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Bile Acids, FXR, and Metabolic Effects of Bariatric Surgery
; Still, Christopher D. ; Argyropoulos, George ; Edwards, Michael ;
Still, Christopher D.
Argyropoulos, George
Edwards, Michael
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Journal article
Date
2016-02-24
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Surgery
Medical Genetics and Molecular Biochemistry
Medical Genetics and Molecular Biochemistry
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https://doi.org/10.1155/2016/4390254
Abstract
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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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, vol. 2016, Article ID 4390254, 8 pages, 2016. https://doi.org/10.1155/2016/4390254
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Journal of Obesity, Vol. 2016
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