The Role of the Gastrointestinal Microbiome in Liver Disease

Liver disease is a major global health problem leading to approximately two million deaths a year. This is the consequence of a number of aetiologies, including alcohol-related, metabolic-related, viral infection, cholestatic and immune disease, leading to fibrosis and, eventually, cirrhosis. No spe...

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Main Authors: Nicholas Shalaby, Dorit Samocha-Bonet, Nadeem O. Kaakoush, Mark Danta
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/12/9/1087
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author Nicholas Shalaby
Dorit Samocha-Bonet
Nadeem O. Kaakoush
Mark Danta
author_facet Nicholas Shalaby
Dorit Samocha-Bonet
Nadeem O. Kaakoush
Mark Danta
author_sort Nicholas Shalaby
collection DOAJ
description Liver disease is a major global health problem leading to approximately two million deaths a year. This is the consequence of a number of aetiologies, including alcohol-related, metabolic-related, viral infection, cholestatic and immune disease, leading to fibrosis and, eventually, cirrhosis. No specific registered antifibrotic therapies exist to reverse liver injury, so current treatment aims at managing the underlying factors to mitigate the development of liver disease. There are bidirectional feedback loops between the liver and the rest of the gastrointestinal tract via the portal venous and biliary systems, which are mediated by microbial metabolites, specifically short-chain fatty acids (SCFAs) and secondary bile acids. The interaction between the liver and the gastrointestinal microbiome has the potential to provide a novel therapeutic modality to mitigate the progression of liver disease and its complications. This review will outline our understanding of hepatic fibrosis, liver disease, and its connection to the microbiome, which may identify potential therapeutic targets or strategies to mitigate liver disease.
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spelling doaj.art-93775b3b503c411fad5de6b6bdd8392d2023-11-19T12:21:50ZengMDPI AGPathogens2076-08172023-08-01129108710.3390/pathogens12091087The Role of the Gastrointestinal Microbiome in Liver DiseaseNicholas Shalaby0Dorit Samocha-Bonet1Nadeem O. Kaakoush2Mark Danta3School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, St Vincent’s Healthcare Campus, Darlinghurst, NSW 2010, AustraliaSchool of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, St Vincent’s Healthcare Campus, Darlinghurst, NSW 2010, AustraliaSchool of Biomedical Sciences, Faculty of Medicine and Health, University of New South Wales, Kensington, NSW 2033, AustraliaSchool of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, St Vincent’s Healthcare Campus, Darlinghurst, NSW 2010, AustraliaLiver disease is a major global health problem leading to approximately two million deaths a year. This is the consequence of a number of aetiologies, including alcohol-related, metabolic-related, viral infection, cholestatic and immune disease, leading to fibrosis and, eventually, cirrhosis. No specific registered antifibrotic therapies exist to reverse liver injury, so current treatment aims at managing the underlying factors to mitigate the development of liver disease. There are bidirectional feedback loops between the liver and the rest of the gastrointestinal tract via the portal venous and biliary systems, which are mediated by microbial metabolites, specifically short-chain fatty acids (SCFAs) and secondary bile acids. The interaction between the liver and the gastrointestinal microbiome has the potential to provide a novel therapeutic modality to mitigate the progression of liver disease and its complications. This review will outline our understanding of hepatic fibrosis, liver disease, and its connection to the microbiome, which may identify potential therapeutic targets or strategies to mitigate liver disease.https://www.mdpi.com/2076-0817/12/9/1087microbiomeliver fibrosiscirrhosisgastrointestinalantifibrogenic
spellingShingle Nicholas Shalaby
Dorit Samocha-Bonet
Nadeem O. Kaakoush
Mark Danta
The Role of the Gastrointestinal Microbiome in Liver Disease
Pathogens
microbiome
liver fibrosis
cirrhosis
gastrointestinal
antifibrogenic
title The Role of the Gastrointestinal Microbiome in Liver Disease
title_full The Role of the Gastrointestinal Microbiome in Liver Disease
title_fullStr The Role of the Gastrointestinal Microbiome in Liver Disease
title_full_unstemmed The Role of the Gastrointestinal Microbiome in Liver Disease
title_short The Role of the Gastrointestinal Microbiome in Liver Disease
title_sort role of the gastrointestinal microbiome in liver disease
topic microbiome
liver fibrosis
cirrhosis
gastrointestinal
antifibrogenic
url https://www.mdpi.com/2076-0817/12/9/1087
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