Cited by 737Gut microbiota and healthLiver Disease and TransplantationGastrointestinal motility and disorders

The gut–liver axis and gut microbiota in health and liver disease

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Hsu, Cynthia L., Schnabl, Bernd·2023·Nature Reviews Microbiology

Abstract

The trillions of microorganisms in the human intestine are important regulators of health, and disruptions in the gut microbial communities can cause disease. The gut, liver and immune system have a symbiotic relationship with these microorganisms. Environmental factors, such as high-fat diets and alcohol consumption, can disrupt and alter microbial communities. This dysbiosis can lead to dysfunction of the intestinal barrier, translocation of microbial components to the liver and development or progression of liver disease. Changes in metabolites produced by gut microorganisms can also contribute to liver disease. In this Review, we discuss the importance of the gut microbiota in maintenance of health and the alterations in microbial mediators that contribute to liver disease. We present strategies for modulation of the intestinal microbiota and/or their metabolites as potential treatments for liver disease.

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  • The gut-liver axis reflects the bidirectional relationship between the gut microbiota, intestinal permeability, microbial metabolites, and hepatic functionality.

    “The gut-liver axis reflects the bidirectional relationship between the gut microbiota, intestinal permeability, microbial metabolites, and hepatic functionality [93].”
  • Non-alcoholic liver dysfunction is associated with diminished E. rectale and higher circulating secondary BAs.

    “non-alcoholic liver dysfunction is associated with diminished E. rectale and higher circulating secondary BAs;108”

    From Gut dysbiosis in oncology: a risk factor for immunoresistance (2026) · cites this paper as [108]

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Authors
Hsu, C. L., & Schnabl, B.
Affiliations
University of California San Diego (US)
Corresponding author
Schnabl, Bernd
Venue
Nature Reviews Microbiology
Published
2023-06-14
Volume
21
Issue
11
Pages
719-733
ISSN
  • 1740-1526 (ISSN-L)
  • 1740-1534
OpenAlex
W4380610023
Cited by
737
References
159
Citations by year
2026: 306 · 2025: 277 · 2024: 140 · 2023: 14
FWCI
19.43
Type
journal article
Language
en
Open access
Locations
  • Nature Reviews Microbiology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • U.S. Department of Veterans Affairs (I01 BX004594)
  • National Institutes of Health (AA011999, DK120515)
  • National Institute on Alcohol Abuse and Alcoholism (R01AA024726, P50AA011999, R37AA020703)
  • National Institute of Diabetes and Digestive and Kidney Diseases (T32DK007202, P30DK120515)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Keywords
gut-liver axis, gut microbiota, liver disease, dysbiosis, intestinal barrier dysfunction, microbial translocation, gut microbiota metabolites, high-fat diet, alcohol consumption, microbiota-based therapy, host-microbe interactions
MeSH terms
Gastrointestinal Microbiome, Humans, Immune System, Liver Diseases, Microbiota, Dysbiosis

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