Cited by 551Gut microbiota and healthLiver Disease Diagnosis and TreatmentGastrointestinal motility and disorders

Gut-liver axis, gut microbiota, and its modulation in the management of liver diseases: A review of the literature

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Milosevic, Ivana, Vujovic, Ankica, Barac, Aleksandra, Djelic, Marina, Korac, Milos, Radovanovic Spurnic, Aleksandra, Gmizic, Ivana, Stevanovic, Olja +4 more·2019·International Journal of Molecular Sciences

Abstract

The rapid scientific interest in gut microbiota (GM) has coincided with a global increase in the prevalence of infectious and non-infectivous liver diseases. GM, which is also called "the new virtual metabolic organ", makes axis with a number of extraintestinal organs, such as kidneys, brain, cardiovascular, and the bone system. The gut-liver axis has attracted greater attention in recent years. GM communication is bi-directional and involves endocrine and immunological mechanisms. In this way, gut-dysbiosis and composition of "ancient" microbiota could be linked to pathogenesis of numerous chronic liver diseases such as chronic hepatitis B (CHB), chronic hepatitis C (CHC), alcoholic liver disease (ALD), non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH), development of liver cirrhosis, and hepatocellular carcinoma (HCC). In this paper, we discuss the current evidence supporting a GM role in the management of different chronic liver diseases and potential new therapeutic GM targets, like fecal transplantation, antibiotics, probiotics, prebiotics, and symbiotics. We conclude that population-level shifts in GM could play a regulatory role in the gut-liver axis and, consequently, etiopathogenesis of chronic liver diseases. This could have a positive impact on future therapeutic strategies.

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  • GI microbiota dysbiosis through gut-liver axis drives progression toward severe forms of liver failure, including inflammation and pathogenic metabolite accumulation associated with chronic hepatitis B.

    “GI microbiota dysbiosis, through the gut-liver axis (Milosevic et al., 2019), has been shown to drive the progression toward severe forms of liver failure, including inflammation and pathogenic metabolite accumulation associated with chronic hepatitis B (CHB) (Wang J. et al., 2017).”

    From Viral Infections, the Microbiome, and Probiotics (2021) · cites this paper as Milosevic et al., 2019

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Authors
Milosevic, I., Vujovic, A., Barac, A., Djelic, M., Korac, M., Radovanovic Spurnic, A., Gmizic, I., Stevanovic, O., Djordjevic, V., Lekic, N., Russo, E., & Amedei, A.
Affiliations
  • Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
  • University of Belgrade (RS)
  • Hospital for Infectious and Tropical Diseases, Clinical Center of Serbia, 11000 Belgrade, Serbia
  • University of Florence (IT)
  • Azienda Ospedaliero-Universitaria Careggi (IT)
Venue
International Journal of Molecular Sciences
Publisher
MDPI AG
Published
2019-01-17
Volume
20
Issue
2
Pages
395
ISSN
1422-0067 (ISSN-L)
OpenAlex
W2911082440
Cited by
551
References
103
Citations by year
2026: 50 · 2025: 97 · 2024: 96 · 2023: 95 · 2022: 86 · 2021: 71 · 2020: 31 · 2019: 25
FWCI
4.69
Type
journal article
Language
en
Open access
Locations
  • International Journal of Molecular Sciences (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Florence Research (University of Florence) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Ministry of Education, Science and Technology (III45005)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Keywords
gut-liver axis, gut microbiota, chronic liver disease, gut dysbiosis, chronic hepatitis B, chronic hepatitis C, alcoholic liver disease, non-alcoholic fatty liver disease, nonalcoholic steatohepatitis, liver cirrhosis, hepatocellular carcinoma, fecal microbiota transplantation, probiotics, prebiotics, symbiotics, antibiotics, microbiota-targeted therapy
MeSH terms
Gastrointestinal Microbiome, Animals, Disease Susceptibility, Humans, Liver, Liver Diseases, Symbiosis, Probiotics, Gastrointestinal Tract, Prebiotics, Dysbiosis

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