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The role of the gut microbiome and diet in the pathogenesis of non-alcoholic fatty liver disease

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Non-alcoholic fatty liver disease (NAFLD) is the leading cause of chronic liver disease, with a prevalence that is increasing in parallel with the global rise in obesity and type 2 diabetes mellitus. The pathogenesis of NAFLD is complex and multifactorial, involving environmental, genetic and metabolic factors. The role of the diet and the gut microbiome is gaining interest as a significant factor in NAFLD pathogenesis. Dietary factors induce alterations in the composition of the gut microbiome (dysbiosis), commonly reflected by a reduction of the beneficial species and an increase in pathogenic microbiota. Due to the close relationship between the gut and liver, altering the gut microbiome can affect liver functions; promoting hepatic steatosis and inflammation. This review summarises the current evidence supporting an association between NAFLD and the gut microbiome and dietary factors. The review also explores potential underlying mechanisms underpinning these associations and whether manipulation of the gut microbiome is a potential therapeutic strategy to prevent or treat NAFLD.

Abstract

Non-alcoholic fatty liver disease (NAFLD) is the leading cause of chronic liver disease, with a prevalence that is increasing in parallel with the global rise in obesity and type 2 diabetes mellitus. The pathogenesis of NAFLD is complex and multifactorial, involving environmental, genetic and metabolic factors. The role of the diet and the gut microbiome is gaining interest as a significant factor in NAFLD pathogenesis. Dietary factors induce alterations in the composition of the gut microbiome (dysbiosis), commonly reflected by a reduction of the beneficial species and an increase in pathogenic microbiota. Due to the close relationship between the gut and liver, altering the gut microbiome can affect liver functions; promoting hepatic steatosis and inflammation. This review summarises the current evidence supporting an association between NAFLD and the gut microbiome and dietary factors. The review also explores potential underlying mechanisms underpinning these associations and whether manipulation of the gut microbiome is a potential therapeutic strategy to prevent or treat NAFLD.

참고문헌 (203)

  1. Younossi ZM, "Global epidemiology of nonalcoholic fatty liver disease-metaanalytic assessment of prevalence, incidence, and outcomes", Hepatology, 64, pp.73~84 (2016)
  2. Younossi Z, "Global burden of NAFLD and NASH: trends, predictions, risk factors and prevention", Nat Rev Gastroenterol Hepatol, 15, pp.11~20 (2018)
  3. Byrne CD, "NAFLD: a multisystem disease", J Hepatol, 62(1 Suppl), pp.S47~S64 (2015)
  4. Byrne CD, "NAFLD as a driver of chronic kidney disease", J Hepatol, 72, pp.785~801 (2020)
  5. Targher G, "NAFLD and increased risk of cardiovascular disease: clinical associations, pathophysiological mechanisms and pharmacological implications", Gut, 69, pp.1691~1705 (2020)
  6. NCD Risk Factor Collaboration (NCD-RisC), "Trends in adult bodymass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants", Lancet, 387, pp.1377~1396 (2016)
  7. Jandhyala SM, "Role of the normal gut microbiota", World J Gastroenterol, 21, pp.8787~8803 (2015)
  8. Segata N, "Composition of the adult digestive tract bacterial microbiome based on seven mouth surfaces, tonsils, throat and stool samples", Genome Biol, 13, pp.R42~ (2012)
  9. Azad MB, "Impact of maternal intrapartum antibiotics, method of birth and breastfeeding on gut microbiota during the first year of life: a prospective cohort study", BJOG, 123, pp.983~993 (2016)
  10. Cox LM, "Altering the intestinal microbiota during a critical developmental window has lasting metabolic consequences", Cell, 158, pp.705~721 (2014)
  11. Nobili V, "A protective effect of breastfeeding on the progression of non-alcoholic fatty liver disease", Arch Dis Child, 94, pp.801~805 (2009)
  12. Rinninella E, "What is the healthy gut microbiota composition? A changing ecosystem across age, environment, diet, and diseases", Microorganisms, 7, pp.14~ (2019)
