Abstract
Through biochemical transformation of host-derived bile acids, gut bacteria mediate host-microbe crosstalk and function at the interface of nutrition and host metabolic regulation. Bile acids play a crucial role in human health by facilitating the absorption of dietary lipophilic nutrients, interacting with hormone receptors to regulate host physiology, and shaping gut microbiota composition through antimicrobial activity. Bile acids deconjugation by bacterial bile salt hydrolase has long been recognized as the first necessary bile acid modification required before further transformations can occur. Here, we show that bile salt hydrolase activity is common among human gut bacterial isolates spanning seven major phyla. However, we observed variation in both the extent and the specificity of deconjugation of bile acids among the tested taxa. Unexpectedly, we discovered that certain strains were capable of directly dehydrogenating conjugated bile acids via hydroxysteroid dehydrogenases to produce conjugated secondary bile acids both in vitro and in vivo. These results challenge the prevailing notion that deconjugation is a prerequisite for further bile acid modifications and lay a foundation for new hypotheses regarding how bacteria act individually or in concert to diversify the bile acid pool and influence host physiology.
Data availability
Accession codes for sequenced bacterial strains have been included in Supplementary Table 1 in the Supplementary Information file. Accession codes and hyperlinks are included in the Source Data for Fig. 3. The raw data generated in this study are provided in the Source Data file. The metabolomics data generated in this study are available in the MassIVE database (gnps.ucsd.edu) under MassIVE ID MSV000100317. Source data are provided with this paper.
Code availability
All custom code can be found at: https://github.com/qijunz/Lucas_BSH_paper.
References
Bourgin, M. et al. Bile salt hydrolases: at the crossroads of microbiota and human health. Microorganisms 9, 1122 (2021).
Foley, M. H., O’Flaherty, S., Barrangou, R. & Theriot, C. M. Bile salt hydrolases: gatekeepers of bile acid metabolism and host-microbiome crosstalk in the gastrointestinal tract. PLoS Pathog. 15, e1007581 (2019).
Hofmann, A. F. & Eckmann, L. How bile acids confer gut mucosal protection against bacteria. Proc. Natl. Acad. Sci. USA 103, 4333–4334 (2006).
Santos, L. G. A.-A. et al. Gastrointestinal bile salt concentrations in healthy adults under fasted and fed conditions: a systematic review and meta-analysis for mechanistic physiologically-based pharmacokinetic (PBPK) modelling. AAPS J. 27, 31 (2025).
Jones, M. L., Martoni, C. J., Parent, M. & Prakash, S. Cholesterol-lowering efficacy of a microencapsulated bile salt hydrolase-active Lactobacillus reuteri NCIMB 30242 yoghurt formulation in hypercholesterolaemic adults. Br. J. Nutr. 107, 1505–1513 (2012).
Huang, W., Wang, G., Xia, Y., Xiong, Z., & Ai, L. Bile salt hydrolase-overexpressing Lactobacillus strains can improve hepatic lipid accumulation in vitro in an NAFLD cell model. Food Nutr. Res. https://doi.org/10.29219/fnr.v64.3751 (2020).
Ma, C. et al. Gut microbiome-mediated bile acid metabolism regulates liver cancer via NKT cells. Science 360, eaan5931 (2018).
Foley, M. H. et al. Bile salt hydrolases shape the bile acid landscape and restrict Clostridioides difficile growth in the murine gut. Nat. Microbiol. 8, 611–628 (2023).
Yao, L. et al. A selective gut bacterial bile salt hydrolase alters host metabolism. eLife 7, e37182 (2018).
Liu, Y. et al. Secondary bile acids and tumorigenesis in colorectal cancer. Front. Oncol. 12, 813745 (2022).
Sun, L. et al. Bile salt hydrolase in non-enterotoxigenic Bacteroides potentiates colorectal cancer. Nat. Commun. 14, 755 (2023).
Ogilvie, L. A. & Jones, B. V. Dysbiosis modulates capacity for bile acid modification in the gut microbiomes of patients with inflammatory bowel disease: a mechanism and marker of disease? Gut 61, 1642–1643 (2012).
Labbé, A., Ganopolsky, J. G., Martoni, C. J., Prakash, S. & Jones, M. L. Bacterial bile metabolising gene abundance in Crohn’s, ulcerative colitis and type 2 diabetes metagenomes. PLoS ONE 9, e115175 (2014).
Liu, R. et al. Conjugated bile acids promote cholangiocarcinoma cell invasive growth through activation of sphingosine 1-phosphate receptor 2. Hepatology 60, 908–918 (2014).
