Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Perspective
  • Published:

The changing metabolic landscape of bile acids – keys to metabolism and immune regulation

Abstract

Bile acids regulate nutrient absorption and mitochondrial function, they establish and maintain gut microbial community composition and mediate inflammation, and they serve as signalling molecules that regulate appetite and energy homeostasis. The observation that there are hundreds of bile acids, especially many amidated bile acids, necessitates a revision of many of the classical descriptions of bile acids and bile acid enzyme functions. For example, bile salt hydrolases also have transferase activity. There are now hundreds of known modifications to bile acids and thousands of bile acid-associated genes, especially when including the microbiome, distributed throughout the human body (for example, there are >2,400 bile salt hydrolases alone). The fact that so much of our genetic and small-molecule repertoire, in both amount and diversity, is dedicated to bile acid function highlights the centrality of bile acids as key regulators of metabolism and immune homeostasis, which is, in large part, communicated via the gut microbiome.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Diversity of known bile acid chemical modifications.
Fig. 2: Modifications of known bile acids.
Fig. 3: Distribution of bile acids and related transcripts or proteins.
Fig. 4: Proportion of bile acids in humans.
Fig. 5: The known deconjugation and re-conjugation of bile acids by BAAT and BSH enzymes.
Fig. 6: Bile acids and receptor interactions.
Fig. 7: The bile acid encoder–decoder hypothesis.

Similar content being viewed by others

Data availability

Structural databases referred to in Fig. 2 and Supplementary Fig. 1 can be accessed and downloaded from https://hmdb.ca/downloads (HMDB), https://gnps-external.ucsd.edu/gnpslibrary (BILELIB19) and https://www.lipidmaps.org/data/structure/download.php (LIPID MAPS). The source code used for generation of Fig. 2 and Supplementary Fig. 1 can be accessed at https://github.com/YasinEl/Bile_Acid_Review_2022; Figs. 3a,b and 4 can be accessed at https://github.com/mohantyipsita/Bile_Acid_Review_2022; Fig. 3c,d can be accessed at https://github.com/callaband/Bile_Acid_Review_2022.

References

  1. Norman, A. & Sjövall, J. On the transformation and enterohepatic circulation of cholic acid in the rat. J. Biol. Chem. 233, 872–885 (1958).

    Article  CAS  PubMed  Google Scholar 

  2. Norman, A. & Sjövall, J. Formation of lithocholic acid from chenodeoxycholic acid in the rat. Acta Chem. Scand. 14, 1815–1818 (1960).

    Article  CAS  Google Scholar 

  3. Carey, J. B.Jr, Wilson, I. D., Zaki, F. G. & Hanson, R. F. The metabolism of bile acids with special reference to liver injury. Medicine 45, 461–470 (1966).

    Article  CAS  PubMed  Google Scholar 

  4. Hofmann, A. F. & Hagey, L. R. Key discoveries in bile acid chemistry and biology and their clinical applications: history of the last eight decades. J. Lipid Res. 55, 1553–1595 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Hofmann, A. F. & Hagey, L. R. in Gut and Liver (eds Blum, H. E., Bode, C., Bode, J. C. & Sartor, R. B.) 85–103 (Kluwer, 1998).

  6. Makishima, M. et al. Identification of a nuclear receptor for bile acids. Science 284, 1362–1365 (1999).

    Article  CAS  PubMed  Google Scholar 

  7. Wang, H., Chen, J., Hollister, K., Sowers, L. C. & Forman, B. M. Endogenous bile acids are ligands for the nuclear receptor FXR/BAR. Mol. Cell 3, 543–553 (1999).

    Article  CAS  PubMed  Google Scholar 

  8. Parks, D. J. et al. Bile acids: natural ligands for an orphan nuclear receptor. Science 284, 1365–1368 (1999).

    Article  CAS  PubMed  Google Scholar 

  9. Matsubara, T., Li, F. & Gonzalez, F. J. FXR signaling in the enterohepatic system. Mol. Cell. Endocrinol. 368, 17–29 (2013).

    Article  CAS  PubMed  Google Scholar 

  10. Gonzalez, F. J. Nuclear receptor control of enterohepatic circulation. Compr. Physiol. 2, 2811–2828 (2012).

    Article  PubMed  PubMed Central  Google Scholar 

  11. Porez, G., Prawitt, J., Gross, B. & Staels, B. Bile acid receptors as targets for the treatment of dyslipidemia and cardiovascular disease. J. Lipid Res. 53, 1723–1737 (2012).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Režen, T. et al. The role of bile acids in carcinogenesis. Cell. Mol. Life Sci. 79, 243 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  13. Maruyama, T. et al. Identification of membrane-type receptor for bile acids (M-BAR). Biochem. Biophys. Res. Commun. 298, 714–719 (2002).

    Article  CAS  PubMed  Google Scholar 

  14. Kawamata, Y. et al. A G protein-coupled receptor responsive to bile acids. J. Biol. Chem. 278, 9435–9440 (2003).

    Article  CAS  PubMed  Google Scholar 

  15. Miyake, J. H., Wang, S. L. & Davis, R. A. Bile acid induction of cytokine expression by macrophages correlates with repression of hepatic cholesterol 7ɑ-hydroxylase. J. Biol. Chem. 275, 21805–21808 (2000).

    Article  CAS  PubMed  Google Scholar 

  16. Staudinger, J. L. et al. The nuclear receptor PXR is a lithocholic acid sensor that protects against liver toxicity. Proc. Natl Acad. Sci. USA 98, 3369–3374 (2001).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Yao, L. et al. A selective gut bacterial bile salt hydrolase alters host metabolism. Elife 7, e37812 (2018).

    Article  Google Scholar 

  18. Song, C., Hiipakka, R. A. & Liao, S. Selective activation of liver X receptor alpha by 6α-hydroxy bile acids and analogs. Steroids 65, 423–427 (2000).

    Article  CAS  PubMed  Google Scholar 

  19. Makishima, M. et al. Vitamin D receptor as an intestinal bile acid sensor. Science 296, 1313–1316 (2002).

    Article  CAS  PubMed  Google Scholar 

  20. Studer, E. et al. Conjugated bile acids activate the sphingosine-1-phosphate receptor 2 in primary rodent hepatocytes. Hepatology 55, 267–276 (2012).

    Article  CAS  PubMed  Google Scholar 

  21. Li, W. et al. A bacterial bile acid metabolite modulates Treg activity through the nuclear hormone receptor NR4A1. Cell Host Microbe 29, 1366–1377.e9 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Ridlon, J. M., Kang, D.-J. & Hylemon, P. B. Bile salt biotransformations by human intestinal bacteria. J. Lipid Res. 47, 241–259 (2006).

    Article  CAS  PubMed  Google Scholar 

  23. Ridlon, J. M., Harris, S. C., Bhowmik, S., Kang, D.-J. & Hylemon, P. B. Consequences of bile salt biotransformations by intestinal bacteria. Gut Microbes 7, 22–39 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Doden, H. L. & Ridlon, J. M. Microbial hydroxysteroid dehydrogenases: from alpha to omega. Microorganisms 9, 469 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Guzior, D. V. & Quinn, R. A. Review: microbial transformations of human bile acids. Microbiome 9, 140 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Joyce, S. A. & Gahan, C. G. M. Bile acid modifications at the microbe-host interface: potential for nutraceutical and pharmaceutical interventions in host health. Annu. Rev. Food Sci. Technol. 7, 313–333 (2016).

    Article  CAS  PubMed  Google Scholar 

  27. Larabi, A. B., Masson, H. L. P. & Bäumler, A. J. Bile acids as modulators of gut microbiota composition and function. Gut Microbes 15, 2172671 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  28. Alnouti, Y. Bile acid sulfation: a pathway of bile acid elimination and detoxification. Toxicol. Sci. 108, 225–246 (2009).

    Article  CAS  PubMed  Google Scholar 

  29. Keitel, V., Kubitz, R. & Häussinger, D. Endocrine and paracrine role of bile acids. World J. Gastroenterol. 14, 5620–5629 (2008).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Sjöstedt, E. et al. An atlas of the protein-coding genes in the human, pig, and mouse brain. Science 367, eaay5947 (2020).

    Article  PubMed  Google Scholar 

  31. Maneerat, S., Nitoda, T., Kanzaki, H. & Kawai, F. Bile acids are new products of a marine bacterium, Myroides sp. strain SM1. Appl. Microbiol. Biotechnol. 67, 679–683 (2005).

    Article  CAS  PubMed  Google Scholar 

  32. Kim, D. et al. Biosynthesis of bile acids in a variety of marine bacterial taxa. J. Microbiol. Biotechnol. 17, 403–407 (2007).

