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Regulation of glucose homeostasis by glucocorticoids

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The New England Journal of Medicine, 384 (11), 9891002

(23) The risks associated with the accumulation of visceral fat can worsen due to stress, lack of sleep, smoking, and poor diet

In db/db mice, CK treatment increases secondary BAs, such as lithocholic acid (LCA) and deoxycholic acid (DCA) through changes in the gut microbiota, especially the Ruminococcaceae family, and up-regulation of cytochrome P450 family 7 subfamily B member 1 ( Cyp7b1 ) and cytochrome P450 family 27 subfamily A member 1 ( Cyp27a1 ) and down-regulation of cytochrome P450 family 8 subfamily B member 1 ( Cyp8b1 ), which changes BA biosynthesis from the classical pathway to the alternative pathway