Bile Acids and Biliary Fibrosis

Biliary fibrosis is the driving pathological process in cholangiopathies such as primary biliary cholangitis (PBC) and primary sclerosing cholangitis (PSC). Cholangiopathies are also associated with cholestasis, which is the retention of biliary components, including bile acids, in the liver and blo...

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Main Authors: Sayed Obaidullah Aseem, Phillip B. Hylemon, Huiping Zhou
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/12/5/792
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author Sayed Obaidullah Aseem
Phillip B. Hylemon
Huiping Zhou
author_facet Sayed Obaidullah Aseem
Phillip B. Hylemon
Huiping Zhou
author_sort Sayed Obaidullah Aseem
collection DOAJ
description Biliary fibrosis is the driving pathological process in cholangiopathies such as primary biliary cholangitis (PBC) and primary sclerosing cholangitis (PSC). Cholangiopathies are also associated with cholestasis, which is the retention of biliary components, including bile acids, in the liver and blood. Cholestasis may worsen with biliary fibrosis. Furthermore, bile acid levels, composition and homeostasis are dysregulated in PBC and PSC. In fact, mounting data from animal models and human cholangiopathies suggest that bile acids play a crucial role in the pathogenesis and progression of biliary fibrosis. The identification of bile acid receptors has advanced our understanding of various signaling pathways involved in regulating cholangiocyte functions and the potential impact on biliary fibrosis. We will also briefly review recent findings linking these receptors with epigenetic regulatory mechanisms. Further detailed understanding of bile acid signaling in the pathogenesis of biliary fibrosis will uncover additional therapeutic avenues for cholangiopathies.
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spelling doaj.art-a0b7f108441c41eaa437150539ce98332023-11-17T07:28:12ZengMDPI AGCells2073-44092023-03-0112579210.3390/cells12050792Bile Acids and Biliary FibrosisSayed Obaidullah Aseem0Phillip B. Hylemon1Huiping Zhou2Stravitz-Sanyal Institute for Liver Disease & Metabolic Health, School of Medicine, Virginia Commonwealth University, Richmond, VA 23298, USADepartment of Microbiology and Immunology, Virginia Commonwealth University, Richmond, VA 23298, USADepartment of Microbiology and Immunology, Virginia Commonwealth University, Richmond, VA 23298, USABiliary fibrosis is the driving pathological process in cholangiopathies such as primary biliary cholangitis (PBC) and primary sclerosing cholangitis (PSC). Cholangiopathies are also associated with cholestasis, which is the retention of biliary components, including bile acids, in the liver and blood. Cholestasis may worsen with biliary fibrosis. Furthermore, bile acid levels, composition and homeostasis are dysregulated in PBC and PSC. In fact, mounting data from animal models and human cholangiopathies suggest that bile acids play a crucial role in the pathogenesis and progression of biliary fibrosis. The identification of bile acid receptors has advanced our understanding of various signaling pathways involved in regulating cholangiocyte functions and the potential impact on biliary fibrosis. We will also briefly review recent findings linking these receptors with epigenetic regulatory mechanisms. Further detailed understanding of bile acid signaling in the pathogenesis of biliary fibrosis will uncover additional therapeutic avenues for cholangiopathies.https://www.mdpi.com/2073-4409/12/5/792biliary fibrosisbile acidsbile acid receptorscholangiocytescholangiopathies
spellingShingle Sayed Obaidullah Aseem
Phillip B. Hylemon
Huiping Zhou
Bile Acids and Biliary Fibrosis
Cells
biliary fibrosis
bile acids
bile acid receptors
cholangiocytes
cholangiopathies
title Bile Acids and Biliary Fibrosis
title_full Bile Acids and Biliary Fibrosis
title_fullStr Bile Acids and Biliary Fibrosis
title_full_unstemmed Bile Acids and Biliary Fibrosis
title_short Bile Acids and Biliary Fibrosis
title_sort bile acids and biliary fibrosis
topic biliary fibrosis
bile acids
bile acid receptors
cholangiocytes
cholangiopathies
url https://www.mdpi.com/2073-4409/12/5/792
work_keys_str_mv AT sayedobaidullahaseem bileacidsandbiliaryfibrosis
AT phillipbhylemon bileacidsandbiliaryfibrosis
AT huipingzhou bileacidsandbiliaryfibrosis