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Dehydrolithocholic acid (also known as 3-oxolithocholic acid or DHLCA) is a naturally occurring secondary bile acid metabolite derived from the bacterial or enzymatic oxidation of lithocholic acid (LCA). It acts as a multi-receptor modulator, functioning as an agonist of G-protein coupled bile acid receptor 1 (GPBAR1/TGR5), farnesoid X receptor (FXR), vitamin D receptor (VDR), and pregnane X receptor (PXR), while also acting as a direct inhibitor/inverse agonist of retinoic acid receptor-related orphan receptor-gamma t (RORγt). Through these pathways, dehydrolithocholic acid regulates adaptive immunity by suppressing T helper 17 (Th17) cell differentiation and has demonstrated protective, anti-inflammatory, and metabolic benefits in preclinical models of diabetic kidney disease (DKD) and inflammatory bowel disease (IBD).
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