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Table 1 Bile acids and their impact on cognition and dementia

From: Microbial-derived metabolites as a risk factor of age-related cognitive decline and dementia

Bile Acid

In Vitro/ In Vivo (species)

Model

Findings

Reference

CA (Primary Bile Acid)

In Vivo (Male Sprague-Drawly rats)

Ibotenic Acid-Induced

Dementia Model

A combination of administering baicalin, jasminoidin and cholic acid improved cognitive performance through the promotion of pathways related to neuroprotection and neurogenesis

[144]

In Vivo (Zebrafish)

Zebrafish embryos exposed to a cholic acid-treated medium

Cholic acid was identified as a new Lxr ligand, which in turn promoted neural development and neurogenesis in the midbrain of zebrafish

[137]

CDCA (Primary Bile Acid)

In Vivo (Adult male Wistar rats)

AlCl3 induced AD

CDCA treatment reduces neurotoxicity and cognitive decline via increased insulin signalling

[145]

In Vitro

Primary dissociated cultures of the posterior hypothalamus

CDCA is an antagonist for NMDA and GABAA receptors and can significantly reduce neuronal firing

[146]

TCA (Primary Conjugated Bile Acid)

In Vivo (human)

Human brain tissue with AD pathology vs age-matched healthy controls

TCA was significantly lower (p = 0.01) in AD patients than in age-matched controls

[117]

DCA (Secondary Bile Acid)

In Vitro

BCS-TC2 human colon adenocarcinoma cells

DCA modulates mitochondrial pathways causing apoptosis

[130]

In Vivo (human)

Serum samples from AD patients, amnesic MCI patients and healthy controls

DCA was increased in amnesic MCI and AD in comparison to healthy controls and correlated with cognitive symptoms

[129]

LCA (Secondary Bile Acid)

In Vivo (human)

Plasma samples from patients with AD, MCI and healthy controls

LCA was significantly higher in AD patients (p = 0.004) compared to healthy controls

[147]

UDCA (Secondary Bile Acid)

In Vitro

BV-2 microglial cell line

UDCA can initiate an anti-inflammatory effect by inhibiting NF-κB activation

[148]

TUDCA (Secondary Conjugated Bile Acid)

In Vitro

Neuron cell cultures and primary rat neurons

Inhibition of the E2F-1/p53/Bax pathway, leading to suppression of Aβ-induced apoptosis

[138]

In Vitro

Primary cultures of rat cortical and hippocampal neurons

Reduction in synaptic deficits induced by Aβ through inhibiting the downregulation of postsynaptic density protein-95, leading to a reduction in neuronal death

[149]

In Vivo (mouse)

AD model: APP/PS1 double transgenic mice

Dietary TUDCA provided for 6 months decreased Aβ aggregation and enhanced memory retention

[141]

In Vivo (mouse)

AD model: APP/PS1 double transgenic mice

Dietary TUDCA provided for 6 months decreased hippocampal and prefrontal amyloid deposition and inhibited spatial, recognition and contextual memory deficiencies

[150]

In Vivo (mouse)

AD model: APP/PS1 double transgenic mice

Intraperitoneal injections of TUDCA decreased Aβ deposition, glycogen synthase kinase 3β activity, phosphorylation of τ, and neuroinflammation

[142]

In Vitro

Aβ-treated primary rat cortical neurons

TUDCA prevented Aβ induced cytochrome c release and neuronal death through the PI3K signalling pathway

[151]

In Vitro

Aβ-treated primary rat cortical neurons

TUDCA reduced Aβ induced apoptosis through the binding to mineralocorticoid receptors

[140]