  13. Nagpal R, "Gut microbiome and aging: physiological and mechanistic insights", Nutr Healthy Aging, 4, pp.267~285 (2018)
  14. Tap J, "Towards the human intestinal microbiota phylogenetic core", Environ Microbiol, 11, pp.2574~2584 (2009)
  15. Claesson MJ, "Composition, variability, and temporal stability of the intestinal microbiota of the elderly", Proc Natl Acad Sci U S A, 108(Suppl 1), pp.4586~4591 (2011)
  16. Salguero MV, "Dysbiosis of gram-negative gut microbiota and the associated serum lipopolysaccharide exacerbates inflammation in type 2 diabetic patients with chronic kidney disease", Exp Ther Med, 18, pp.3461~3469 (2019)
  17. Dabke K, "The gut microbiome and metabolic syndrome", J Clin Invest, 129, pp.4050~4057 (2019)
  18. Bouter KE, "Role of the gut microbiome in the pathogenesis of obesity and obesity-related metabolic dysfunction", Gastroenterology, 152, pp.1671~1678 (2017)
  19. Wigg AJ, "The role of small intestinal bacterial overgrowth, intestinal permeability, endotoxaemia, and tumour necrosis factor alpha in the pathogenesis of non-alcoholic steatohepatitis", Gut, 48, pp.206~211 (2001)
  20. Le Roy T, "Intestinal microbiota determines development of non-alcoholic fatty liver disease in mice", Gut, 62, pp.1787~1794 (2013)
  21. Henao-Mejia J, "Inflammasome-mediated dysbiosis regulates progression of NAFLD and obesity", Nature, 482, pp.179~185 (2012)
  22. Zeng H, "Fatty liver accompanies an increase in lactobacillus species in the hind gut of C57BL", 6 mice fed a high-fat diet, 2013, pp.143, 627~631
  23. Cano PG, "Bifidobacterium CECT 7765 improves metabolic and immunological alterations associated with obesity in high-fat diet-fed mice", Obesity (Silver Spring), 21, pp.2310~2321 (2013)
  24. Mazagova M, "Commensal microbiota is hepatoprotective and prevents liver fibrosis in mice", FASEB J, 29, pp.1043~1055 (2015)
  25. Spencer MD, "Association between composition of the human gastrointestinal microbiome and development of fatty liver with choline deficiency", Gastroenterology, 140, pp.976~986 (2011)
  26. Wong VW, "Molecular characterization of the fecal microbiota in patients with nonalcoholic steatohepatitis--a longitudinal study", PLoS One, 8, pp.e62885~ (2013)
  27. Mouzaki M, "Intestinal microbiota in patients with nonalcoholic fatty liver disease", Hepatology, 58, pp.120~127 (2013)
  28. Zhu L, "Characterization of gut microbiomes in nonalcoholic steatohepatitis (NASH) patients: a connection between endogenous alcohol and NASH", Hepatology, 57, pp.601~609 (2013)
  29. Raman M, "Fecal microbiome and volatile organic compound metabolome in obese humans with nonalcoholic fatty liver disease", Clin Gastroenterol Hepatol, 11, pp.868~875.e3 (2013)
  30. Loomba R, "Gut microbiome-based metagenomic signature for non-invasive detection of advanced fibrosis in human nonalcoholic fatty liver disease", Cell Metab, 25, pp.1054~1062.e5 (2017)
  31. Schwimmer JB, "Microbiome signatures associated with steatohepatitis and moderate to severe fibrosis in children with nonalcoholic fatty liver disease", Gastroenterology, 157, pp.1109~1122 (2019)
  32. Tsai MC, "Gut microbiota dysbiosis in patients with biopsy-proven nonalcoholic fatty liver disease: a cross-sectional study in Taiwan", Nutrients, 12, pp.820~ (2020)
  33. Del Chierico F, "Gut microbiota profiling of pediatric nonalcoholic fatty liver disease and obese patients unveiled by an integrated metaomics-based approach", Hepatology, 65, pp.451~464 (2017)
  34. Wang B, "Altered fecal microbiota correlates with liver biochemistry in nonobese patients with non-alcoholic fatty liver disease", Sci Rep, 6, pp.32002~ (2016)
  35. Shen F, "Gut microbiota dysbiosis in patients with non-alcoholic fatty liver disease", Hepatobiliary Pancreat Dis Int, 16, pp.375~381 (2017)
  36. Boursier J, "The severity of nonalcoholic fatty liver disease is associated with gut dysbiosis and shift in the metabolic function of the gut microbiota", Hepatology, 63, pp.764~775 (2016)
  37. De Filippis F, "High-level adherence to a Mediterranean diet beneficially impacts the gut microbiota and associated metabolome", Gut, 65, pp.1812~1821 (2016)
  38. Simpson HL, "Review article: dietary fibre-microbiota interactions", Aliment Pharmacol Ther, 42, pp.158~179 (2015)
