Ganesan Raja, Jeong Jin-Ju, Kim Dong Joon, Suk Ki Tae
Institute for Liver and Digestive Diseases, Hallym University, Chuncheon, South Korea.
Front Med (Lausanne). 2022 May 9;9:841281. doi: 10.3389/fmed.2022.841281. eCollection 2022.
The gut microbiome and microbial metabolomic influences on liver diseases and their diagnosis, prognosis, and treatment are still controversial. Research studies have provocatively claimed that the gut microbiome, metabolomics understanding, and microbial metabolite screening are key approaches to understanding liver cancer and liver diseases. An advance of logical innovations in metabolomics profiling, the metabolome inclusion, challenges, and the reproducibility of the investigations at every stage are devoted to this domain to link the common molecules across multiple liver diseases, such as fatty liver, hepatitis, and cirrhosis. These molecules are not immediately recognizable because of the huge underlying and synthetic variety present inside the liver cellular metabolome. This review focuses on microenvironmental metabolic stimuli in the gut-liver axis. Microbial small-molecule profiling (i.e., semiquantitative monitoring, metabolic discrimination, target profiling, and untargeted profiling) in biological fluids has been incompletely addressed. Here, we have reviewed the differential expression of the metabolome of short-chain fatty acids (SCFAs), tryptophan, one-carbon metabolism and bile acid, and the gut microbiota effects are summarized and discussed. We further present proof-of-evidence for gut microbiota-based metabolomics that manipulates the host's gut or liver microbes, mechanosensitive metabolite reactions and potential metabolic pathways. We conclude with a forward-looking perspective on future attention to the "dark matter" of the gut microbiota and microbial metabolomics.
肠道微生物群和微生物代谢组学对肝脏疾病及其诊断、预后和治疗的影响仍存在争议。研究颇具争议地声称,肠道微生物群、代谢组学理解以及微生物代谢物筛选是理解肝癌和肝脏疾病的关键方法。代谢组学分析中的逻辑创新进展、代谢组纳入、挑战以及各阶段研究的可重复性都致力于该领域,以关联多种肝脏疾病(如脂肪肝、肝炎和肝硬化)中的常见分子。由于肝细胞代谢组中存在大量潜在的和合成的多样性,这些分子并非立即可识别。本综述聚焦于肠-肝轴中的微环境代谢刺激。生物体液中的微生物小分子分析(即半定量监测、代谢物鉴别、靶向分析和非靶向分析)尚未得到充分探讨。在此,我们综述了短链脂肪酸(SCFAs)、色氨酸、一碳代谢和胆汁酸代谢组的差异表达,并总结和讨论了肠道微生物群的影响。我们进一步提供了基于肠道微生物群的代谢组学的证据,该代谢组学可操纵宿主的肠道或肝脏微生物、机械敏感代谢物反应和潜在代谢途径。我们以对肠道微生物群和微生物代谢组学“暗物质”未来关注的前瞻性观点作为结论。