Bile Acids, FXR, and Metabolic Effects of Bariatric Surgery

Overweight and obesity represent major risk factors for diabetes and related metabolic diseases. Obesity is associated with a chronic and progressive inflammatory response leading to the development of insulin resistance and type 2 diabetes (T2D) mellitus, although the precise mechanism mediating th...

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Main Authors: Olivier F. Noel, Christopher D. Still, George Argyropoulos, Michael Edwards, Glenn S. Gerhard
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2016/4390254
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author Olivier F. Noel
Christopher D. Still
George Argyropoulos
Michael Edwards
Glenn S. Gerhard
author_facet Olivier F. Noel
Christopher D. Still
George Argyropoulos
Michael Edwards
Glenn S. Gerhard
author_sort Olivier F. Noel
collection DOAJ
description Overweight and obesity represent major risk factors for diabetes and related metabolic diseases. Obesity is associated with a chronic and progressive inflammatory response leading to the development of insulin resistance and type 2 diabetes (T2D) mellitus, although the precise mechanism mediating this inflammatory process remains poorly understood. The most effective intervention for the treatment of obesity, bariatric surgery, leads to glucose normalization and remission of T2D. Recent work in both clinical studies and animal models supports bile acids (BAs) as key mediators of these effects. BAs are involved in lipid and glucose homeostasis primarily via the farnesoid X receptor (FXR) transcription factor. BAs are also involved in regulating genes involved in inflammation, obesity, and lipid metabolism. Here, we review the novel role of BAs in bariatric surgery and the intersection between BAs and immune, obesity, weight loss, and lipid metabolism genes.
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institution Kabale University
issn 2090-0708
2090-0716
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publishDate 2016-01-01
publisher Wiley
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series Journal of Obesity
spelling doaj-art-1563d5ca66074c20a2deacff68bd52dd2025-08-20T03:54:25ZengWileyJournal of Obesity2090-07082090-07162016-01-01201610.1155/2016/43902544390254Bile Acids, FXR, and Metabolic Effects of Bariatric SurgeryOlivier F. Noel0Christopher D. Still1George Argyropoulos2Michael Edwards3Glenn S. Gerhard4Temple University School of Medicine, Philadelphia, PA 19140, USAGeisinger Clinic, Danville, PA 17822, USAGeisinger Clinic, Danville, PA 17822, USATemple University School of Medicine, Philadelphia, PA 19140, USATemple University School of Medicine, Philadelphia, PA 19140, USAOverweight and obesity represent major risk factors for diabetes and related metabolic diseases. Obesity is associated with a chronic and progressive inflammatory response leading to the development of insulin resistance and type 2 diabetes (T2D) mellitus, although the precise mechanism mediating this inflammatory process remains poorly understood. The most effective intervention for the treatment of obesity, bariatric surgery, leads to glucose normalization and remission of T2D. Recent work in both clinical studies and animal models supports bile acids (BAs) as key mediators of these effects. BAs are involved in lipid and glucose homeostasis primarily via the farnesoid X receptor (FXR) transcription factor. BAs are also involved in regulating genes involved in inflammation, obesity, and lipid metabolism. Here, we review the novel role of BAs in bariatric surgery and the intersection between BAs and immune, obesity, weight loss, and lipid metabolism genes.http://dx.doi.org/10.1155/2016/4390254
spellingShingle Olivier F. Noel
Christopher D. Still
George Argyropoulos
Michael Edwards
Glenn S. Gerhard
Bile Acids, FXR, and Metabolic Effects of Bariatric Surgery
Journal of Obesity
title Bile Acids, FXR, and Metabolic Effects of Bariatric Surgery
title_full Bile Acids, FXR, and Metabolic Effects of Bariatric Surgery
title_fullStr Bile Acids, FXR, and Metabolic Effects of Bariatric Surgery
title_full_unstemmed Bile Acids, FXR, and Metabolic Effects of Bariatric Surgery
title_short Bile Acids, FXR, and Metabolic Effects of Bariatric Surgery
title_sort bile acids fxr and metabolic effects of bariatric surgery
url http://dx.doi.org/10.1155/2016/4390254
work_keys_str_mv AT olivierfnoel bileacidsfxrandmetaboliceffectsofbariatricsurgery
AT christopherdstill bileacidsfxrandmetaboliceffectsofbariatricsurgery
AT georgeargyropoulos bileacidsfxrandmetaboliceffectsofbariatricsurgery
AT michaeledwards bileacidsfxrandmetaboliceffectsofbariatricsurgery
AT glennsgerhard bileacidsfxrandmetaboliceffectsofbariatricsurgery