Bile acids and their receptors: Potential therapeutic targets in inflammatory bowel disease

World J Gastroenterol. 2023 Jul 21;29(27):4252-4270. doi: 10.3748/wjg.v29.i27.4252.

Abstract

Chronic and recurrent inflammatory disorders of the gastrointestinal tract caused by a complex interplay between genetics and intestinal dysbiosis are called inflammatory bowel disease. As a result of the interaction between the liver and the gut microbiota, bile acids are an atypical class of steroids produced in mammals and traditionally known for their function in food absorption. With the development of genomics and metabolomics, more and more data suggest that the pathophysiological mechanisms of inflammatory bowel disease are regulated by bile acids and their receptors. Bile acids operate as signalling molecules by activating a variety of bile acid receptors that impact intestinal flora, epithelial barrier function, and intestinal immunology. Inflammatory bowel disease can be treated in new ways by using these potential molecules. This paper mainly discusses the increasing function of bile acids and their receptors in inflammatory bowel disease and their prospective therapeutic applications. In addition, we explore bile acid metabolism and the interaction of bile acids and the gut microbiota.

Keywords: Bile acid metabolism; Bile acid receptors; Bile acids; Gut microbiota; Inflammatory bowel disease; Intestinal immunology.

Publication types

  • Review

MeSH terms

  • Animals
  • Bile Acids and Salts
  • Dysbiosis
  • Gastrointestinal Microbiome*
  • Humans
  • Inflammatory Bowel Diseases* / drug therapy
  • Intestines
  • Liver
  • Mammals

Substances

  • Bile Acids and Salts