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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Frontiers Media S.A.
2021
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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) |
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TGR5 FXR lithocholic acid microbiome IBS bile salt hydrolase Diseases of the endocrine glands. Clinical endocrinology RC648-665 |
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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 |
work_keys_str_mv |
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