Modulating bile acid pathways and TGR5 receptors for treating liver and GI diseases

被引:33
作者
Malhi, Harmeet
Camilleri, Michael [1 ]
机构
[1] Mayo Clin, CENTER, Rochester, MN 55905 USA
关键词
PRIMARY BILIARY-CIRRHOSIS; PLACEBO-CONTROLLED TRIAL; IRRITABLE-BOWEL-SYNDROME; URSODEOXYCHOLIC ACID; OBETICHOLIC ACID; TRANSPORTER INHIBITOR; FUNCTIONAL CONSTIPATION; CHENODEOXYCHOLIC ACID; DIARRHEA; MULTICENTER;
D O I
10.1016/j.coph.2017.09.008
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Bile acids are central signals in enterohepatic communication and also integrate microbiota-derived signals into this signaling axis. Discovery of the tissue distribution and signaling pathways activated by the natural receptors for bile acids, farnesoid X receptor and G protein-coupled bile acid receptor 1 (GPBAR1) also known as TGR5, and bile acid transporters has led to the development of therapeutic agents that target these molecules. Obeticholic acid, a selective FXR agonist, and NGM282, a non-mitogenic FGF-19 analog, are two of the agents in this pipeline. Obeticholic acid has been approved by regulatory agencies for use in patients with primary biliary cholangitis.
引用
收藏
页码:80 / 86
页数:7
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