The Lancet. Gastroenterology & hepatology,
Journal Year:
2024,
Volume and Issue:
9(7), P. 632 - 645
Published: April 23, 2024
In
patients
with
Alagille
syndrome,
cholestasis-associated
clinical
features
can
include
high
serum
bile
acids
and
severe
pruritus
that
necessitate
liver
transplantation.
We
aimed
to
evaluate
the
efficacy
safety
of
ileal
acid
transporter
inhibitor
odevixibat
versus
placebo
in
syndrome.
Physiological Reviews,
Journal Year:
2019,
Volume and Issue:
99(4), P. 1877 - 2013
Published: Aug. 28, 2019
The
importance
of
the
gut-brain
axis
in
maintaining
homeostasis
has
long
been
appreciated.
However,
past
15
yr
have
seen
emergence
microbiota
(the
trillions
microorganisms
within
and
on
our
bodies)
as
one
key
regulators
function
led
to
appreciation
a
distinct
microbiota-gut-brain
axis.
This
is
gaining
ever
more
traction
fields
investigating
biological
physiological
basis
psychiatric,
neurodevelopmental,
age-related,
neurodegenerative
disorders.
brain
communicate
with
each
other
via
various
routes
including
immune
system,
tryptophan
metabolism,
vagus
nerve
enteric
nervous
involving
microbial
metabolites
such
short-chain
fatty
acids,
branched
chain
amino
peptidoglycans.
Many
factors
can
influence
composition
early
life,
infection,
mode
birth
delivery,
use
antibiotic
medications,
nature
nutritional
provision,
environmental
stressors,
host
genetics.
At
extreme
diversity
diminishes
aging.
Stress,
particular,
significantly
impact
at
all
stages
life.
Much
recent
work
implicated
gut
many
conditions
autism,
anxiety,
obesity,
schizophrenia,
Parkinson’s
disease,
Alzheimer’s
disease.
Animal
models
paramount
linking
regulation
fundamental
neural
processes,
neurogenesis
myelination,
microbiome
activation
microglia.
Moreover,
translational
human
studies
are
ongoing
will
greatly
enhance
field.
Future
focus
understanding
mechanisms
underlying
attempt
elucidate
microbial-based
intervention
therapeutic
strategies
for
neuropsychiatric
Journal of Animal Science and Biotechnology/Journal of animal science and biotechnology,
Journal Year:
2020,
Volume and Issue:
11(1)
Published: Feb. 20, 2020
Abstract
Clostridium
species,
as
a
predominant
cluster
of
commensal
bacteria
in
our
gut,
exert
lots
salutary
effects
on
intestinal
homeostasis.
Up
to
now,
species
have
been
reported
attenuate
inflammation
and
allergic
diseases
effectively
owing
their
distinctive
biological
activities.
Their
cellular
components
metabolites,
like
butyrate,
secondary
bile
acids
indolepropionic
acid,
play
probiotic
role
primarily
through
energizing
epithelial
cells,
strengthening
barrier
interacting
with
immune
system.
In
turn,
diets
physical
state
body
can
shape
unique
pattern
gut.
view
performances,
huge
potential
probiotics.
However,
there
are
still
some
nonnegligible
risks
challenges
approaching
application
them.
Given
this,
this
review
summarized
the
researches
involved
benefits
health,
order
develop
novel
probiotics
for
human
health
animal
production.
Science,
Journal Year:
2019,
Volume and Issue:
363(6427), P. 644 - 649
Published: Feb. 8, 2019
Fueling
lymph
node
metastases
Metastatic
cells
can
migrate
from
a
primary
tumor
to
distant
organs
through
two
routes:
They
enter
the
bloodstream
directly,
or
they
adjacent
tumor.
Little
is
known
about
biological
mechanisms
that
allow
survive
and
grow
within
nodes.
Studying
mouse
models,
Lee
et
al.
found
adapt
microenvironment
by
shifting
their
metabolism
toward
fatty
acid
oxidation.
This
occurs
activation
of
signaling
pathway
driven
yes-associated
protein
(YAP)
transcription
factor.
Importantly,
inhibition
oxidation
YAP
suppressed
metastasis
in
mice.
Science
,
this
issue
p.
644
Physiological Reviews,
Journal Year:
2020,
Volume and Issue:
101(2), P. 683 - 731
Published: Aug. 13, 2020
Several
diseases
and
conditions
have
been
associated
with
an
uncontrolled
rise
in
bile
acid
(BA)
concentrations.
