1. How Diet-Induced Changes in the 'Gut-Liver' Axis Affect Chronic Liver Disease Outcome?
- Author
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Aristides G. Eliopoulos, Emilia Vassilopoulou, and Lemonica Koumbi
- Subjects
medicine.medical_specialty ,Intestinal permeability ,Cirrhosis ,biology ,business.industry ,Inflammation ,Gut flora ,medicine.disease ,biology.organism_classification ,Chronic liver disease ,Gastroenterology ,digestive system diseases ,Pathogenesis ,03 medical and health sciences ,0302 clinical medicine ,Fibrosis ,030220 oncology & carcinogenesis ,Hepatocellular carcinoma ,Internal medicine ,medicine ,030211 gastroenterology & hepatology ,medicine.symptom ,business - Abstract
Hepatocellular carcinoma (HCC) occurs in patients with chronic liver damage, inflammation and cirrhosis. The facilitators involved in increasing the HCC risk in the damaged liver are yet to be discovered. Diet and lifestyle have a profound effect on the liver inflammation and HCC. The term “gut liver axis” describes the bidirectional relationship between the liver and the gut, which are both anatomically and functionally related. Chronic liver damage is characterised by increased intestinal permeability that allows the translocation of various components and metabolites from the gut microbiota to the liver, resulting in liver inflammation and fibrosis. In this review, we discuss how diet-induced changes in gut microbiome composition, such as lipopolysaccharide and lipoteichoic acid, and its metabolites, such as bile acids, play a role in the pathogenesis of liver fibrosis and HCC.
- Published
- 2021
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