Hu Yan-Chao, Ding Xiang-Chun, Liu Hui-Juan, Ma Wan-Long, Feng Xue-Yan, Ma Li-Na
Department of Infectious Disease, General Hospital of Ningxia Medical University, Yinchuan 750004, Ningxia Hui Autonomous Region, China.
Infectious Disease Clinical Research Center of Ningxia, Yinchuan 750004, Ningxia Hui Autonomous Region, China.
World J Gastroenterol. 2024 Mar 21;30(11):1556-1571. doi: 10.3748/wjg.v30.i11.1556.
Hepatitis B cirrhosis (HBC) is a chronic disease characterized by irreversible diffuse liver damage and aggravated by intestinal microbial imbalance and metabolic dysfunction. Although the relationship between certain single probiotics and HBC has been explored, the impact of the complex ready-to-eat N1115 (LP N1115) supplement on patients with HBC has not been determined.
To compare the changes in the microbiota, inflammatory factor levels, and liver function before and after probiotic treatment in HBC patients.
This study included 160 HBC patients diagnosed at the General Hospital of Ningxia Medical University between October 2018 and December 2020. Patients were randomly divided into an intervention group that received LP N1115 supplementation and routine treatment and a control group that received routine treatment only. Fecal samples were collected at the onset and conclusion of the 12-wk intervention period. The structure of the intestinal microbiota and the levels of serological indicators, such as liver function and inflammatory factors, were assessed.
Following LP N1115 intervention, the intestinal microbial diversity significantly increased in the intervention group ( < 0.05), and the structure of the intestinal microbiota was characterized by an increase in the proportions of probiotic microbes and a reduction in harmful bacteria. Additionally, the intervention group demonstrated notable improvements in liver function indices and significantly lower levels of inflammatory factors ( < 0.05).
LP N1115 is a promising treatment for ameliorating intestinal microbial imbalance in HBC patients by modulating the structure of the intestinal microbiota, improving liver function, and reducing inflammatory factor levels.
乙型肝炎肝硬化(HBC)是一种以不可逆的弥漫性肝损伤为特征的慢性疾病,肠道微生物失衡和代谢功能障碍会加重病情。尽管已经探索了某些单一益生菌与HBC之间的关系,但复合即食型N1115(LP N1115)补充剂对HBC患者的影响尚未确定。
比较HBC患者益生菌治疗前后微生物群、炎症因子水平和肝功能的变化。
本研究纳入了2018年10月至2020年12月在宁夏医科大学总医院确诊的160例HBC患者。患者被随机分为接受LP N1115补充剂和常规治疗的干预组以及仅接受常规治疗的对照组。在12周干预期开始和结束时采集粪便样本。评估肠道微生物群的结构以及血清学指标水平,如肝功能和炎症因子。
LP N1115干预后,干预组肠道微生物多样性显著增加(<0.05),肠道微生物群结构的特征是益生菌微生物比例增加,有害细菌减少。此外,干预组肝功能指标有显著改善,炎症因子水平显著降低(<0.05)。
LP N1115有望通过调节肠道微生物群结构、改善肝功能和降低炎症因子水平来改善HBC患者的肠道微生物失衡。