  39. Lecerf JM, "Xylo-oligosaccharide (XOS) in combination with inulin modulates both the intestinal environment and immune status in healthy subjects, while XOS alone only shows prebiotic properties", Br J Nutr, 108, pp.1847~1858 (2012)
  40. Veiga P, "Changes of the human gut microbiome induced by a fermented milk product", Sci Rep, 4, pp.6328~ (2014)
  41. den Besten G, "The role of short-chain fatty acids in the interplay between diet, gut microbiota, and host energy metabolism", J Lipid Res, 54, pp.2325~2340 (2013)
  42. Hara H, "Short-chain fatty acids suppress cholesterol synthesis in rat liver and intestine", J Nutr, 129, pp.942~948 (1999)
  43. den Besten G, "short-chain fatty acids protect against high-fat dietinduced obesity via a PPARγ-dependent switch from lipogenesis to fat oxidation", Diabetes, 64, pp.2398~2408 (2015)
  44. Turnbaugh PJ, "An obesity-associated gut microbiome with increased capacity for energy harvest", Nature, 444, pp.1027~1031 (2006)
  45. Schwiertz A, "Microbiota and SCFA in lean and overweight healthy subjects", Obesity (Silver Spring), 18, pp.190~195 (2010)
  46. Kimura I, "The gut microbiota suppresses insulin-mediated fat accumulation via the short-chain fatty acid receptor GPR43", Nat Commun, 4, pp.1829~ (2013)
  47. Koruda MJ, "Parenteral nutrition supplemented with short-chain fatty acids:effect on the small-bowel mucosa in normal rats", Am J Clin Nutr, 51, pp.685~689 (1990)
  48. Tappenden KA, "Systemic short-chain fatty acids rapidly alter gastrointestinal structure, function, and expression of early response genes", Dig Dis Sci, 43, pp.1526~1536 (1998)
  49. Cani PD, "Changes in gut microbiota control inflammation in obese mice through a mechanism involving GLP-2-driven improvement of gut permeability", Gut, 58, pp.1091~1103 (2009)
  50. Maslowski KM, "Regulation of inflammatory responses by gut microbiota and chemoattractant receptor GPR43", Nature, 461, pp.1282~1286 (2009)
  51. Bollrath J, "Immunology. Feed your tregs more fiber", Science, 341, pp.463~464 (2013)
  52. Rau M, "Fecal SCFAs and SCFA-producing bacteria in gut microbiome of human NAFLD as a putative link to systemic T-cell activation and advanced disease", United European Gastroenterol J, 6, pp.1496~1507 (2018)
  53. Brunt EM, "Histopathology of nonalcoholic fatty liver disease", World J Gastroenterol, 16, pp.5286~5296 (2010)
  54. Yuan J, "Fatty liver disease caused by high-alcohol-producing Klebsiella pneumoniae", Cell Metab, 30, pp.675~688.e7 (2019)
  55. Cope K, "Increased gastrointestinal ethanol production in obese mice: implications for fatty liver disease pathogenesis", Gastroenterology, 119, pp.1340~1347 (2000)
  56. Engstler AJ, "Insulin resistance alters hepatic ethanol metabolism: studies in mice and children with non-alcoholic fatty liver disease", Gut, 65, pp.1564~1571 (2016)
  57. Baker SS, "Role of alcohol metabolism in non-alcoholic steatohepatitis", PLoS One, 5, pp.e9570~ (2010)
  58. Parlesak A, "Increased intestinal permeability to macromolecules and endotoxemia in patients with chronic alcohol abuse in different stages of alcohol-induced liver disease", J Hepatol, 32, pp.742~747 (2000)
  59. Yao ZM, "Reduction in VLDL, but not HDL, in plasma of rats deficient in choline", Biochem Cell Biol, 68, pp.552~558 (1990)
  60. Weltman MD, "Increased hepatocyte CYP2E1expression in a rat nutritional model of hepatic steatosis with inflammation", Gastroenterology, 111, pp.1645~1653 (1996)
  61. Kirsch R, "Rodent nutritional model of non-alcoholic steatohepatitis: species, strain and sex difference studies", J Gastroenterol Hepatol, 18, pp.1272~1282 (2003)
  62. Wang Z, "Gut flora metabolism of phosphatidylcholine promotes cardiovascular disease", Nature, 472, pp.57~63 (2011)
  63. Dumas ME, "Metabolic profiling reveals a contribution of gut microbiota to fatty liver phenotype in insulin-resistant mice", Proc Natl Acad Sci U S A, 103, pp.12511~12516 (2006)
  64. Sohlenkamp C, "Biosynthesis of phosphatidylcholine in bacteria", Prog Lipid Res, 42, pp.115~162 (2003)
  65. Geiger O, "Phosphatidylcholine biosynthesis and function in bacteria", Biochim Biophys Acta, 1831, pp.503~513 (2013)
  66. Mao JW, "Intestinal mucosal barrier dysfunction participates in the progress of nonalcoholic fatty liver disease", Int J Clin Exp Pathol, 8, pp.3648~3658 (2015)
