Infectious Disease Department, Chongqing University Three Gorges Hospital, Chongqing, China.
Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Front Endocrinol (Lausanne). 2022 Feb 8;13:812610. doi: 10.3389/fendo.2022.812610. eCollection 2022.
Nonalcoholic steatohepatitis (NASH) is a serious disease threatening public health, and its pathogenesis remains largely unclear. Recent scientific research has shown that intestinal microbiota and its metabolites have an important impact on the development of NASH. A balanced intestinal microbiota contributes to the maintenance of liver homeostasis, but when the intestinal microbiota is disequilibrated, it serves as a source of pathogens and molecules that lead to NASH. In this review, we mainly emphasize the key mechanisms by which the intestinal microbiota and its metabolites affect NASH. In addition, recent clinical trials and animal studies on the treatment of NASH by regulating the intestinal microbiota through prebiotics, probiotics, synbiotics and FMT have also been briefly elaborated. With the increasing understanding of interactions between the intestinal microbiota and liver, accurate and personalized detection and treatment methods for NASH are expected to be established.
非酒精性脂肪性肝炎(NASH)是一种严重威胁公众健康的疾病,其发病机制在很大程度上尚不清楚。最近的科学研究表明,肠道微生物群及其代谢产物对 NASH 的发展有重要影响。平衡的肠道微生物群有助于维持肝脏内稳态,但当肠道微生物群失衡时,它就成为病原体和导致 NASH 的分子的来源。在这篇综述中,我们主要强调了肠道微生物群及其代谢产物影响 NASH 的关键机制。此外,我们还简要阐述了最近通过调节肠道微生物群来治疗 NASH 的临床研究和动物研究,这些方法包括使用益生元、益生菌、合生菌和 FMT。随着对肠道微生物群和肝脏之间相互作用的认识不断增加,有望建立针对 NASH 的精确和个性化的检测和治疗方法。
Front Endocrinol (Lausanne). 2022
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