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Physiological effects of bile acids

Abstract


Grinevich V.B., Sas E.I.

Military Medical Academy named after S.M.Kirov, St. Petersburg

Interest to studying the physiological properties of bile acids has increased after identification of the bile acids by the natural ligands of the farnesoid X receptor / nuclear bile acid receptor (FXR / BAR or NR1H4). Bile acids metabolism is closely connected with the cholesterol exchange. However, the study of effects on the farnesoid X receptor made it possible to establish mechanisms of the influence of bile acids not only on enterohepatic circulation and the functional activity of hepatocytes, but also on carbohydrate and lipid metabolism. The discovery of nuclear and membrane receptors of bile acids allowed a new assessment of the physiological feasibility of enterohepatic circulation as one of the mechanisms of metabolic regulation during meal or hunger. Mechanisms of pathogenetic influence on the hepatobiliary system are established in conditions of diabetes mellitus, obesity, dyslipidemia. Often this influence, as well as the actual effect on the synthesis of primary bile acids, is integrative, and sometimes also dual, which requires regular analysis of new data for the purpose of their subsequent integration into clinical practice.

Key words: bile acids, enterohepatic circulation, cholesterol, farnesoid X receptor.
For citation: Grinevich V.B., Sas E.I. Physiological effects of bile acids // RMJ. MEDICAL REVIEW. 2017. № 2. P. 87–91.
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