Circulating levels of peptide YY are increased in individuals with bile acid diarrhea

J Clin Endocrinol MetabPublished Secondary analysis of plasma samples from a case-control study, an RCT and a sequestrant study, with intestinal mRNA expression and immunohistochemistry

Authors' conclusion

Collectively, these results suggest a role for PYY as a marker for BAD pathophysiology

Study context

Population
Patients with bile acid diarrhoea (BAD) and healthy volunteers from earlier studies
Comparison
BAD vs matched healthy controls; colesevelam vs liraglutide; sequestrant cessation
Primary endpoint
Total plasma PYY
Methodological detailsrandomised controlled trial, sequestrant cessation study
  • Randomised controlled trial
  • Sequestrant cessation study

Primary result

As reported in the abstract

  • Higher fasting plasma PYY in BAD vs controls
  • Similar postprandial PYY increments in the two groups

Further findings

Fasting PYY with treatment

Symptom-alleviating treatment of BAD with sequestrants or liraglutide resulted in a decline of fasting PYY

Correlates of fasting PYY

Fasting PYY correlated positively with C4 and plasma total bile acids

PYY/GLP-1 ratio along the intestine

PYY/GLP-1 ratio increased along the intestine, highest in the colon

Original publication

Circulating levels of peptide YY are increased in individuals with bile acid diarrhea. J Clin Endocrinol Metab. Published 24 July 2026. doi:10.1210/clinem/dgag295

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