    CAS  PubMed  Google Scholar 

  33. Lucas, L. N. et al. Dominant bacterial phyla from the human gut show widespread ability to transform and conjugate bile acids. mSystems 6, e0080521 (2021).

    Article  Google Scholar 

  34. Ohashi, K., Miyagawa, Y., Nakamura, Y. & Shibuya, H. Bioproduction of bile acids and the glycine conjugates by Penicillium fungus. J. Nat. Med. 62, 83–86 (2008).

    Article  CAS  PubMed  Google Scholar 

  35. Lee, A. K., Wei, J. H. & Welander, P. V. De novo cholesterol biosynthesis in bacteria. Nat. Commun. 14, 2904 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Yano, J. M. et al. Indigenous bacteria from the gut microbiota regulate host serotonin biosynthesis. Cell 161, 264–276 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Reigstad, C. S. et al. Gut microbes promote colonic serotonin production through an effect of short-chain fatty acids on enterochromaffin cells. FASEB J. 29, 1395–1403 (2015).

    Article  CAS  PubMed  Google Scholar 

  38. De Vadder, F. et al. Gut microbiota regulates maturation of the adult enteric nervous system via enteric serotonin networks. Proc. Natl Acad. Sci. USA 115, 6458–6463 (2018).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Swann, J. R. et al. Systemic gut microbial modulation of bile acid metabolism in host tissue compartments. Proc. Natl Acad. Sci. USA 108, 4523–4530 (2011).

    Article  CAS  PubMed  Google Scholar 

  40. Gentry, E. C. et al. Reverse metabolomics for the discovery of chemical structures from humans. Nature 626, 419–426 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  41. Neugebauer, K. A. et al. Bile acid-CoA:amino acid N-acyltransferase gene knockout alters early life development, the gut microbiome and reveals unusual bile acid conjugates in mice. J. Lipid Res. 63, 100297 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Quinn, R. A. et al. Global chemical effects of the microbiome include new bile-acid conjugations. Nature 579, 123–129 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Shalon, D. et al. Profiling the human intestinal environment under physiological conditions. Nature 617, 581–591 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Folz, J. et al. Human metabolome variation along the upper intestinal tract. Nat. Metab. 5, 777–788 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Gass, J., Vora, H., Hofmann, A. F., Gray, G. M. & Khosla, C. Enhancement of dietary protein digestion by conjugated bile acids. Gastroenterology 133, 16–23 (2007).

    Article  CAS  PubMed  Google Scholar 

  46. Yoon, Y. M. et al. Tauroursodeoxycholic acid reduces ER stress by regulating of Akt-dependent cellular prion protein. Sci. Rep. 6, 39838 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Cummings, B. P. et al. Bile-acid-mediated decrease in endoplasmic reticulum stress: a potential contributor to the metabolic benefits of ileal interposition surgery in UCD-T2DM rats. Dis. Model. Mech. 6, 443–456 (2013).

    CAS  PubMed  Google Scholar 

  48. Thomas, C., Pellicciari, R., Pruzanski, M., Auwerx, J. & Schoonjans, K. Targeting bile-acid signalling for metabolic diseases. Nat. Rev. Drug. Discov. 7, 678–693 (2008).

    Article  CAS  PubMed  Google Scholar 

  49. Li, H. et al. Integrative systems analysis identifies genetic and dietary modulators of bile acid homeostasis. Cell Metab. 34, 1594–1610.e4 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Zhuang, S., Li, Q., Cai, L., Wang, C. & Lei, X. Chemoproteomic profiling of bile acid interacting proteins. ACS Cent. Sci. 3, 501–509 (2017).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Chen, J., Sali, A. & Vitetta, L. The gallbladder and vermiform appendix influence the assemblage of intestinal microorganisms. Future Microbiol. 15, 541–555 (2020).

    Article  CAS  PubMed  Google Scholar 

  52. Zhu, B., Wang, X. & Li, L. Human gut microbiome: the second genome of human body. Protein Cell 1, 718–725 (2010).

    Article  PubMed  PubMed Central  Google Scholar 

  53. Sun, Y., Fihn, B.-M., Sjövall, H. & Jodal, M. Enteric neurones modulate the colonic permeability response to luminal bile acids in rat colon in vivo. Gut 53, 362–367 (2004).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  54. Poole, D. P. et al. Expression and function of the bile acid receptor GpBAR1 (TGR5) in the murine enteric nervous system. Neurogastroenterol. Motil. 22, 814–825, e227–8 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  55. Wang, S.-Z., Yu, Y.-J. & Adeli, K. Role of gut microbiota in neuroendocrine regulation of carbohydrate and lipid metabolism via the microbiota-gut-brain-liver axis. Microorganisms 8, 527 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Li, N. et al. Microbiome-encoded bile acid metabolism modulates colonic transit times. iScience 24, 102508 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  57. Porter, J. L. et al. Accurate enzymatic measurement of fecal bile acids in patients with malabsorption. J. Lab. Clin. Med. 141, 411–418 (2003).

    Article  CAS  PubMed  Google Scholar 

  58. Cai, J., Rimal, B., Jiang, C., Chiang, J. Y. L. & Patterson, A. D. Bile acid metabolism and signaling, the microbiota, and metabolic disease. Pharmacol. Ther. 237, 108238 (2022).

    Article  CAS  PubMed  Google Scholar 

  59. Dutta, M., Cai, J., Gui, W. & Patterson, A. D. A review of analytical platforms for accurate bile acid measurement. Anal. Bioanal. Chem. 411, 4541–4549 (2019).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Wang, M. et al. Sharing and community curation of mass spectrometry data with Global Natural Products Social Molecular Networking. Nat. Biotechnol. 34, 828–837 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  61. Wishart, D. S. et al. HMDB 5.0: the human metabolome database for 2022. Nucleic Acids Res. 50, D622–D631 (2022).

    Article  CAS  PubMed  Google Scholar 

  62. Fahy, E., Sud, M., Cotter, D. & Subramaniam, S. LIPID MAPS online tools for lipid research. Nucleic Acids Res. 35, W606–W612 (2007).

    Article  PubMed  PubMed Central  Google Scholar 

  63. Holert, J. et al. Identification of bypass reactions leading to the formation of one central steroid degradation intermediate in metabolism of different bile salts in Pseudomonas sp. strain Chol1. Environ. Microbiol. 18, 3373–3389 (2016).

    Article  CAS  PubMed  Google Scholar 

  64. Grandini, A. et al. Biotransformation of waste bile acids: a new possible sustainable approach to anti-fungal molecules for crop plant bioprotection? Int. J. Mol. Sci. 23, 4152 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  65. Hayakawa, S., Hashimoto, S. & Onaka, T. Microbiological degradation of bile acids. Nitrogenous hexahydroindane derivatives formed from cholic acid by Streptomyces rubescens. Biochem. J. 160, 745–755 (1976).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  66. Costa, S., Giovannini, P. P., Fantin, G., Medici, A. & Pedrini, P. New 9,10-secosteroids from biotransformations of hyodeoxycholic acid with Rhodococcus spp. Helv. Chim. Acta 96, 1062–1071 (2013).

    Article  CAS  Google Scholar 

  67. Sekiguchi, S. et al. 3,4-Seco-12α-hydroxy-5β-cholan-3,4,24-trioic acid, a novel secondary bile acid: isolation from the bile of the common ringtail possum (Pseudocheirus peregrinus) and chemical synthesis. J. Pharmacogn. Nat. Prod. 3, https://doi.org/10.4172/2472-0992.1000131 (2017).

  68. King, L. 3rd et al. The enzymatic formation of novel bile acid primary amides. Arch. Biochem. Biophys. 374, 107–117 (2000).

    Article  CAS  PubMed  Google Scholar 

  69. Foley, M. H. et al. Bile salt hydrolases shape the bile acid landscape and restrict Clostridioides difficile growth in the murine gut. Nat. Microbiol. 8, 611–628 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  70. Yao, L. et al. A biosynthetic pathway for the selective sulfonation of steroidal metabolites by human gut bacteria. Nat. Microbiol. 7, 1404–1418 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  71. Le, H. H., Lee, M.-T., Besler, K. R., Comrie, J. M. C. & Johnson, E. L. Characterization of interactions of dietary cholesterol with the murine and human gut microbiome. Nat. Microbiol. 7, 1390–1403 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  72. Pellock, S. J. & Redinbo, M. R. Glucuronides in the gut: sugar-driven symbioses between microbe and host. J. Biol. Chem. 292, 8569–8576 (2017).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  73. Marschall, H. U. et al. Bile acid N-acetylglucosaminidation. In vivo and in vitro evidence for a selective conjugation reaction of 7 beta-hydroxylated bile acids in humans. J. Clin. Invest. 89, 1981–1987 (1992).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  74. Goto, T. et al. Identification of a novel conjugate in human urine: bile acid acyl galactosides. Steroids 70, 185–192 (2005).

