2014
DOI: 10.5009/gnl.2014.8.3.237
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Host-Microbiome Interactions in Alcoholic Liver Disease

Abstract: Alcoholic liver disease is a leading cause of morbidity and liver-related death worldwide. Intestinal bacterial overgrowth and dysbiosis induced by ethanol ingestion play an important role in the pathogenesis of alcoholic liver disease. After exposure to alcohol in the lumen, enteric bacteria alter their metabolism and thereby disturb intestinal homeostasis. Disruption of the mucosal barrier results in the translocation of microbial products that contribute to liver disease by inducing hepatic inflammation. In… Show more

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Cited by 69 publications
(54 citation statements)
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“…Loss of intestinal barrier integrity and disturbed microbiota composition, as also observed in Mdr2 −/− mice, aggravate chronic liver diseases ranging from NAFLD,38 ALD49 as well as liver fibrosis50 and hepatocellular carcinoma 51…”
Section: Discussionmentioning
confidence: 99%
“…Loss of intestinal barrier integrity and disturbed microbiota composition, as also observed in Mdr2 −/− mice, aggravate chronic liver diseases ranging from NAFLD,38 ALD49 as well as liver fibrosis50 and hepatocellular carcinoma 51…”
Section: Discussionmentioning
confidence: 99%
“…[5][6][7] Moreover, the intake of ethanol disturbs the gut microbiota composition and increases bacterial endotoxin production. [8][9][10] Excessive exposure to endotoxins can cause inflammation in the gastrointestinal tract (e.g., colitis), and disruption in gut wall functions; this further accelerates the absorption of intestinal bacterial by-products, including endotoxins, into the blood. 10,11 Excessive absorption of endotoxins such as lipopolysaccharide (LPS) into the blood causes inflammation in the liver, and deteriorates non-alcoholic and alcoholic liver diseases including steatosis, hepatitis, and hepatic fibrosis.…”
Section: Introductionmentioning
confidence: 99%
“…Microbial geni involved in ethanol oxidation have been identified as gram-positive Ruminococcus , Collinsella , Coriobacterium, Bifidobacterium and gram-negative Prevotella (103). Escherichia coli has also been linked to the accumulation of acetaldehyde in the intestinal lumen (104). Due to the ensuing oxidative stress caused by chronic alcohol exposure, obligate anaerobes are less likely to prevail than other species that are more tolerant to the microenvironment, such as Proteobaceria ; a species linked to inflammation (105).…”
Section: Microbial Co-exposure and Mechanisms Of Colorectal Cancermentioning
confidence: 99%