Jones, B. V., Begley, M., Hill, C., Gahan, C. G. M. & Marchesi, J. R. Functional and comparative metagenomic analysis of bile salt hydrolase activity in the human gut microbiome. Proc. Natl. Acad. Sci. USA 105, 13580–13585 (2008).
Ridlon, J. M., Kang, D.-J. & Hylemon, P. B. Bile salt biotransformations by human intestinal bacteria. J. Lipid Res. 47, 241–259 (2006).
Lucas, L. N. et al. Dominant bacterial phyla from the human gut show widespread ability to transform and conjugate bile acids. mSystems 6, e00805–e00821 (2021).
Quinn, R. A. et al. Global chemical impact of the microbiome includes novel bile acid conjugations. Nature 579, 123–129 (2020).
Guzior, D. V. et al. Bile salt hydrolase acyltransferase activity expands bile acid diversity. Nature 626, 852–858 (2024).
Rimal, B. et al. Bile salt hydrolase catalyses formation of amine-conjugated bile acids. Nature 626, 859–863 (2024).
Martinez-Augustin, O. & Sanchez de Medina, F. Intestinal bile acid physiology and pathophysiology. World J. Gastroenterol. 14, 5630–5640 (2008).
Heinken, A. et al. Systematic assessment of secondary bile acid metabolism in gut microbes reveals distinct metabolic capabilities in inflammatory bowel disease. Microbiome 7, 75 (2019).
Song, Z. et al. Taxonomic profiling and populational patterns of bacterial bile salt hydrolase (BSH) genes based on worldwide human gut microbiome. Microbiome 7, 9 (2019).
Majait, S., Nieuwdorp, M., Kemper, M. & Soeters, M. The black box orchestra of gut bacteria and bile acids: who is the conductor? Int. J. Mol. Sci. 24, 1816 (2023).
Wang, D. et al. Characterization of gut microbial structural variations as determinants of human bile acid metabolism. Cell Host Microbe. 29, 1802–1814 (2021).
Franz, C. M. A. P., Specht, I., Haberer, P. & Holzapfel, W. H. Bile salt hydrolase activity of enterococci isolated from food: screening and quantitative determination. J. Food Prot. 64, 725–729 (2001).
Kingkaew, E., Konno, H., Hosaka, Y., Phongsopitanun, W. & Tanasupawat, S. Characterization of lactic acid bacteria from fermented fish (pla-paeng-daeng) and their cholesterol-lowering and immunomodulatory effects. Microbes Environ. 38, ME22044 (2023).
Knarreborg, A., Engberg, R. M., Jensen, S. K. & Jensen, B. B. Quantitative determination of bile salt hydrolase activity in bacteria isolated from the small intestine of chickens. Appl. Environ. Microbiol. 68, 6425–6428 (2002).
Li, N. et al. Microbiome-encoded bile acid metabolism modulates colonic transit times. iScience 24, 102508 (2021).
Patterson, A. et al. Bile acids are substrates for amine N-Acyl transferase activity by bile salt hydrolase. https://doi.org/10.21203/rs.3.rs-2050120/v1 (2022).
Ridlon, J. M. et al. The ‘in vivo lifestyle’ of bile acid 7α-dehydroxylating bacteria: Comparative genomics, metatranscriptomic, and bile acid metabolomics analysis of a defined microbial community in gnotobiotic mice. Gut Microbes 11, 381–404 (2020).
Ruiz, L., Sánchez, B. & Margolles, A. Determination of bile salt hydrolase activity in bifidobacteria. In Bifidobacteria: Methods and Protocols (eds van Sinderen, D. & Ventura, M.) 149–155. https://doi.org/10.1007/978-1-0716-1274-3_13 (Springer US, 2021).
Shimada, K., Bricknell, K. S. & Finegold, S. M. Deconjugation of bile acids by intestinal bacteria: review of literature and additional studies. J. Infect. Dis. 119, 273–281 (1969).
Wegner, K. et al. Rapid analysis of bile acids in different biological matrices using LC-ESI-MS/MS for the investigation of bile acid transformation by mammalian gut bacteria. Anal. Bioanal. Chem. 409, 1231–1245 (2017).
Wijaya, A. et al. Cloning of the bile salt hydrolase (bsh) Gene from Enterococcus faecium FAIR-E 345 and chromosomal location of bsh genes in food enterococci. J. Food Prot. 67, 2772–2778 (2004).
Batta, A. K. et al. Side chain conjugation prevents bacterial 7-dehydroxylation of bile acids. J. Biol. Chem. 265, 10925–10928 (1990).
