PMID- 29339445 OWN - NLM STAT- MEDLINE DCOM- 20190409 LR - 20190418 IS - 1540-9538 (Electronic) IS - 0022-1007 (Print) IS - 0022-1007 (Linking) VI - 215 IP - 2 DP - 2018 Feb 5 TI - Bile acids in glucose metabolism in health and disease. PG - 383-396 LID - 10.1084/jem.20171965 [doi] AB - Bile acids (BAs) are cholesterol-derived metabolites that facilitate the intestinal absorption and transport of dietary lipids. Recently, BAs also emerged as pivotal signaling molecules controlling glucose, lipid, and energy metabolism by binding to the nuclear hormone farnesoid X receptor (FXR) and Takeda G protein receptor 5 (TGR5) in multiple organs, leading to regulation of intestinal incretin secretion, hepatic gluconeogenesis, glycogen synthesis, energy expenditure, inflammation, and gut microbiome configuration. Alterations in BA metabolism and signaling are associated with obesity and type 2 diabetes mellitus (T2DM), whereas treatment of T2DM patients with BA sequestrants, or bariatric surgery in morbidly obese patients, results in a significant improvement in glycemic response that is associated with changes in the BA profile and signaling. Herein, we review the roles of BAs in glucose metabolism in health and disease; highlight the limitations, unknowns, and challenges in understanding the impact of BAs on the glycemic response; and discuss how this knowledge may be harnessed to develop innovative therapeutic approaches for the treatment of hyperglycemia and diabetes. CI - (c) 2018 Shapiro et al. FAU - Shapiro, Hagit AU - Shapiro H AD - Department of Immunology, Weizmann Institute of Science, Rehovot, Israel. FAU - Kolodziejczyk, Aleksandra A AU - Kolodziejczyk AA AUID- ORCID: 0000-0002-2903-8884 AD - Department of Immunology, Weizmann Institute of Science, Rehovot, Israel. FAU - Halstuch, Daniel AU - Halstuch D AUID- ORCID: 0000-0002-6331-5056 AD - Department of Immunology, Weizmann Institute of Science, Rehovot, Israel. FAU - Elinav, Eran AU - Elinav E AD - Department of Immunology, Weizmann Institute of Science, Rehovot, Israel eran.elinav@weizmann.ac.il. LA - eng GR - HHMI/Howard Hughes Medical Institute/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20180116 PL - United States TA - J Exp Med JT - The Journal of experimental medicine JID - 2985109R RN - 0 (Bile Acids and Salts) RN - 0 (Inflammation Mediators) RN - 0 (Receptors, Cytoplasmic and Nuclear) RN - 0 (Receptors, G-Protein-Coupled) RN - 0C5V0MRU6P (farnesoid X-activated receptor) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Bile Acids and Salts/*metabolism MH - Diabetes Mellitus/etiology/metabolism MH - Gastrointestinal Microbiome MH - Glucose/*metabolism MH - Humans MH - Inflammation Mediators/metabolism MH - Lipid Metabolism MH - Receptors, Cytoplasmic and Nuclear/metabolism MH - Receptors, G-Protein-Coupled/metabolism MH - Signal Transduction PMC - PMC5789421 EDAT- 2018/01/18 06:00 MHDA- 2019/04/10 06:00 PMCR- 2018/08/05 CRDT- 2018/01/18 06:00 PHST- 2017/10/30 00:00 [received] PHST- 2017/12/11 00:00 [revised] PHST- 2017/12/19 00:00 [accepted] PHST- 2018/01/18 06:00 [pubmed] PHST- 2019/04/10 06:00 [medline] PHST- 2018/01/18 06:00 [entrez] PHST- 2018/08/05 00:00 [pmc-release] AID - jem.20171965 [pii] AID - 20171965 [pii] AID - 10.1084/jem.20171965 [doi] PST - ppublish SO - J Exp Med. 2018 Feb 5;215(2):383-396. doi: 10.1084/jem.20171965. Epub 2018 Jan 16.