    Article  CAS  PubMed  Google Scholar 

  75. Abdel-Khalik, J. et al. Bile acid biosynthesis in Smith-Lemli-Opitz syndrome bypassing cholesterol: potential importance of pathway intermediates. J. Steroid Biochem. Mol. Biol. 206, 105794 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  76. Li, H. et al. Bile acid derivatives from a sponge-associated bacterium Psychrobacter sp. Arch. Pharm. Res. 32, 857–862 (2009).

    Article  CAS  PubMed  Google Scholar 

  77. Garcia, C. J., Kosek, V., Beltrán, D., Tomás-Barberán, F. A. & Hajslova, J. Production of new microbially conjugated bile acids by human gut microbiota. Biomolecules 12, 687 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  78. Kelsey, M. I., Molina, J. E., Huang, S. K. & Hwang, K. K. The identification of microbial metabolites of sulfolithocholic acid. J. Lipid Res. 21, 751–759 (1980).

    Article  CAS  PubMed  Google Scholar 

  79. Cohen, B. I. et al. Differing effects of nor-ursodeoxycholic or ursodeoxycholic acid on hepatic histology and bile acid metabolism in the rabbit. Gastroenterology 91, 189–197 (1986).

    Article  CAS  PubMed  Google Scholar 

  80. Lake, J. R. et al. Inhibition of Na+/H+ exchange in the rat is associated with decreased ursodeoxycholate hypercholeresis, decreased secretion of unconjugated urodeoxycholate, and increased ursodeoxycholate glucuronidation. Gastroenterology 95, 454–463 (1988).

    Article  CAS  PubMed  Google Scholar 

  81. Perreault, M. et al. Role of glucuronidation for hepatic detoxification and urinary elimination of toxic bile acids during biliary obstruction. PLoS ONE 8, e80994 (2013).

    Article  PubMed  PubMed Central  Google Scholar 

  82. Takei, H. et al. Characterization of long-chain fatty acid-linked bile acids: a major conjugation form of 3β-hydroxy bile acids in feces. J. Lipid Res. 63, 100275 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  83. Thakare, R., Alamoudi, J. A., Gautam, N., Rodrigues, A. D. & Alnouti, Y. Species differences in bile acids I. Plasma and urine bile acid composition. J. Appl. Toxicol. 38, 1323–1335 (2018).

    Article  CAS  PubMed  Google Scholar 

  84. Stiehl, A., Raedsch, R., Rudolph, G., Gundert-Remy, U. & Senn, M. Biliary and urinary excretion of sulfated, glucuronidated and tetrahydroxylated bile acids in cirrhotic patients. Hepatology 5, 492–495 (1985).

    Article  CAS  PubMed  Google Scholar 

  85. Takikawa, H., Beppu, T. & Seyama, Y. Profiles of bile acids and their glucuronide and sulphate conjugates in the serum, urine and bile from patients undergoing bile drainage. Gut 26, 38–42 (1985).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  86. Mee, M. T., Collins, J. J., Church, G. M. & Wang, H. H. Syntrophic exchange in synthetic microbial communities. Proc. Natl Acad. Sci. USA 111, E2149–E2156 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  87. Mallonee, D. H. & Hylemon, P. B. Sequencing and expression of a gene encoding a bile acid transporter from Eubacterium sp. strain VPI 12708. J. Bacteriol. 178, 7053–7058 (1996).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  88. Mertens, K. L., Kalsbeek, A., Soeters, M. R. & Eggink, H. M. Bile acid signaling pathways from the enterohepatic circulation to the central nervous system. Front. Neurosci. 11, 617 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  89. Zegarra-Ruiz, D. F. et al. Thymic development of gut-microbiota-specific T cells. Nature 594, 413–417 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  90. Song, X. et al. Microbial bile acid metabolites modulate gut RORγ+ regulatory T cell homeostasis. Nature 577, 410–415 (2020).

    Article  CAS  PubMed  Google Scholar 

  91. Hang, S. et al. Bile acid metabolites control TH17 and Treg cell differentiation. Nature 576, 143–148 (2019).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  92. Chiang, J. Y. L. Bile acids: regulation of synthesis. J. Lipid Res. 50, 1955–1966 (2009).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  93. Li, L., Zhou, J. H., Xing, S. T. & Lau, B. H. Thymus-neuroendocrine-liver pathway. Med. Hypotheses 41, 470–472 (1993).

    Article  CAS  PubMed  Google Scholar 

  94. Liu, Y. et al. Splenectomy leads to amelioration of altered gut microbiota and metabolome in liver cirrhosis patients. Front. Microbiol. 9, 963 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  95. MahmoudianDehkordi, S. et al. Altered bile acid profile associates with cognitive impairment in Alzheimer’s disease – an emerging role for gut microbiome. Alzheimers Dement. 15, 76–92 (2019).

    Article  PubMed  Google Scholar 

  96. Baloni, P. et al. Metabolic network analysis reveals altered bile acid synthesis and metabolism in Alzheimer’s disease. Cell Rep. Med. 1, 100138 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  97. Labus, J. S. et al. Interactions between brain and bile acid ratio profiles predict baseline cognitive status [abstract]. Alzheimers Dement. 18, (Suppl. 4), e067272 (2022).

    Article  Google Scholar 

  98. Monteiro-Cardoso, V. F., Corlianò, M. & Singaraja, R. R. Bile acids: a communication channel in the gut-brain axis. Neuromolecular Med. 23, 99–117 (2021).

    Article  CAS  PubMed  Google Scholar 

  99. Schubring, S. R., Fleischer, W., Lin, J. S., Haas, H. L. & Sergeeva, O. A. The bile steroid chenodeoxycholate is a potent antagonist at NMDA and GABAA receptors. Neurosci. Lett. 506, 322–326 (2012).

    Article  CAS  PubMed  Google Scholar 

  100. Lütjohann, D. et al. Cholesterol homeostasis in human brain: evidence for an age-dependent flux of 24S-hydroxycholesterol from the brain into the circulation. Proc. Natl Acad. Sci. USA 93, 9799–9804 (1996).

    Article  PubMed  PubMed Central  Google Scholar 

  101. Kirilenko, B. M., Hagey, L. R., Barnes, S., Falany, C. N. & Hiller, M. Evolutionary analysis of bile acid-conjugating enzymes reveals a complex duplication and reciprocal loss history. Genome Biol. Evol. 11, 3256–3268 (2019).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  102. Zarei, I. et al. Tissue-wide metabolomics reveals wide impact of gut microbiota on mice metabolite composition. Sci. Rep. 12, 15018 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  103. Flynn, S. et al. Bile acid signal molecules associate temporally with respiratory inflammation and microbiome signatures in clinically stable cystic fibrosis patients. Microorganisms 8, 1741 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  104. Chiang, J. Y. L. & Ferrell, J. M. Bile acid metabolism in liver pathobiology. Gene Expr. 18, 71–87 (2018).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  105. Qiu, Y. et al. Depletion of gut microbiota induces skeletal muscle atrophy by FXR-FGF15/19 signalling. Ann. Med. 53, 508–522 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  106. Aoi, W. et al. Exercise-acclimated microbiota improves skeletal muscle metabolism via circulating bile acid deconjugation. iScience 26, 106251 (2022).

    Article  Google Scholar 

  107. Zhao, Y.-X. et al. Association between bile acid metabolism and bone mineral density in postmenopausal women. Clinics 75, e1486 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  108. Cho, S. W. et al. Positive regulation of osteogenesis by bile acid through FXR. J. Bone Miner. Res. 28, 2109–2121 (2013).

    Article  CAS  PubMed  Google Scholar 

  109. Szántó, M. et al. Targeting the gut-skin axis – probiotics as new tools for skin disorder management? Exp. Dermatol. 28, 1210–1218 (2019).

    Article  PubMed  Google Scholar 

  110. Clark, V. C. et al. An endogenous bile acid and dietary sucrose from skin secretions of alkaloid-sequestering poison frogs. J. Nat. Prod. 75, 473–478 (2012).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  111. Collins, S. L., Stine, J. G., Bisanz, J. E., Okafor, C. D. & Patterson, A. D. Bile acids and the gut microbiota: metabolic interactions and impacts on disease. Nat. Rev. Microbiol. 30, 332–338 (2022).

    Google Scholar 

  112. Guo, J. et al. Gut microbiota in patients with polycystic ovary syndrome: a systematic review. Reprod. Sci. 29, 69–83 (2022).

