Cited by 38Liver Disease and TransplantationAbdominal vascular conditions and treatmentsLiver Diseases and Immunity

Targeting the Gut–Liver Axis in Cirrhosis: Antibiotics and Non-Selective β-Blockers

Madsen, Bjørn S., Havelund, Troels, Krag, Aleksander·2013·Advances in Therapy

Abstract

The gut-liver axis in cirrhosis and portal hypertension is gaining increasing attention as a key pathophysiological mechanism responsible for progression of liver failure and development of complications such as spontaneous infections and hepatocellular carcinoma. Antibiotics and non-selective β-blockers (NSBB) intercept this axis and each drug has proven efficacy in clinical trials. A synergistic effect is a hitherto unproven possibility. There is an increasing body of evidence supporting improved outcome with expanded use of NSBB and antibiotic therapy beyond current indications. This review addresses the issue of pharmacological treatment of cirrhosis and portal hypertension with antibiotics and NSBB. We discuss their mechanism of action and suggest that combining the two treatment modalities could potentially reduce the risk of complications.

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Registry

Crossref · 10.1007/s12325-013-0044-1

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103 of 103 references verified0 citation errors · 0 not checkable

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  • Nonselective β-adrenergic blockers decrease intestinal transit time and reduce intestinal bacterial overgrowth, intestinal permeability and bacterial translocation in experimental cirrhosis and patients.

    “Accordingly, nonselective β-adrenergic blockers decrease intestinal transit time and reduce intestinal bacterial overgrowth, intestinal permeability and bacterial translocation in experimental models of cirrhosis as well as in patients153–157.”

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Authors
Madsen, B. S., Havelund, T., & Krag, A.
Affiliations
Odense University Hospital (DK)
Corresponding author
Madsen, Bjørn S.
Venue
Advances in Therapy
Published
2013-07
Volume
30
Issue
7
Pages
659-670
ISSN
  • 0741-238X (ISSN-L)
  • 1865-8652
OpenAlex
W2057245243
Cited by
38
References
102
Citations by year
2026: 2 · 2025: 2 · 2024: 5 · 2023: 4 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 4 · 2018: 8 · 2017: 5 · 2016: 1 · 2015: 2 · 2014: 1
FWCI
0.17
Type
journal article
Language
en
Open access
closed
Locations
  • Advances in Therapy (publishedVersion)
  • PubMed (publishedVersion)
  • University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion)
Topics
  • Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
Keywords
gut-liver axis, liver cirrhosis, portal hypertension, antibiotics, non-selective beta-blockers, spontaneous bacterial peritonitis, hepatocellular carcinoma, liver failure, drug synergy, cirrhosis complications
MeSH terms
Adrenergic beta-Antagonists, Anti-Bacterial Agents, Hepatic Encephalopathy, Carcinoma, Hepatocellular, Hepatorenal Syndrome, Humans, Hypertension, Portal, Liver Cirrhosis, Liver Neoplasms, Peritonitis, Bacterial Translocation, Microbiota

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