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代谢功能障碍相关脂肪性肝病进展过程中[具体内容缺失]与晚期肝纤维化的关联。

The Association Between and Advanced Fibrosis in the Progression of Metabolic Dysfunction-Associated Steatotic Liver Disease.

作者信息

Zhang David, Leitman Madelaine, Pawar Shrey, Shera Simer, Hernandez Laura, Jacobs Jonathan P, Dong Tien S

机构信息

Department of Medicine, University of California, Los Angeles, CA 90095, USA.

Vatche and Tamar Manoukian Division of Digestive Diseases, Department of Medicine, University of California, Los Angeles, CA 90095, USA.

出版信息

Nutrients. 2025 Jun 27;17(13):2145. doi: 10.3390/nu17132145.


DOI:10.3390/nu17132145
PMID:40647253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12251637/
Abstract

: Metabolic dysfunction-associated steatotic liver disease (MASLD), driven by obesity and metabolic syndrome, is increasingly prevalent and a significant contributor to liver fibrosis, cirrhosis, and liver-related mortality. Emerging research implicates the gut microbiome as a critical player in MASLD progression, yet specific microbial drivers remain poorly understood. Here, we explore the role of () in MASLD progression through both human patient cohorts and a mouse model of diet-induced obesity. : Using 16S rRNA sequencing, we identified elevated abundance in MASLD patients with advanced fibrosis, linked with significant shifts in microbial diversity and bacterial network connectivity. To investigate causality, experimental colonization of in mice on a high-fat diet worsened MASLD progression, with -colonized mice showing significant increases in hepatic steatosis, liver triglyceride accumulation, and body weight, independent of caloric intake. At the molecular level, colonization downregulated key lipid metabolism genes, such as carnitine palmitoyltransferase 1 and adipose triglyceride lipase, and impaired tight intestinal junction integrity through the downregulation of occludin. Collectively, our findings position as a possible driver of MASLD progression by promoting hepatic steatosis through lipid and triglyceride accumulation and fibrosis through decreased tight junction integrity. These insights suggest a promising therapeutic avenue to target specific microbial signatures like to curb MASLD progression and mitigate the associated risk of advanced fibrosis.

摘要

由肥胖和代谢综合征驱动的代谢功能障碍相关脂肪性肝病(MASLD)日益普遍,是肝纤维化、肝硬化和肝脏相关死亡率的重要促成因素。新出现的研究表明肠道微生物群在MASLD进展中起关键作用,但具体的微生物驱动因素仍知之甚少。在这里,我们通过人类患者队列和饮食诱导肥胖的小鼠模型探讨了()在MASLD进展中的作用。:使用16S rRNA测序,我们发现在晚期纤维化的MASLD患者中()丰度升高,这与微生物多样性和细菌网络连通性的显著变化有关。为了研究因果关系,在高脂饮食的小鼠中进行()的实验性定殖会使MASLD进展恶化,定殖()的小鼠肝脏脂肪变性、肝脏甘油三酯积累和体重显著增加,与热量摄入无关。在分子水平上,()定殖下调了关键的脂质代谢基因,如肉碱棕榈酰转移酶1和脂肪甘油三酯脂肪酶,并通过下调闭合蛋白损害紧密肠黏膜连接完整性。总体而言,我们的研究结果表明()可能是MASLD进展的驱动因素,通过促进脂质和甘油三酯积累导致肝脏脂肪变性,并通过降低紧密连接完整性导致纤维化。这些见解提示了一条有前景的治疗途径,即针对像()这样的特定微生物特征来抑制MASLD进展并降低晚期纤维化的相关风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd0/12251637/32528721b6bb/nutrients-17-02145-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd0/12251637/b25806fb5144/nutrients-17-02145-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd0/12251637/5557977a030e/nutrients-17-02145-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd0/12251637/9069876e86f2/nutrients-17-02145-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd0/12251637/141f42043d7e/nutrients-17-02145-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd0/12251637/ef17e84c6fcf/nutrients-17-02145-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd0/12251637/32528721b6bb/nutrients-17-02145-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd0/12251637/b25806fb5144/nutrients-17-02145-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd0/12251637/5557977a030e/nutrients-17-02145-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd0/12251637/9069876e86f2/nutrients-17-02145-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd0/12251637/141f42043d7e/nutrients-17-02145-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd0/12251637/ef17e84c6fcf/nutrients-17-02145-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fd0/12251637/32528721b6bb/nutrients-17-02145-g006.jpg

相似文献

[1]
The Association Between and Advanced Fibrosis in the Progression of Metabolic Dysfunction-Associated Steatotic Liver Disease.

Nutrients. 2025-6-27

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
Inappropriate Diet Exacerbates Metabolic Dysfunction-Associated Steatotic Liver Disease via Abdominal Obesity.

Nutrients. 2024-12-5

[8]
Intestinal IL-33 promotes microbiota-derived trimethylamine N -oxide synthesis and drives metabolic dysfunction-associated steatotic liver disease progression by exerting dual regulation on HIF-1α.

Hepatology. 2024-7-10

[9]
Genetic depletion of adipose-derived Isthmin-1 causes hepatic steatosis.

Mol Metab. 2025-5-26

[10]
Hepatic stellate cell-specific Kcnma1 deletion mitigates metabolic dysfunction-associated steatotic liver disease progression via upregulating Amphiregulin secretion.

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本文引用的文献

[1]
NAFLD/MASLD and the Gut-Liver Axis: From Pathogenesis to Treatment Options.

Metabolites. 2024-6-28

[2]
Interplay between gut microbiome, host genetic and epigenetic modifications in MASLD and MASLD-related hepatocellular carcinoma.

Gut. 2024-12-10

[3]
Effects of on insulin, gut microbiota and bile acids.

Gut Microbes. 2024

[4]
Micronutrients at Supplemental Levels, Tight Junctions and Epithelial Barrier Function: A Narrative Review.

Int J Mol Sci. 2024-3-19

[5]
Breaking the barriers: the role of gut homeostasis in Metabolic-Associated Steatotic Liver Disease (MASLD).

Gut Microbes. 2024

[6]
Current status and future trends of the global burden of MASLD.

Trends Endocrinol Metab. 2024-8

[7]
Microbial Dysbiosis Linked to Metabolic Dysfunction-Associated Fatty Liver Disease in Asians: Promotes Lipopolysaccharide Biosynthesis and Network Instability in the Prevotella Enterotype.

Int J Mol Sci. 2024-2-11

[8]
The "Domino effect" in MASLD: The inflammatory cascade of steatohepatitis.

Eur J Immunol. 2024-4

[9]
Lipid Metabolism in Metabolic-Associated Steatotic Liver Disease (MASLD).

Metabolites. 2023-12-23

[10]
Disruption of gut barrier integrity and host-microbiome interactions underlie MASLD severity in patients with type-2 diabetes mellitus.

Gut Microbes. 2024

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