    Article  PubMed  Google Scholar 

  113. Chen, L. et al. Genetic and microbial associations to plasma and fecal bile acids in obesity relate to plasma lipids and liver fat content. Cell Rep. 33, 108212 (2020).

    Article  CAS  PubMed  Google Scholar 

  114. Li, T. & Chiang, J. Y. L. Bile acid signaling in metabolic disease and drug therapy. Pharmacol. Rev. 66, 948–983 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  115. Poupon, R. Ursodeoxycholic acid and bile-acid mimetics as therapeutic agents for cholestatic liver diseases: an overview of their mechanisms of action. Clin. Res. Hepatol. Gastroenterol. 36, S3–S12 (2012).

    Article  CAS  PubMed  Google Scholar 

  116. Boatright, J. H., Nickerson, J. M., Moring, A. G. & Pardue, M. T. Bile acids in treatment of ocular disease. J. Ocul. Biol. Dis. Info. 2, 149–159 (2009).

    Article  Google Scholar 

  117. Neuschwander-Tetri, B. A. et al. Farnesoid X nuclear receptor ligand obeticholic acid for non-cirrhotic, non-alcoholic steatohepatitis (FLINT): a multicentre, randomised, placebo-controlled trial. Lancet 385, 956–965 (2015).

    Article  CAS  PubMed  Google Scholar 

  118. Younossi, Z. M. et al. Obeticholic acid for the treatment of non-alcoholic steatohepatitis: interim analysis from a multicentre, randomised, placebo-controlled phase 3 trial. Lancet 394, 2184–2196 (2019).

    Article  CAS  PubMed  Google Scholar 

  119. MahmoudianDehkordi, S. et al. Gut microbiome-linked metabolites in the pathobiology of major depression with or without anxiety-a role for bile acids. Front. Neurosci. 16, 937906 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  120. Jiang, J., Wang, Y. & Deng, M. New developments and opportunities in drugs being trialed for amyotrophic lateral sclerosis from 2020 to 2022. Front. Pharmacol. 13, 1054006 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  121. Myher, J. J., Marai, L., Kuksis, A., Yousef, I. M. & Fisher, M. M. Identification of ornithine and arginine conjugates of cholic acid by mass spectrometry. Can. J. Biochem. 53, 583–590 (1975).

    Article  CAS  PubMed  Google Scholar 

  122. Peric-Golia, L. & Jones, R. S. Ornithocholanic acids and cholelithiasis in man. Science 142, 245–246 (1963).

    Article  CAS  PubMed  Google Scholar 

  123. Gordon, B. A., Kuksis, A. & Beveridge, J. M. Separation of bile acid conjugates by ion exchange chromatography. Can. J. Biochem. Physiol. 41, 77–89 (1963).

    Article  CAS  PubMed  Google Scholar 

  124. Tamari, M., Ogawa, M. & Kametaka, M. A new bile acid conjugate, ciliatocholic acid, from bovine gall bladder bile. J. Biochem. 80, 371–377 (1976).

    Article  CAS  PubMed  Google Scholar 

  125. Hagey, L. R., Schteingart, C. D., Rossi, S. S., Ton-Nu, H. T. & Hofmann, A. F. An N-acyl glycyltaurine conjugate of deoxycholic acid in the biliary bile acids of the rabbit. J. Lipid Res. 39, 2119–2124 (1998).

    Article  CAS  PubMed  Google Scholar 

  126. Nair, P. P., Solomon, R., Bankoski, J. & Plapinger, R. Bile acids in tissues: binding of lithocholic acid to protein. Lipids 13, 966–978 (1978).

    Article  CAS  PubMed  Google Scholar 

  127. Watrous, J. et al. Mass spectral molecular networking of living microbial colonies. Proc. Natl Acad. Sci. USA 109, E1743–E1752 (2012).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  128. Wang, M. et al. Mass spectrometry searches using MASST. Nat. Biotechnol. 38, 23–26 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  129. Petras, D. et al. Chemical proportionality within molecular networks. Anal. Chem. 93, 12833–12839 (2021).

    Article  CAS  PubMed  Google Scholar 

  130. Hoffmann, M. A. et al. High-confidence structural annotation of metabolites absent from spectral libraries. Nat. Biotechnol. 40, 411–421 (2022).

    Article  CAS  PubMed  Google Scholar 

  131. Zhang, Y. et al. Expanding the scope of targeted metabolomics by one-pot microscale synthesis and tailored metabolite profiling: investigation of bile acid-amino acid conjugates. Anal. Chem. 94, 16596–16603 (2022).

    Article  CAS  PubMed  Google Scholar 

  132. Zhu, Q.-F. et al. Alternating dual-collision energy scanning mass spectrometry approach: discovery of novel microbial bile-acid conjugates. Anal. Chem. 94, 2655–2664 (2022).

    Article  CAS  PubMed  Google Scholar 

  133. Wang, Y.-Z. et al. A strategy for screening and identification of new amino acid-conjugated bile acids with high coverage by liquid chromatography-mass spectrometry. Anal. Chim. Acta 1239, 340691 (2023).

    Article  CAS  PubMed  Google Scholar 

  134. Pristner, M. et al. Neuroactive metabolites and bile acids are altered in extremely premature infants with brain injury. medRxiv https://doi.org/10.1101/2023.05.17.23290088 (2023).

  135. Baldessari, A. & García Liñares, G. Lipase-catalyzed acetylation and esterification of bile acids. Methods Mol. Biol. 1835, 337–350 (2018).

    Article  CAS  PubMed  Google Scholar 

  136. Stewart, A. K. et al. Using multidimensional separations to distinguish isomeric amino acid-bile acid conjugates and assess their presence and perturbations in model systems. Anal. Chem. 95, 15357–15366 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  137. Wang, Y.-Z. et al. Uncovering the carboxylated metabolome in gut microbiota-host co-metabolism: a chemical derivatization-molecular networking approach. Anal. Chem. 95, 11550–11557 (2023).

    Article  CAS  PubMed  Google Scholar 

  138. Bittremieux, W. et al. Open access repository-scale propagated nearest neighbor suspect spectral library for untargeted metabolomics. Nat. Commun. 14, 8488 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  139. Jarmusch, A. K. et al. ReDU: a framework to find and reanalyze public mass spectrometry data. Nat. Methods 17, 901–904 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  140. Zuffa, S. et al. microbeMASST: a taxonomically informed mass spectrometry search tool for microbial metabolomics data. Nat. Microbiol. 9, 336–345 (2024).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  141. Jarmusch, A. K. et al. A universal language for finding mass spectrometry data patterns. bioRxiv https://doi.org/10.1101/2022.08.06.503000 (2022).

  142. Helf, M. J., Fox, B. W., Artyukhin, A. B., Zhang, Y. K. & Schroeder, F. C. Comparative metabolomics with Metaboseek reveals functions of a conserved fat metabolism pathway in C. elegans. Nat. Commun. 13, 782 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  143. Chen, L. et al. Metabolite discovery through global annotation of untargeted metabolomics data. Nat. Methods 18, 1377–1385 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  144. Shen, X. et al. TidyMass an object-oriented reproducible analysis framework for LC-MS data. Nat. Commun. 13, 4365 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  145. Giné, R. et al. HERMES: a molecular-formula-oriented method to target the metabolome. Nat. Methods 18, 1370–1376 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  146. Xing, S., Shen, S., Xu, B. & Huan, T. BUDDY: molecular formula discovery via bottom-up MS/MS interrogation. Nat. Methods 20, 881–890 (2023).

    Article  CAS  PubMed  Google Scholar 

  147. van der Hooft, J. J. J., Wandy, J., Barrett, M. P., Burgess, K. E. V. & Rogers, S. Topic modeling for untargeted substructure exploration in metabolomics. Proc. Natl Acad. Sci. USA 113, 13738–13743 (2016).

    Article  PubMed  PubMed Central  Google Scholar 

  148. Huber, F., van der Burg, S., van der Hooft, J. J. J. & Ridder, L. MS2DeepScore: a novel deep learning similarity measure to compare tandem mass spectra. J. Cheminform. 13, 84 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  149. Treen, D. G. C. et al. SIMILE enables alignment of tandem mass spectra with statistical significance. Nat. Commun. 13, 2510 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  150. Cooper, B. T. et al. Hybrid search: a method for identifying metabolites absent from tandem mass spectrometry libraries. Anal. Chem. 91, 13924–13932 (2019).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  151. Joyce, S. A., Shanahan, F., Hill, C. & Gahan, C. G. M. Bacterial bile salt hydrolase in host metabolism: potential for influencing gastrointestinal microbe-host crosstalk. Gut Microbes 5, 669–674 (2014).

