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Bile acid synthesis and cholesterol solubilization in bile is a crucial metabolic pathway involving the enzymatic conversion of cholesterol into bile acids in the liver. These bile acids, acting as detergents, solubilize cholesterol and other lipids in bile through micelle formation, facilitating their excretion and aiding in the digestion and absorption of dietary fats. This pathway is essential for maintaining cholesterol homeostasis and preventing various lipid-related disorders.
Bile acid sequestrants bind bile acids in the intestine, preventing their reabsorption and promoting their excretion. Fibrates affect bile acid synthesis through FXR. Ezetimibe inhibits cholesterol absorption.
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