724: 711: 683: 667:triglyceride 664: 639: 619: 613: 602: 592: 588: 576: 566: 556: 550:) generates 533: 510: 491: 350: 338: 318: 314:brush border 295: 268: 266: 251: 247: 237: 212: 190: 184: 159: 116: 75: 71: 70: 65: 30: 29: 4829:Zafirlukast 4799:Thiothixene 4779:Terconazole 4729:Simvastatin 4604:Nisoldipine 4599:Nilvadipine 4584:Nicardipine 4554:Metacycline 4381:Dimercaprol 4336:Demecolcine 4296:Clindamycin 4291:Ciglitazone 4241:Artemisinin 4221:Ambrisentan 4125:Nigramide J 4060:Telmisartan 4020:Nicardipine 3930:Benfuracarb 3925:Artemisinin 3515:Hymecromone 3510:Elafibranor 3483:Cholic acid 3394:Secosteroid 3302:Cardanolide 3283:5β-Pregnane 3278:5α-Pregnane 3241:Pregnadiene 3191:Etiocholane 3132:Androstenol 3127:Androstanol 3067:Estratriene 2451:Nutr Cancer 2418:(1): 5–13. 2412:Nutr Cancer 884:Mesotherapy 878:Dermatology 727:cholestasis 721:Cholestasis 690:cannabinoid 642:surfactants 558:Cholic acid 544:peroxisomes 388:Cholic acid 330:gallbladder 302:hydrophilic 298:hydrophobic 207:cholesterol 195:cholic acid 187:liver cells 169:cholic acid 135:surfactants 123:cholesterol 92:cholic acid 50:vertebrates 4932:Hepatology 4922:Bile acids 4916:Categories 4809:Tianeptine 4774:Tenylidone 4769:Tacrolimus 4714:Rimexolone 4704:Rifampicin 4644:Plicamycin 4629:Paclitaxel 4614:Omeprazole 4594:Nifedipine 4569:Mevastatin 4564:Metyrapone 4544:Lovastatin 4539:Loratadine 4496:Hyperforin 4486:Haloprogin 4451:Felodipine 4426:Enzacamene 4406:Dronabinol 4371:Diclazuril 4350:prasterone 4306:Chloroxine 4281:Cephradine 4251:Bile acids 4065:Tolnaftate 4030:Permethrin 4015:Nevirapine 4010:Nefazodone 3979:prasterone 3940:Carvedilol 3920:Amiodarone 3891:modulators 3737:Tropifexor 3722:Ivermectin 3712:Fexaramine 3692:Bile acids 3668:modulators 3589:Methionine 3584:Metadoxine 3545:Seladelpar 3540:Piprozolin 3535:Odevixibat 3410:Azasteroid 3389:Norsteroid 3345:Cholestane 3110:Androstene 3103:Androstane 3062:Estradiene 2377:Mutat. Res 2117:(1): 1–8. 2066:Hepatology 1377:Hepatology 1279:Biochem. J 984:: 137–74. 890:References 775:Gallstones 769:Gallstones 693:anandamide 670:metabolism 646:detergents 552:oxysterols 252:bile salts 176:Production 66:bile salts 48:and other 31:Bile acids 18:Bile acids 4734:Sirolimus 4724:Ritonavir 4719:Riodipine 4709:Rifaximin 4694:Reserpine 4679:Proadifen 4624:Oxatomide 4579:Nafcillin 4549:Meclizine 4411:Droxidopa 4391:Docetaxel 4316:Colforsin 4266:Bumecaine 4256:Bithionol 4168:Agonists: 4145:T-0901317 4120:Meclizine 4050:Reserpine 4040:Phenytoin 4025:Octicizer 3985:Efavirenz 3912:Agonists: 3823:Efavirenz 3813:T-0901317 3770:Agonists: 3727:Nidufexor 3707:Cilofexor 3689:Agonists: 3604:Silymarin 3574:Epomediol 3569:Citiolone 3525:Menbutone 3472:bile acid 3326:Bile acid 2856:26 August 2275:: 79–93. 