[1]李梦瑶,伍晓然,徐秋容,等.非酒精性脂肪性肝病与肠道菌群代谢物的关系研究现状[J].医学信息,2025,38(04):171-175181.[doi:10.3969/j.issn.1006-1959.2025.04.033]
 LI Mengyao,WU Xiaoran,XU Qiurong,et al.Research Status of the Relationship Between Nonalcoholic Fatty Liver Disease and Intestinal Flora Metabolites[J].Journal of Medical Information,2025,38(04):171-175181.[doi:10.3969/j.issn.1006-1959.2025.04.033]
点击复制

非酒精性脂肪性肝病与肠道菌群代谢物的关系研究现状()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年04期
页码:
171-175181
栏目:
综述
出版日期:
2025-02-15

文章信息/Info

Title:
Research Status of the Relationship Between Nonalcoholic Fatty Liver Disease and Intestinal Flora Metabolites
文章编号:
1006-1959(2025)04-0171-06
作者:
李梦瑶1伍晓然1徐秋容1王 吉12文利新1
1.湖南农业大学动物医学院畜禽保健湖南省工程研究中心,湖南 长沙 410128;2.长沙绿叶生物科技有限公司,湖南 长沙 410100
Author(s):
LI Mengyao1 WU Xiaoran1 XU Qiurong1 WANG Ji12 WEN Lixin1
1.Hunan Engineering Research Center of Livestock and Poultry Health Care, College of Veterinary Medicine, Hunan Agricultural University, Changsha 410128, Hunan, China;2.Changsha Lvye Biotechnology Co., Ltd., Changsha 410100, Hunan, China
关键词:
非酒精性脂肪性肝病代谢性疾病菌群代谢物肠道菌群
Keywords:
Nonalcoholic fatty liver disease Metabolic diseases Microbial metabolites Gut microbiota
分类号:
R575.5
DOI:
10.3969/j.issn.1006-1959.2025.04.033
文献标志码:
A
摘要:
近年来,非酒精性脂肪性肝病(NAFLD)已经成为危害人类健康的全球性公共卫生问题。肠道菌群的相关研究已成为当今临床医学和生命科学研究中极其重要的热点领域。越来越多的研究表明肠道菌群对机体代谢起到重要作用,一些肠道菌群代谢物如丁酸等可以通过改善肠道屏障、降低胰岛素抵抗、改善脂肪变性、减轻炎症反应等来改善机体代谢紊乱。而LPS等致病因素可能会造成机体的炎症反应、加重胰岛素抵抗、氧化应激和脂质代谢紊乱等,进而诱发NAFLD。本文主要阐述了常见肠道菌群代谢产物与代谢性疾病NAFLD相关表型的相关性,旨在为揭示肠道菌群与NAFLD的关系提供详实参考依据。
Abstract:
In recent years, nonalcoholic fatty liver disease (NAFLD) has become a global public health problem that endangers human health. The related research of intestinal flora has become an extremely important hot field in clinical medicine and life science research. A growing number of studies have shown that intestinal flora plays an important role in the metabolism of the body. Some intestinal flora metabolites such as butyric acid can improve the body’s metabolic disorders by improving the intestinal barrier, reducing insulin resistance, improving steatosis, and reducing inflammation. LPS and other pathogenic factors may cause the body’s inflammatory response, aggravate insulin resistance, oxidative stress and lipid metabolism disorders, and then induce NAFLD. This article mainly expounds the correlation between common intestinal flora metabolites and NAFLD-related phenotypes of metabolic diseases, aiming to provide a detailed reference for revealing the relationship between intestinal flora and NAFLD.