  67. Yang SQ, "Obesity increases sensitivity to endotoxin liver injury: implications for the pathogenesis of steatohepatitis", Proc Natl Acad Sci U S A, 94, pp.2557~2562 (1997)
  68. Harte AL, "Elevated endotoxin levels in non-alcoholic fatty liver disease", J Inflamm (Lond), 7, pp.15~ (2010)
  69. Bergheim I, "Antibiotics protect against fructose-induced hepatic lipid accumulation in mice: role of endotoxin", J Hepatol, 48, pp.983~992 (2008)
  70. Pendyala S, "A high-fat diet is associated with endotoxemia that originates from the gut", Gastroenterology, 142, pp.1100~1101.e2 (2012)
  71. Deopurkar R, "Differential effects of cream, glucose, and orange juice on inflammation, endotoxin, and the expression of toll-like receptor-4 and suppressor of cytokine signaling-3", Diabetes Care, 33, pp.991~997 (2010)
  72. Laugerette F, "Emulsified lipids increase endotoxemia: possible role in early postprandial low-grade inflammation", J Nutr Biochem, 22, pp.53~59 (2011)
  73. Cani PD, "Metabolic endotoxemia initiates obesity and insulin resistance", Diabetes, 56, pp.1761~1772 (2007)
  74. Chen M, "Lipopolysaccharide mediates hepatic stellate cell activation by regulating autophagy and retinoic acid signaling", Autophagy, 13, pp.1813~1827 (2017)
  75. Mencin A, "Toll-like receptors as targets in chronic liver diseases", Gut, 58, pp.704~720 (2009)
  76. Friedman SL, "A deer in the headlights: BAMBI meets liver fibrosis", Nat Med, 13, pp.1281~1282 (2007)
  77. Takaki A, "Molecular mechanisms and new treatment strategies for non-alcoholic steatohepatitis (NASH)", Int J Mol Sci, 15, pp.7352~7379 (2014)
  78. Tyrer PC, "Effects of bacterial products on enterocyte-macrophage interactions in vitro", Biochem Biophys Res Commun, 413, pp.336~341 (2011)
  79. Rivera CA, "Toll-like receptor-4 signaling and Kupffer cells play pivotal roles in the pathogenesis of non-alcoholic steatohepatitis", J Hepatol, 47, pp.571~579 (2007)
  80. Spruss A, "Toll-like receptor 4 is involved in the development of fructose-induced hepatic steatosis in mice", Hepatology, 50, pp.1094~1104 (2009)
  81. Dixon LJ, "Caspase-1 as a central regulator of high fat diet-induced non-alcoholic steatohepatitis", PLoS One, 8, pp.e56100~ (2013)
  82. Friedman SL, "Liver fibrosis in 2012: convergent pathways that cause hepatic fibrosis in NASH", Nat Rev Gastroenterol Hepatol, 10, pp.71~72 (2013)
  83. Wree A, "NLRP3 inflammasome activation is required for fibrosis development in NAFLD", J Mol Med (Berl), 92, pp.1069~1082 (2014)
  84. Pierantonelli I, "Lack of NLRP3-inflammasome leads to gut-liver axis derangement, gut dysbiosis and a worsened phenotype in a mouse model of NAFLD", Sci Rep, 7, pp.12200~ (2017)
  85. Porez G, "Bile acid receptors as targets for the treatment of dyslipidemia and cardiovascular disease", J Lipid Res, 53, pp.1723~1737 (2012)
  86. Neuschwander-Tetri BA, "Farnesoid X nuclear receptor ligand obeticholic acid for non-cirrhotic, non-alcoholic steatohepatitis (FLINT): a multicenter, randomized, placebo-controlled trial", Lancet, 385, pp.956~965 (2015)
  87. Younossi ZM, "Obeticholic acid for the treatment of non-alcoholic steatohepatitis: interim analysis from a multicenter, randomized, placebo-controlled phase 3 trial", Lancet, 394, pp.2184~2196 (2019)
  88. Botham KM, "The effect of dietary fat on bile salt synthesis in rat liver", Biochim Biophys Acta, 752, pp.307~314 (1983)
  89. Bertolotti M, "Regulation of hepatic cholesterol metabolism in the rat in vivo: effect of a synthetic fat-free diet on sterol synthesis and low-density lipoprotein transport", Biochim Biophys Acta, 1255, pp.293~300 (1995)
  90. Koeth RA, "Intestinal microbiota metabolism of L-carnitine, a nutrient in red meat, promotes atherosclerosis", Nat Med, 19, pp.576~585 (2013)
  91. Bennett BJ, "Trimethylamine-N-oxide, a metabolite associated with atherosclerosis, exhibits complex genetic and dietary regulation", Cell Metab, 17, pp.49~60 (2013)
  92. Parséus A, "Microbiota-induced obesity requires farnesoid X receptor", Gut, 66, pp.429~437 (2017)
  93. Jiang C, "Intestinal farnesoid X receptor signaling promotes nonalcoholic fatty liver disease", J Clin Invest, 125, pp.386~402 (2015)
  94. Graf D, "Contribution of diet to the composition of the human gut microbiota", Microb Ecol Health Dis, 26, pp.26164~ (2015)
