Potential of nor-Ursodeoxycholic Acid in Cholestatic and Metabolic Disorders

Autor: G Paumgartner, Elisabeth Krones, Claudia D. Fuchs, Marion J. Pollheimer, Christian Kienbacher, Daniel Steinacher, Thierry Claudel, Emina Halilbasic, P Munda, Harald Hofer, Tarek Moustafa, Lili Kazemi-Shirazi, Stefan Traussnigg, Michael Trauner, Peter Fickert
Rok vydání: 2015
Předmět:
Zdroj: Digestive Diseases. 33:433-439
ISSN: 1421-9875
0257-2753
Popis: 24-nor-ursodeoxycholic acid (norUDCA) is a side-chain shortened derivate of ursodeoxycholic acid (UDCA). Since norUDCA is only ineffectively conjugated with glycine or taurine, it has specific physicochemical and therapeutic properties distinct from UDCA. Nonamidated norUDCA undergoes cholehepatic shunting enabling ‘ductular targeting' and inducing a bicarbonate-rich hypercholeresis, with cholangioprotective effects. At the same time it has direct anti-inflammatory, antilipotoxic, anti fibrotic, and antiproliferative properties targeting various liver cell populations. norUDCA appears to be one of the most promising novel treatment approaches targeting the liver and the bile duct system at multifactorial and multicellular levels. This review article is a summary of a lecture given at the XXIII International Bile Acid Meeting (Falk Symposium 194) on ‘Bile Acids as Signal Integrators and Metabolic Modulators' held in Freiburg, October 8-9, 2014, and summarizes the recent progress with norUDCA as a novel therapeutic approach in cholestatic and metabolic (liver) disorders.
Databáze: OpenAIRE