Chinese Medical Sciences Journal ›› 2023, Vol. 38 ›› Issue (4): 286-296.doi: 10.24920/004220

• 综述 • 上一篇    下一篇

肠道微生物及其代谢产物对代谢相关性脂肪肝病发生发展的影响

汪远远1,2,林海连1,2,王克浪1,2,阙根香1,2,曹婷1,2,朱腊梅3,杨霞1,2,阳学风1,2,4,*()   

  1. 1南华大学衡阳医学院附属南华医院,湖南省代谢相关性脂肪肝临床研究中心,湖南,衡阳 421002
    2南华大学衡阳医学院附属南华医院,消化内科,湖南,衡阳 421002
    3南华大学衡阳医学院附属南华医院,肝胆外科,湖南,衡阳 421002
    4南华大学衡阳医学院附属南华医院,全科内科,湖南,衡阳 421002
  • 收稿日期:2023-03-02 接受日期:2023-08-12 出版日期:2023-12-30 发布日期:2023-12-15
  • 通讯作者: 阳学风 E-mail:yxf009988@sina.com

Influence of Gut Microbiota and its Metabolites on Progression of Metabolic Associated Fatty Liver Disease

Yuan-Yuan Wang1,2,Hai-Lian Lin1,2,Ke-Lang Wang1,2,Gen-Xiang Que1,2,Ting Cao1,2,La-Mei Zhu3,Xia Yang1,2,Xue-Feng Yang1,2,4,*()   

  1. 1Hunan Provincial Clinical Research Center for Metabolic Associated Fatty Liver Disease, Affiliated Nanhua Hospital, Hengyang Medical School & University of South China, Hengyang, Hunan 421002, China
    2Department of Gastroenterology, Affiliated Nanhua Hospital, Hengyang Medical School & University of South China, Hengyang, Hunan 421002, China
    3Department of Hepatobiliary Surgery, Affiliated Nanhua Hospital, Hengyang Medical School & University of South China, Hengyang, Hunan 421002, China
    4Department of General Practice, Affiliated Nanhua Hospital, Hengyang Medical School & University of South China, Hengyang, Hunan 421002, China
  • Received:2023-03-02 Accepted:2023-08-12 Published:2023-12-30 Online:2023-12-15
  • Contact: Xue-Feng Yang E-mail:yxf009988@sina.com

摘要:

由于生活方式和饮食习惯的改变,代谢相关性脂肪肝已成为全球流行的慢性肝病。研究表明:肠道微生物群及其代谢产物在代谢相关性脂肪肝的发病机制中起着至关重要的作用。了解肠道微生物群及其代谢产物在代谢相关性脂肪肝中的功能有助于阐明病理机制、确定诊断标志物以及开发治疗药物或益生菌。在此,我们回顾了肠道微生物群及其代谢产物对代谢相关性脂肪肝的致病机理,并从肠道微生物的角度探讨治疗代谢相关性脂肪肝的可行性。

关键词: 代谢相关性脂肪肝, 肠道微生物, 非酒精性脂肪肝, 肝纤维化, 肝细胞癌

Abstract:

Metabolic associated fatty liver disease (MAFLD) has become a prevalent chronic liver disease worldwide because of lifestyle and dietary changes. Gut microbiota and its metabolites have been shown to play a critical role in the pathogenesis of MAFLD. Understanding of the function of gut microbiota and its metabolites in MAFLD may help to elucidate pathological mechanisms, identify diagnostic markers, and develop drugs or probiotics for the treatment of MAFLD. Here we review the pathogenesis of MAFLD by gut microbiota and its metabolites and discuss the feasibility of treating MAFLD from the perspective of gut microbes.

Key words: metabolic associated fatty liver disease, intestinal microorganisms, non-alcoholic fatty liver disease, liver fibrosis, hepatocellular carcinoma

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