Department of Internal Medicine, Hallym University Sacred Heart Hospital of Hallym University Medical Center, 22, Gwanpyeong-ro 170 beon-gil, Dongan-gu, Anyang-si 14068, Korea.
Institute for Liver and Digestive Diseases, Hallym University, Chuncheon-si 24252, Korea.
Int J Mol Sci. 2021 Dec 31;23(1):426. doi: 10.3390/ijms23010426.
Chronic liver disease encompasses diseases that have various causes, such as alcoholic liver disease (ALD) and non-alcoholic fatty liver disease (NAFLD). Gut microbiota dysregulation plays a key role in the pathogenesis of ALD and NAFLD through the gut-liver axis. The gut microbiota consists of various microorganisms that play a role in maintaining the homeostasis of the host and release a wide number of metabolites, including short-chain fatty acids (SCFAs), peptides, and hormones, continually shaping the host's immunity and metabolism. The integrity of the intestinal mucosal and vascular barriers is crucial to protect liver cells from exposure to harmful metabolites and pathogen-associated molecular pattern molecules. Dysbiosis and increased intestinal permeability may allow the liver to be exposed to abundant harmful metabolites that promote liver inflammation and fibrosis. In this review, we introduce the metabolites and components derived from the gut microbiota and discuss their pathologic effect in the liver alongside recent advances in molecular-based therapeutics and novel mechanistic findings associated with the gut-liver axis in ALD and NAFLD.
慢性肝病包括多种病因引起的疾病,如酒精性肝病 (ALD) 和非酒精性脂肪性肝病 (NAFLD)。肠道微生物失调通过肠-肝轴在 ALD 和 NAFLD 的发病机制中起关键作用。肠道微生物群由各种微生物组成,这些微生物在维持宿主内环境平衡和释放大量代谢物方面发挥作用,包括短链脂肪酸 (SCFA)、肽和激素,不断塑造宿主的免疫和代谢。肠黏膜和血管屏障的完整性对于保护肝细胞免受有害代谢物和病原体相关分子模式分子的暴露至关重要。肠道微生物失调和肠道通透性增加可能使肝脏暴露于大量促进肝脏炎症和纤维化的有害代谢物中。在这篇综述中,我们介绍了来源于肠道微生物群的代谢物和成分,并讨论了它们在肝脏中的病理作用,以及与 ALD 和 NAFLD 中肠-肝轴相关的分子治疗的最新进展和新的机制发现。
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