Chayanupatkul Maneerat, Machchimapiro Panrawee, Chuaypen Natthaya, Wanpiyarat Natcha, Tumwasorn Somying, Siriviriyakul Prasong, Werawatganon Duangporn
Center of Excellence in Alternative and Complementary Medicine for Gastrointestinal and Liver Diseases, Department of Physiology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Center of Excellence in Hepatitis and Liver Cancer, Department of Biochemistry, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Biomedicines. 2024 Aug 14;12(8):1847. doi: 10.3390/biomedicines12081847.
As gut dysbiosis has been implicated in the pathogenesis of nonalcoholic steatohepatitis (NASH), probiotic supplementation might be a potential treatment for this condition. The aim of this study was to evaluate the effects of single- and mixed-strain probiotics on the severity of NASH induced by a high-fat, high-fructose (HFHF) diet and their mechanisms of action. Male Sprague-Dawley rats were divided into four groups ( = 7 per group): control group, NASH group, NASH + single-strain group, and NASH + mixed-strain group. In the single-strain and mixed-strain groups, rats received B7 and L34 + B13 by oral gavage once daily, respectively. The duration of the study was 6 weeks. Liver tissue was used for histopathology, hepatic fat content was assessed by Oil Red O staining and hepatic free fatty acid (FFA), and hepatic TLR4 and CD14 expression were assessed by immunohistochemistry. Fresh feces was collected for gut microbiota analysis. Liver histology revealed a higher degree of fat accumulation, hepatocyte ballooning, and lobular inflammation in the NASH group, which improved in probiotics-treated groups. The amounts of hepatic fat droplets and hepatic FFA levels were more pronounced in the NASH group than in the control and treatment groups. Serum TNF- α levels were significantly higher in the NASH group than in control and probiotic groups. The expression of CD14 and TLR4 increased in the NASH group as compared with the control and probiotics-treated groups. Alpha diversity was reduced in the NASH group, but increased in both treatment groups. The relative abundance of significantly decreased in the NASH group, but increased in both treatment groups. The relative abundance of significantly increased in the NASH group, but decreased in both treatment groups. In conclusion, both single-strain and mixed-strain probiotics could improve NASH histology by suppressing inflammatory responses in the liver, with this improvement potentially being associated with changes in the gut microbiota.
由于肠道菌群失调与非酒精性脂肪性肝炎(NASH)的发病机制有关,补充益生菌可能是治疗这种疾病的一种潜在方法。本研究的目的是评估单一菌株和混合菌株益生菌对高脂高果糖(HFHF)饮食诱导的NASH严重程度的影响及其作用机制。将雄性Sprague-Dawley大鼠分为四组(每组n = 7):对照组、NASH组、NASH + 单一菌株组和NASH + 混合菌株组。在单一菌株组和混合菌株组中,大鼠分别通过口服灌胃每天接受一次双歧杆菌B7和嗜酸乳杆菌L34 + 双歧杆菌B13。研究持续时间为6周。肝脏组织用于组织病理学检查,通过油红O染色评估肝脏脂肪含量以及肝脏游离脂肪酸(FFA),并通过免疫组织化学评估肝脏Toll样受体4(TLR4)和CD14的表达。收集新鲜粪便进行肠道微生物群分析。肝脏组织学显示,NASH组的脂肪堆积、肝细胞气球样变和小叶炎症程度更高,而益生菌治疗组有所改善。NASH组的肝脏脂肪滴数量和肝脏FFA水平比对照组和治疗组更明显。NASH组的血清肿瘤坏死因子-α(TNF-α)水平显著高于对照组和益生菌组。与对照组和益生菌治疗组相比,NASH组中CD14和TLR4的表达增加。NASH组的α多样性降低,但两个治疗组均增加。NASH组中拟杆菌属的相对丰度显著降低,但两个治疗组均增加。NASH组中瘤胃球菌属的相对丰度显著增加,但两个治疗组均降低。总之,单一菌株和混合菌株益生菌均可通过抑制肝脏中的炎症反应来改善NASH组织学,这种改善可能与肠道微生物群的变化有关。
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