    Article  PubMed  PubMed Central  Google Scholar 

  152. Foley, M. H., O’Flaherty, S., Barrangou, R. & Theriot, C. M. Bile salt hydrolases: gatekeepers of bile acid metabolism and host-microbiome crosstalk in the gastrointestinal tract. PLoS Pathog. 15, e1007581 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  153. Doden, H. L. et al. Completion of the gut microbial epi-bile acid pathway. Gut Microbes 13, 1–20 (2021).

    Article  PubMed  Google Scholar 

  154. Song, Z. et al. Taxonomic profiling and populational patterns of bacterial bile salt hydrolase (BSH) genes based on worldwide human gut microbiome. Microbiome 7, 9 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  155. Daly, J. W., Keely, S. J. & Gahan, C. G. M. Functional and phylogenetic diversity of BSH and PVA enzymes. Microorganisms 9, 732 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  156. O’Flaherty, S., Briner Crawley, A., Theriot, C. M. & Barrangou, R. The Lactobacillus bile salt hydrolase repertoire reveals niche-specific adaptation. mSphere 3, e00140-18 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  157. Dong, Z. & Lee, B. H. Bile salt hydrolases: structure and function, substrate preference, and inhibitor development. Protein Sci. 27, 1742–1754 (2018).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  158. Rimal, B. et al. Bile salt hydrolase catalyses formation of amine-conjugated bile acids. Nature 626, 859–863 (2024).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  159. Aguirre, A. M. & Sorg, J. A. Clostridioides difficile bile salt hydrolase activity has substrate specificity and affects biofilm formation. npj Biofilms Microbiomes 8, 94 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  160. Fu, T. et al. Paired microbiome and metabolome analyses associate bile acid changes with colorectal cancer progression. Cell Rep. 42, 112997 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  161. Lynch, J. B. et al. Gut microbiota Turicibacter strains differentially modify bile acids and host lipids. Nat. Commun. 14, 3669 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  162. Jones, B. V., Begley, M., Hill, C., Gahan, C. G. M. & Marchesi, J. R. Functional and comparative metagenomic analysis of bile salt hydrolase activity in the human gut microbiome. Proc. Natl Acad. Sci. USA 105, 13580–13585 (2008).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  163. Marion, S. et al. Biogeography of microbial bile acid transformations along the murine gut. J. Lipid Res. 61, 1450–1463 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  164. Duszka, K. Versatile triad alliance: bile acid, taurine and microbiota. Cells 11, 2337 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  165. Lourenço, R. & Camilo, M. E. Taurine: a conditionally essential amino acid in humans? An overview in health and disease. Nutr. Hosp. 17, 262–270 (2002).

    PubMed  Google Scholar 

  166. Ripps, H. & Shen, W. Review: taurine: a ‘very essential’ amino acid. Mol. Vis. 18, 2673–2686 (2012).

    CAS  PubMed  PubMed Central  Google Scholar 

  167. Adhikari, A. A. et al. Development of a covalent inhibitor of gut bacterial bile salt hydrolases. Nat. Chem. Biol. 16, 318–326 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  168. Guzior, D. V. et al. Bile salt hydrolase acyltransferase activity expands bile acid diversity. Nature 626, 852–858 (2024).

    Article  CAS  PubMed  Google Scholar 

  169. Linhorst, A. & Lübke, T. The human Ntn-hydrolase superfamily: structure, functions and perspectives. Cells 11, 1592 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  170. Garcia, C. J., García-Villalba, R., Beltrán, D., Frutos-Lisón, M. D. & Tomás-Barberán, F. A. MS/MS fragmentation pattern analysis confirms the production of the new esterified bile acids by the human gut microbiota. bioRxiv https://doi.org/10.1101/2023.11.07.564921 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  171. Vavassori, P., Mencarelli, A., Renga, B., Distrutti, E. & Fiorucci, S. The bile acid receptor FXR is a modulator of intestinal innate immunity. J. Immunol. 183, 6251–6261 (2009).

    Article  CAS  PubMed  Google Scholar 

  172. Pols, T. W. H. et al. TGR5 activation inhibits atherosclerosis by reducing macrophage inflammation and lipid loading. Cell Metab. 14, 747–757 (2011).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  173. Fiorucci, S., Biagioli, M., Zampella, A. & Distrutti, E. Bile acids activated receptors regulate innate immunity. Front. Immunol. 9, 1853 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  174. Hu, J. et al. Gut microbiota-mediated secondary bile acids regulate dendritic cells to attenuate autoimmune uveitis through TGR5 signaling. Cell Rep. 36, 109726 (2021).

    Article  CAS  PubMed  Google Scholar 

  175. Arifuzzaman, M. et al. Inulin fibre promotes microbiota-derived bile acids and type 2 inflammation. Nature 611, 578–584 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  176. Ma, C. et al. Gut microbiome-mediated bile acid metabolism regulates liver cancer via NKT cells. Science 360, eaan5931 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  177. Qi, X. et al. Gut microbiota-bile acid-interleukin-22 axis orchestrates polycystic ovary syndrome. Nat. Med. 25, 1225–1233 (2019).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  178. Yanguas-Casás, N., Barreda-Manso, M. A., Nieto-Sampedro, M. & Romero-Ramírez, L. TUDCA: an agonist of the bile acid receptor GPBAR1/tgr5 with anti-inflammatory effects in microglial cells. J. Cell. Physiol. 232, 2231–2245 (2017).

    Article  PubMed  Google Scholar 

  179. Campbell, C. et al. Bacterial metabolism of bile acids promotes generation of peripheral regulatory T cells. Nature 581, 475–479 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  180. Paik, D. et al. Human gut bacteria produce ΤΗ17-modulating bile acid metabolites. Nature 603, 907–912 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  181. Xiao, R. et al. Synthesis and identification of lithocholic acid 3-sulfate as RORγt ligand to inhibit Th17 cell differentiation. J. Leukoc. Biol. 112, 835–843 (2022).

    Article  CAS  PubMed  Google Scholar 

  182. Haring, E. et al. Bile acids regulate intestinal antigen presentation and reduce graft-versus-host disease without impairing the graft-versus-leukemia effect. Haematologica 106, 2131–2146 (2021).

    Article  CAS  PubMed  Google Scholar 

  183. Yan, Y. et al. Bacteroides uniformis-induced perturbations in colonic microbiota and bile acid levels inhibit TH17 differentiation and ameliorate colitis developments. NPJ Biofilms Microbiomes 9, 56 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  184. Dubrac, S., Elentner, A., Ebner, S., Horejs-Hoeck, J. & Schmuth, M. Modulation of T lymphocyte function by the pregnane X receptor. J. Immunol. 184, 2949–2957 (2010).

    Article  CAS  PubMed  Google Scholar 

  185. Gutiérrez-Vázquez, C. & Quintana, F. J. Regulation of the immune response by the aryl hydrocarbon receptor. Immunity 48, 19–33 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  186. Godlewska, U., Bulanda, E. & Wypych, T. P. Bile acids in immunity: bidirectional mediators between the host and the microbiota. Front. Immunol. 13, 949033 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  187. Albone, E. S. & Fox, M. W. Anal gland secretion of the red fox. Nature 233, 569–570 (1971).

    Article  CAS  PubMed  Google Scholar 

  188. Salamon, M. & Davies, N. W. Identification and variation of volatile compounds in sternal gland secretions of male koalas (Phascolarctos cinereus). J. Chem. Ecol. 24, 1659–1676 (1998).

    Article  CAS  Google Scholar 

  189. Albone, E. S. Mammalian Semiochemistry: the Investigation of Chemical Signals Between Mammals. (Wiley, 1984).

  190. Hagey, L. & MacDonald, E. Chemical cues identify gender and individuality in Giant pandas (Ailuropoda melanoleuca). J. Chem. Ecol. 29, 1479–1488 (2003).

    Article  CAS  PubMed  Google Scholar 

  191. Lin, S. et al. Bile acids and their receptors in regulation of gut health and diseases. Prog. Lipid Res. 89, 101210 (2023).

    Article  CAS  PubMed  Google Scholar 

  192. Perino, A., Demagny, H., Velazquez-Villegas, L. & Schoonjans, K. Molecular physiology of bile acid signaling in health, disease, and aging. Physiol. Rev. 101, 683–731 (2021).

    Article  CAS  PubMed  Google Scholar 

  193. Petzinger, E., Wickboldt, A., Pagels, P., Starke, D. & Kramer, W. Hepatobiliary transport of bile acid amino acid, bile acid peptide, and bile acid oligonucleotide conjugates in rats. Hepatology 30, 1257–1268 (1999).

    Article  CAS  PubMed  Google Scholar 

  194. Kågedahl, M. et al. Use of the intestinal bile acid transporter for the uptake of cholic acid conjugates with HIV-1 protease inhibitory activity. Pharm. Res. 14, 176–180 (1997).

