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益生菌对肝脏疾病的影响:当前的体外和体内研究

Effects of Probiotics on Liver Diseases: Current In Vitro and In Vivo Studies.

作者信息

Sadri Maryam, Shafaghat Zahra, Roozbehani Mona, Hoseinzadeh Akram, Mohammadi Fatemeh, Arab Fahimeh Lavi, Minaeian Sara, Fard Soheil Rahmani, Faraji Fatemeh

机构信息

Department of Immunology, Iran University of Medical Sciences, Tehran, Iran.

Vaccine Research Center, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Probiotics Antimicrob Proteins. 2025 Jun;17(3):1688-1710. doi: 10.1007/s12602-024-10431-z. Epub 2024 Dec 30.

DOI:10.1007/s12602-024-10431-z
PMID:39739162
Abstract

Various types of liver or hepatic diseases cause the death of about 2 million people worldwide every year, of which 1 million die from the complications of cirrhosis and another million from hepatocellular carcinoma and viral hepatitis. Currently, the second most common solid organ transplant is the liver, and the current rate represents less than 10% of global transplant requests. Hence, finding new approaches to treat and prevent liver diseases is essential. In liver diseases, the interaction between the liver, gut, and immune system is crucial, and probiotics positively affect the human microbiota. Probiotics are a non-toxic and biosafe alternative to synthetic chemical compounds. Health promotion by lowering cholesterol levels, stimulating host immunity, the natural gut microbiota, and other functions are some of the activities of probiotics, and their metabolites, including bacteriocins, can exert antimicrobial effects against a broad range of pathogenic bacteria. The present review discusses the available data on the results of preclinical and clinical studies on the effects of probiotic administration on different types of liver diseases.

摘要

每年,全球约有200万人死于各种类型的肝脏疾病,其中100万人死于肝硬化并发症,另外100万人死于肝细胞癌和病毒性肝炎。目前,肝脏是第二常见的实体器官移植对象,而当前的移植率不到全球移植需求的10%。因此,寻找治疗和预防肝脏疾病的新方法至关重要。在肝脏疾病中,肝脏、肠道和免疫系统之间的相互作用至关重要,而益生菌对人类微生物群有积极影响。益生菌是合成化学化合物的无毒且生物安全的替代品。降低胆固醇水平、刺激宿主免疫力、调节天然肠道微生物群等促进健康的功能是益生菌的部分活性,其代谢产物,包括细菌素,可对多种病原菌发挥抗菌作用。本综述讨论了关于益生菌给药对不同类型肝脏疾病影响的临床前和临床研究结果的现有数据。

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本文引用的文献

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Lactobacillus acidophilus suppresses non-alcoholic fatty liver disease-associated hepatocellular carcinoma through producing valeric acid.嗜酸乳杆菌通过产生戊酸来抑制非酒精性脂肪性肝病相关的肝细胞癌。
EBioMedicine. 2024 Feb;100:104952. doi: 10.1016/j.ebiom.2023.104952. Epub 2024 Jan 4.
2
Lactobacillus rhamnosus probiotic treatment modulates gut and liver inflammatory pathways in a hepatocellular carcinoma murine model. A preliminary study.鼠肝癌模型中,罗伊氏乳杆菌益生菌治疗可调节肠道和肝脏炎症途径。一项初步研究。
Food Chem Toxicol. 2024 Jan;183:114314. doi: 10.1016/j.fct.2023.114314. Epub 2023 Dec 3.
3
Bifidobacterium pseudolongum-generated acetate suppresses non-alcoholic fatty liver disease-associated hepatocellular carcinoma.
短双歧杆菌产生的醋酸盐可抑制非酒精性脂肪性肝病相关肝细胞癌。
J Hepatol. 2023 Dec;79(6):1352-1365. doi: 10.1016/j.jhep.2023.07.005. Epub 2023 Jul 17.
4
Targeting Gut Microbiota for the Treatment of Primary Biliary Cholangitis: From Bench to Bedside.以肠道微生物群为靶点治疗原发性胆汁性胆管炎:从实验台到临床应用
J Clin Transl Hepatol. 2023 Aug 28;11(4):958-966. doi: 10.14218/JCTH.2022.00408. Epub 2023 Mar 1.
5
alleviates the progress of hepatocellular carcinoma and type 2 diabetes in mice model interplay of gut microflora, bile acid and NOTCH 1 signaling.缓解肝细胞癌和 2 型糖尿病在小鼠模型中的进展:肠道微生物群、胆汁酸和 NOTCH1 信号的相互作用。
Front Immunol. 2023 May 10;14:1179014. doi: 10.3389/fimmu.2023.1179014. eCollection 2023.
6
A multistrain probiotic increases the serum glutamine/glutamate ratio in patients with cirrhosis: a metabolomic analysis.多菌株益生菌可增加肝硬化患者血清谷氨酰胺/谷氨酸比值:代谢组学分析。
Hepatol Commun. 2023 Apr 4;7(4). doi: 10.1097/HC9.0000000000000072. eCollection 2023 Apr 1.
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Non-alcoholic fatty liver disease: Definition and subtypes.非酒精性脂肪性肝病:定义和亚型。
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Microorganisms. 2022 Nov 7;10(11):2203. doi: 10.3390/microorganisms10112203.