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Research Article Open access CC BY 4.0

Primary Bile Acid Disorders: A Largely Unknown Group of Rare Genetic Diseases in Newborns

Stefan Bittmann

Asian Journal of Pediatric Research · pp. 1–7 · Published 2 Apr 2024

10.9734/ajpr/2024/v14i5340

Abstract

Primary bile acid disorders (BASD) in newborns are rarely found with a prevalence of 1-9/1,000,000 and include 1-2 % of all cases with neonatal cholestasis. Causes are different gene defects, which lead to liver enzyme defects, which play a major role in both cholic acid pathways, the classical with production of cholic acid and the alternative one with chenodeoxycholic acid. They are found in both genders in the same distribution. Early diagnosis is very important to introduce a bile acid replacement therapy as soon as possible as the treatment of choice to date. Diagnosis will be confirmed by molecular trsting, liver biopsy and different forms of mass spectrometry methods. Differential diagnosis includes progressive familial intrahepatic cholestasis, neonatal hepatitis and biliary atresia. Further gene therapy approaches must be developed, like CRISP Cas9 technology, to repair the spontaneous point mutations on DNA of these patients to cure and not to treat them their whole life finally.

BASD children cholestasis bile acid

References (50)

  1. 1 Identification of a Nuclear Receptor for Bile Acids [DOI]
  2. 2 Bile Acids: Natural Ligands for an Orphan Nuclear Receptor [DOI]
  3. 3 A Regulatory Cascade of the Nuclear Receptors FXR, SHP-1, and LRH-1 Represses Bile Acid Biosynthesis [DOI]
  4. 4 Endogenous Bile Acids Are Ligands for the Nuclear Receptor FXR/BAR [DOI]
  5. 5 Bile acid biosynthesis [DOI]
  6. 6 Suppressed hepatic bile acid signalling despite elevated production of primary and secondary bile acids in NAFLD [DOI]
  7. 7 Bile acid receptors FXR and TGR5 signaling in fatty liver diseases and therapy [DOI]
  8. 8 BAREing it all: the adoption of LXR and FXR and their roles in lipid homeostasis [DOI]
  9. 9 Discovery of farnesoid X receptor and its role in bile acid metabolism [DOI]
  10. 10 Delta 4-3-oxosteroid 5 beta-reductase deficiency described in identical twins with neonatal hepatitis. A new inborn error in bile acid synthesis. [DOI]
  11. 11 Clinical and molecular genetic characteristics of patients with cerebrotendinous xanthomatosis [DOI]
  12. 12 Clinical and molecular diagnosis of cerebrotendinous xanthomatosis with a review of the mutations in the CYP27A1 gene [DOI]
  13. 13 Jaundice revisited: recent advances in the diagnosis and treatment of inherited cholestatic liver diseases [DOI]
  14. 14 Inborn Errors of Bile Acid Metabolism [DOI]
  15. 15 Mechanisms of Disease: inborn errors of bile acid synthesis [DOI]
  16. 16 Heart and bile acids – Clinical consequences of altered bile acid metabolism [DOI]
  17. 17 A Current Understanding of Bile Acids in Chronic Liver Disease [DOI]
  18. 18 Pediatric Cholestatic Liver Disease: Review of Bile Acid Metabolism and Discussion of Current and Emerging Therapies [DOI]
  19. 19 Neonatal Cholestasis: Updates on Diagnostics, Therapeutics, and Prevention [DOI]
  20. 20 Effects of odevixibat on pruritus and bile acids in children with cholestatic liver disease: Phase 2 study [DOI]
  21. 21 Familial giant cell hepatitis associated with synthesis of 3 beta, 7 alpha-dihydroxy-and 3 beta,7 alpha, 12 alpha-trihydroxy-5-cholenoic acids. [DOI]
