Effects of treatment with deoxycholic acid and chenodeoxycholic acid on the hepatic synthesis of cholesterol and bile acids in healthy subjects
Curt Einarsson, Carl‐Gustaf Hillebrant, Magnus Axelson – 30 December 2003 – The degradation of cholesterol to bile acids is regulated by a negative‐feedback mechanism by the bile acids, especially the hydrophobic bile acids, returning to the liver via the portal vein. Chenodeoxycholic acid (CDCA) is a potent suppressor of the cholesterol 7α‐hydroxylase, the rate‐determining enzyme in bile acid formation. CDCA may also suppress hepatic 3‐hydroxy‐3‐methyl glutaryl coenzyme A (HMG CoA) reductase, the rate‐limiting enzyme in cholesterol synthesis.