Bile Acids - Regulation

Regulation

As surfactants or detergents, bile acids are potentially toxic to cells, and their concentrations are tightly regulated. They function as a signaling molecule in the liver and the intestines by activating a nuclear hormone receptor, FXR, also known by its gene name NR1H4. 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. FXR activation by bile acids during absorption in the intestine increases transcription and synthesis of FGF19, which will then inhibit bile acid synthesis in the liver. Emerging evidence associates FXR activation with alterations in triglyceride metabolism, glucose metabolism, and liver growth.

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