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Urobilinogens is a mixture of the bilirubin metabolites D-urobilinogen, L-urobilinogen, also known as stercobilinogen, and i-urobilinogen, also known as mesobilirubinogen.1,2,3 They are formed from bilirubin by gut microbiota. Cecal levels of D-urobilinogen, L-urobilinogen, and i-urobilinogen are increased in mice fed a high-fat diet.4 Increased fecal levels of L-urobilinogen are negatively correlated with decreased blood levels of hemoglobin in patients with heterozygous β-thalassemia.5
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1. BilR is a gut microbial enzyme that reduces bilirubin to urobilinogen. Nat. Microbiol. 9(1), 173-184 (2024).
2. Identification of bilirubin reduction products formed by Clostridium perfringens isolated from human neonatal fecal flora. J. Chromatogr. B Analyt. Technol. Biomed. Life Sci. 833(2), 149-157 (2006).
3. Depletion of stercobilin in fecal matter from a mouse model of autism spectrum disorders. Metabolomics 13(11), 132 (2017).
4. High-
5. The relationship between anemia, fecal stercobilinogen, erythrocyte survival, and globin synthesis in heterozygotes for β-