    Article  PubMed  Google Scholar 

  195. Lei, K. et al. Research progress in the application of bile acid-drug conjugates: a ‘trojan horse’ strategy. Steroids 173, 108879 (2021).

    Article  CAS  PubMed  Google Scholar 

  196. Rolo, A. P., Oliveira, P. J., Moreno, A. J. & Palmeira, C. M. Bile acids affect liver mitochondrial bioenergetics: possible relevance for cholestasis therapy. Toxicol. Sci. 57, 177–185 (2000).

    Article  CAS  PubMed  Google Scholar 

  197. Naviaux, R. K. et al. Metabolic features of chronic fatigue syndrome. Proc. Natl Acad. Sci. USA 113, E5472–E5480 (2016).

    CAS  PubMed  PubMed Central  Google Scholar 

  198. Miyazaki, T. et al. Impaired bile acid metabolism with defectives of mitochondrial-tRNA taurine modification and bile acid taurine conjugation in the taurine depleted cats. Sci. Rep. 10, 4915 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  199. Bland, J. S. Chronic fatigue syndrome, functional mitochondriopathy, and enterohepatic dysfunction. Integr. Med. 16, 18–21 (2017).

    Google Scholar 

  200. Germain, A., Ruppert, D., Levine, S. M. & Hanson, M. R. Metabolic profiling of a myalgic encephalomyelitis/chronic fatigue syndrome discovery cohort reveals disturbances in fatty acid and lipid metabolism. Mol. Biosyst. 13, 371–379 (2017).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  201. Huth, T. K., Eaton-Fitch, N., Staines, D. & Marshall-Gradisnik, S. A systematic review of metabolomic dysregulation in chronic fatigue syndrome/myalgic encephalomyelitis/systemic exertion intolerance disease (CFS/ME/SEID). J. Transl. Med. 18, 198 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  202. Guo, G. Endoplasmic reticulum stress emerges as novel regulator for bile acid synthesis. Cell Mol. Gastroenterol. Hepatol. 3, 135 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  203. Byrne, A.-M. et al. Bile acids modulate the Golgi membrane fission process via a protein kinase Cη and protein kinase D-dependent pathway in colonic epithelial cells. Carcinogenesis 31, 737–744 (2010).

    Article  CAS  PubMed  Google Scholar 

  204. Byrne, A.-M. et al. Golgi phosphoprotein 2 (GOLPH2) is a novel bile acid-responsive modulator of oesophageal cell migration and invasion. Br. J. Cancer 113, 1332–1342 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  205. Busquets-García, A., Bolaños, J. P. & Marsicano, G. Metabolic messengers: endocannabinoids. Nat. Metab. 4, 848–855 (2022).

    Article  PubMed  Google Scholar 

  206. Rezende, B., Alencar, A. K. N., de Bem, G. F., Fontes-Dantas, F. L. & Montes, G. C. Endocannabinoid system: chemical characteristics and biological activity. Pharmaceuticals 16, 148 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  207. Pluskal, T., Castillo, S., Villar-Briones, A. & Oresic, M. MZmine 2: modular framework for processing, visualizing, and analyzing mass spectrometry-based molecular profile data. BMC Bioinforma. 11, 395 (2010).

    Article  Google Scholar 

  208. Tsugawa, H. et al. MS-DIAL: data-independent MS/MS deconvolution for comprehensive metabolome analysis. Nat. Methods 12, 523–526 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  209. Tautenhahn, R., Böttcher, C. & Neumann, S. Highly sensitive feature detection for high resolution LC/MS. BMC Bioinforma. 9, 504 (2008).

    Article  Google Scholar 

  210. Röst, H. L. et al. OpenMS: a flexible open-source software platform for mass spectrometry data analysis. Nat. Methods 13, 741–748 (2016).

    Article  PubMed  Google Scholar 

  211. Yuan, M., Breitkopf, S. B., Yang, X. & Asara, J. M. A positive/negative ion-switching, targeted mass spectrometry-based metabolomics platform for bodily fluids, cells, and fresh and fixed tissue. Nat. Protoc. 7, 872–881 (2012).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  212. Luo, M. et al. A mass spectrum-oriented computational method for ion mobility-resolved untargeted metabolomics. Nat. Commun. 14, 1813 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  213. Kimura, A. et al. Perinatal bile acid metabolism: analysis of urinary bile acids in pregnant women and newborns. J. Lipid Res. 38, 1954–1962 (1997).

    Article  CAS  PubMed  Google Scholar 

  214. Petersen, A. Ø. et al. Conjugated C-6 hydroxylated bile acids in serum relate to human metabolic health and gut Clostridia species. Sci. Rep. 11, 13252 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  215. Al-Aboudi, A. et al. Biotransformation of methyl cholate by Aspergillus niger. Steroids 74, 483–486 (2009).

    Article  CAS  PubMed  Google Scholar 

  216. Ridlon, J. M., Daniel, S. L. & Gaskins, H. R. The Hylemon–Björkhem pathway of bile acid 7-dehydroxylation: history, biochemistry, and microbiology. J. Lipid Res. 64, 100392 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  217. Devendran, S. et al. Clostridium scindens ATCC 35704: integration of nutritional requirements, the complete genome sequence, and global transcriptional responses to bile acids. Appl. Environ. Microbiol. 85, e00052–e00119 (2019).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  218. Kim, K. H. et al. Identification and characterization of major bile acid 7α-dehydroxylating bacteria in the human gut. mSystems 7, e0045522 (2022).

    Article  PubMed  Google Scholar 

  219. Lepercq, P. et al. Epimerization of chenodeoxycholic acid to ursodeoxycholic acid by Clostridium baratii isolated from human feces. FEMS Microbiol. Lett. 235, 65–72 (2004).

    Article  CAS  PubMed  Google Scholar 

  220. González, P. M., Lagos, C. F., Ward, W. C. & Polli, J. E. Structural requirements of the human sodium-dependent bile acid transporter (hASBT): role of 3- and 7-OH moieties on binding and translocation of bile acids. Mol. Pharm. 11, 588–598 (2014).

    Article  PubMed  Google Scholar 

  221. Hirano, S. & Masuda, N. Transformation of bile acids by Eubacterium lentum. Appl. Environ. Microbiol. 42, 912–915 (1981).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  222. Hirano, S., Masuda, N., Oda, H. & Mukai, H. Transformation of bile acids by Clostridium perfringens. Appl. Environ. Microbiol. 42, 394–399 (1981).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  223. Macdonald, I. A. et al. Metabolism of primary bile acids by Clostridium perfringens. J. Steroid Biochem. 18, 97–104 (1983).

    Article  CAS  PubMed  Google Scholar 

  224. Devlin, A. S. & Fischbach, M. A. A biosynthetic pathway for a prominent class of microbiota-derived bile acids. Nat. Chem. Biol. 11, 685–690 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  225. Harris, S. C. et al. Bile acid oxidation by Eggerthella lenta strains C592 and DSM 2243T. Gut Microbes 9, 523–539 (2018).

    CAS  PubMed  PubMed Central  Google Scholar 

  226. Bhowmik, S. et al. Structural and functional characterization of BaiA, an enzyme involved in secondary bile acid synthesis in human gut microbe. Proteins 82, 216–229 (2014).

    Article  CAS  PubMed  Google Scholar 

  227. Bai, Y., Zhao, T., Gao, M., Zou, Y. & Lei, X. A novel gene alignment in Dorea sp. AM58-8 produces 7-dehydroxy-3β bile acids from primary bile acids. Biochemistry 61, 2870–2878 (2022).

    Article  CAS  PubMed  Google Scholar 

  228. Kang, D.-J., Ridlon, J. M., Moore, D. R. II, Barnes, S. & Hylemon, P. B. Clostridium scindens baiCD and baiH genes encode stereo-specific 7ɑ/7β-hydroxy-3-oxo-Δ4-cholenoic acid oxidoreductases. Biochim. Biophys. Acta 1781, 16–25 (2008).

    Article  CAS  PubMed  Google Scholar 

  229. Dawson, J. A., Mallonee, D. H., Björkhem, I. & Hylemon, P. B. Expression and characterization of a C24 bile acid 7 ɑ-dehydratase from Eubacterium sp. strain VPI 12708 in Escherichia coli. J. Lipid Res. 37, 1258–1267 (1996).

    Article  CAS  PubMed  Google Scholar 

  230. Ridlon, J. M., Kang, D.-J. & Hylemon, P. B. Isolation and characterization of a bile acid inducible 7ɑ-dehydroxylating operon in Clostridium hylemonae TN271. Anaerobe 16, 137–146 (2010).