参考文献/References:

[1]Power SE,O’Toole PW,Stanton C,et al.Intestinal microbiota, diet and health[J].Br J Nutr,2014,111(3):387-402.[2]Rescigno M.Intestinal microbiota and its effects on the immune system[J].Cell Microbiol,2014,16(7):1004-1013.[3]De Vadder F,Kovatcheva-Datchary P,Goncalves D,et al.Microbiota-generated metabolites promote metabolic benefits via gut-brain neural circuits[J].Cell,2014,156(1-2):84-96.[4]Mollica MP,Mattace Raso G,Cavaliere G,et al.Butyrate Regulates Liver Mitochondrial Function, Efficiency, and Dynamics in Insulin-Resistant Obese Mice[J].Diabetes,2017,66(5):1405-1418.[5]Canfora EE,van der Beek CM,Jocken JWE,et al.Colonic infusions of short-chain fatty acid mixtures promote energy metabolism in overweight/obese men: a randomized crossover trial[J].Sci Rep,2017,7(1):2360.[6]Bouter K,Bakker GJ,Levin E,et al.Differential metabolic effects of oral butyrate treatment in lean versus metabolic syndrome subjects[J].Clin Transl Gastroenterol,2018,9(5):155.[7]Xiao J,Wang F,Wong NK,et al.Global liver disease burdens and research trends: Analysis from a Chinese perspective[J].J Hepatol,2019,71(1):212-221.[8]Wang HB,Wang PY,Wang X,et al.Butyrate enhances intestinal epithelial barrier function via up-regulation of tight junction protein Claudin-1 transcription[J].Dig Dis Sci,2012,57(12):3126-3135.[9]Deng M,Qu F,Chen L,et al.SCFAs alleviated steatosis and inflammation in mice with NASH induced by MCD[J].J Endocrinol,2020,245(3):425-437.[10]范秀琴,路媛媛,樊超男,等.乙酸可通过增强脂肪酸β氧化治疗小鼠肥胖[J].中国食物与营养,2017,23(5):69-72.[11]Li Q,Chen H,Zhang M,et al.Altered short chain fatty acid profiles induced by dietary fiber intervention regulate AMPK levels and intestinal homeostasis[J].Food Funct,2019,10(11):7174-7187.[12]Ran B,Guo CE,Li W,et al.Sea buckthorn (Hippophae rhamnoides L.) fermentation liquid protects against alcoholic liver disease linked to regulation of liver metabolome and the abundance of gut microbiota[J].J Sci Food Agric,2021,101(7):2846-2854.[13]Sun B,Jia Y,Yang S,et al.Sodium butyrate protects against high-fat diet-induced oxidative stress in rat liver by promoting expression of nuclear factor E2-related factor 2[J].Br J Nutr,2019,122(4):400-410.[14]Roychowdhury S,Glueck B,Han Y,et al.A Designer Synbiotic Attenuates Chronic-Binge Ethanol-Induced Gut-Liver Injury in Mice[J].Nutrients,2019,11(1):97.[15]Lima-Cabello E,García-Mediavilla MV,Miquilena-Colina ME,et al.Enhanced expression of pro-inflammatory mediators and liver X-receptor-regulated lipogenic genes in non-alcoholic fatty liver disease and hepatitis C [published correction appears in Clin Sci (Lond). 