Abstract

Bile acids (BAs) were originally known as detergents to facilitate the digestion and absorption of lipids. And our current knowledge of BAs has been extended to potential carcinogenic or cancer suppressor factors due to constant research. In fact, BAs were regarded as a tumor promoters as early as the 1940s. Differential bile acid signals emitted by various bile acid profiles can produce distinct pathophysiological traits, thereby participating in the occurrence and development of tumors. Nevertheless, in recent years, more and more studies have noticed the value of BAs as therapeutic targets. And several studies have applied BAs as a therapeutic agent for various diseases including cancer. Based on the above evidence, we acknowledge that the role of BAs in cancer has yet to be exploited, although considerable efforts have been made to probe the functions of BAs. In this review, we describe the characteristics of BAs as a double-edged sword in cancer, hoping to provide references for future cancer treatments.

Highlights

  • Cancer occurrence is a multifactorial process and has emerged as the second leading cause of death in the world [1]

  • Dai et al demonstrated that conjugated bile acids (CBAs) promote the growth of cholangiocarcinoma from the cellular and mice levels, while free bile acids inhibit the growth of cholangiocarcinoma [69]

  • We found that the effects of deoxycholic acid (DCA) and chenodeoxycholic acid (CDCA) on promoting cell proliferation or resisting cell death generally occur at low doses, while anti-cell proliferation or pro-cell death regularly occurs at high doses, despite the specific molecular mechanism need to be further covered

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Summary

Frontiers in Oncology

Bile acids (BAs) were originally known as detergents to facilitate the digestion and absorption of lipids. Our current knowledge of BAs has been extended to potential carcinogenic or cancer suppressor factors due to constant research. BAs were regarded as a tumor promoters as early as the 1940s. Differential bile acid signals emitted by various bile acid profiles can produce distinct pathophysiological traits, thereby participating in the occurrence and development of tumors. In recent years, more and more studies have noticed the value of BAs as therapeutic targets. Several studies have applied BAs as a therapeutic agent for various diseases including cancer. Based on the above evidence, we acknowledge that the role of BAs in cancer has yet to be exploited, considerable efforts have been made to probe the functions of BAs. In this review, we describe the characteristics of BAs as a doubleedged sword in cancer, hoping to provide references for future cancer treatments

INTRODUCTION
BIOSYNTHESIS OF PRIMARY BILE ACIDS
BILE ACIDS IN CANCER ANGIOGENESIS
BILE ACIDS IN CANCER CELL PROLIFERATION AND DEATH
Oxidative stress
Cells Cells Cells
Cells Cells and mice Cells Cells Cells
Cholangiocarcinoma Cells and mice
BILE ACIDS IN CANCER CELL INVASION AND METASTASIS
CDCA UDCA TUDCA Free bile acids CBAs
BILE ACIDS IN CANCER INFLAMMATION AND IMMUNITY
LCA DCA CA TCA CDCA GDCA Primary BAs Hydrophobic BAs TBAs
Findings
CONCLUSIONS
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