Document Detail


Bile acids: chemistry, physiology, and pathophysiology.
MedLine Citation:
PMID:  19230041     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The family of bile acids includes a group of molecular species of acidic steroids with very peculiar physical-chemical and biological characteristics. They are synthesized by the liver from cholesterol through several complementary pathways that are controlled by mechanisms involving fine-tuning by the levels of certain bile acid species. Although their best-known role is their participation in the digestion and absorption of fat, they also play an important role in several other physiological processes. Thus, genetic abnormalities accounting for alterations in their synthesis, biotransformation and/or transport may result in severe alterations, even leading to lethal situations for which the sole therapeutic option may be liver transplantation. Moreover, the increased levels of bile acids reached during cholestatic liver diseases are known to induce oxidative stress and apoptosis, resulting in damage to the liver parenchyma and, eventually, extrahepatic tissues. When this occurs during pregnancy, the outcome of gestation may be challenged. In contrast, the physical-chemical and biological properties of these compounds have been used as the bases for the development of drugs and as pharmaceutical tools for the delivery of active agents.
Authors:
Maria J Monte; Jose J G Marin; Alvaro Antelo; Jose Vazquez-Tato
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  15     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-20     Completed Date:  2009-05-20     Revised Date:  2010-09-23    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  804-16     Citation Subset:  IM    
Affiliation:
Laboratory of Experimental Hepatology and Drug Targeting, CIBERehd, University of Salamanca, Salamanca 37007, Spain. mjmonte@usal.es
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MeSH Terms
Descriptor/Qualifier:
Bile / secretion
Bile Acids and Salts / biosynthesis,  chemistry*,  physiology*
Biological Transport
Cholestasis / genetics,  metabolism
Cholesterol / metabolism
Cholesterol 7-alpha-Hydroxylase
Dietary Fats / metabolism
Homeostasis
Humans
Intestinal Absorption
Liver / physiology*
Models, Molecular
Peroxisomes / genetics,  metabolism
Sterols / metabolism
Vitamins / metabolism
Chemical
Reg. No./Substance:
0/Bile Acids and Salts; 0/Dietary Fats; 0/Sterols; 0/Vitamins; 57-88-5/Cholesterol; EC 1.14.13.17/Cholesterol 7-alpha-Hydroxylase; EC 1.14.13.17/cytochrome P450 7A1, mouse
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