The Gut Barrier, Intestinal Microbiota, and Liver Disease: Molecular Mechanisms and Strategies to Manage

Liver disease encompasses pathologies as non-alcoholic fatty liver disease, non-alcoholic steatohepatitis, alcohol liver disease, hepatocellular carcinoma, viral hepatitis, and autoimmune hepatitis. Nowadays, underlying mechanisms associating gut permeability and liver disease development are not we...

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Main Authors: Julio Plaza-Díaz, Patricio Solís-Urra, Fernando Rodríguez-Rodríguez, Jorge Olivares-Arancibia, Miguel Navarro-Oliveros, Francisco Abadía-Molina, Ana I. Álvarez-Mercado
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/21/8351
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author Julio Plaza-Díaz
Patricio Solís-Urra
Fernando Rodríguez-Rodríguez
Jorge Olivares-Arancibia
Miguel Navarro-Oliveros
Francisco Abadía-Molina
Ana I. Álvarez-Mercado
author_facet Julio Plaza-Díaz
Patricio Solís-Urra
Fernando Rodríguez-Rodríguez
Jorge Olivares-Arancibia
Miguel Navarro-Oliveros
Francisco Abadía-Molina
Ana I. Álvarez-Mercado
author_sort Julio Plaza-Díaz
collection DOAJ
description Liver disease encompasses pathologies as non-alcoholic fatty liver disease, non-alcoholic steatohepatitis, alcohol liver disease, hepatocellular carcinoma, viral hepatitis, and autoimmune hepatitis. Nowadays, underlying mechanisms associating gut permeability and liver disease development are not well understood, although evidence points to the involvement of intestinal microbiota and their metabolites. Animal studies have shown alterations in Toll-like receptor signaling related to the leaky gut syndrome by the action of bacterial lipopolysaccharide. In humans, modifications of the intestinal microbiota in intestinal permeability have also been related to liver disease. Some of these changes were observed in bacterial species belonging <i>Roseburia</i>, <i>Streptococcus</i>, and <i>Rothia</i>. Currently, numerous strategies to treat liver disease are being assessed. This review summarizes and discusses studies addressed to determine mechanisms associated with the microbiota able to alter the intestinal barrier complementing the progress and advancement of liver disease, as well as the main strategies under development to manage these pathologies. We highlight those approaches that have shown improvement in intestinal microbiota and barrier function, namely lifestyle changes (diet and physical activity) and probiotics intervention. Nevertheless, knowledge about how such modifications are beneficial is still limited and specific mechanisms involved are not clear. Thus, further in-vitro, animal, and human studies are needed.
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spelling doaj.art-86eec13110604ecf8563a7db90c55e002023-11-20T20:06:22ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672020-11-012121835110.3390/ijms21218351The Gut Barrier, Intestinal Microbiota, and Liver Disease: Molecular Mechanisms and Strategies to ManageJulio Plaza-Díaz0Patricio Solís-Urra1Fernando Rodríguez-Rodríguez2Jorge Olivares-Arancibia3Miguel Navarro-Oliveros4Francisco Abadía-Molina5Ana I. Álvarez-Mercado6Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, CanadaFaculty of Education and Social Sciences, Universidad Andres Bello, Viña del Mar 2531015, ChileIRyS Research Group, School of Physical Education, Pontificia Universidad Católica de Valparaíso, Valparaíso 2374631, ChileIRyS Research Group, School of Physical Education, Pontificia Universidad Católica de Valparaíso, Valparaíso 2374631, ChileBioCritic. Group for Biomedical Research in Critical Care Medicine, 47005 Valladolid, SpainInstitute of Nutrition and Food Technology “José Mataix”, Center of Biomedical Research, University of Granada, Avda. del Conocimiento s/n. 18016 Armilla, Granada, SpainDepartment of Biochemistry and Molecular Biology II, School of Pharmacy, University of Granada, 18071 Granada, SpainLiver disease encompasses pathologies as non-alcoholic fatty liver disease, non-alcoholic steatohepatitis, alcohol liver disease, hepatocellular carcinoma, viral hepatitis, and autoimmune hepatitis. Nowadays, underlying mechanisms associating gut permeability and liver disease development are not well understood, although evidence points to the involvement of intestinal microbiota and their metabolites. Animal studies have shown alterations in Toll-like receptor signaling related to the leaky gut syndrome by the action of bacterial lipopolysaccharide. In humans, modifications of the intestinal microbiota in intestinal permeability have also been related to liver disease. Some of these changes were observed in bacterial species belonging <i>Roseburia</i>, <i>Streptococcus</i>, and <i>Rothia</i>. Currently, numerous strategies to treat liver disease are being assessed. This review summarizes and discusses studies addressed to determine mechanisms associated with the microbiota able to alter the intestinal barrier complementing the progress and advancement of liver disease, as well as the main strategies under development to manage these pathologies. We highlight those approaches that have shown improvement in intestinal microbiota and barrier function, namely lifestyle changes (diet and physical activity) and probiotics intervention. Nevertheless, knowledge about how such modifications are beneficial is still limited and specific mechanisms involved are not clear. Thus, further in-vitro, animal, and human studies are needed.https://www.mdpi.com/1422-0067/21/21/8351liver diseaseintestinal barrierintestinal permeabilitymicrobiota
spellingShingle Julio Plaza-Díaz
Patricio Solís-Urra
Fernando Rodríguez-Rodríguez
Jorge Olivares-Arancibia
Miguel Navarro-Oliveros
Francisco Abadía-Molina
Ana I. Álvarez-Mercado
The Gut Barrier, Intestinal Microbiota, and Liver Disease: Molecular Mechanisms and Strategies to Manage
International Journal of Molecular Sciences
liver disease
intestinal barrier
intestinal permeability
microbiota
title The Gut Barrier, Intestinal Microbiota, and Liver Disease: Molecular Mechanisms and Strategies to Manage
title_full The Gut Barrier, Intestinal Microbiota, and Liver Disease: Molecular Mechanisms and Strategies to Manage
title_fullStr The Gut Barrier, Intestinal Microbiota, and Liver Disease: Molecular Mechanisms and Strategies to Manage
title_full_unstemmed The Gut Barrier, Intestinal Microbiota, and Liver Disease: Molecular Mechanisms and Strategies to Manage
title_short The Gut Barrier, Intestinal Microbiota, and Liver Disease: Molecular Mechanisms and Strategies to Manage
title_sort gut barrier intestinal microbiota and liver disease molecular mechanisms and strategies to manage
topic liver disease
intestinal barrier
intestinal permeability
microbiota
url https://www.mdpi.com/1422-0067/21/21/8351
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