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Metabolic & Cardiometabolic · Gut & Microbiome

intestinal FXR activation suppresses GLP-1

In plain terms: Does the gut bile-acid sensor FXR turn down the appetite-suppressing hormone GLP-1?

Leans support(preclinical) Metabolic & Cardiometabolic 🐭 Non-human evidence🔬 Includes disconfirming
RefutedContestedStrong support
consensus score 0.61
🔬 Capped to leans support — preclinical evidence only. The raw signal looked like strong support, but a claim about human health can't be graded that high on animal or lab evidence alone. It stays capped until human trials weigh in.

Yes — but only shown in animals and the lab so far.

📅 Last reviewed: 2026-07-15

Evidence ladder

How far up the ladder this claim has climbed. A high consensus on a low rung means "consistent so far," not "proven in people."

Top evidence so far: Animal studies (Animal)

MechanismIn-vitroAnimalObservationalRCTMeta-analysis

How the studies fall

10 support 3 contradict 0 tested null 1 mixed · 14 sources, 12 independent groups

What the evidence shows

FXR activation represses proglucagon and blunts SCFA-induced GLP-1 (downregulates FFAR2) — the opposing brake to TGR5. Implies BA-binding dietary fiber (lowering luminal FXR tone) could synergize with SCFA production. Animal/cell-grade.

The evidence (14)

SourceGradeStanceQualityFinding
Li
2019 · J Cell Physiol
in-vitro supports moderate FXR inversely regulates GLP-1 secretion in STC-1 L-cells by inhibiting CREB transcriptional activity.
Pathak P, et al.
2018 · (FXR/TauroLCA)
animal contradicts moderate Intestine-restricted FXR agonist fexaramine INCREASED GLP-1 secretion via TGR5; FXR activation raised GLP-1.
Zheng X, et al.
2021 · (HCA)
animal supports high Hyocholic acids raise GLP-1 partly by INHIBITING intestinal FXR (with TGR5 agonism); FXR inhibition boosts GLP-1.
Li
2024 · Gut Microbes
animal supports moderate Bacterial GUS-driven bile-acid rise activated ileal FXR and suppressed L-cell GLP-1
Trabelsi MS, et al.
2015 · Nat Commun
animal supports high Landmark FXR in L-cells represses proglucagon+GLP-1; FXR-KO raises GLP-1 (in-vitro+mouse)
Ducastel S, et al.
2020 · Sci Rep
animal supports high FXR blunts SCFA-induced GLP-1 by lowering FFAR2 (colonoids+L-cells+mice); FXR-KO raises FFAR2+GLP-1
Stefela
2021 · Front Pharmacol
in-vitro mixed low Dual FXR antagonist/GPBAR1 agonist 7-ELCA stimulates GLP-1 from enteroendocrine cells; FXR blockade favors GLP-1.
Pathak
2017 · J Biol Chem
animal contradicts moderate Dual FXR/TGR5 agonist INT-767 stimulated intestinal GLP-1 secretion; FXR activation augmented GLP-1.
Yun
2024 · Nat Metab
animal supports high [FT-verified] Yun 2024 NatMetab microbial agmatine FXR agonist promoting PCOS mice; confirms FXR-axis. ANIMAL
Lv J et al
2026 · study_type: animal
animal supports moderate Mouse HFD model: BSH-driven UDCA acts as intestinal FXR antagonist + TGR5 agonist, stimulating GLP-1 secretion; GR-7 BSH-inhibitor lowered UDCA and GLP-1.
Sun YH et al
2026 · study_type: animal
animal supports low HFD mouse model: LGZG inhibited intestinal FXR-Fgf15 axis while enriching TGR5-agonist/FXR-antagonist bile acids, raising serum GLP-1 (p<0.05) via TGR5, not FXR activation.
Stefela
2025 · Pharmacol Res
animal supports moderate FXR antagonist enhanced GLP-1 secretion and improved glucose metabolism in Western-diet mice
Niss
2020 · Mol Cell Endocrinol
in-vitro supports moderate [FT-verified] Niss 2020 GLUTag L-cell active FXR represses GLP-1 secretion
Kim
2022 · JCI Insight
animal contradicts moderate FXR agonists increased GLP-1+ enteroendocrine cell number/differentiation in intestinal organoids; activation raised GLP-1.

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