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胆汁酸激活受体:整合非酒精性脂肪性肝病中的免疫与代谢调节

Bile acid activated receptors: Integrating immune and metabolic regulation in non-alcoholic fatty liver disease.

作者信息

Biagioli Michele, Fiorucci Stefano

机构信息

Department of Medicine and Surgery, University of Perugia, Perugia, Italy.

出版信息

Liver Res. 2021 Sep 2;5(3):119-141. doi: 10.1016/j.livres.2021.08.003. eCollection 2021 Sep.


DOI:10.1016/j.livres.2021.08.003
PMID:39957845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11791866/
Abstract

Bile acids are a family of atypical steroids generated at the interface of liver-intestinal microbiota acting on a ubiquitously expressed family of membrane and nuclear receptors known as bile acid activated receptors. The two best characterized receptors of this family are the nuclear receptor, farnesoid X receptor (FXR) and the G protein-coupled receptor, G protein-coupled bile acid receptor 1 (GPBAR1). FXR and GPBAR1 regulate major aspects of lipid and glucose metabolism, energy balance, autophagy and immunity and have emerged as potential pharmaceutical targets for the treatment of metabolic and inflammatory disorders. Clinical trials in non-alcoholic fatty liver disease (NAFLD), however, have shown that selective FXR agonists cause side effects while their efficacy is partial. Because FXR and GPBAR1 exert additive effects, dual FXR/GPBAR1 ligands have been developed for the treatment of metabolic disorders and are currently advanced to clinical trials. Here, we will review the role of FXR and GPBAR1 agonism in NAFLD and how the two receptors could be exploited to target multiple components of the disease.

摘要

胆汁酸是一类非典型类固醇,产生于肝脏 - 肠道微生物群的界面,作用于一类广泛表达的膜受体和核受体,即胆汁酸激活受体。该家族中两个特征最明确的受体是核受体法尼醇X受体(FXR)和G蛋白偶联受体G蛋白偶联胆汁酸受体1(GPBAR1)。FXR和GPBAR1调节脂质和葡萄糖代谢、能量平衡、自噬和免疫的主要方面,并已成为治疗代谢和炎症性疾病的潜在药物靶点。然而,非酒精性脂肪性肝病(NAFLD)的临床试验表明,选择性FXR激动剂会引起副作用,且其疗效有限。由于FXR和GPBAR1具有协同作用,已开发出双FXR/GPBAR1配体用于治疗代谢紊乱,目前已进入临床试验阶段。在此,我们将综述FXR和GPBAR1激动作用在NAFLD中的作用,以及如何利用这两种受体来靶向该疾病的多个组成部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abc0/11791866/a3883e7ea525/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abc0/11791866/c61c5ec723c9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abc0/11791866/af0a845b7621/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abc0/11791866/6c6942c0c92e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abc0/11791866/cfb680375dea/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abc0/11791866/b39a1b5f3723/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abc0/11791866/a3883e7ea525/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abc0/11791866/c61c5ec723c9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abc0/11791866/af0a845b7621/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abc0/11791866/6c6942c0c92e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abc0/11791866/cfb680375dea/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abc0/11791866/b39a1b5f3723/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abc0/11791866/a3883e7ea525/gr6.jpg

相似文献

[1]
Bile acid activated receptors: Integrating immune and metabolic regulation in non-alcoholic fatty liver disease.

Liver Res. 2021-9-2

[2]
Development of bile acid activated receptors hybrid molecules for the treatment of inflammatory and metabolic disorders.

Biochem Pharmacol. 2023-10

[3]
Defective Bile Acid Signaling Promotes Vascular Dysfunction, Supporting a Role for G-Protein Bile Acid Receptor 1/Farnesoid X Receptor Agonism and Statins in the Treatment of Nonalcoholic Fatty Liver Disease.

J Am Heart Assoc. 2023-12-5

[4]
Bile acid modulators for the treatment of nonalcoholic steatohepatitis (NASH).

Expert Opin Investig Drugs. 2020-6

[5]
Transcriptome Analysis of Dual FXR and GPBAR1 Agonism in Rodent Model of NASH Reveals Modulation of Lipid Droplets Formation.

Nutrients. 2019-5-21

[6]
Combinatorial therapy with BAR502 and UDCA resets FXR and GPBAR1 signaling and reverses liver histopathology in a model of NASH.

Sci Rep. 2023-1-28

[7]
Beneficial effects of UDCA and norUDCA in a rodent model of steatosis are linked to modulation of GPBAR1/FXR signaling.

Biochim Biophys Acta Mol Cell Biol Lipids. 2022-11

[8]
Linking Nonalcoholic Fatty Liver Disease and Brain Disease: Focusing on Bile Acid Signaling.

Int J Mol Sci. 2022-10-27

[9]
Bile acids and their receptors in metabolic disorders.

Prog Lipid Res. 2021-4

[10]
Linking liver metabolic and vascular disease via bile acid signaling.

Trends Mol Med. 2022-1

引用本文的文献

[1]
Ecological management of the microbiota in patients with cancer.

Nat Rev Clin Oncol. 2025-6-27

[2]
Targeted therapeutic strategies as alternative and sustainable treatment options for obesity-induced steatohepatitis.

Rev Endocr Metab Disord. 2025-6-25

[3]
The Role of Five-Membered Aromatic Rings Containing N and O in Modulating Bile Acid Receptors: An Overview.

ChemMedChem. 2025-8-16

[4]
Phenotyping the Chemical Communications of the Intestinal Microbiota and the Host: Secondary Bile Acids as Postbiotics.

Cells. 2025-4-15

[5]
Bile acids and their receptors in hepatic immunity.

Liver Res. 2025-1-28

本文引用的文献

[1]
Improvements of Fibrosis and Disease Activity Are Associated With Improvement of Patient-Reported Outcomes in Patients With Advanced Fibrosis Due to Nonalcoholic Steatohepatitis.

Hepatol Commun. 2021-5-12

[2]
Bile acids and their receptors in metabolic disorders.

Prog Lipid Res. 2021-4

[3]
Special FX: Harnessing the Farnesoid-X-Receptor to Control Bile Acid Synthesis.

Dig Dis Sci. 2021-11

[4]
Transcriptional Regulation of Metabolic Pathways via Lipid-Sensing Nuclear Receptors PPARs, FXR, and LXR in NASH.

Cell Mol Gastroenterol Hepatol. 2021

[5]
The bile acid activated receptors GPBAR1 and FXR exert antagonistic effects on autophagy.

FASEB J. 2021-1

[6]
Bile Acid Signaling in Inflammatory Bowel Diseases.

Dig Dis Sci. 2021-3

[7]
Combination Therapies Including Cilofexor and Firsocostat for Bridging Fibrosis and Cirrhosis Attributable to NASH.

Hepatology. 2021-2

[8]
Systematic review and meta-analysis of randomized controlled trials on the effects of obeticholic acid on the blood lipid profile: Insights into liver disorders and liver cancer.

Eur J Pharmacol. 2020-12-15

[9]
Bile acid modulators for the treatment of nonalcoholic steatohepatitis (NASH).

Expert Opin Investig Drugs. 2020-6

[10]
Blocking integrin αβ-mediated CD4 T cell recruitment to the intestine and liver protects mice from western diet-induced non-alcoholic steatohepatitis.

J Hepatol. 2020-11

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