Rebuttal to: The Benevolent Bile: Bile Acids as Stimulants of Liver Regeneration.

Rebuttal to: The Benevolent Bile: Bile Acids as Stimulants of Liver Regeneration.
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DOI:
10.1016/j.jcmgh.2022.02.002
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发表时间:
2022
影响因子:
7.2
通讯作者:
Anakk, S. A. Y. E. E. P. R. I. Y. A. D. A. R. S. H. I. N. I.
Anakk, S. A. Y. E. E. P. R. I. Y. A. D. A. R. S. H. I. N. I.
中科院分区:
医学1区
文献类型:
--
作者:
Zhou, W. E. I. N. A. N.;Anakk, S. A. Y. E. E. P. R. I. Y. A. D. A. R. S. H. I. N. I.

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Bhushan and Apte 1 highlight the beneficial effects of bile acids (BAs), such that increasing BA levels stimulate regeneration and recovery after partial hepatectomy (PH) or drug-induced acute liver injury. Although we agree with the protective role of BAs in liver regeneration, increasing evidence points to the fact that the composition of the BA pool is crucial for downstream signaling.Hydrophobic BAs induce cytotoxicity while hydrophilic BAs alleviate liver injury, and the ratio of BAs in the pool determines the hydrophobic index. Deletion of small heterodimer partner 2 and a lithocholic acid–enriched diet 3 both can increase the hydrophobic BA pool, causing bile infarcts, bile duct obstruction, and liver injury. Moreover, altered BA composition after PH has been noted with a particular increase in cholic acid and a reduction in chenodeoxycholic acid, resulting in a more hydrophilic BA pool during regeneration. Mechanistically, the membrane Takeda G-protein–coupled receptor activation modulates BA composition to become more hydrophilic, and thus protects against cytotoxic BA accumulation. 4
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