Cited by 75Liver Diseases and ImmunityGut microbiota and healthInflammatory Bowel Disease

The gut microbial influence on cholestatic liver disease

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Kummen, Martin, Hov, Johannes R.·2019·Liver International

Abstract

Patients with cholestatic liver diseases like primary sclerosing cholangitis (PSC) and primary biliary cholangitis (PBC) have a different gut microbiome composition than healthy controls. In contrast with PBC, PSC has a strong association with inflammatory bowel disease and is the prototypical disease of the gut‐liver axis. Still, there are some distinct overlapping microbial features in the microbiome of patients with PSC and PBC suggesting similarities in cholestatic diseases, although the possible pathogenetic involvement of these shared microbial changes is unknown. Herein, we present an overview of the available data and discuss the relevance for potential disease relevant host‐microbiota interactions. In general, the microbiome interacts with the host via the immunobiome (interactions between the host immune system and the gut microbiome), the endobiome (where the gut microbiome contributes to host physiology by producing or metabolizing endogenous molecules) and the xenobiome (gut microbial transformation of exogenous compounds, including nutrients and drugs). Experimental and human observational evidence suggest that the presence and functions of gut microbes are relevant for the severity and progression of cholestatic liver disease. Interestingly, the majority of new drugs that are currently being tested in PBC and PSC in clinical trials act on bile acid homeostasis, where the endobiome is important. In the future, it will be paramount to perform longitudinal studies, through which we can identify new intervention targets, biomarkers or treatment‐stratifiers. In this way, gut microbiome‐based clinical care and therapy may become relevant in cholestatic liver disease within the foreseeable future.

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Authors
Kummen, M., & Hov, J. R.
Affiliations
Oslo University Hospital (NO)
Corresponding author
Hov, Johannes R.
Venue
Liver International
Publisher
Wiley
Published
2019-06-17
Volume
39
Issue
7
Pages
1186-1196
ISSN
  • 0106-9543 (ISSN-L)
  • 1478-3223
  • 1478-3231
OpenAlex
W2946806894
Cited by
74
References
51
Citations by year
2026: 9 · 2025: 5 · 2024: 14 · 2023: 15 · 2022: 11 · 2021: 9 · 2020: 8 · 2019: 3
FWCI
1.02
Type
journal article
Language
en
Open access
Locations
  • Liver International (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
Funders
Norges Forskningsråd (240787/F20)
Topics
  • Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
Keywords
gut microbiota, cholestatic liver disease, primary sclerosing cholangitis, primary biliary cirrhosis, gut-liver axis, host-microbiota interactions, bile acid homeostasis, inflammatory bowel disease, drug metabolism, biomarkers
MeSH terms
Gastrointestinal Microbiome, Host Microbial Interactions, Bile Acids and Salts, Cholestasis, Humans, Liver, Liver Cirrhosis, Biliary, Cholangitis, Sclerosing, Inflammatory Bowel Diseases

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