Begley, M., Hill, C. & Gahan, C. G. M. Bile salt hydrolase activity in probiotics. Appl. Environ. Microbiol. 72, 1729–1738 (2006).
Foley, M. H. et al. Lactobacillus bile salt hydrolase substrate specificity governs bacterial fitness and host colonization. Proc. Natl. Acad. Sci. USA 118, e2017709118 (2021).
Grill, J. P., Perrin, S. & Schneider, F. Bile salt toxicity to some bifidobacteria strains: Role of conjugated bile salt hydrolase and pH. Can. J. Microbiol. 46, 878–884 (2000).
Ridlon, J. M., Harris, S. C., Bhowmik, S., Kang, D.-J. & Hylemon, P. B. Consequences of bile salt biotransformations by intestinal bacteria. Gut Microbes 7, 22–39 (2016).
Wang, H., Chen, J., Hollister, K., Sowers, L. C. & Forman, B. M. Endogenous bile acids are ligands for the nuclear receptor FXR/BAR. Mol. Cell 3, 543–553 (1999).
Lundeen, S. G. & Savage, D. C. Characterization and purification of bile salt hydrolase from Lactobacillus sp. Strain 100-100. J. Bacteriol. 172, 4171–4177 (1990).
Stellwag, E. J. & Hylemon, P. B. Purification and characterization of bile salt hydrolase from Bacteroides fragilis subsp. Fragilis. Biochim. Biophys. Acta (BBA) - Enzymol. 452, 165–176 (1976).
Begley, M., Gahan, C. G. M. & Hill, C. The interaction between bacteria and bile. FEMS Microbiol. Rev. 29, 625–651 (2005).
MacDonald, I. A., Rochon, Y. P., Hutchison, D. M. & Holdeman, L. V. Formation of ursodeoxycholic acid from chenodeoxycholic acid by a 7 beta-hydroxysteroid dehydrogenase-elaborating Eubacterium aerofaciens strain cocultured with 7 alpha-hydroxysteroid dehydrogenase-elaborating organisms. Appl. Environ. Microbiol. 44, 1187–1195 (1982).
Marion, S. et al. In vitro and in vivo characterization of Clostridium scindens bile acid transformations. Gut Microbes 10, 481–503 (2018).
Sherrod, J. A. & Hylemon, P. B. Partial purification and characterization of NAD-dependent 7α-hydroxysteroid dehydrogenase from Bacteroides thetaiotaomicron. Biochim. Biophys. Acta (BBA) - Lipids Lipid Metab. 486, 351–358 (1977).
García-Bayona, L. & Comstock, L. E. Streamlined genetic manipulation of diverse bacteroides and parabacteroides isolates from the human gut microbiota. mBio 10, e01762-19 (2019).
Kemis, J. H. et al. Genetic determinants of gut microbiota composition and bile acid profiles in mice. PLoS Genet. 15, e1008073 (2019).
Moser, S. A. & Savage, D. C. Bile salt hydrolase activity and resistance to toxicity of conjugated bile salts are unrelated properties in lactobacilli. Appl. Environ. Microbiol. 67, 3476 (2001).
Doden, H. L. & Ridlon, J. M. Microbial hydroxysteroid dehydrogenases: from alpha to omega. Microorganisms https://doi.org/10.3390/microorganisms9030469 (2021).
McMillan, A. S., Foley, M. H., Perkins, C. E. & Theriot, C. M. Loss of Bacteroides thetaiotaomicron bile acid-altering enzymes impacts bacterial fitness and the global metabolic transcriptome. Microbiol. Spectr. 12, e03576-23 (2023).
Hylemon, P. B. & Sherrod, J. A. Multiple forms of 7-alpha-hydroxysteroid dehydrogenase in selected strains of Bacteroides fragilis https://doi.org/10.1128/jb.122.2.418-424.1975 (1975).
Sutherland, J. D. & Williams, C. N. Bile acid induction of 7 alpha- and 7 beta-hydroxysteroid dehydrogenases in Clostridium limosum. J. Lipid Res. 26, 344–350 (1985).
Watanabe, M., Fukiya, S. & Yokota, A. Comprehensive evaluation of the bactericidal activities of free bile acids in the large intestine of humans and rodents. J. Lipid Res. 58, 1143–1152 (2017).
Tang, R. et al. Gut microbial profile is altered in primary biliary cholangitis and partially restored after UDCA therapy. Gut 67, 534–541 (2018).
