Gut-liver axis, gut microbiota, and its modulation in the management of liver diseases: A review of the literature
Open accessAbstract
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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Self-citation
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The critical role of gut microbiota in obesity
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Effect of probiotics on oral candidiasis: a systematic review and meta-analysis
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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)
- PMC
- PMC6358912
- 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
- gold
- dx.doi.org
- Licence
- 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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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.
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