  22. 22 Identification of Farnesoid X Receptor β as a Novel Mammalian Nuclear Receptor Sensing Lanosterol [DOI]
  23. 23 REGULATION OF BILE ACID BIOSYNTHESIS [DOI]
  24. 24 Potential bile acid precursors in plasma—Possible indicators of biosynthetic pathways to cholic and chenodeoxycholic acids in man [DOI]
  25. 25 Bile Acid Synthetic Defects and Liver Disease: A Comprehensive Review [DOI]
  26. 26 Mutations in SRD5B1 ( AKR1D1 ), the gene encoding Δ 4 -3-oxosteroid 5β-reductase, in hepatitis and liver failure in infancy [DOI]
  27. 27 Bile Acid Synthetic Defects and Liver Disease [DOI]
  28. 28 Delta 4-3-oxosteroid 5 beta-reductase deficiency: failure of ursodeoxycholic acid treatment and response to chenodeoxycholic acid plus cholic acid. [DOI]
  29. 29 Differential Interaction of Bile Acids from Patients with Inborn Errors of Bile Acid Synthesis with Hepatocellular Bile Acid Transporters [DOI]
  30. 30 Oral Cholic Acid Is Efficacious and Well Tolerated in Patients With Bile Acid Synthesis and Zellweger Spectrum Disorders [DOI]
  31. 31 Open‐label Phase 3 Continuation Study of Cholic Acid in Patients With Inborn Errors of Bile Acid Synthesis [DOI]
  32. 32 Odevixibat: a promising new treatment for progressive familial intrahepatic cholestasis [DOI]
  33. 33 Lack of 3 beta-hydroxy-delta 5-C27-steroid dehydrogenase/isomerase in fibroblasts from a child with urinary excretion of 3 beta-hydroxy-delta 5-bile acids. A new inborn error of metabolism. [DOI]
  34. 34 The Farnesoid X Receptor (FXR) as Modulator of Bile Acid Metabolism [DOI]
  35. 35 Juvenile Cataract Associated With Chronic Diarrhea in Pediatric Cerebrotendinous Xanthomatosis [DOI]
  36. 36 Familial Giant Cell Hepatitis with Low Bile Acid Concentrations and Increased Urinary Excretion of Specific Bile Alcohols: A New Inborn Error of Bile Acid Synthesis? [DOI]
  37. 37 INTRAHEPATIC CHOLESTASIS OF PREGNANCY [DOI]
  38. 38 Abnormal Bile Acid Metabolism and Neonatal Hemochromatosis: A Subset with Poor Prognosis [DOI]
  39. 39 Bile acids and bile alcohols in a child with hepatic 3 beta-hydroxy-delta 5-C27-steroid dehydrogenase deficiency: effects of chenodeoxycholic acid treatment [DOI]
  40. 40 Inborn Errors of Bile Acid Synthesis [DOI]
  41. 41 Treatment of chronic liver disease caused by 3 beta-hydroxy-delta 5-C27-steroid dehydrogenase deficiency with chenodeoxycholic acid. [DOI]
  42. 42 Paediatric cerebrotendinous xanthomatosis [DOI]
  43. 43 FXR, A Therapeutic Target for Bile Acid and Lipid Disorders [DOI]
  44. 44 Purification and properties of a 3 beta-hydroxy-delta 5-C27-steroid oxidoreductase from rabbit liver microsomes. [DOI]
  45. 45 Disorders of Bile Acid Synthesis and Metabolism: A Metabolic Basis for Liver Disease [DOI]
  46. 46 Cholestasis in the Premature Infant [DOI]
  47. 47 LIVER DISEASE CAUSED BY DISORDERS OF BILE ACID SYNTHESIS [DOI]
  48. 48 Comparison of the effects between ursodeoxycholic and chenodeoxycholic acids on liver function and structure and on bile acid composition in the rhesus monkey [DOI]
  49. 49 Acute infusions of bile salts increase biliary excretion of iron in iron-loaded rats [DOI]
  50. 50 Relationship between serum and biliary bile acids as an indicator of chenodeoxycholic and ursodeoxycholic acid-induced hepatotoxicity in the rhesus monkey [DOI]

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