    Article  CAS  PubMed  Google Scholar 

  231. Harris, S. C. et al. Identification of a gene encoding a flavoprotein involved in bile acid metabolism by the human gut bacterium Clostridium scindens ATCC 35704. Biochim. Biophys. Acta Mol. Cell Biol. Lipids 1863, 276–283 (2018).

    Article  CAS  PubMed  Google Scholar 

  232. Falany, C. N., Johnson, M. R., Barnes, S. & Diasio, R. B. Glycine and taurine conjugation of bile acids by a single enzyme. Molecular cloning and expression of human liver bile acid CoA:amino acid N-acyltransferase. J. Biol. Chem. 269, 19375–19379 (1994).

    Article  CAS  PubMed  Google Scholar 

  233. Mohanty, I. et al. The underappreciated diversity of bile acid modifications. Cell https://doi.org/10.1016/j.cell.2024.02.019 (2024).

  234. Mullowney, M. W. et al. Microbially-catalyzed conjugation of GABA and tyramine to bile acids. J. Bacteriol. 206, e0042623 (2024).

    Article  PubMed  Google Scholar 

  235. Haslewood, G. A. & Tökés, L. Comparative studies of bile salts. Bile salts of the lamprey Petromyzon marinus L. Biochem. J. 114, 179–184 (1969).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  236. Hagey, L. R., Takagi, R. K., Schteingart, C. D., Ton-Nu, H-T. & Hofmann, A. F. C24 bile acid reduction into bile alcohols: a novel ubiquitous minor pathway of cholesterol elimination in vertebrates. Hepatology 20, A665 (1994).

    Google Scholar 

  237. Moore, K. S. et al. Squalamine: an aminosterol antibiotic from the shark. Proc. Natl Acad. Sci. USA 90, 1354–1358 (1993).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  238. Weininger, D. SMILES, a chemical language and information system. 1. Introduction to methodology and encoding rules. J. Chem. Inf. Model. 28, 31–36 (1988).

    CAS  Google Scholar 

  239. Mungall, C. J., Torniai, C., Gkoutos, G. V., Lewis, S. E. & Haendel, M. A. Uberon, an integrative multi-species anatomy ontology. Genome Biol. 13, R5 (2012).

    Article  PubMed  PubMed Central  Google Scholar 

  240. Baldarelli, R. M. et al. The mouse Gene Expression Database (GXD): 2021 update. Nucleic Acids Res. 49, D924–D931 (2021).

    Article  CAS  PubMed  Google Scholar 

  241. Gadaleta, R. M. et al. Farnesoid X receptor activation inhibits inflammation and preserves the intestinal barrier in inflammatory bowel disease. Gut 60, 463–472 (2011).

    Article  CAS  PubMed  Google Scholar 

  242. Zhang, R. et al. Overview of bile acid signaling in the cardiovascular system. World J. Clin. Cases 9, 308–320 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  243. Hofmann, A. F. Bile acids: the good, the bad, and the ugly. News Physiol. Sci. 14, 24–29 (1999).

    CAS  PubMed  Google Scholar 

  244. James, S. C. et al. Concentrations of fecal bile acids in participants with functional gut disorders and healthy controls. Metabolites 11, 612 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  245. Hamilton, J. P. et al. Human cecal bile acids: concentration and spectrum. Am. J. Physiol. Gastrointest. Liver Physiol. 293, G256–G263 (2007).

    Article  CAS  PubMed  Google Scholar 

  246. Trottier, J. et al. Profiling serum bile acid glucuronides in humans: gender divergences, genetic determinants, and response to fenofibrate. Clin. Pharmacol. Ther. 94, 533–543 (2013).

    Article  CAS  PubMed  Google Scholar 

  247. Choucair, I. et al. Quantification of bile acids: a mass spectrometry platform for studying gut microbe connection to metabolic diseases. J. Lipid Res. 61, 159–177 (2020).

    Article  CAS  PubMed  Google Scholar 

  248. Hofmann, A. F. The continuing importance of bile acids in liver and intestinal disease. Arch. Intern. Med. 159, 2647–2658 (1999).

    Article  CAS  PubMed  Google Scholar 

  249. Batta, A. K. et al. Characterization of serum and urinary bile acids in patients with primary biliary cirrhosis by gas-liquid chromatography-mass spectrometry: effect of ursodeoxycholic acid treatment. J. Lipid Res. 30, 1953–1962 (1989).

    Article  CAS  PubMed  Google Scholar 

  250. Tadano, T., Kanoh, M., Matsumoto, M., Sakamoto, K. & Kamano, T. Studies of serum and feces bile acids determination by gas chromatography-mass spectrometry. Rinsho Byori 54, 103–110 (2006).

    CAS  PubMed  Google Scholar 

  251. Meier, K. H. U. et al. Metabolic landscape of the male mouse gut identifies different niches determined by microbial activities. Nat. Metab. 5, 968–980 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  252. Sangaraju, D. et al. Establishment of baseline profiles of 50 bile acids in preclinical toxicity species: a comprehensive assessment of translational differences and study design considerations for biomarker development. Toxicol. Appl. Pharmacol. 443, 116008 (2022).

    Article  CAS  PubMed  Google Scholar 

  253. McRae, M. et al. Plasma bile acid concentrations in patients with human immunodeficiency virus infection receiving protease inhibitor therapy: possible implications for hepatotoxicity. Pharmacotherapy 30, 17–24 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  254. Steiner, C. et al. Bile acid metabolites in serum: intraindividual variation and associations with coronary heart disease, metabolic syndrome and diabetes mellitus. PLoS ONE 6, e25006 (2011).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  255. Danese, E. et al. Middle-distance running acutely influences the concentration and composition of serum bile acids: potential implications for cancer risk? Oncotarget 8, 52775–52782 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  256. Perez-Muñoz, M. E., Arrieta, M.-C., Ramer-Tait, A. E. & Walter, J. A critical assessment of the ‘sterile womb’ and ‘in utero colonization’ hypotheses: implications for research on the pioneer infant microbiome. Microbiome 5, 48 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  257. Lester, R., St Pyrek, J., Little, J. M. & Adcock, E. W. Diversity of bile acids in the fetus and newborn infant. J. Pediatr. Gastroenterol. Nutr. 2, 355–364 (1983).

    CAS  PubMed  Google Scholar 

  258. Wang, Y., Yutuc, E. & Griffiths, W. J. Cholesterol metabolism pathways – are the intermediates more important than the products? FEBS J. 288, 3727–3745 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  259. Blassberg, R., Macrae, J. I., Briscoe, J. & Jacob, J. Reduced cholesterol levels impair Smoothened activation in Smith–Lemli–Opitz syndrome. Hum. Mol. Genet. 25, 693–705 (2016).

    Article  CAS  PubMed  Google Scholar 

  260. Lundell, K. & Wikvall, K. Species-specific and age-dependent bile acid composition: aspects on CYP8B and CYP4A subfamilies in bile acid biosynthesis. Curr. Drug. Metab. 9, 323–331 (2008).

    Article  CAS  PubMed  Google Scholar 

  261. Forsyth, J. S., Ross, P. E. & Bouchier, I. A. Bile salts in breast milk. Eur. J. Pediatr. 140, 126–127 (1983).

    Article  CAS  PubMed  Google Scholar 

  262. van Best, N. et al. Bile acids drive the newborn’s gut microbiota maturation. Nat. Commun. 11, 3692 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  263. Sheps, J. A., Wang, R., Wang, J. & Ling, V. The protective role of hydrophilic tetrahydroxylated bile acids (THBA). Biochim. Biophys. Acta Mol. Cell Biol. Lipids 1866, 158925 (2021).

    Article  CAS  PubMed  Google Scholar 

  264. Patton, L. et al. Antibiotics effects on the fecal metabolome in preterm infants. Metabolites 10, 331 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  265. Uzan-Yulzari, A. et al. Neonatal antibiotic exposure impairs child growth during the first six years of life by perturbing intestinal microbial colonization. Nat. Commun. 12, 443 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  266. Russell, J. T. et al. Antibiotics and the developing intestinal microbiome, metabolome and inflammatory environment in a randomized trial of preterm infants. Sci. Rep. 11, 1943 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  267. Shane, A. Missing microbes: how the overuse of antibiotics is fueling our modern plagues. Emerg. Infect. Dis. 20, 1961 (2014).

    Article  PubMed Central  Google Scholar 

  268. Lamichhane, S. et al. Dysregulation of secondary bile acid metabolism precedes islet autoimmunity and type 1 diabetes. Cell Rep. Med. 3, 100762 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  269. Singla, P. & Salunke, D. B. Recent advances in steroid amino acid conjugates: old scaffolds with new dimensions. Eur. J. Med. Chem. 187, 111909 (2020).