2024 Jun 19;138(12):757-760. doi: 10.1042/CS-2010-0387_COR.][J].Clin Sci (Lond),2011,120(6):239-250. [16]Endo M,Masaki T,Seike M,et al.TNF-alpha induces hepatic steatosis in mice by enhancing gene expression of sterol regulatory element binding protein-1c (SREBP-1c)[J].Exp Biol Med (Maywood),2007,232(5):614-621.[17]Harte AL,da Silva NF,Creely SJ,et al.Elevated endotoxin levels in non-alcoholic fatty liver disease[J].J Inflamm (Lond),2010,7:15.[18]Bergheim I,Weber S,Vos M,et al.Antibiotics protect against fructose-induced hepatic lipid accumulation in mice: role of endotoxin[J].J Hepatol,2008,48(6):983-992.[19]Compare D,Coccoli P,Rocco A,et al.Gut--liver axis: the impact of gut microbiota on non alcoholic fatty liver disease[J].Nutr Metab Cardiovasc Dis,2012,22(6):471-476.[20]Vespasiani-Gentilucci U,Carotti S,Perrone G,et al.Hepatic toll-like receptor 4 expression is associated with portal inflammation and fibrosis in patients with NAFLD[J].Liver Int,2015,35(2):569-581.[21]韩冰.LPS对NAFLD大鼠肝纤维化进程及TLR-4/NF-κB信号通路的影响[D].延吉:延边大学,2018.[22]郭慧慧,申浩然,张红娟,等.灯盏生脉通过调节肠道微环境抑制非酒精性脂肪肝进程[J].药学学报,2022,57(12):3524-3534.[23]鲁旭,韩涛,田垚,等.肠道菌群和胆汁酸代谢对非酒精性脂肪性肝病发生发展的作用[J].临床肝胆病杂志,2014,30(11):1225-1228.[24]OHNO M.[Functional analysis of nuclear receptor FXR controlling metabolism of cholesterol][J].Yakugaku Zasshi,2008,128(3):343-55.[25]张磊,金智生,杨晓轶,等.红芪多糖对非酒精性脂肪肝病细胞模型FXR-SHP-SREBP-1c信号通路的影响[J].中国临床药理学杂志,2024,40(2):200-204.[26]魏珏,叶丽静,邱德凯,等.胆汁酸核受体FXR在非酒精性脂肪性肝病中的作用[J].胃肠病学,2010,15(1):21-24.[27]Sinal CJ,Tohkin M,Miyata M,et al.Targeted disruption of the nuclear receptor FXR/BAR impairs bile acid and lipid homeostasis[J].Cell,2000,102(6):731-744.[28]Yang ZH,Liu F,Zhu XR,et al.Altered profiles of fecal bile acids correlate with gut microbiota and inflammatory responses in patients with ulcerative colitis[J].World J Gastroenterol,2021,27(24):3609-3629.[29]Wang YD,Chen WD,Yu D,et al.The G-protein-coupled bile acid receptor, Gpbar1 (TGR5), negatively regulates hepatic inflammatory response through antagonizing nuclear factor κ light-chain enhancer of activated B cells (NF-κB) in mice[J].Hepatology,2011,54(4):1421-1432.[30]Chen WD,Yu D,Forman BM,et al.Deficiency of G-protein-coupled bile acid receptor Gpbar1 (TGR5) enhances chemically induced liver carcinogenesis[J].Hepatology,2013,57(2):656-666.[31]Irving AT,Mimuro H,Kufer TA,et al.The immune receptor NOD1 and kinase RIP2 interact with bacterial peptidoglycan on early endosomes to promote autophagy and inflammatory signaling[J].Cell Host Microbe,2014,15(5):623-635.[32]Jin M,Lai Y,Zhao P,et al.Effects of peptidoglycan on the development of steatohepatitis[J].Biochim Biophys Acta Mol Cell Biol Lipids,2020,1865(4):158595.[33]Szabo G,Velayudham A,Romics L Jr,et al.Modulation of non-alcoholic steatohepatitis by pattern recognition receptors in mice: the role of toll-like receptors 2 and 4[J].Alcohol Clin Exp Res,2005,29(11 Suppl):140S-145S.