2017
DOI: 10.1007/s40495-017-0085-2
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Role of FXR in Liver Inflammation During Nonalcoholic Steatohepatitis

Abstract: Purpose of review About 15–25% of patients with simple steatosis of non-alcoholic fatty liver disease progresses to non-alcoholic steatohepatitis (NASH), and the underlying mechanism for this progression has not been elucidated. NASH ultimately could progress to cirrhosis, an irreversible condition. Recent findings Farnesoid X receptor (FXR) has been studied for its role in modulating inflammation, and the expression of FXR is down-regulated during NASH development. FXR deficiency has shown to progress and e… Show more

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Cited by 80 publications
(72 citation statements)
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“…41 Interestingly, the expression of FXR is downregulated during the development of liver diseases. 42 On the basis of this background, we proposed that the decrease of BSH abundance in patients with liver diseases is associated with the host FXR expression level; however, further experiments need to be performed to elucidate the related underlying mechanisms.…”
Section: Discussionmentioning
confidence: 99%
“…41 Interestingly, the expression of FXR is downregulated during the development of liver diseases. 42 On the basis of this background, we proposed that the decrease of BSH abundance in patients with liver diseases is associated with the host FXR expression level; however, further experiments need to be performed to elucidate the related underlying mechanisms.…”
Section: Discussionmentioning
confidence: 99%
“…However, it has been verified that TMAO exacerbates hepatic steatosis by blocking the farnesoid X receptor (FXR) signaling activated by bile acid [49]. By contrast, the activation of FXR signaling have shown a protective effect against NAFLD including liver steatosis and inflammation [50,51]. It should be mentioned that N,N,N-trimethyl-5-aminovaleric acid (TMAVA), a newly identified gut microbiota metabolite, appears as a key molecule exacerbating high-fat diet-induced liver steatosis through the inhibition of carnitine synthesis accompanied by a reduction in mitochondrial fatty acid β-oxidation in hepatic tissue [52].…”
Section: Gut Microbiota-derived Components and Metabolites That Accelmentioning
confidence: 99%
“…The next two associated pathways, LXR/RXR activation and FXR/RXR activation, are mechanistically linked via heterodimerization of the nuclear receptors farnesoid X receptor (FXR) and retinoid X receptor (RXR) [ 41 ]. FXR is highly expressed in the liver and is involved in several key metabolic processes including bile acid synthesis, glucose and lipid metabolism, and regulation of inflammatory pathways [ 42 ]. Administration of the synthetic bile acid derivative and FXR agonist, obeticholic acid, has been shown to reduce the histological NAFLD fibrosis score in a multicenter, randomized, double blind, placebo-controlled study [ 43 ].…”
Section: Discussionmentioning
confidence: 99%