Hanafi, N. I., Mohamed, A. S., Sheikh Abdul Kadir, S. H. & Othman, M. H. D. Overview of bile acids signaling and perspective on the signal of ursodeoxycholic acid, the most hydrophilic bile acid, in the heart. Biomolecules https://doi.org/10.3390/biom8040159 (2018).
Goossens, J.-F. & Bailly, C. Ursodeoxycholic acid and cancer: From chemoprevention to chemotherapy. Pharmacol. Ther. 203, 107396 (2019).
Daly, J. W., Keely, S. J. & Gahan, C. G. M. Functional and Phylogenetic Diversity of BSH and PVA Enzymes. Microorganisms https://doi.org/10.3390/microorganisms9040732 (2021).
Guzior, D. V. & Quinn, R. A. Review: microbial transformations of human bile acids. Microbiome 9, 140 (2021).
Mohanty, I. et al. The underappreciated diversity of bile acid modifications. Cell https://doi.org/10.1016/j.cell.2024.02.019 (2024).
Romano, K. A., Vivas, E. I., Amador-Noguez, D. & Rey, F. E. Intestinal microbiota composition modulates choline bioavailability from diet and accumulation of the proatherogenic metabolite trimethylamine-N-oxide. mBio 6, e02481 (2015).
Huttenhower, C. et al. The Human Microbiome Project Consortium. Structure, function and diversity of the healthy human microbiome. Nature 486, 207–214 (2012).
Agrawal, S. et al. El-MAVEN: a fast, robust, and user-friendly mass spectrometry data processing engine for metabolomics. Methods Mol. Biol. 1978, 301–321 (2019).
O’Flaherty, S., Briner Crawley, A., Theriot, C. M. & Barrangou, R. The Lactobacillus bile salt hydrolase repertoire reveals niche-specific adaptation. mSphere 3, e00140-18 (2018).
Charan, J. & Kantharia, N. D. How to calculate sample size in animal studies? J. Pharmacol. Pharmacother. 4, 303–306 (2013).
Romano, K. A. et al. Metabolic, epigenetic, and transgenerational effects of gut bacterial choline consumption. Cell Host Microbe 22, 279–290.e7 (2017).
Kasahara, K. et al. Gut microbes modulate the effects of the flavonoid quercetin on atherosclerosis. NPJ Biofilms Microbiomes 11, 12 (2025).
Acknowledgements
L.N.L. was supported by the Molecular and Applied Nutrition Training Program (MANTP) NIH T32 DK 007665. L.N.L. was supported by an NIH Ruth L. Kirschstein National Research Service Award (F32 DK142449). J.M. was supported in part by the National Institutes of Health (NIH) grants HL148577 (F.E.R.), DK117850 (F.E.R) and by the Transatlantic Networks of Excellence Award from the Leducq Foundation. L.N.L. and J.M. were supported in part by the University of Wisconsin–Madison Office of the Vice Chancellor for Research with funding from the Wisconsin Alumni Research Foundation. L.E.C. was supported by the National Institute of General Medical Sciences of the National Institutes of Health under award number T32 GM135066. L.E.C. was also supported by the University of Wisconsin–Madison SciMed Graduate Research Scholars Fellowship. A.P.C. was supported by an NIH Ruth L. Kirschstein National Research Service Award (F32 GM155981).
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L.N.L., J.M., D.A.N., and F.E.R. conceived the project. R.L.K. provided gut bacterial strains and media recipes. L.E.C. performed systematic in vitro screening for BSH activity in all strains. B.G. and L.N.L. performed in vitro monoculture experiments. J.M. performed in vitro coculture experiments. J.M. generated the Δhsd mutant. L.N.L. and J.M. performed the in vivo experiment. Q.Z. wrote scripts for bioinformatic analyses. A.P.C. and H.E.B. synthesized the glyco-7-oxolithocholic acid standard and confirmed its purity. L.N.L. analyzed all data and generated figures. L.N.L., J.M., D.A.N., and F.E.R. interpreted data. D.M.S. provided guidance on LC-MS/MS methods and analyses. L.N.L. wrote the manuscript, D.A.N. substantively revised it, J.M. and F.E.R. provided feedback throughout the writing process, and all authors edited and approved the final manuscript.
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Lucas, L.N., Jillella, M., Cattaneo, L.E. et al. Investigation of bile salt hydrolase activity in human gut bacteria reveals production of conjugated secondary bile acids. Nat Commun (2026). https://doi.org/10.1038/s41467-026-68556-4
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DOI: https://doi.org/10.1038/s41467-026-68556-4