Mol Pharm. 2018 Sep 4;15(9):3860-3870. doi: 10.1021/acs.molpharmaceut.8b00347. Epub 2018 Aug 2.
Nonalcoholic fatty liver disease (NAFLD), as a common chronic liver disorder, is prevalent in the world. Recent evidence demonstrates that the "gut-liver axis" is related well to the progression of NAFLD, which regards gut microbiota and the intestinal barrier as two critical factors correlated with NAFLD. Diammonium glycyrrhizinate (DG), a compound of the natural bioactive pentacyclic triterpenoid glycoside, is the main component of licorice root extracts. The anti-inflammatory and liver protection effects of DG have already been reported, but to date, the mechanism has not been fully elucidated. In this research, we observed that DG reduced body weight, liver steatosis, as well as hepatic inflammation in NAFLD model mice induced by a high-fat diet. Illumina sequencing of the 16S rRNA revealed that DG intervention notably altered the composition of the gut microbiota in NAFLD mice. The richness of gut microbiota was significantly increased by DG. Specifically, DG reduced the Firmicutes-to- Bacteroidetes ratio and the endotoxin-producing bacteria such as Desulfovibrio and elevated the abundance of probiotics such as Proteobacteria and Lactobacillus. DG could augment the levels of short-chain fatty acid (SCFA)-producing bacteria such as Ruminococcaceae and Lachnospiraceae and promote SCFA production. In addition, DG supplementation dramatically alleviated the intestinal low-grade inflammation. Meanwhile, DG improved the expression of tight junction proteins, the goblet cell number, and mucin secretion and sequentially enhanced the function of intestinal barrier. Collectively, the prevention of NAFLD by DG might be mediated by modulating gut microbiota and restoring the intestinal barrier.
非酒精性脂肪性肝病 (NAFLD) 作为一种常见的慢性肝脏疾病,在全球范围内普遍存在。最近的证据表明,“肠-肝轴”与 NAFLD 的进展密切相关,其中肠道微生物群和肠道屏障被认为是与 NAFLD 相关的两个关键因素。二铵甘草酸 (DG) 是天然生物活性五环三萜糖苷的化合物,是甘草根提取物的主要成分。DG 的抗炎和保肝作用已被报道,但迄今为止,其机制尚未完全阐明。在这项研究中,我们观察到 DG 可降低高脂肪饮食诱导的 NAFLD 模型小鼠的体重、肝脂肪变性和肝炎症。16S rRNA 的 Illumina 测序显示,DG 干预显著改变了 NAFLD 小鼠的肠道微生物群组成。DG 显著增加了肠道微生物群的丰富度。具体来说,DG 降低了厚壁菌门与拟杆菌门的比值和产内毒素的细菌(如脱硫弧菌),并增加了益生菌(如变形菌门和乳杆菌)的丰度。DG 可以增加短链脂肪酸 (SCFA) 产生菌(如瘤胃球菌科和毛螺菌科)的水平并促进 SCFA 的产生。此外,DG 补充剂可显著减轻肠道低度炎症。同时,DG 改善了紧密连接蛋白的表达、杯状细胞数量和粘蛋白分泌,从而增强了肠道屏障的功能。综上所述,DG 通过调节肠道微生物群和恢复肠道屏障来预防 NAFLD。
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