Bile Acids and Bile Salts
Bile Acids
Bile salts are synthesized in the liver from cholesterol. The first step is formation of bile acids:

- An α-hydroxyl group is added to carbon 7 of cholesterol by 7α-hydroxylase (rate-limiting step).
- The double bond of cholesterol is reduced, and further hydroxylations occur, resulting in two compounds. One has two α-hydroxyl groups at positions 3 and 7 (diol); and the other has three α-hydroxyl groups at positions 3,7, and 12 (triol).
- The side chain is oxidized and converted to a branched, 5-carbon chain, containing a carboxylic acid at the end.
- The bile acid with two hydroxyl groups at positions 3 and 7 is chenocholic acid.
- The bile with three hydroxyl groups at positions 3, 7, and 12 is cholic acid.
- The bile acids have pK of approximately 6.
- Above pH 6, the molecules are salts (they ionize and carry a negative charge).
- At pH 6 (the pH of the intestinal lumen), half of the molecules are ionized.
- Below pH 6, the bile acids are protonated, and their charge decreases as the pH is lowered.
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Bile Salts

- The bile salts are activated by ATP and coenzyme A forming their CoA derivatives, which can form conjugates with either glycine or taurine.
- Glycine forms an amide with the carboxyl group of a bile salt, forming glycocholic acid or glycochenocholic acid.
- The bile salts that are conjugates of glycine have pK of approximately 4.
- These bile salts are more completely ionized at pH 6 in the gut lumen and served as better detergents
- Taurine, which is derived from cysteine, forms an amide with the carboxyl group of a bile acid.
- The bile salts of taurine have a pH of approximately 2. They ionize very readily in the gut and are the best detergents among the bile salts.
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