This
is
often
the
case
when
tight
feedback
regulation
of
BA
synthesis
compromised
to
point
that
BAs
become
detrimental.
their
cognate
receptors,
farnesoid
X
receptor
(FXR)
Takeda
G-protein
5
(TGR5),
however,
exert
many
beneficial
roles
as
they
enable
tissues
adapt
environmental,
nutritional,
physiological
cues.
Over
last
two
decades,
mimetics
targeting
FXR,
TGR5,
or
both,
proven
be
efficacious
alleviating
chronic
metabolic
inflammatory
disorders,
such
obesity,
Type
2
diabetes
(T2D),
atherosclerosis
non-alcoholic
steatohepatitis
(NASH).
While
several
aspects
signaling
are
still
poorly
understood,
first
therapeutics
FXR
making
way
into
clinic
treat
liver
diseases,
primary
biliary
cholangitis
(PBC)
NASH.
Drugs
may,
hence,
a
bright
future
continuing
efforts
on
studying
impact
changing
pathways
humans
will
translate
our
emerging
knowledge
physiology
model
organisms
clinical
benefits.
Microorganisms,
Journal Year:
2021,
Volume and Issue:
9(4), P. 697 - 697
Published: March 27, 2021
Inflammatory
bowel
diseases
(IBDs)
are
a
group
of
chronic
gastrointestinal
inflammatory
with
unknown
etiology.
There
is
combination
well
documented
factors
in
their
pathogenesis,
including
intestinal
microbiota
dysbiosis.
The
symbiotic
plays
important
functions
the
host,
and
loss
beneficial
microbes
could
favor
expansion
microbial
pathobionts.
In
particular,
bloom
potentially
harmful
Proteobacteria,
especially
Enterobacteriaceae,
has
been
described
as
enhancing
response,
observed
IBDs.
Herein,
we
seek
to
investigate
contribution
Enterobacteriaceae
IBD
pathogenesis
whilst
considering
continuous
literature
data.
Despite
mechanism
still
remaining
unclear,
be
correlated
increase
nitrate
oxygen
levels
inflamed
gut
bile
acid
dysmetabolism
patients.
Furthermore,
several
studies
conducted
at
species
level,
it
suggested
that
some
adherent-invasive
Escherichia
coli
(AIEC)
play
an
role
pathogenesis.
Overall,
this
review
highlights
pivotal
played
by
dysbiosis
associated
progression.
Nutrients,
Journal Year:
2020,
Volume and Issue:
12(4), P. 1185 - 1185
Published: April 23, 2020
The
interaction
between
host
and
external
environment
mainly
occurs
in
the
gastrointestinal
tract,
where
mucosal
barrier
has
a
critical
role
many
physiologic
functions
ranging
from
digestion,
absorption,
metabolism.
This
allows
passage
absorption
of
nutrients,
but
at
same
time,
it
must
regulate
contact
luminal
antigens
immune
system,
confining
undesirable
products
to
lumen.
Diet
is
an
important
regulator
barrier,
cross-talk
among
dietary
factors,
microbiota
crucial
for
modulation
intestinal
permeability
maintenance
tract
(GI)
homeostasis.
In
present
review,
we
will
discuss
number
nutrients
that
have
been
proposed
as
regulators
inflammation
epithelial
function.
We
also
consider
metabolic
function
microbiota,
which
capable
elaborating
diverse
synthesizing
great
interest.
Better
knowledge
influence
on
can
be
future
development
new
therapeutic
approaches
patients
with
dysfunction,
factor
pathogenesis
GI
non-GI
diseases.
Frontiers in Physiology,
Journal Year:
2019,
Volume and Issue:
10
Published: March 14, 2019
Bile
is
a
biological
fluid
synthesized
in
the
liver,
mainly
constituted
by
bile
acids
and
cholesterol,
which
functions
as
detergent
that
emulsifies
solubilizes
lipids,
thereby
playing
an
essential
role
fat
digestion.
Besides,
are
important
signaling
molecules
regulate
key
at
intestinal
systemic
levels
human
body,
affecting
glucose
lipid
metabolism,
immune
homeostasis.
Apart
from
this,
due
to
their
amphipathic
nature,
toxic
for
bacterial
cells
and,
thus,
exert
strong
selective
pressure
on
microbial
populations
inhabiting
gut,
decisively
shaping
profiles
of
our
gut
microbiota,
has
been
recognized
metabolic
organ
pivotal
host
health.
Remarkably,
bacteria
also
display
range
enzymatic
activities
capable
acting
lesser
extent,
cholesterol.
These
can
have
direct
impact
physiology
they
influence
composition
circulating
acid
pool
host,
Given
changes
microbiota-residing
biotransformation
ability
significantly
health
status.