[34]Barrea L,Annunziata G,Muscogiuri G,et al.Trimethylamine-N-oxide (TMAO) as Novel Potential Biomarker of Early Predictors of Metabolic Syndrome[J].Nutrients,2018,10(12):1971.[35]León-Mimila P,Villamil-Ramírez H,Li XS,et al.Trimethylamine N-oxide levels are associated with NASH in obese subjects with type 2 diabetes[J].Diabetes Metab,2021,47(2):101183.[36]Tan X,Liu Y,Long J,et al.Trimethylamine N-Oxide Aggravates Liver Steatosis through Modulation of Bile Acid Metabolism and Inhibition of Farnesoid X Receptor Signaling in Nonalcoholic Fatty Liver Disease[J].Mol Nutr Food Res,2019,63(17):e1900257.[37]Dumas ME,Barton RH,Toye A,et al.Metabolic profiling reveals a contribution of gut microbiota to fatty liver phenotype in insulin-resistant mice[J].Proc Natl Acad Sci U S A,2006,103(33):12511-12516.[38]廖沛球,魏来,刘威,等.给药硝酸钕后大鼠完整肝组织及肝组织提取物的NMR代谢组学研究[J].高等学校化学学报,2009,30(6):1116-1120.[39]Mir H,Meena AS,Chaudhry KK,et al.Occludin deficiency promotes ethanol-induced disruption of colonic epithelial junctions, gut barrier dysfunction and liver damage in mice[J].Biochim Biophys Acta,2016,1860(4):765-774.[40]Zhu L,Baker SS,Gill C,et al.Characterization of gut microbiomes in nonalcoholic steatohepatitis (NASH) patients: a connection between endogenous alcohol and NASH[J].Hepatology,2013,57(2):601-609.[41]Ritze Y,Bárdos G,Hubert A,et al.Effect of tryptophan supplementation on diet-induced non-alcoholic fatty liver disease in mice[J].Br J Nutr,2014,112(1):1-7.[42]Pisanti S,Picardi P,Ciaglia E,et al.Antiangiogenic effects of N6-isopentenyladenosine, an endogenous isoprenoid end product, mediated by AMPK activation[J].FASEB J,2014,28(3):1132-1144.[43]Zhang X,Coker OO,Chu ES,et al.Dietary cholesterol drives fatty liver-associated liver cancer by modulating gut microbiota and metabolites[J].Gut,2021,70(4):761-774.[44]Zhao ZH,Xin FZ,Xue Y,et al.Indole-3-propionic acid inhibits gut dysbiosis and endotoxin leakage to attenuate steatohepatitis in rats[J].Exp Mol Med,2019,51(9):1-14.[45]Wang H,Shi X,Qiu M,et al.Hydrogen Sulfide Plays an Important Role by Influencing NLRP3 inflammasome[J].Int J Biol Sci,2020,16(14):2752-2760.[46]Osawa Y,Kanamori H,Seki E,et al.L-tryptophan-mediated enhancement of susceptibility to nonalcoholic fatty liver disease is dependent on the mammalian target of rapamycin[J].J Biol Chem,2011,286(40):34800-34808.

相似文献/References:

[1]龙 颖,李运泽,汤中敏,等.非酒精性脂肪性肝病与血尿酸水平测定及其临床意义[J].医学信息,2018,31(07):92.[doi:10.3969/j.issn.1006-1959.2018.07.029]
 LONG Ying,LI Yun-ze,TANG Zhong-min,et al.Determination of Serum Uric Acid Level and its Clinical Significance in Non-alcoholic Fatty Liver Disease[J].Journal of Medical Information,2018,31(04):92.[doi:10.3969/j.issn.1006-1959.2018.07.029]
