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Open AccessJournal ArticleDOI

Modulation of the Fecal Bile Acid Profile by Gut Microbiota in Cirrhosis

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TLDR
Cirrhosis, especially advanced disease, is associated with a decreased conversion of primary to secondary fecal BAs, which is linked to abundance of key gut microbiome taxa.
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This article is published in Journal of Hepatology.The article was published on 2013-05-01 and is currently open access. It has received 572 citations till now. The article focuses on the topics: Bile acid & Deoxycholic acid.

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Citations
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Journal ArticleDOI

Introduction to the human gut microbiota

TL;DR: This review summarises the current understanding of the development and composition of the human GI microbiota, and its impact on gut integrity and host health, underlying the need for mechanistic studies focusing on host–microbe interactions.
Journal ArticleDOI

Bile Acids and the Gut Microbiome

TL;DR: The host and microbiome appear to regulate bile acid pool size, and members of the microbiome utilize bile acids and their conjugates resulting in agonism of FXR in intestine and liver resulting in a smaller, unconjugated hydrophobic bile Acid pool.
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Altered profile of human gut microbiome is associated with cirrhosis and its complications

TL;DR: In the longitudinal matched-cohort, microbiota were significantly different between infected/uninfected cirrhotics at baseline and a low CDR was associated with death and organ failures within 30days, indicating progressive changes in the gut microbiome accompany cirrhosis and become more severe in the setting of decompensation.
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Interactions between the intestinal microbiome and liver diseases.

TL;DR: The contribution of the intestinal microbiome to liver disease goes beyond simple translocation of bacterial products that promote hepatic injury and inflammation and is reviewed to ensure that microbial metabolites produced in a dysbiotic intestinal environment and host factors are equally important in the pathogenesis of liver disease.
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The gut-liver axis in liver disease: Pathophysiological basis for therapy.

TL;DR: The identification of the elements of the gut-liver axis primarily damaged in each chronic liver disease offers possibilities to intervention.
References
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Journal ArticleDOI

Bile salt biotransformations by human intestinal bacteria.

TL;DR: The potential exists for altering the bile acid pool by targeting key enzymes in the 7α/β-dehydroxylation pathway through the development of pharmaceuticals or sequestering bile acids biologically in probiotic bacteria, which may result in their effective removal from the host after excretion.
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Dietary-fat-induced taurocholic acid promotes pathobiont expansion and colitis in Il10 −/− mice

TL;DR: Dietary fats, by promoting changes in host bile acid composition, can markedly alter conditions for gut microbial assemblage, resulting in dysbiosis that can perturb immune homeostasis, providing a plausible mechanistic basis by which Western-type diets high in certain saturated fats might increase the prevalence of complex immune-mediated diseases like inflammatory bowel disease in genetically susceptible hosts.
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Characterization of fecal microbial communities in patients with liver cirrhosis

TL;DR: Fecal microbial communities are distinct in patients with cirrhosis compared with healthy individuals, and the prevalence of potentially pathogenic bacteria, such as Enterobacteriaceae and Streptococcaceae, with the reduction of beneficial populations such as Lachnospiraceae in Patients with Cirrhosis may affect prognosis.
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