Elucidating
ways
fine-tune
microbiota-bile
acids-host
interplay
promising
strategies
act
cholesterol-related
disorders.
This
manuscript
summarizes
current
knowledge
cholesterol
metabolism
bacteria,
well
its
physiology,
identifying
gaps
opportunities
guide
further
advances
field.
JCI Insight,
Journal Year:
2020,
Volume and Issue:
5(9)
Published: April 17, 2020
Inflammation
is
a
major
risk
factor
of
morbidity
and
mortality
in
older
adults.
Although
its
precise
etiology
unknown,
low-grade
inflammation
adults
commonly
associated
with
increased
intestinal
epithelial
permeability
(leaky
gut)
abnormal
(dysbiotic)
gut
microbiota.
The
increasing
population
lack
treatments
to
reduce
aging-related
microbiota
dysbiosis,
leaky
gut,
culminates
rise
comorbidities,
constituting
significant
public
health
concern.
Here,
we
demonstrate
that
human-origin
probiotic
cocktail
containing
5
Lactobacillus
Enterococcus
strains
isolated
from
healthy
infant
prevented
high-fat
diet–induced
(HFD-induced)
inflammation,
metabolic
dysfunctions,
physical
function
decline
mice.
Probiotic-modulated
primarily
reduced
by
tight
junctions,
which
turn
inflammation.
Mechanistically,
probiotics
modulated
way
increase
bile
salt
hydrolase
activity,
taurine
abundance
the
stimulated
junctions
suppressed
leakiness.
Furthermore,
Caenorhabditis
elegans,
life
span,
adiposity
enhanced
function.
results
suggest
such
therapies
could
prevent
or
treat
elderly.
The Lancet. Gastroenterology & hepatology,
Journal Year:
2022,
Volume and Issue:
7(9), P. 830 - 842
Published: July 1, 2022
Progressive
familial
intrahepatic
cholestasis
(PFIC)
is
a
group
of
inherited
paediatric
liver
diseases
resulting
from
mutations
in
genes
that
impact
bile
secretion.
We
aimed
to
evaluate
the
effects
odevixibat,
an
ileal
acid
transporter
inhibitor,
versus
placebo
children
with
PFIC.Patients
eligible
for
this
24-week,
randomised,
double-blind,
completed,
phase
3
study
were
outpatients
diagnosed
PFIC1
or
PFIC2
who
had
pruritus
and
elevated
serum
acids
at
screening.
Patients
randomly
assigned
(1:1:1)
using
interactive
web-based
system
once
day
oral
placebo,
odevixibat
40
μg/kg,
120
μg/kg.
Randomisation
was
done
block
size
six
stratified
by
PFIC
type
patient
age;
patients,
clinicians,
staff
blinded
treatment
allocation.
enrolled
one
33
global
sites.
Two
primary
endpoints
evaluated:
proportion
positive
assessments
(PPAs;
ie,
scratching
score
≤1
≥1-point
decrease
as
assessed
caregivers
Albireo
observer-reported
outcome
[ObsRO]
PRUCISION
instrument)
over
24
weeks,
patients
response
(ie,
reduced
≥70%
baseline
concentrations
≤70
μmol/L)
week
24.
Efficacy
safety
analysed
allocated
received
more
doses
drug.
This
registered
ClinicalTrials.gov,
NCT03566238.Between
June
21,
2018,
Feb
10,
2020,
62
(median
age
3·2
[range
0·5-15·9]
years)
(n=20),
μg/kg
per
(n=23),
(n=19).
Model-adjusted
(least
squares)
mean
PPAs
significantly
higher
(55%
[SE
8]
combined
[58%
52%
group]
vs
30%
9]
group;
model-adjusted
difference
25·0%
[95%
CI
8·5-41·5];
p=0·0038).
The
percentage
also
(14
[33%]
42
[10
four
none
20
adjusting
stratification
factor
[PFIC
type],
30·7%
12·6-48·8;
p=0·0030]).
most
common
treatment-emergent
adverse
events
(TEAEs)
diarrhoea
frequent
bowel
movements
(13
[31%]
two
[10%]
placebo)
fever
(12
[29%]
five
[25%]
20);
serious
TEAEs
occurred
three
(7%)
odevixibat-treated
(25%)
placebo-treated
patients.In
PFIC,
effectively
generally
well
tolerated.
Odevixibat,
administered
capsules,
non-surgical,
pharmacological
option
interrupt
enterohepatic
circulation
PFIC.Albireo
Pharma.