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以及非酒精性脂肪性肝病:病理生理学与治疗

and NAFLD: pathophysiology and therapy.

作者信息

Zhang Jun, Zhou Jing, He Zheyun, Li Hongshan

机构信息

Liver Disease Department of Integrative Medicine, Ningbo No. 2 Hospital, Ningbo, Zhejiang, China.

Cixi Biomedical Research Institute, Wenzhou Medical University, Ningbo, Zhejiang, China.

出版信息

Front Microbiol. 2024 Mar 20;15:1288856. doi: 10.3389/fmicb.2024.1288856. eCollection 2024.


DOI:10.3389/fmicb.2024.1288856
PMID:38572244
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10988783/
Abstract

Non-alcoholic fatty liver disease (NAFLD) is a prevalent chronic liver condition observed globally, with the potential to progress to non-alcoholic steatohepatitis (NASH), cirrhosis, and even hepatocellular carcinoma. Currently, the US Food and Drug Administration (FDA) has not approved any drugs for the treatment of NAFLD. NAFLD is characterized by histopathological abnormalities in the liver, such as lipid accumulation, steatosis, hepatic balloon degeneration, and inflammation. Dysbiosis of the gut microbiota and its metabolites significantly contribute to the initiation and advancement of NAFLD. , a potential probiotic, has shown strong potential in preventing the onset and progression of NAFLD. However, the precise mechanism by which treats NAFLD remains uncertain. In this review, we explore the current understanding of the role of and its metabolites in the treatment of NAFLD, focusing on their ability to reduce liver inflammation, mitigate hepatic steatosis, and enhance intestinal barrier function. Additionally, we summarize how alleviates pathological changes by restoring the metabolism, improving insulin resistance, regulating cytokines, and promoting tight-junctions. A deeper comprehension of the mechanisms through which is involved in the pathogenesis of NAFLD should aid the development of innovative drugs targeting NAFLD.

摘要

非酒精性脂肪性肝病(NAFLD)是一种在全球范围内普遍存在的慢性肝脏疾病,有可能进展为非酒精性脂肪性肝炎(NASH)、肝硬化,甚至肝细胞癌。目前,美国食品药品监督管理局(FDA)尚未批准任何用于治疗NAFLD的药物。NAFLD的特征是肝脏出现组织病理学异常,如脂质蓄积、脂肪变性、肝气球样变和炎症。肠道微生物群及其代谢产物的失调在NAFLD的发生和发展中起重要作用。一种潜在的益生菌在预防NAFLD的发生和发展方面显示出强大的潜力。然而,该益生菌治疗NAFLD的确切机制仍不确定。在这篇综述中,我们探讨了目前对该益生菌及其代谢产物在NAFLD治疗中作用的理解,重点关注它们减轻肝脏炎症、缓解肝脂肪变性和增强肠道屏障功能的能力。此外,我们总结了该益生菌如何通过恢复代谢、改善胰岛素抵抗、调节细胞因子和促进紧密连接来减轻病理变化。对该益生菌参与NAFLD发病机制的机制有更深入的理解,应该有助于开发针对NAFLD的创新药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1602/10988783/1c0d24b7554e/fmicb-15-1288856-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1602/10988783/81c40a7d3653/fmicb-15-1288856-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1602/10988783/ac5e6ece1073/fmicb-15-1288856-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1602/10988783/1c0d24b7554e/fmicb-15-1288856-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1602/10988783/81c40a7d3653/fmicb-15-1288856-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1602/10988783/ac5e6ece1073/fmicb-15-1288856-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1602/10988783/1c0d24b7554e/fmicb-15-1288856-g003.jpg

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本文引用的文献

[1]
Role of endoscopic duodenojejunal bypass liner in obesity management and glycemic control.

Clin Endosc. 2024-5

[2]
ameliorates mouse hepatic steatosis through regulating gut microbial composition, gut-liver folate and unsaturated fatty acids metabolism.

Gut Microbes. 2024

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Nutrients. 2023-7-5

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Therapeutic Mechanisms and Clinical Effects of Glucagon-like Peptide 1 Receptor Agonists in Nonalcoholic Fatty Liver Disease.

Int J Mol Sci. 2023-5-26

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SIRT2 Deficiency Aggravates Diet-Induced Nonalcoholic Fatty Liver Disease through Modulating Gut Microbiota and Metabolites.

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Life Sci. 2023-6-1

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Front Microbiol. 2023-3-16

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