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Polysaccharides: The Potential Prebiotics for Metabolic Associated Fatty Liver Disease (MAFLD)
1Tianjin Key Laboratory of Digestive Diseases, Department of Gastroenterology and Hepatology, Tianjin Institute of Digestive Diseases, National Key Clinical Specialty, General Hospital, Tianjin Medical University, Tianjin 300052, China.
Abstract:
Metabolic (dysfunction) associated fatty liver disease (MAFLD) is recognized as the most prevalent chronic liver disease globally. However, its pathogenesis remains incompletely understood. Recent advancements in the gut-liver axis offer novel insights into the development of MAFLD. Polysaccharides, primarily derived from fungal and algal sources, abundantly exist in the human diet and exert beneficial effects on glycometabolism, lipid metabolism, inflammation, immune modulation, oxidative stress, and the release of MAFLD. Numerous studies have demonstrated that these bioactivities of polysaccharides are associated with their prebiotic properties, including the ability to modulate the gut microbiome profile, maintain gut barrier integrity, regulate metabolites produced by gut microbiota such as lipopolysaccharide (LPS), short-chain fatty acids (SCFAs), and bile acids (BAs), and contribute to intestinal homeostasis. This narrative review aims to present a comprehensive summary of the current understanding of the protective effects of polysaccharides on MAFLD through their interactions with the gut microbiota and its metabolites. Specifically, we highlight the potential molecular mechanisms underlying the prebiotic effects of polysaccharides, which may give new avenues for the prevention and treatment of MAFLD.
Insights
Dietary polysaccharides, from fungi and algae, show promise in combating metabolic dysfunction-associated fatty liver disease (MAFLD). These compounds act as prebiotics, improving gut health and potentially offering new MAFLD treatments.
Area of Science:
- Microbiology
- Nutrition Science
- Hepatology
Background:
- Metabolic dysfunction-associated fatty liver disease (MAFLD) is the leading global cause of chronic liver disease.
- The exact mechanisms driving MAFLD pathogenesis are not fully understood.
- The gut-liver axis is increasingly recognized for its role in MAFLD development.
Purpose of the Study:
- To review the protective effects of dietary polysaccharides on MAFLD.
- To explore the mechanisms by which polysaccharides interact with the gut microbiota and its metabolites.
- To highlight potential therapeutic strategies for MAFLD based on polysaccharide bioactivity.
Main Methods:
- This is a narrative review synthesizing existing research.
- Focuses on studies investigating polysaccharides from fungal and algal sources.
- Examines the impact of polysaccharides on gut microbiome modulation, gut barrier function, and microbial metabolites.
Main Results:
- Polysaccharides exert beneficial effects on glycometabolism, lipid metabolism, inflammation, and oxidative stress.
- Their prebiotic properties modulate gut microbiota composition and function.
- Polysaccharides regulate key microbial metabolites including lipopolysaccharide (LPS), short-chain fatty acids (SCFAs), and bile acids (BAs).
Conclusions:
- Polysaccharides demonstrate significant potential in preventing and treating MAFLD.
- Their interactions with the gut microbiota and its metabolites are crucial for their protective effects.
- Further research into the molecular mechanisms of polysaccharide bioactivity may yield novel MAFLD therapeutic avenues.
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