Aberrant Gut-To-Brain Signaling in Irritable Bowel Syndrome - The Role of Bile Acids

Functional bowel disorders such as irritable bowel syndrome (IBS) are common, multifactorial and have a major impact on the quality of life of individuals diagnosed with the condition. Heterogeneity in symptom manifestation, which includes changes in bowel habit and visceral pain sensitivity, are an...

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Autores principales: Róisín Ní Dhonnabháín, Qiao Xiao, Dervla O’Malley
Formato: article
Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
Materias:
FXR
IBS
Acceso en línea:https://doaj.org/article/f804cf6ac8d94c29b9e189ba22695d2c
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spelling oai:doaj.org-article:f804cf6ac8d94c29b9e189ba22695d2c2021-12-01T18:34:44ZAberrant Gut-To-Brain Signaling in Irritable Bowel Syndrome - The Role of Bile Acids1664-239210.3389/fendo.2021.745190https://doaj.org/article/f804cf6ac8d94c29b9e189ba22695d2c2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fendo.2021.745190/fullhttps://doaj.org/toc/1664-2392Functional bowel disorders such as irritable bowel syndrome (IBS) are common, multifactorial and have a major impact on the quality of life of individuals diagnosed with the condition. Heterogeneity in symptom manifestation, which includes changes in bowel habit and visceral pain sensitivity, are an indication of the complexity of the underlying pathophysiology. It is accepted that dysfunctional gut-brain communication, which incorporates efferent and afferent branches of the peripheral nervous system, circulating endocrine hormones and local paracrine and neurocrine factors, such as host and microbially-derived signaling molecules, underpins symptom manifestation. This review will focus on the potential role of hepatic bile acids in modulating gut-to-brain signaling in IBS patients. Bile acids are amphipathic molecules synthesized in the liver, which facilitate digestion and absorption of dietary lipids. They are also important bioactive signaling molecules however, binding to bile acid receptors which are expressed on many different cell types. Bile acids have potent anti-microbial actions and thereby shape intestinal bacterial profiles. In turn, bacteria with bile salt hydrolase activity initiate the critical first step in transforming primary bile acids into secondary bile acids. Individuals with IBS are reported to have altered microbial profiles and modified bile acid pools. We have assessed the evidence to support a role for bile acids in the pathophysiology underlying the manifestation of IBS symptoms.Róisín Ní DhonnabháínQiao XiaoQiao XiaoDervla O’MalleyDervla O’MalleyFrontiers Media S.A.articleTGR5FXRlithocholic acidmicrobiomeIBSbile salt hydrolaseDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENFrontiers in Endocrinology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic TGR5
FXR
lithocholic acid
microbiome
IBS
bile salt hydrolase
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
spellingShingle TGR5
FXR
lithocholic acid
microbiome
IBS
bile salt hydrolase
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Róisín Ní Dhonnabháín
Qiao Xiao
Qiao Xiao
Dervla O’Malley
Dervla O’Malley
Aberrant Gut-To-Brain Signaling in Irritable Bowel Syndrome - The Role of Bile Acids
description Functional bowel disorders such as irritable bowel syndrome (IBS) are common, multifactorial and have a major impact on the quality of life of individuals diagnosed with the condition. Heterogeneity in symptom manifestation, which includes changes in bowel habit and visceral pain sensitivity, are an indication of the complexity of the underlying pathophysiology. It is accepted that dysfunctional gut-brain communication, which incorporates efferent and afferent branches of the peripheral nervous system, circulating endocrine hormones and local paracrine and neurocrine factors, such as host and microbially-derived signaling molecules, underpins symptom manifestation. This review will focus on the potential role of hepatic bile acids in modulating gut-to-brain signaling in IBS patients. Bile acids are amphipathic molecules synthesized in the liver, which facilitate digestion and absorption of dietary lipids. They are also important bioactive signaling molecules however, binding to bile acid receptors which are expressed on many different cell types. Bile acids have potent anti-microbial actions and thereby shape intestinal bacterial profiles. In turn, bacteria with bile salt hydrolase activity initiate the critical first step in transforming primary bile acids into secondary bile acids. Individuals with IBS are reported to have altered microbial profiles and modified bile acid pools. We have assessed the evidence to support a role for bile acids in the pathophysiology underlying the manifestation of IBS symptoms.
format article
author Róisín Ní Dhonnabháín
Qiao Xiao
Qiao Xiao
Dervla O’Malley
Dervla O’Malley
author_facet Róisín Ní Dhonnabháín
Qiao Xiao
Qiao Xiao
Dervla O’Malley
Dervla O’Malley
author_sort Róisín Ní Dhonnabháín
title Aberrant Gut-To-Brain Signaling in Irritable Bowel Syndrome - The Role of Bile Acids
title_short Aberrant Gut-To-Brain Signaling in Irritable Bowel Syndrome - The Role of Bile Acids
title_full Aberrant Gut-To-Brain Signaling in Irritable Bowel Syndrome - The Role of Bile Acids
title_fullStr Aberrant Gut-To-Brain Signaling in Irritable Bowel Syndrome - The Role of Bile Acids
title_full_unstemmed Aberrant Gut-To-Brain Signaling in Irritable Bowel Syndrome - The Role of Bile Acids
title_sort aberrant gut-to-brain signaling in irritable bowel syndrome - the role of bile acids
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/f804cf6ac8d94c29b9e189ba22695d2c
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AT qiaoxiao aberrantguttobrainsignalinginirritablebowelsyndrometheroleofbileacids
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