Role of Microbiota in Pathogenesis and Management of Viral Hepatitis

被引:33
作者
Sehgal, Rashi [1 ]
Bedi, Onkar [1 ]
Trehanpati, Nirupma [1 ]
机构
[1] Inst Liver & Biliary Sci, Dept Mol & Cellular Med, New Delhi, India
关键词
hepatitis; fecal microbiota transplantation; gut microbiota; lipopolysaccharides (LPS); probiotic; bacteria; GUT MICROBIOTA; THERAPEUTIC TARGET; LIVER; CIRRHOSIS; TRANSPLANTATION; INFECTION; EXPRESSION; COMMENSAL; BUTYRATE; BACTERIA;
D O I
10.3389/fcimb.2020.00341
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Hepatitis is a condition that can be self-limiting or can progress to fibrosis (scarring), cirrhosis, or liver cancer. These days, gut microbiota becomes an important part of our immune system, which is important for disease progression or recovery. Translocation of gut microbial and metabolic products causes intestinal inflammation by modulating immune cells leading to impairment of the primary barrier. But there are limited studies discussing pathogenesis and management of hepatitis with gut microbiota. In this review, we have discussed the role of gut microbiota in pathogenesis and management of various hepatitis, especially hepatitis B and C. We have discussed the role of bacterial products, LPS-TLR4 pathway, and unmethylated CpG DNA, which ultimately affects downstream NF-kB signaling in hepatitis. Finally, we have discussed the role of fecal microbiota transplantation in the management of hepatitis.
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页数:8
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