PMID- 36768140 OWN - NLM STAT- MEDLINE DCOM- 20230214 LR - 20230214 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 3 DP - 2023 Jan 17 TI - The Black Box Orchestra of Gut Bacteria and Bile Acids: Who Is the Conductor? LID - 10.3390/ijms24031816 [doi] LID - 1816 AB - Over the past decades the potential role of the gut microbiome and bile acids in type 2 diabetes mellitus (T2DM) has been revealed, with a special reference to low bacterial alpha diversity. Certain bile acid effects on gut bacteria concern cytotoxicity, or in the case of the microbiome, bacteriotoxicity. Reciprocally, the gut microbiome plays a key role in regulating the bile acid pool by influencing the conversion and (de)conjugation of primary bile acids into secondary bile acids. Three main groups of bacterial enzymes responsible for the conversion of bile acids are bile salt hydrolases (BSHs), hydroxysteroid dehydrogenases (HSDHs) and enzymes encoded in the bile acid inducible (Bai) operon genes. Interventions such as probiotics, antibiotics and fecal microbiome transplantation can impact bile acids levels. Further evidence of the reciprocal interaction between gut microbiota and bile acids comes from a multitude of nutritional interventions including macronutrients, fibers, prebiotics, specific individual products or diets. Finally, anatomical changes after bariatric surgery are important because of their metabolic effects. The heterogeneity of studies, diseases, bacterial species and (epi)genetic influences such as nutrition may challenge establishing specific and detailed interventions that aim to tackle the gut microbiome and bile acids. FAU - Majait, Soumia AU - Majait S AD - Department of Pharmacy and Clinical Pharmacy, Amsterdam University Medical Center, 1105 AZ Amsterdam, The Netherlands. FAU - Nieuwdorp, Max AU - Nieuwdorp M AD - Department of Internal and Vascular Medicine, Amsterdam University Medical Center, 1105 AZ Amsterdam, The Netherlands. FAU - Kemper, Marleen AU - Kemper M AD - Department of Pharmacy and Clinical Pharmacy, Amsterdam University Medical Center, 1105 AZ Amsterdam, The Netherlands. FAU - Soeters, Maarten AU - Soeters M AD - Department of Endocrinology and Metabolism, Amsterdam University Medical Center, 1105 AZ Amsterdam, The Netherlands. LA - eng PT - Journal Article PT - Review DEP - 20230117 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Bile Acids and Salts) SB - IM MH - Humans MH - Bile Acids and Salts/metabolism MH - *Diabetes Mellitus, Type 2 MH - Bacteria/metabolism MH - *Microbiota MH - *Gastrointestinal Microbiome/physiology PMC - PMC9916144 OTO - NOTNLM OT - bile acids OT - enterohepatic circulation OT - gut microbiome OT - nutrition OT - prebiotics OT - probiotics OT - type 2 diabetes mellitus COIS- M.N. is founder and a member of the Scientific Advisory Board of Caelus Pharmaceuticals, The Netherlands: none of these possible conflicts of interest bear direct relations to the outcomes of this specific review. EDAT- 2023/02/12 06:00 MHDA- 2023/02/15 06:00 PMCR- 2023/01/17 CRDT- 2023/02/11 01:18 PHST- 2022/11/03 00:00 [received] PHST- 2023/01/11 00:00 [revised] PHST- 2023/01/14 00:00 [accepted] PHST- 2023/02/11 01:18 [entrez] PHST- 2023/02/12 06:00 [pubmed] PHST- 2023/02/15 06:00 [medline] PHST- 2023/01/17 00:00 [pmc-release] AID - ijms24031816 [pii] AID - ijms-24-01816 [pii] AID - 10.3390/ijms24031816 [doi] PST - epublish SO - Int J Mol Sci. 2023 Jan 17;24(3):1816. doi: 10.3390/ijms24031816.