How a gut chemical helps muscles in sick livers

Original Title

Association of lithocholic acid with skeletal muscle hypertrophy through TGR5-IGF-1 and skeletal muscle mass in cultured mouse myotubes, chronic liver disease rats and humans

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Summary

When the liver is sick, muscles can shrink. This study found a special acid in the blood, called LCA, that links to bigger muscles and longer life in liver patients. Giving sick rats a liver-friendly supplement made their muscles and LCA levels go up. In lab-grown mouse muscles, LCA made the muscles grow by turning on a growth switch.

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Surprising Findings

A 'toxic' secondary bile acid (LCA) is linked to better muscle mass and survival in liver disease.

LCA is typically seen as harmful — it’s associated with liver damage and cancer. Finding it protective in muscle health flips the script on its role in disease.

Practical Takeaways

Liver disease patients might benefit from gut health strategies (like probiotics or diet) that influence bile acid metabolism, potentially supporting muscle.

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