The role of bacterial metabolites derived from aromatic amino acids in non-alcoholic fatty liver disease

The review deals with the role of aromatic amino acids and their microbial metabolites in the development and progression of non-alcoholic fatty liver disease (NAFLD). Pathological changes typical for NAFLD, as well as abnormal composition and/or functional activity of gut microbiota, results in abn...

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Main Authors: E. S. Shcherbakova, T. S. Sall, S. I. Sitkin, T. Ya. Vakhitov, E. V. Demyanova
Format: Article
Language:Russian
Published: MONIKI 2020-12-01
Series:Alʹmanah Kliničeskoj Mediciny
Subjects:
Online Access:https://www.almclinmed.ru/jour/article/view/1400
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author E. S. Shcherbakova
T. S. Sall
S. I. Sitkin
T. Ya. Vakhitov
E. V. Demyanova
author_facet E. S. Shcherbakova
T. S. Sall
S. I. Sitkin
T. Ya. Vakhitov
E. V. Demyanova
author_sort E. S. Shcherbakova
collection DOAJ
description The review deals with the role of aromatic amino acids and their microbial metabolites in the development and progression of non-alcoholic fatty liver disease (NAFLD). Pathological changes typical for NAFLD, as well as abnormal composition and/or functional activity of gut microbiota, results in abnormal aromatic amino acid metabolism. The authors discuss the potential of these amino acids and their bacterial metabolites to produce both negative and positive impact on the main steps of NAFLD pathophysiology, such as lipogenesis and inflammation, as well as on the liver functions through regulation of the intestinal barrier and microbiota-gut-liver axis signaling. The review gives detailed description of the mechanism of biological activity of tryptophan and its derivatives (indole, tryptamine, indole-lactic, indole-propyonic, indole-acetic acids, and indole-3-aldehyde) through the activation of aryl hydrocarbon receptor (AhR), preventing the development of liver steatosis. Bacteria-produced phenyl-alanine metabolites could promote liver steatosis (phenyl acetic and phenyl lactic acids) or, on the contrary, could reduce liver inflammation and increase insulin sensitivity (phenyl propionic acid). Tyramine, para-cumarate, 4-hydroxyphenylacetic acids, being by-products of bacterial catabolism of tyrosine, can prevent NAFLD, whereas para-cresol and phenol accelerate the progression of NAFLD by damaging the barrier properties of intestinal epithelium. Abnormalities in bacterial catabolism of tyrosine, leading to its excess, stimulate fatty acid synthesis and promote lipid infiltration of the liver. The authors emphasize a close interplay between bacterial metabolism of aromatic amino acids by gut microbiota and the functioning of the human body. They hypothesize that microbial metabolites of aromatic amino acids may represent not only therapeutic targets or non-invasive biomarkers, but also serve as bioactive agents for NAFLD treatment and prevention.
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spelling doaj.art-f39a193848ac40edb89f895a766166c82022-12-21T18:47:59ZrusMONIKIAlʹmanah Kliničeskoj Mediciny2072-05052587-92942020-12-0148637538610.18786/2072-0505-2020-48-066766The role of bacterial metabolites derived from aromatic amino acids in non-alcoholic fatty liver diseaseE. S. Shcherbakova0T. S. Sall1S. I. Sitkin2T. Ya. Vakhitov3E. V. Demyanova4State Research Institute of Especially Purified BioproductsState Research Institute of Especially Purified BioproductsState Research Institute of Especially Purified Bioproducts; North Western State Medical University named after I.I. MechnikovState Research Institute of Especially Purified BioproductsState Research Institute of Especially Purified BioproductsThe review deals with the role of aromatic amino acids and their microbial metabolites in the development and progression of non-alcoholic fatty liver disease (NAFLD). Pathological changes typical for NAFLD, as well as abnormal composition and/or functional activity of gut microbiota, results in abnormal aromatic amino acid metabolism. The authors discuss the potential of these amino acids and their bacterial metabolites to produce both negative and positive impact on the main steps of NAFLD pathophysiology, such as lipogenesis and inflammation, as well as on the liver functions through regulation of the intestinal barrier and microbiota-gut-liver axis signaling. The review gives detailed description of the mechanism of biological activity of tryptophan and its derivatives (indole, tryptamine, indole-lactic, indole-propyonic, indole-acetic acids, and indole-3-aldehyde) through the activation of aryl hydrocarbon receptor (AhR), preventing the development of liver steatosis. Bacteria-produced phenyl-alanine metabolites could promote liver steatosis (phenyl acetic and phenyl lactic acids) or, on the contrary, could reduce liver inflammation and increase insulin sensitivity (phenyl propionic acid). Tyramine, para-cumarate, 4-hydroxyphenylacetic acids, being by-products of bacterial catabolism of tyrosine, can prevent NAFLD, whereas para-cresol and phenol accelerate the progression of NAFLD by damaging the barrier properties of intestinal epithelium. Abnormalities in bacterial catabolism of tyrosine, leading to its excess, stimulate fatty acid synthesis and promote lipid infiltration of the liver. The authors emphasize a close interplay between bacterial metabolism of aromatic amino acids by gut microbiota and the functioning of the human body. They hypothesize that microbial metabolites of aromatic amino acids may represent not only therapeutic targets or non-invasive biomarkers, but also serve as bioactive agents for NAFLD treatment and prevention.https://www.almclinmed.ru/jour/article/view/1400non-alcoholic fatty liver diseaselipogenesisinflammationaromatic amino acidsgut microbiotamicrobial metabolitesintestinal barrier
spellingShingle E. S. Shcherbakova
T. S. Sall
S. I. Sitkin
T. Ya. Vakhitov
E. V. Demyanova
The role of bacterial metabolites derived from aromatic amino acids in non-alcoholic fatty liver disease
Alʹmanah Kliničeskoj Mediciny
non-alcoholic fatty liver disease
lipogenesis
inflammation
aromatic amino acids
gut microbiota
microbial metabolites
intestinal barrier
title The role of bacterial metabolites derived from aromatic amino acids in non-alcoholic fatty liver disease
title_full The role of bacterial metabolites derived from aromatic amino acids in non-alcoholic fatty liver disease
title_fullStr The role of bacterial metabolites derived from aromatic amino acids in non-alcoholic fatty liver disease
title_full_unstemmed The role of bacterial metabolites derived from aromatic amino acids in non-alcoholic fatty liver disease
title_short The role of bacterial metabolites derived from aromatic amino acids in non-alcoholic fatty liver disease
title_sort role of bacterial metabolites derived from aromatic amino acids in non alcoholic fatty liver disease
topic non-alcoholic fatty liver disease
lipogenesis
inflammation
aromatic amino acids
gut microbiota
microbial metabolites
intestinal barrier
url https://www.almclinmed.ru/jour/article/view/1400
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