Qin Xiang, Chen Mengyao, He Beihui, Chen Yuyan, Zheng Yuelin
The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China.
School of Life Sciences, Zhejiang Chinese Medical University, Hangzhou, China.
Front Microbiol. 2025 Apr 3;16:1539972. doi: 10.3389/fmicb.2025.1539972. eCollection 2025.
Non-alcoholic fatty liver disease (NAFLD) is increasing worldwide and has become the greatest potential risk for cirrhosis and hepatocellular carcinoma. The metabolites produced by the gut microbiota act as signal molecules that mediate the interaction between microorganisms and the host and have biphasic effects on human health. The gut microbiota and its metabolites, short-chain fatty acids (SCFAs), have been discovered to ameliorate many prevalent liver diseases, including NAFLD. Currently, SCFAs have attracted widespread attention as potential therapeutic targets for NAFLD, but the mechanism of action has not been fully elucidated. This article summarizes the mechanisms of short-chain fatty acids of gut microbiota metabolites to regulate the metabolism of glucose and lipid, maintain the intestinal barrier, alleviate the inflammatory response, and improve the oxidative stress to improve NAFLD, in order to provide a reference for clinical application.
非酒精性脂肪性肝病(NAFLD)在全球范围内呈上升趋势,已成为肝硬化和肝细胞癌的最大潜在风险。肠道微生物群产生的代谢产物作为信号分子,介导微生物与宿主之间的相互作用,对人类健康具有双相影响。肠道微生物群及其代谢产物短链脂肪酸(SCFAs)已被发现可改善包括NAFLD在内的许多常见肝脏疾病。目前,SCFAs作为NAFLD的潜在治疗靶点已引起广泛关注,但其作用机制尚未完全阐明。本文总结了肠道微生物群代谢产物短链脂肪酸调节葡萄糖和脂质代谢、维持肠道屏障、减轻炎症反应以及改善氧化应激以改善NAFLD的机制,以便为临床应用提供参考。