  95. De Santis S, "Nutritional keys for intestinal barrier modulation", Front Immunol, 6, pp.612~ (2015)
  96. Lerner A, "Changes in intestinal tight junction permeability associated with industrial food additives explain the rising incidence of autoimmune disease", Autoimmun Rev, 14, pp.479~489 (2015)
  97. Lima AA, "Intestinal barrier function and weight gain in malnourished children taking glutamine supplemented enteral formula", J Pediatr Gastroenterol Nutr, 40, pp.28~35 (2005)
  98. Finamore A, "Zinc deficiency induces membrane barrier damage and increases neutrophil transmigration in Caco-2 cells", J Nutr, 138, pp.1664~1670 (2008)
  99. Miele L, "Increased intestinal permeability and tight junction alterations in nonalcoholic fatty liver disease", Hepatology, 49, pp.1877~1887 (2009)
  100. Verdam FJ, "Novel evidence for chronic exposure to endotoxin in human nonalcoholic steatohepatitis", J Clin Gastroenterol, 45, pp.149~152 (2011)
  101. Yuan J, "Endotoxemia unrequired in the pathogenesis of pediatric nonalcoholic steatohepatitis", J Gastroenterol Hepatol, 29, pp.1292~1298 (2014)
  102. Caesar R, "Crosstalk between gut microbiota and dietary lipids aggravates WAT inflammation through TLR signaling", Cell Metab, 22, pp.658~668 (2015)
  103. de Groot P, "Donor metabolic characteristics drive effects of faecal microbiota transplantation on recipient insulin sensitivity, energy expenditure and intestinal transit time", Gut, 69, pp.502~512 (2020)
  104. Tirosh A, "The short-chain fatty acid propionate increases glucagon and FABP4 production, impairing insulin action in mice and humans", Sci Transl Med, 11, pp.eaav0120~ (2019)
  105. Schugar RC, "The TMAO-producing enzyme flavin-containing monooxygenase 3 regulates obesity and the beiging of white adipose tissue", Cell Rep, 19, pp.2451~2461 (2017)
  106. Parry SA, "Influence of dietary macronutrients on liver fat accumulation and metabolism", J Investig Med, 65, pp.1102~1115 (2017)
  107. Mollard RC, "Dietary determinants of hepatic steatosis and visceral adiposity in overweight and obese youth at risk of type 2diabetes", Am J Clin Nutr, 99, pp.804~812 (2014)
  108. Sathiaraj E, "A case-control study on nutritional risk factors in nonalcoholic fatty liver disease in Indian population", Eur J Clin Nutr, 65, pp.533~537 (2011)
  109. Kuk JL, "Association between dietary fat intake, liver fat, and insulin sensitivity in sedentary, abdominally obese, older men", Appl Physiol Nutr Metab, 33, pp.239~245 (2008)
  110. de Wit N, "Saturated fat stimulates obesity and hepatic steatosis and affects gut microbiota composition by an enhanced overflow of dietary fat to the distal intestine", Am J Physiol Gastrointest Liver Physiol, 303, pp.G589~G599 (2012)
  111. Michael Shilling, "Antimicrobial Effects of Virgin Coconut Oil and Its Medium-Chain Fatty Acids on Clostridium difficile", Journal of Medicinal Food, 16(12), pp.1079~1085 (2013), 한국식품영양과학회[DOI]
  112. Sheu CW, "Effects of fatty acids on growth and envelope proteins of Bacillus subtilis", J Bacteriol, 111, pp.516~524 (1972)
  113. Zheng CJ, "Fatty acid synthesis is a target for antibacterial activity of unsaturated fatty acids", FEBS Lett, 579, pp.5157~5162 (2005)
  114. Scorletti E, "Effects of purified eicosapentaenoic and docosahexaenoic acids in nonalcoholic fatty liver disease: results from the Welcome*study", Hepatology, 60, pp.1211~1221 (2014)
  115. Ghosh S, "Diets rich in n-6PUFA induce intestinal microbial dysbiosis in aged mice", Br J Nutr, 110, pp.515~523 (2013)
  116. Mujico JR, "Changes in gut microbiota due to supplemented fatty acids in diet-induced obese mice", Br J Nutr, 110, pp.711~720 (2013)
  117. Watson H, "A randomized trial of the effect of omega-3 polyunsaturated fatty acid supplements on the human intestinal microbiota", Gut, 67, pp.1974~1983 (2018)
  118. Ma J, "Sugar-sweetened beverage, diet soda, and fatty liver disease in the Framingham Heart Study cohorts", J Hepatol, 63, pp.462~469 (2015)
  119. Donnelly KL, "Sources of fatty acids stored in liver and secreted via lipoproteins in patients with nonalcoholic fatty liver disease", J Clin Invest, 115, pp.1343~1351 (2005)
  120. Softic S, "Role of dietary fructose and hepatic de novo lipogenesis in fatty liver disease", Dig Dis Sci, 61, pp.1282~1293 (2016)
