# Microbial transformation of secondary bile acids: roles in gut ecology and autoimmune diseases

**Authors:** Lulu Ren, Mengxin Li, Linping Wu, Zhiming Lin, Anping Chen

PMC · DOI: 10.3389/fimmu.2026.1769792 · Frontiers in Immunology · 2026-03-10

## TL;DR

This review explores how secondary bile acids, shaped by gut microbes, influence gut ecology and autoimmune diseases.

## Contribution

The paper synthesizes recent findings on microbial transformation of bile acids and their role in autoimmune disease mechanisms.

## Key findings

- SBAs are shaped by microbial transformations, affecting their biochemical properties.
- SBAs play a key role in gut microbial ecology and immune system homeostasis.
- SBAs are linked to the pathogenesis of autoimmune diseases.

## Abstract

Secondary bile acids (SBAs) attracted interest due to their regulatory functions in gut microbial ecology and immune responses. These intricate microbial transformations decisively shape the biochemical properties of SBAs. Recent advancements in artificial intelligence and mass spectrometry technologies have substantially expanded our understanding of the diversity within the SBAs pool. To date, hundreds of SBAs, a minor portion of the natural SBA repertoire, have been identified, alongside the prediction of tens of thousands of associated enzymes. Integrative multi-omics studies have further substantiated the role of SBAs in the pathogenesis of autoimmune diseases. This review synthesizes current knowledge on the microbial modification of bile acids, their effects on gut microbial ecology and immune function, with a particular emphasis on autoimmune disorders. Collectively, these findings highlight SBAs as critical regulators of gut microbiota and immune system homeostasis, with their functions intricately linked to their molecular structures.

## Full-text entities

- **Diseases:** autoimmune diseases (MESH:D001327)
- **Chemicals:** SBAs (-), bile acids (MESH:D001647)

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13008668/full.md

## References

251 references — full list in the complete paper: https://tomesphere.com/paper/PMC13008668/full.md

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Source: https://tomesphere.com/paper/PMC13008668