代谢功能障碍相关的脂肪性肝病和肠道微生物群之间的相互作用机制和干预策略
Wentai Yang1,2, Qing Jin2,3, Dewang Xiao2
1Department of Gastroenterology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, China.
Frontiers in microbiology
|October 6, 2025
概括
代谢功能障碍相关的脂肪性肝病 (MASLD) 涉及肠道微生物群的变化,通过肠肝轴影响肝脏健康. 诸如益生菌和饮食等干预措施可以调节微生物群,以改善MASLD的结果.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 微生物学 微生物学
- 代谢疾病 代谢疾病
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 的发病与肠道微生物群失调有关.
- 肠肝轴在调节肝脏代谢平衡中起着至关重要的作用.
- 机制包括改变的微生物组成,胆酸重编程,SCFA缺乏和炎症.
研究的目的:
- 审查MASLD和肠道微生物群之间的复杂关系.
- 阐明肠肝轴参与MASLD的潜在机制.
- 总结针对MASLD的肠道微生物群的当前和未来干预策略.
主要方法:
- 对调查MASLD和肠道微生物群相互作用的研究进行文献综述.
- 分析包括失生症,胆酸代谢,SCFA和炎症在内的机制.
- 评估干预策略,如益生菌,益生菌,饮食和手术.
主要成果:
- MASLD的特点是特定的微生物变化 (例如,细菌体减少,变化的Firmicutes/Proteobacteria比率).
- 失生症有助于改变胆酸代谢,减少SCFA和内毒素诱导的炎症.
- 各种干预措施显示了调节微生物群和改善MASLD参数的潜力.
结论:
- 肠道微生物群调节是MASLD的一个有前途的治疗途径.
- 未来的研究应该专注于多主题,精确疗法和个性化干预.
- 优化基于微生物群的治疗方法的安全性和临床转化至关重要.
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