    Article  CAS  PubMed  Google Scholar 

  270. Lee, G., Lee, H., Hong, J., Lee, S. H. & Jung, B. H. Quantitative profiling of bile acids in rat bile using ultrahigh-performance liquid chromatography-orbitrap mass spectrometry: alteration of the bile acid composition with aging. J. Chromatogr. B Anal. Technol. Biomed. Life Sci. 1031, 37–49 (2016).

    Article  CAS  Google Scholar 

  271. Bárcena, C. et al. Healthspan and lifespan extension by fecal microbiota transplantation into progeroid mice. Nat. Med. 25, 1234–1242 (2019).

    Article  PubMed  Google Scholar 

  272. Marksteiner, J., Blasko, I., Kemmler, G., Koal, T. & Humpel, C. Bile acid quantification of 20 plasma metabolites identifies lithocholic acid as a putative biomarker in Alzheimer’s disease. Metabolomics 14, 1 (2018).

    Article  CAS  PubMed  Google Scholar 

  273. Ghosh, T. S., Shanahan, F. & O’Toole, P. W. The gut microbiome as a modulator of healthy ageing. Nat. Rev. Gastroenterol. Hepatol. 19, 565–584 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  274. Connell, E. et al. Microbial-derived metabolites as a risk factor of age-related cognitive decline and dementia. Mol. Neurodegener. 17, 43 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  275. Adachi, R. et al. Selective activation of vitamin D receptor by lithocholic acid acetate, a bile acid derivative. J. Lipid Res. 46, 46–57 (2005).

    Article  CAS  PubMed  Google Scholar 

  276. Ichikawa, T., Horie-Inoue, K., Ikeda, K., Blumberg, B. & Inoue, S. Steroid and xenobiotic receptor SXR mediates vitamin K2-activated transcription of extracellular matrix-related genes and collagen accumulation in osteoblastic cells. J. Biol. Chem. 281, 16927–16934 (2006).

    Article  CAS  PubMed  Google Scholar 

  277. Xie, W. et al. An essential role for nuclear receptors SXR/PXR in detoxification of cholestatic bile acids. Proc. Natl Acad. Sci. USA 98, 3375–3380 (2001).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  278. Vrbanac, A. et al. Evaluating organism-wide changes in the metabolome and microbiome following a single dose of antibiotic. mSystems 5, e00340-20 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  279. Frommherz, L. et al. Age-related changes of plasma bile acid concentrations in healthy adults – results from the cross-sectional KarMeN study. PLoS ONE 11, e0153959 (2016).

    Article  PubMed  PubMed Central  Google Scholar 

  280. Zhang, Y., Limaye, P. B., Renaud, H. J. & Klaassen, C. D. Effect of various antibiotics on modulation of intestinal microbiota and bile acid profile in mice. Toxicol. Appl. Pharmacol. 277, 138–145 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  281. Vrieze, A. et al. Impact of oral vancomycin on gut microbiota, bile acid metabolism, and insulin sensitivity. J. Hepatol. 60, 824–831 (2014).

    Article  CAS  PubMed  Google Scholar 

  282. Sato, Y. et al. Novel bile acid biosynthetic pathways are enriched in the microbiome of centenarians. Nature 599, 458–464 (2021).

    Article  CAS  PubMed  Google Scholar 

  283. Beach, A. et al. Lithocholic bile acid accumulated in yeast mitochondria orchestrates a development of an anti-aging cellular pattern by causing age-related changes in cellular proteome. Cell Cycle 14, 1643–1656 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  284. Buffie, C. G. et al. Precision microbiome reconstitution restores bile acid mediated resistance to Clostridium difficile. Nature 517, 205–208 (2015).

    Article  CAS  PubMed  Google Scholar 

  285. Thanissery, R., Winston, J. A. & Theriot, C. M. Inhibition of spore germination, growth, and toxin activity of clinically relevant C. difficile strains by gut microbiota derived secondary bile acids. Anaerobe 45, 86–100 (2017).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  286. Sorg, J. A. & Sonenshein, A. L. Inhibiting the initiation of Clostridium difficile spore germination using analogs of chenodeoxycholic acid, a bile acid. J. Bacteriol. 192, 4983–4990 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  287. Edenharder, R. Dehydroxylation of cholic acid at C12 and epimerization at C5 and C7 by Bacteroides species. J. Steroid Biochem. 21, 413–420 (1984).

    Article  CAS  PubMed  Google Scholar 

  288. Merrill, J. R. et al. Hepatic biotransformation in rodents and physicochemical properties of 23(R)-hydroxychenodeoxycholic acid, a natural alpha-hydroxy bile acid. J. Lipid Res. 37, 98–112 (1996).

    Article  CAS  PubMed  Google Scholar 

  289. Lance, V. A., Patton, M. L. & Hagey, L. R. Identification of a series of C21O2 pregnanes from fecal extracts of a pregnant black rhinoceros (Diceros bicornis minor). Steroids 66, 875–881 (2001).

    Article  CAS  PubMed  Google Scholar 

  290. Yücel, O., Borgert, S. R., Poehlein, A., Niermann, K. & Philipp, B. The 7α-hydroxysteroid dehydratase Hsh2 is essential for anaerobic degradation of the steroid skeleton of 7α-hydroxyl bile salts in the novel denitrifying bacterium Azoarcus sp. strain Aa7. Environ. Microbiol. 21, 800–813 (2019).

    Article  PubMed  Google Scholar 

  291. Park, R. J. Phenolic 9,10-secosteroids as products of the catabolism of bile acids by a Pseudomonas sp. Steroids 44, 175–193 (1984).

    Article  CAS  PubMed  Google Scholar 

  292. Hylemon, P. B., Melone, P. D., Franklund, C. V., Lund, E. & Björkhem, I. Mechanism of intestinal 7 alpha-dehydroxylation of cholic acid: evidence that allo-deoxycholic acid is an inducible side-product. J. Lipid Res. 32, 89–96 (1991).

    Article  CAS  PubMed  Google Scholar 

  293. Jeyaraj, R. et al. The genetics of inherited cholestatic disorders in neonates and infants: evolving challenges. Genes 12, 1837 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  294. Sundaram, S. S., Bove, K. E., Lovell, M. A. & Sokol, R. J. Mechanisms of disease: inborn errors of bile acid synthesis. Nat. Clin. Pract. Gastroenterol. Hepatol. 5, 456–468 (2008).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  295. Fan, Y. & Pedersen, O. Gut microbiota in human metabolic health and disease. Nat. Rev. Microbiol. 19, 55–71 (2021).

    Article  CAS  PubMed  Google Scholar 

  296. Vijay, A. & Valdes, A. M. Role of the gut microbiome in chronic diseases: a narrative review. Eur. J. Clin. Nutr. 76, 489–501 (2022).

    Article  CAS  PubMed  Google Scholar 

  297. Gough, E. K. The impact of mass drug administration of antibiotics on the gut microbiota of target populations. Infect. Dis. Poverty 11, 76 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  298. Yatsunenko, T. et al. Human gut microbiome viewed across age and geography. Nature 486, 222–227 (2012).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  299. Bloemendaal, M. et al. Probiotics-induced changes in gut microbial composition and its effects on cognitive performance after stress: exploratory analyses. Transl. Psychiatry 11, 300 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

P.C.D. and R.K. acknowledge support from NIH U19 AG063744, and support for the collaborative microbial metabolite centre (1U24DK133658); R.K. also acknowledges DP1AT010885.

Author information

Authors and Affiliations

Authors

Contributions

P.C.D., I.M. and C.A. researched data for the article, made a substantial contribution to discussion of content, wrote the article, and reviewed/edited the manuscript before submission. H.M.-R. and Y.E.A. researched data for the article, made a substantial contribution to discussion of content, and reviewed/edited the manuscript before submission. L.R.H. made a substantial contribution to discussion of content, wrote the article, and reviewed/edited the manuscript before submission. R.K. made a substantial contribution to discussion of content and reviewed/edited the manuscript before submission.

Corresponding author

Correspondence to Pieter C. Dorrestein.

Ethics declarations

Competing interests

P.C.D. is an adviser and has equity in Cybele and is a scientific co-founder and holds equity in Enveda, Arome and Ometa with prior approval from UC San Diego. All other authors declare no competing interests.

Peer review

Peer review information

Nature Reviews Gastroenterology & Hepatology thanks Changtao Jiang, Matej Orešič, Eric Pamer and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mohanty, I., Allaband, C., Mannochio-Russo, H. et al. The changing metabolic landscape of bile acids – keys to metabolism and immune regulation. Nat Rev Gastroenterol Hepatol (2024). https://doi.org/10.1038/s41575-024-00914-3

Download citation

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1038/s41575-024-00914-3

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing