肝脏疾病的肠道微生物群:起源、发展和治疗。

IF 3.1 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Frontiers in Medicine Pub Date : 2025-06-04 eCollection Date: 2025-01-01 DOI:10.3389/fmed.2025.1615839
Jian-Xiu Yu, Jun Wu, Xin Chen, Su-Gang Zang, Xue-Bin Li, Li-Pei Wu, Shi-Hai Xuan
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引用次数: 0

摘要

肠道微生物群在各种肝脏疾病的发病和进展中起着关键作用,包括病毒性肝炎、酒精性脂肪性肝病、代谢功能障碍相关的脂肪变性肝病、药物性肝炎、肝硬化、肝细胞癌和其他肝脏疾病。研究表明,肠道菌群失调可破坏肠道屏障的完整性,干扰肠-肝轴的免疫功能,从而介导肝脏疾病的进展。分析粪便样品中的微生物组成和代谢物可以评估肠道微生物群的多样性和特定微生物种群的丰度,为肝脏疾病提供辅助诊断信息。此外,粪便微生物群移植、益生菌、益生元、噬菌体和必要的抗生素治疗等干预措施提供了多种调节肠道微生物群的方法,为预防和治疗肝脏疾病提供了有希望的新策略。本文综述了肠道菌群在肝脏疾病中的作用的最新研究进展,为肝脏疾病的诊断和治疗提供新的理论基础和实践方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gut microbiota in liver diseases: initiation, development and therapy.

The gut microbiota plays a pivotal role in the pathogenesis and progression of various liver diseases, including viral hepatitis, alcoholic fatty liver disease, metabolic dysfunction-associated steatotic liver disease, drug-induced hepatitis, liver cirrhosis, hepatocellular carcinoma, and other hepatic disorders. Research indicates that dysbiosis of the gut microbiota can disrupt the integrity of the intestinal barrier and interfere with the immune functions of the gut-liver axis, thereby mediating the progression of liver diseases. Analysis of microbial composition and metabolites in fecal samples can assess the diversity of gut microbiota and the abundance of specific microbial populations, providing auxiliary diagnostic information for liver diseases. Furthermore, interventions such as fecal microbiota transplantation, probiotics, prebiotics, bacteriophages, and necessary antibiotic treatments offer multiple approaches to modulate the gut microbiota, presenting promising new strategies for the prevention and treatment of liver diseases. This review summarizes the latest research advances on the role of gut microbiota in liver diseases, offering novel theoretical foundations and practical directions for the diagnosis and treatment of hepatic disorders.

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来源期刊
Frontiers in Medicine
Frontiers in Medicine Medicine-General Medicine
CiteScore
5.10
自引率
5.10%
发文量
3710
审稿时长
12 weeks
期刊介绍: Frontiers in Medicine publishes rigorously peer-reviewed research linking basic research to clinical practice and patient care, as well as translating scientific advances into new therapies and diagnostic tools. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. In addition to papers that provide a link between basic research and clinical practice, a particular emphasis is given to studies that are directly relevant to patient care. In this spirit, the journal publishes the latest research results and medical knowledge that facilitate the translation of scientific advances into new therapies or diagnostic tools. The full listing of the Specialty Sections represented by Frontiers in Medicine is as listed below. As well as the established medical disciplines, Frontiers in Medicine is launching new sections that together will facilitate - the use of patient-reported outcomes under real world conditions - the exploitation of big data and the use of novel information and communication tools in the assessment of new medicines - the scientific bases for guidelines and decisions from regulatory authorities - access to medicinal products and medical devices worldwide - addressing the grand health challenges around the world
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