[2]冯贺强,张彩红.肠道菌群与非酒精性脂肪肝关系的研究进展[J].医学信息,2018,31(12):47.[doi:10.3969/j.issn.1006-1959.2018.12.015]
 FENG He-qiang,ZHANG Cai-hong.Research Progress on the Relationship between Intestinal Flora and Nonalcoholic Fatty Liver[J].Journal of Medical Information,2018,31(04):47.[doi:10.3969/j.issn.1006-1959.2018.12.015]
[3]郑 颖,孙华胜,毛乾国.中医防治非酒精性脂肪性肝病研究进展[J].医学信息,2018,31(15):25.[doi:10.3969/j.issn.1006-1959.2018.15.010]
 ZHENG Ying,SUN Hua-sheng,MAO Qian-guo.Progress in Prevention and Treatment of Nonalcoholic Fatty Liver Disease by TCM[J].Journal of Medical Information,2018,31(04):25.[doi:10.3969/j.issn.1006-1959.2018.15.010]
[4]李珊珊,陈少彬,龚先琼.中药单体治疗非酒精性脂肪性肝病研究进展[J].医学信息,2018,31(21):24.[doi:10.3969/j.issn.1006-1959.2018.21.008]
 LI Shan-shan,CHEN Shao-bin,GONG Xian-qiong.Advances in Research of Traditional Chinese Medicine Monomer in the Treatment of Non-alcoholic Fatty Liver Disease[J].Journal of Medical Information,2018,31(04):24.[doi:10.3969/j.issn.1006-1959.2018.21.008]
[5]黄玲玉,孙 东,蒋本君,等.天津市某区域体检人群非酒精性脂肪肝调查分析[J].医学信息,2019,32(04):99.[doi:10.3969/j.issn.1006-1959.2019.04.032]
 HUANG Ling-yu,SUN Dong,JIANG Ben-jun,et al.Investigation and Analysis of Non-alcoholic Fatty Liver Disease in Medical Examination Population in A Certain Area of Tianjin[J].Journal of Medical Information,2019,32(04):99.[doi:10.3969/j.issn.1006-1959.2019.04.032]
[6]余 辉,李 岳,郭宝娜.非酒精性脂肪性肝病的治疗研究[J].医学信息,2019,32(14):38.[doi:10.3969/j.issn.1006-1959.2019.14.014]
 YU Hui,LI Yue,GUO Bao-na.Treatment of Non-alcoholic Fatty Liver Disease[J].Journal of Medical Information,2019,32(04):38.[doi:10.3969/j.issn.1006-1959.2019.14.014]
[7]王佳欣,毛乾国.慢性乙型肝炎合并非酒精性脂肪性肝病 中医辨治的研究进展[J].医学信息,2019,32(16):38.[doi:10.3969/j.issn.1006-1959.2019.16.012]
 WANG Jia-xin,MAO Qian-guo.Advances in Research on TCM Syndrome Differentiation of Chronic Hepatitis B with Nonalcoholic Fatty Liver Disease[J].Journal of Medical Information,2019,32(04):38.[doi:10.3969/j.issn.1006-1959.2019.16.012]
[8]蒋晓倩,梁惠卿,刘垚昱,等.吴耀南运用“浊毒”理论论治非酒精性脂肪性肝病验案举隅[J].医学信息,2020,33(04):158.[doi:10.3969/j.issn.1006-1959.2020.04.052]
[9]蔡秀媛,吴春城,梁惠卿,等.非酒精性脂肪性肝病中医证型与客观指标的相关性[J].医学信息,2020,33(09):21.[doi:10.3969/j.issn.1006-1959.2020.09.008]
 CAI Xiu-yuan,WU Chun-cheng,LIANG Hui-qing,et al.Correlation Between TCM Syndromes of Nonalcoholic Fatty Liver Disease and Objective Indexes[J].Journal of Medical Information,2020,33(04):21.[doi:10.3969/j.issn.1006-1959.2020.09.008]
[10]徐云云,刘尚全.钠-葡萄糖协同转运蛋白2抑制剂治疗2型糖尿病合并非酒精性脂肪肝病的研究[J].医学信息,2021,34(01):33.[doi:10.3969/j.issn.1006-1959.2021.01.010]
 XU Yun-yun,LIU Shang-quan.Study of Sodium-glucose Cotransporter 2 Inhibitor in the Treatment of Type 2 Diabetes with Non-alcoholic Fatty Liver Disease[J].Journal of Medical Information,2021,34(04):33.[doi:10.3969/j.issn.1006-1959.2021.01.010]

更新日期/Last Update: 1900-01-01