Seminars in Liver Disease,
Journal Year:
2021,
Volume and Issue:
41(04), P. 461 - 475
Published: July 21, 2021
Abstract
Nonalcoholic
fatty
liver
disease
(NAFLD)
has
become
the
most
prevalent
cause
of
disease,
increasingly
contributing
to
burden
transplantation.
In
search
for
effective
treatments,
novel
strategies
addressing
metabolic
dysregulation,
inflammation,
and
fibrosis
are
continuously
emerging.
Disturbed
bile
acid
(BA)
homeostasis
microcholestasis
via
hepatocellular
retention
potentially
toxic
BAs
may
be
an
underappreciated
factor
in
pathogenesis
NAFLD
nonalcoholic
steatohepatitis
(NASH)
as
its
progressive
variant.
addition
their
detergent
properties,
act
signaling
molecules
regulating
cellular
through
interaction
with
BA
receptors
such
Farnesoid
X
receptor
(FXR).
Apart
from
being
a
key
regulator
metabolism
enterohepatic
circulation,
FXR
regulates
immune-modulatory
effects,
making
it
attractive
therapeutic
target
NAFLD/NASH.
this
review,
molecular
basis
potential
targeting
specific
focus
on
restoring
NASH
is
summarized.
Hepatology,
Journal Year:
2022,
Volume and Issue:
77(2), P. 619 - 639
Published: May 7, 2022
The
endoplasmic
reticulum
(ER)
is
an
intracellular
organelle
that
fosters
the
correct
folding
of
linear
polypeptides
and
proteins,
a
process
tightly
governed
by
ER‐resident
enzymes
chaperones.
Failure
to
shape
proper
3‐dimensional
architecture
proteins
culminates
in
accumulation
misfolded
or
unfolded
within
ER,
disturbs
ER
homeostasis,
leads
canonically
defined
stress.
Recent
studies
have
elucidated
cellular
perturbations,
such
as
lipotoxicity,
can
also
lead
In
response
stress,
protein
(UPR)
activated
reestablish
homeostasis
(“adaptive
UPR”),
or,
conversely,
provoke
cell
death
when
stress
overwhelmed
sustained
(“maladaptive
UPR”).
It
well
documented
contributes
onset
progression
multiple
hepatic
pathologies
including
NAFLD,
alcohol‐associated
liver
disease,
viral
hepatitis,
ischemia,
drug
toxicity,
cancers.
Here,
we
review
key
dealing
with
emerging
role
UPR
pathophysiology
diseases
from
cellular,
murine,
human
models.
Specifically,
will
summarize
current
available
knowledge
on
pharmacological
non‐pharmacological
interventions
may
be
used
target
maladaptive
for
treatment
nonmalignant
diseases.
Cells,
Journal Year:
2019,
Volume and Issue:
8(12), P. 1471 - 1471
Published: Nov. 20, 2019
Tauroursodeoxycholic
acid
(TUDCA)
is
a
naturally
occurring
hydrophilic
bile
that
has
been
used
for
centuries
in
Chinese
medicine.
Chemically,
TUDCA
taurine
conjugate
of
ursodeoxycholic
(UDCA),
which
contemporary
pharmacology
approved
by
Food
and
Drug
Administration
(FDA)
treatment
primary
biliary
cholangitis.
Interestingly,
numerous
recent
studies
demonstrate
mechanisms
functioning
extend
beyond
hepatobiliary
disorders.
Thus,
demonstrated
to
display
potential
therapeutic
benefits
various
models
many
diseases
such
as
diabetes,
obesity,
neurodegenerative
diseases,
mostly
due
its
cytoprotective
effect.
The
underlying
this
activity
have
mainly
attributed
alleviation
endoplasmic
reticulum
(ER)
stress
stabilization
the
unfolded
protein
response
(UPR),
contributed
naming
chemical
chaperone.
Apart
from
that,
also
found
reduce
oxidative
stress,
suppress
apoptosis,
decrease
inflammation
in-vitro
in-vivo
diseases.
latest
research
suggests
can
play
role
an
epigenetic
modulator
act
agent
certain
types
cancer.
Nevertheless,
despite
massive
amount
evidence
demonstrating
positive
effects
pre-clinical
studies,
there
are
limitations
restraining
wide
use
patients.
Here,
molecular
cellular
modes
action
described
opportunities
discussed.
Frontiers in Nutrition,
Journal Year:
2023,
Volume and Issue:
10
Published: Feb. 16, 2023
Non-alcoholic
fatty
liver
disease
(NAFLD)
is
frequently
associated
with
metabolic
disorders,
being
highly
prevalent
in
obese
and
diabetic
patients.