2250:207302960 2222:Obes Surg 1867:0022-1007 1709:Mol. Cell 1604:232242410 1478:Structure 1456:205369332 845:neoplasia 782:bilirubin 598:bear bile 341:bilirubin 287:Functions 133:-forming 4906:Medicine 4861:See also 4749:SR-12813 4639:Piperine 4619:Orlistat 4589:Nicotine 4461:Fentanyl 4446:Febantel 4421:Ecopipam 4386:Dinaline 4271:Cafestol 4261:Bosentan 4135:PK-11195 3840:See also 3697:Cafestol 3236:Pregnene 3229:Pregnane 2950:23094631 2942:25724831 2907:24605812 2836:22058145 2787:21556038 2738:39918727 2730:23665966 2694:25024814 2643:21267546 2594:19610133 2541:Archived 2516:10235221 2481:22136517 2326:21724466 2291:19900947 2242:18574646 2207:11136285 2096:19147632 2088:16317669 2006:17535422 1920:21392720 1885:29339445 1824:17720959 1783:31984784 1731:10360171 1690:10334993 1647:10334992 1596:33722778 1560:27571266 1508:25684574 1448:22735174 1407:25363242 1358:25073467 1309:14097367 1246:19758712 1204:14162533 1152:10597755 1064:19346330 998:12543708 950:19638645 849:adenomas 747:pruritus 743:jaundice 729:such as 697:NAPE-PLD 353:hormones 306:micelles 233:FGF15/19 147:hormonal 4894:Biology 4880:Portals 4849:Sesamin 4834:Zeranol 4764:Suramin 4534:LOE-908 4226:AMI-193 4140:S-07662 4055:TCPOBOP 3950:Chrysin 3803:GW-3965 3717:GW-4064 3557:therapy 3464:therapy 3321:Cholane 3057:Estrene 3050:Estrane 3013:Steroid 2898:4263247 2827:3400261 2778:3168684 2685:4092339 2634:3149672 2585:2712893 2524:6402410 2472:6844083 2432:2195469 2397:2188127 2362:7411244 2342:J. Nutr 2166:4580472 2131:5006919 2047:1674105 1997:1891276 1955:9926012 1876:5789421 1774:7099488 1670:Bibcode 1662:Science 1627:Bibcode 1619:Science 1551:5074845 1499:4351732 1426:FASEB J 1398:4376566 1349:4180336 1300:1202272 1102:4562149 1055:2739756 941:2803226 857:cancers 753:(PBC), 540:CYP27A1 505:sterane 332:. This 324:in the 310:lipases 244:taurine 240:glycine 230:hormone 141:before 131:micelle 62:glycine 58:taurine 46:mammals 35:steroid 4356:DHEA-S 4196:AA-861 3031:Gonane 2973:(MeSH) 2948:  2940:  2905:  2895:  2834:  2824:  2785:  2775:  2736:  2728:  2692:  2682:  2641:  2631:  2592:  2582:  2522:  2514:  2479:  2469:  2430:  2395:  2360:  2324:  2289:  2248:  2240:  2205:  2164:  2129:  2094:  2086:  2045:  2004:  1994:  1980:: 26. 1953:  1918:  1883:  1873:  1865:  1822:  1781:  1771:  1729:  1688:  1645:  1602:  1594:  1558:  1548:  1506:  1496:  1454:  1446:  1405:  1395:  1356:  1346:  1307:  1297:  1244:  1202:  1195:289518 1192:  1150:  1100:  1062:  1052:  996:  948:  938:  872:CYP7A1 814:SeHCAT 737:, and 562:CYP8B1 548:CYP7B1 254:. 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Index

Bile acids
steroid
acids
bile
mammals
vertebrates
liver
taurine
glycine
colon
taurocholic acid
glycocholic acid
cholic acid
taurochenodeoxycholic acid
glycochenodeoxycholic acid
chenodeoxycholic acid
deoxycholic acid
lithocholic acid
phospholipids
cholesterol
digestion of dietary fats and oils
micelle
surfactants
chyme
further processing
hormonal
farnesoid X receptor
GPBAR1

cholic acid

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