RT Book, Section A1 King, Michael W. SR Print(0) ID 1122104142 T1 Lipids: Bile Acid Metabolism T2 Integrative Medical Biochemistry Examination and Board Review YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 9780071786126 LK accesspharmacy.mhmedical.com/content.aspx?aid=1122104142 RD 2024/04/24 AB High-Yield TermsClassic (neutral) pathway: major pathway for bile acid synthesis, initiated from cholesterol via the action of CYP7A1, both cholic and chenodeoxycholic acid synthesized via the classic pathwayAcidic pathway: alternative, minor pathway for bile acid synthesis initiated via the action of sterol 27-hydroxylase (CYP27A1), only chenodeoxycholic acid synthesized via the acidic pathwayCYP7A1: 7α-hydroxylase, rate-limiting enzyme in the classic pathway of bile acid synthesisPrimary bile acids: the end products of hepatic bile acid synthesis and includes cholic acid and chenodeoxycholic acidSecondary bile acids: products of the actions of intestinal bacteria on the primary bile acids generating deoxycholate (from cholate) and lithocholate (from chenodeoxycholate)Enterohepatic circulation: the circulation of bile acids, or other substances, from the liver to the gallbladder, followed by secretion into the small intestine, absorption by intestinal enterocytes, and transport back to the liverFarnesoid X receptors (FXR): nuclear receptors for bile acids and bile acid metabolites; regulate the expression of genes involved in bile acid synthesisGuggulsterone: the term for any resin collected by tapping the trunk of a tree is called guggul (or guggal) and the lipid component of this extract is called guggulsterone (also called guggul lipid)