Avenues within the gut-liver-brain axis linking chronic liver disease and symptoms

被引:11
作者
Nguyen, Henry H. [1 ,2 ]
Swain, Mark G. [3 ]
机构
[1] Univ Calgary, Liver Unit, Snyder Inst Chron Dis, Cumming Sch Med,,Dept Med & Microbiol, Calgary, AB, Canada
[2] Univ Calgary, Liver Unit, Snyder Inst Chron Dis, Cumming Sch Med,Dept Immunol & Infect Dis, Calgary, AB, Canada
[3] Univ Calgary, Liver Unit, Snyder Inst Chron Dis, Cumming Sch Med,Dept Med, Calgary, AB, Canada
关键词
microbiome; neural pathways; host immune system; metabolites; sickness behavior; fatigue; depression; social withdrawal; PRIMARY BILIARY-CIRRHOSIS; CENTRAL-NERVOUS-SYSTEM; MIDDLE-AGED ADULTS; C VIRUS-INFECTION; QUALITY-OF-LIFE; SICKNESS BEHAVIOR; MICROBIOTA; MICROGLIA; FATIGUE; IMPACT;
D O I
10.3389/fnins.2023.1171253
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Symptoms of fatigue, social withdrawal and mood disturbances are commonly encountered in patients with chronic liver disease and have a detrimental effect on patient quality of life. Treatment options for these symptoms are limited and a current area of unmet medical need. In this review, we will evaluate the potential mechanistic avenues within the gut-liver-brain axis that may be altered in the setting of chronic liver disease that drive the development of these symptoms. Both clinical and pre-clinical studies will be highlighted as we discuss how perturbations in host immune response, microbiome, neural responses, and metabolites composition can affect the central nervous system.
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页数:8
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