  121. Do MH, "High-glucose or -fructose diet cause changes of the gut microbiota and metabolic disorders in mice without body weight change", Nutrients, 10, pp.761~ (2018)
  122. Ishimoto T, "High-fat and high-sucrose (western) diet induces steatohepatitis that is dependent on fructokinase", Hepatology, 58, pp.1632~1643 (2013)
  123. Cox CL, "Consumption of fructose- but not glucose-sweetened beverages for 10 weeks increases circulating concentrations of uric acid, retinol binding protein-4, and gamma-glutamyl transferase activity in overweight", obese humans, 2012, pp.9, 68~
  124. Lanaspa MA, "Uric acid induces hepatic steatosis by generation of mitochondrial oxidative stress: potential role in fructose-dependent and -independent fatty liver", J Biol Chem, 287, pp.40732~40744 (2012)
  125. Lanaspa MA, "Uric acid stimulates fructokinase and accelerates fructose metabolism in the development of fatty liver", PLoS One, 7, pp.e47948~ (2012)
  126. Mosca A, "Serum uric acid concentrations and fructose consumption are independently associated with NASH in children and adolescents", J Hepatol, 66, pp.1031~1036 (2017)
  127. Leung C, "Dietary glycotoxins exacerbate progression of experimental fatty liver disease", J Hepatol, 60, pp.832~838 (2014)
  128. Snelson M, "Dietary advanced glycation end products: digestion, metabolism and modulation of gut microbial ecology", Nutrients, 11, pp.215~ (2019)
  129. Zelber-Sagi S, "The Mediterranean dietary pattern as the diet of choice for non-alcoholic fatty liver disease:evidence and plausible mechanisms", Liver Int, 37, pp.936~949 (2017)
  130. Ryan MC, "The Mediterranean diet improves hepatic steatosis and insulin sensitivity in individuals with non-alcoholic fatty liver disease", J Hepatol, 59, pp.138~143 (2013)
  131. Godos J, "Mediterranean diet and nonalcoholic fatty liver disease: molecular mechanisms of protection", Int J Food Sci Nutr, 68, pp.18~27 (2017)
  132. Rodriguez-Ramiro I, "Polyphenols and non-alcoholic fatty liver disease: impact and mechanisms", Proc Nutr Soc, 75, pp.47~60 (2016)
  133. Eliades M, "Vitamin D: a new player in non-alcoholic fatty liver disease?", World J Gastroenterol, 21, pp.1718~1727 (2015)
  134. Harrison SA, "Vitamin E and vitamin C treatment improves fibrosis in patients with nonalcoholic steatohepatitis", Am J Gastroenterol, 98, pp.2485~2490 (2003)
  135. Bahcecioglu IH, "Lycopene prevents development of steatohepatitis in experimental nonalcoholic steatohepatitis model induced by high-fat diet", Vet Med Int, 2010, pp.262179~ (2010)
  136. Mitsou EK, "Adherence to the Mediterranean diet is associated with the gut microbiota pattern and gastrointestinal characteristics in an adult population", Br J Nutr, 117, pp.1645~1655 (2017)
  137. Swithers SE, "A role for sweet taste: calorie predictive relations in energy regulation by rats", Behav Neurosci, 122, pp.161~173 (2008)
  138. Margolskee RF, "T1R3 and gustducin in gut sense sugars to regulate expression of Na+-glucose cotransporter 1", Proc Natl Acad Sci U S A, 104, pp.15075~15080 (2007)
  139. Mace OJ, "Sweet taste receptors in rat small intestine stimulate glucose absorption through apical GLUT2", J Physiol, 582(1), pp.379~392 (2007)
  140. Ruiz-Ojeda FJ, "Effects of sweeteners on the gut microbiota: a review of experimental studies and clinical trials", Adv Nutr, 10(suppl_1), pp.S31~S48 (2019)
  141. Suez J, "Artificial sweeteners induce glucose intolerance by altering the gut microbiota", Nature, 514, pp.181~186 (2014)
  142. Trocho C, "Formaldehyde derived from dietary aspartame binds to tissue components in vivo", Life Sci, 63, pp.337~349 (1998)
  143. Imaizumi K, "Effects of xylooligosaccharides on blood glucose, serum and liver lipids and cecum short-chain fatty acids in diabetic rats", Agric Biol Chem, 55, pp.199~205 (1991)
  144. Zhou J, "Epigallocatechin-3-gallate (EGCG), a green tea polyphenol, stimulates hepatic autophagy and lipid clearance", PLoS One, 9, pp.e87161~ (2014)
  145. Santamarina AB, "Decaffeinated green tea extract rich in epigallocatechin-3-gallate prevents fatty liver disease by increased activities of mitochondrial respiratory chain complexes in dietinduced obesity mice", J Nutr Biochem, 26, pp.1348~1356 (2015)
