The gut–liver axis and gut microbiota in health and liver disease
Open accessAbstract
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].”
From The Seven Methods for the Evaluation of Nutritional Status—ABCDEFG: Narrative Review (2026) · cites this paper as [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
- PMC
- PMC10794111
- 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
- green
- www.ncbi.nlm.nih.gov
- Licence
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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