How gut bile-acid sensors FXR and TGR5 may protect people with short bowel syndrome

Role of bile acid receptors FXR and TGR5 in preventing injury in short bowel syndrome

NIH-funded research Saint Louis University · NIH-11144441

This work looks at whether turning on two gut bile-acid sensors, FXR and TGR5, can help prevent liver and gut damage in people with short bowel syndrome.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionSaint Louis University NIH-funded
Lab location1 site (Saint Louis, United States)
Project IDNIH-11144441 on NIH RePORTER

What this research studies

Researchers will study how the gut-liver signaling pathways driven by bile acids (the FXR-FGF19 and TGR5-GLP systems) change after large bowel removal and during dependence on intravenous nutrition. They will use laboratory models (including animal experiments) and tissue or blood samples to see if restoring these signals prevents gut shrinkage and liver injury. The team will test compounds or approaches that mimic bile-acid activation of FXR and TGR5 and measure gut structure, liver markers, and signaling molecules. If human samples or patients are involved, those activities would be coordinated through Saint Louis University.

Who could benefit from this research

Good fit: People with short bowel syndrome—especially those dependent on total parenteral nutrition or showing gut atrophy or liver problems—would be the most relevant candidates for this line of work.

Not a fit: People without short bowel syndrome or whose symptoms stem from unrelated causes would not be expected to benefit, and early-stage laboratory findings may not immediately translate into treatments.

Why it matters

Potential benefit: If successful, this could lead to new treatments that preserve intestinal health and prevent liver damage in people with short bowel syndrome, potentially reducing complications from long-term IV nutrition.

How similar studies have performed: Prior research supports a role for bile-acid signaling in gut and liver health, but applying FXR and TGR5–targeted approaches specifically to short bowel syndrome is relatively novel.

Where this research is happening

Saint Louis, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.