  146. Kuzu N, "Epigallocatechin gallate attenuates experimental non-alcoholic steatohepatitis induced by high fat diet", J Gastroenterol Hepatol, 23, pp.e465~e470 (2008)
  147. Nakamoto K, "Beneficial effects of fermented green tea extract in a rat model of non-alcoholic steatohepatitis", J Clin Biochem Nutr, 44, pp.239~246 (2009)
  148. 서대방, "Fermented Green Tea Extract Alleviates Obesity and Related Complications and Alters Gut Microbiota Composition in Diet-Induced Obese Mice", Journal of Medicinal Food, 18(5), pp.549~556 (2015), 한국식품영양과학회[DOI]
  149. Hong Byun E, "TLR4 signaling inhibitory pathway induced by green tea polyphenol epigallocatechin-3-gallate through 67-kDa laminin receptor", J Immunol, 185, pp.33~45 (2010)
  150. Jovanovic S, "Antioxidant potential of gallocatechins. A pulse radiolysis and laser photolysis study", J Am Chem Soc, 117, pp.9881~9888 (1995)
  151. Shen G, "Comparison of (-)-epigallocatechin-3-gallate elicited liver and small intestine gene expression profiles between C57BL", 6J mice and C57BL, Nrf2 (-, pp.-)mice, Pharm Res[DOI]
  152. Pezeshki A, "The effect of green tea extract supplementation on liver enzymes in patients with nonalcoholic fatty liver disease", Int J Prev Med, 7, pp.28~ (2016)
  153. Imatoh T, "Coffee but not green tea consumption is associated with prevalence and severity of hepatic steatosis: the impact on leptin level", Eur J Clin Nutr, 69, pp.1023~1027 (2015)
  154. Molloy JW, "Association of coffee and caffeine consumption with fatty liver disease, nonalcoholic steatohepatitis, and degree of hepatic fibrosis", Hepatology, 55, pp.429~436 (2012)
  155. Vitaglione P, "Coffee reduces liver damage in a rat model of steatohepatitis: the underlying mechanisms and the role of polyphenols and melanoidins", Hepatology, 52, pp.1652~1661 (2010)
  156. Ding M, "Caffeinated and decaffeinated coffee consumption and risk of type 2diabetes: a systematic review and a dose-response meta-analysis", Diabetes Care, 37, pp.569~586 (2014)
  157. Arion WJ, "Chlorogenic acid and hydroxynitrobenzaldehyde:new inhibitors of hepatic glucose 6-phosphatase", Arch Biochem Biophys, 339, pp.315~322 (1997)
  158. Wijarnpreecha K, "Coffee consumption and risk of nonalcoholic fatty liver disease: a systematic review and meta-analysis", Eur J Gastroenterol Hepatol, 29, pp.e8~e12 (2017)
  159. Feld JJ, "I drink for my liver, Doc: emerging evidence that coffee prevents cirrhosis", F1000Res, 4, pp.95~ (2015)
  160. Nakayama T, "Influence of coffee (Coffea arabica) and galacto-oligosaccharide consumption on intestinal microbiota and the host responses", FEMS Microbiol Lett, 343, pp.161~168 (2013)
  161. Jaquet M, "Impact of coffee consumption on the gut microbiota: a human volunteer study", Int J Food Microbiol, 130, pp.117~121 (2009)
  162. Hamaguchi M, "Aging is a risk factor of nonalcoholic fatty liver disease in premenopausal women", World J Gastroenterol, 18, pp.237~243 (2012)
  163. Yang JD, "Gender and menopause impact severity of fibrosis among patients with nonalcoholic steatohepatitis", Hepatology, 59, pp.1406~1414 (2014)
  164. Kojima S, "Increase in the prevalence of fatty liver in Japan over the past 12 years:analysis of clinical background", J Gastroenterol, 38, pp.954~961 (2003)
  165. Park SH, "Prevalence and risk factors of non-alcoholic fatty liver disease among Korean adults", J Gastroenterol Hepatol, 21(1), pp.138~143 (2006)
  166. Zhou YJ, "Prevalence of fatty liver disease and its risk factors in the population of South China", World J Gastroenterol, 13, pp.6419~6124 (2007)
  167. Ventura-Clapier R, "Mitochondria: a central target for sex differences in pathologies", Clin Sci (Lond), 131, pp.803~822 (2017)
  168. Skubic C, "Personalized therapy when tackling nonalcoholic fatty liver disease: a focus on sex, genes, and drugs", Expert Opin Drug Metab Toxicol, 14, pp.831~841 (2018)
  169. Frankenfeld CL, "Relationship of obesity and high urinary enterolignan concentrations in 6806 children and adults: analysis of National Health and Nutrition Examination Survey data", Eur J Clin Nutr, 67, pp.887~889 (2013)
  170. Nakatsu CH, "Fecal bacterial community changes associated with isoflavone metabolites in postmenopausal women after soy bar consumption", PLoS One, 9, pp.e108924~ (2014)
