A Critical Review of Bile Acids and Their Receptors in Hepatic Encephalopathy
Overview
Affiliations
Hepatic encephalopathy describes an array of neurological complications that arise due to liver insufficiency. The pathogenesis of hepatic encephalopathy shares a longstanding association with hyperammonemia and inflammation, and recently, aberrant bile acid signaling has been implicated in the development of key features of hepatic encephalopathy. These key features include neuronal dysfunction, neuroinflammation and blood-brain barrier permeability. This review summarizes the findings of recent studies demonstrating a role for bile acids in the pathogenesis of hepatic encephalopathy via one of three main bile acid receptors and speculates on the possible downstream consequences of aberrant bile acid signaling.
Yoshikiyo K, Shimizu H, Nagato E, Ishizuka S, Yamamoto T Molecules. 2025; 30(2.
PMID: 39860151 PMC: 11767548. DOI: 10.3390/molecules30020281.
Elevated Bile Acids Induce Circadian Rhythm Sleep Disorders in Chronic Liver Diseases.
Zhou L, Yan M, Luo Q, Qiu W, Guo Y, Guo X Cell Mol Gastroenterol Hepatol. 2024; 19(3):101439.
PMID: 39667579 PMC: 11786901. DOI: 10.1016/j.jcmgh.2024.101439.
Lee B, Jo D, Park J, Kim O, Song J Heliyon. 2024; 10(19):e38534.
PMID: 39391493 PMC: 11466606. DOI: 10.1016/j.heliyon.2024.e38534.
Microbiota-gut-liver-brain axis and hepatic encephalopathy.
Lu H, Zhang H, Wu Z, Li L Microbiome Res Rep. 2024; 3(2):17.
PMID: 38841407 PMC: 11149093. DOI: 10.20517/mrr.2023.44.
Cai H, Zhang J, Liu C, Le T, Lu Y, Feng F Foods. 2024; 13(5).
PMID: 38472812 PMC: 10931208. DOI: 10.3390/foods13050699.