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胆汁酸与糖脂代谢疾病
何逸飞,王奇金*
0
(第二军医大学长海医院内分泌科, 上海 200433
*通信作者)
摘要:
胆汁酸(bile acid, BA)作为胆汁的成分之一,参与脂肪消化吸收和胆固醇代谢。近年研究发现,胆汁酸还是一种信号分子,不仅可以与法尼酯衍生物X受体(farnesoid X receptor, FXR)、G 蛋白偶联胆汁酸受体(G protein coupled bile acid receptor 5,TGR5)等结合调节自身代谢,还在糖尿病、肥胖、非酒精性脂肪肝病及其他代谢性疾病中发挥重要作用,因此,阐明其作用机制将为诊治代谢性疾病提供理论依据。本文就胆汁酸在糖脂代谢疾病中的研究进展作一综述。
关键词:  胆汁酸类和盐类  2型糖尿病  减重手术  非酒精性脂肪肝  法尼酯衍生物X受体  G蛋白偶联的胆汁酸受体
DOI:10.16781/j.0258-879x.2017.06.0780
投稿时间:2016-11-15修订日期:2017-02-22
基金项目:长海医院探索项目(CH125541900)
Bile acid in glucolipid metabolic diseases: an update
HE Yi-fei,WANG Qi-jin*
(Department of Endocrinology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
*Corresponding author)
Abstract:
Bile acids, as one of the constituents of bile, can promote the digestion and absorption of fat and cholesterol metabolism. Studies find that bile acid is a signal molecule that not only combines with nuclear hormone receptors such as farnesoid X receptor, and G protein coupled bile acid receptor 5, to regulate their own metabolism, but also plays an important role in diabetes, obesity, non-alcoholic fatty liver disease and other metabolic diseases. The research on its mechanism will provide a solid theoretical basis for the diagnosis and treatment of metabolic diseases. In this review, we summarized the research progress of bile acids in glucolipid metabolic diseases.
Key words:  bile acids and salts  type 2 diabetes mellitus  bariatric surgery  nonalcoholic fatty liver disease  farnesoid X receptor  G-protein coupled bile acid receptor