Many
concomitant
factors
that
promote
systemic
inflammation
are
involved
NAFLD
pathogenesis,
a
growing
body
of
evidence
highlighting
the
key
role
gut
microbiota.
Indeed,
gut-liver
axis
has
strong
impact
promotion
progression
wide
spectrum
its
manifestations,
claiming
efforts
to
find
effective
strategies
for
microbiota
modulation.
Diet
among
most
powerful
tools;
Western
diet
negatively
affects
intestinal
permeability
composition
function,
selecting
pathobionts,
whereas
Mediterranean
fosters
health-promoting
bacteria,
favorable
on
lipid
glucose
metabolism
inflammation.
Antibiotics
probiotics
have
been
used
improve
features,
mixed
results.
More
interestingly,
medications
treat
NAFLD-associated
comorbidities
may
also
modulate
Drugs
treatment
type
2
diabetes
mellitus
(T2DM),
such
as
metformin,
glucagon-like
peptide-1
(GLP-1)
agonists,
sodium-glucose
cotransporter
(SGLT)
inhibitors,
not
only
regulation
homeostasis,
but
reduction
fat
content
inflammation,
they
shift
towards
healthy
phenotype.
Even
bariatric
surgery
significantly
changes
microbiota,
mostly
due
modification
gastrointestinal
anatomy,
parallel
improvement
histological
features
NAFLD.
Other
options
promising
effects
reprogramming
axis,
fecal
microbial
transplantation
(FMT)
next-generation
deserve
further
investigation
future
inclusion
therapeutic
armamentarium
Cells,
Journal Year:
2023,
Volume and Issue:
12(14), P. 1888 - 1888
Published: July 19, 2023
The
intestinal
barrier
is
a
precisely
regulated
semi-permeable
physiological
structure
that
absorbs
nutrients
and
protects
the
internal
environment
from
infiltration
of
pathological
molecules
microorganisms.
Bile
acids
are
small
synthesized
cholesterol
in
liver,
secreted
into
duodenum,
transformed
to
secondary
or
tertiary
bile
by
gut
microbiota.
interact
with
acid
receptors
(BARs)
microbiota,
which
plays
key
role
maintaining
homeostasis
barrier.
In
this
review,
we
summarize
discuss
recent
studies
on
disorder
associated
dysfunction
related
diseases.
We
focus
roles
acids,
BARs,
microbiota
triggering
dysfunction.
Insights
for
future
prevention
treatment
diseases
provided.
Journal of Agricultural and Food Chemistry,
Journal Year:
2024,
Volume and Issue:
unknown
Published: April 12, 2024
Nonalcoholic
fatty
liver
disease
(NAFLD)
is
characterized
by
fat
accumulation
and
inflammation.
Epigallocatechin
gallate
(EGCG)
has
been
proven
to
be
effective
against
NAFLD,
but
its
hepatoprotective
mechanisms
based
on
the
"gut
microbiota-barrier-liver
axis"
are
still
not
fully
understood.
Herein,
results
demonstrated
that
EGCG
effectively
ameliorated
NAFLD
phenotypes
metabolic
disorders
in
rats
fed
a
high-fat
diet
(HFD),
inhibited
intestinal
barrier
dysfunction
inflammation,
which
also
supported
experiment
of
Caco-2
cells.
Moreover,
could
restore
gut
microbiota
diversity
composition,
particularly
promoting
beneficial
microbes,
including
short-chain
acids
(SCFAs)
producers,
such
as
Lactobacillus,
suppressing
Gram-negative
bacteria,
Desulfovibrio.
The
microbial
modulation
raised
SCFA
levels,
decreased
lipopolysaccharide
TLR4/NF-κB
pathway,
strengthened
function
via
Nrf2
pathway
activation,
thereby
alleviating
steatosis
Spearman's
correlation
analysis
showed
24
key
OTUs,
negatively
or
positively
associated
with
disorders,
were
reshaped
EGCG.
Our
suggested
combinative
improvement
dysbiosis,
dysfunction,
inflammation
might
potential
therapeutic
target
for
NAFLD.
Frontiers in Pharmacology,
Journal Year:
2018,
Volume and Issue:
9
Published: Dec. 3, 2018
Apart
from
well-known
functions
of
bile
acids
in
digestion
and
solubilization
lipophilic
nutrients
drugs
the
small
intestine,
emerging
evidence
past
two
decades
identified
role
as
signaling,
endocrine
molecules
that
regulate
glucose,
lipid,
energy
metabolism
through
complex
intertwined
pathways
are
largely
mediated
by
activation
nuclear
receptor
farnesoid
X
(FXR)
cell
surface
G
protein-coupled
1,
TGR5
(also
known
GPBAR1).
