Related Experiment Video
Updated: Jan 29, 2026

08:42
Using Multi-fluorinated Bile Acids and In Vivo Magnetic Resonance Imaging to Measure Bile Acid Transport
Published on: November 27, 2016
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Bile acids as therapeutic agents
Brandon Vu1,2, Ryo Kawamoto1, Priscila Villalba-Davila3
1Solomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Frontiers in Pharmacology
|January 28, 2026
Summary
Bile acids (BAs) show therapeutic potential beyond digestion, treating liver diseases like primary biliary cholangitis (PBC) and others. Research explores their use in cholestatic, metabolic, and neurodegenerative conditions.
Area of Science:
- Biochemistry
- Pharmacology
- Hepatology
Background:
- Bile acids (BAs) are amphipathic molecules crucial for lipid digestion.
- Emerging research highlights their therapeutic potential in various diseases.
- Ursodeoxycholic acid (UDCA) is FDA-approved for primary biliary cholangitis (PBC).
Purpose of the Study:
- To review established and emerging bile acid-based therapies.
- To explore the mechanisms of BA therapeutic effects.
- To discuss novel drug delivery systems for bile acids.
Main Methods:
- Literature review of established and emerging bile acid therapies.
- Analysis of signaling pathways modulated by bile acids (FXR, VDR, TGR5).
- Examination of physicochemical properties influencing BA efficacy and toxicity.
Main Results:
- Bile acids modulate signaling pathways, reduce liver injury, and regulate inflammation.
- Recent approvals include chenodeoxycholic acid (CDCA) for cerebrotendinous xanthomatosis (CTX).
- Ongoing trials investigate norucholic acid (NCA) for primary sclerosing cholangitis (PSC).
Conclusions:
- Bile acids offer therapeutic applications beyond cholestatic liver diseases, including metabolic and neurodegenerative disorders.
- Understanding BA physicochemical properties is key to optimizing efficacy and minimizing toxicity.
- Further research into BA monotherapies, combination regimens, and novel delivery systems is warranted.
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