Interactions
with
gut
microbiota
result
altered
composition
circulating
intestinal
pool,
modified
signaling
pathways,
further
extending
complexity
biological
these
steroid
derivatives.
Thus,
have
become
attractive
targets
for
treatment
various
metabolic
diseases
syndrome
opening
new
potential
avenue
their
treatment.
In
addition,
there
is
a
significant
effort
to
unveil
some
specific
properties
relevant
intrinsic
potency
selectivity
particular
receptors
design
novel
modulators
improved
pharmacokinetic
pharmacodynamic
profiles.
This
resulted
synthesis
few
semi-synthetic
derivatives
such
6α-ethyl-chenodeoxycholic
acid
(obeticholic
acid,
OCA),
norursodeoxycholic
(norUDCA),
12-monoketocholic
(12-MKC)
proven
positive
effect
hepato-biliary
disorders.
review
presents
an
overview
current
knowledge
related
implications
lipid
metabolism,
well
application
future
perspectives.
Cellular and Molecular Gastroenterology and Hepatology,
Journal Year:
2018,
Volume and Issue:
7(2), P. 457 - 473
Published: Sept. 11, 2018
Food
additives,
such
as
emulsifiers,
stabilizers,
or
bulking
agents,
are
present
in
the
Western
diet
and
their
consumption
is
increasing.
However,
little
known
about
potential
effects
on
intestinal
homeostasis.
In
this
study
we
examined
effect
of
some
these
food
additives
gut
inflammation.Mice
were
given
drinking
water
containing
maltodextrin
(MDX),
propylene
glycol,
animal
gelatin,
then
challenged
with
dextran
sulfate
sodium
indomethacin.
parallel,
mice
fed
a
MDX-enriched
endoplasmic
reticulum
(ER)
stress
inhibitor
tauroursodeoxycholic
acid
(TUDCA).
Transcriptomic
analysis,
real-time
polymerase
chain
reaction,
mucin-2
expression,
phosphorylated
p38
mitogen-activated
protein
(MAP)
kinase
quantification,
H&E
staining
was
performed
colonic
tissues.
Mucosa-associated
microbiota
composition
characterized
by
16S
ribosomal
RNA
sequencing.
For
vitro
experiments,
murine
crypts
human
mucus-secreting
HT29-methotrexate
treated
cell
line
stimulated
MDX
presence
absence
TUDCA
MAP
inhibitor.Diets
enriched
MDX,
but
not
glycol
exacerbated
inflammation
both
models.
Analysis
mechanisms
underlying
detrimental
showed
up-regulation
inositol
requiring
1β,
sensor
ER
stress,
goblet
cells,
reduction
expression
no
significant
change
mucosa-associated
microbiota.
Stimulation
cells
induced
1β
via
kinase-dependent
mechanism.
Treatment
prevented
depletion
attenuated
colitis
MDX-fed
mice.MDX
increases
epithelial
downstream
reducing
mucus
production
enhancing
susceptibility.
International Journal of Molecular Sciences,
Journal Year:
2021,
Volume and Issue:
22(3), P. 1397 - 1397
Published: Jan. 30, 2021
After
their
synthesis
from
cholesterol
in
hepatic
tissues,
bile
acids
(BAs)
are
secreted
into
the
intestinal
lumen.
Most
BAs
subsequently
re-absorbed
terminal
ileum
and
transported
back
for
recycling
to
liver.
Some
of
them,
however,
reach
colon
change
physicochemical
properties
upon
modification
by
gut
bacteria,
vice
versa,
also
shape
composition
function
microbiota.
This
mutual
interplay
both
microbiota
regulates
many
physiological
processes,
including
lipid,
carbohydrate
energy
metabolism
host.
Emerging
evidence
implies
an
important
role
this
enterohepatic
BA
circuit
shaping
mucosal
colonization
resistance
as
well
local
distant
immune
responses,
tissue
physiology
carcinogenesis.
Subsequently,
disrupted
interactions
bacteria
associated
with
disorders
diverse
Clostridioides
difficile
or
Salmonella
Typhimurium
infection,
inflammatory
bowel
disease,
type
1
diabetes,
asthma,
metabolic
syndrome,
obesity,
Parkinson’s
schizophrenia
epilepsy.
As
we
cannot
address
all
these
interesting
underlying
pathophysiologic
mechanisms
here,
summarize
current
knowledge
about
physiologic
pathogenic
site
using
a
few
selected
examples
liver
diseases.