  171. Frankenfeld CL, "Obesity prevalence in relation to gut microbial environments capable of producing equol or O-desmethylangolensin from the isoflavone daidzein", Eur J Clin Nutr, 68, pp.526~530 (2014)
  172. Antharam VC, "Intestinal dysbiosis and depletion of butyrogenic bacteria in Clostridium difficile infection and nosocomial diarrhea", J Clin Microbiol, 51, pp.2884~2892 (2013)
  173. Menon R, "Diet complexity and estrogen receptor β status affect the composition of the murine intestinal microbiota", Appl Environ Microbiol, 79, pp.5763~5773 (2013)
  174. Org E, "Sex differences and hormonal effects on gut microbiota composition in mice", Gut Microbes, 7, pp.313~322 (2016)
  175. Jena PK, "Western diet-induced dysbiosis in farnesoid X receptor knockout mice causes persistent hepatic inflammation after antibiotic treatment", Am J Pathol, 187, pp.1800~1813 (2017)
  176. Xie G, "Sexdependent effects on gut microbiota regulate hepatic carcinogenic outcomes", Sci Rep, 7, pp.45232~ (2017)
  177. Paolella G, "Gutliver axis and probiotics: their role in non-alcoholic fatty liver disease", World J Gastroenterol, 20, pp.15518~15531 (2014)
  178. D’Haens GR, "Fecal microbial transplantation for diseases beyond recurrent clostridium difficile infection", Gastroenterology, 157, pp.624~636 (2019)
  179. Kootte RS, "Improvement of insulin sensitivity after lean donor feces in metabolic syndrome is driven by baseline intestinal microbiota composition", Cell Metab, 26, pp.611~619.e6 (2017)
  180. Vrieze A, "Transfer of intestinal microbiota from lean donors increases insulin sensitivity in individuals with metabolic syndrome", Gastroenterology, 143, pp.913~916.e7 (2012)
  181. Allegretti JR, "Effects of fecal microbiota transplantation with oral capsules in obese patients", Clin Gastroenterol Hepatol, 18, pp.855~863.e2 (2020)
  182. Fischer M, "Stool donor body mass index does not affect recipient weight after a single fecal microbiota transplantation for clostridium difficile Infection", Clin Gastroenterol Hepatol, 16, pp.1351~1353 (2018)
  183. Yu EW, "Fecal microbiota transplantation for the improvement of metabolism in obesity: the FMT-TRIM double-blind placebocontrolled pilot trial", PLoS Med, 17, pp.e1003051~ (2020)
  184. Craven L, "Allogenic fecal microbiota transplantation in patients with nonalcoholic fatty liver disease improves abnormal small intestinal permeability: a randomized control trial", Am J Gastroenterol, 115, pp.1055~1065 (2020)
  185. Malaguarnera M, "Bifidobacterium longum with fructo-oligosaccharides in patients with non alcoholic steatohepatitis", Dig Dis Sci, 57, pp.545~553 (2012)
  186. Shavakhi A, "Effect of a probiotic and metformin on liver aminotransferases in non-alcoholic steatohepatitis: a double blind randomized clinical trial", Int J Prev Med, 4, pp.531~537 (2013)
  187. Wong VW, "Treatment of nonalcoholic steatohepatitis with probiotics. A proofof-concept study", Ann Hepatol, 12, pp.256~262 (2013)
  188. Alisi A, "Randomized clinical trial: the beneficial effects of VSL#3 in obese children with non-alcoholic steatohepatitis", Aliment Pharmacol Ther, 39, pp.1276~1285 (2014)
  189. Eslamparast T, "Synbiotic supplementation in nonalcoholic fatty liver disease: a randomized, double-blind, placebo-controlled pilot study", Am J Clin Nutr, 99, pp.535~542 (2014)
  190. Asgharian A, "The effect of symbiotic supplementation on liver enzymes, C-reactive protein and ultrasound findings in patients with non-alcoholic fatty liver disease: a clinical trial", Int J Prev Med, 7, pp.59~ (2016)
  191. Ferolla SM, "Beneficial effect of synbiotic supplementation on hepatic steatosis and anthropometric parameters, but not on gut permeability in a population with nonalcoholic steatohepatitis", Nutrients, 8, pp.397~ (2016)
  192. Famouri F, "Effects of probiotics on nonalcoholic fatty liver disease in obese children and adolescents", J Pediatr Gastroenterol Nutr, 64, pp.413~417 (2017)
  193. Manzhalii E, "Treatment efficacy of a probiotic preparation for non-alcoholic steatohepatitis: a pilot trial", J Dig Dis, 18, pp.698~703 (2017)
  194. Mofidi F, "Synbiotic supplementation in lean patients with non-alcoholic fatty liver disease: a pilot, randomized, double-blind, placebocontrolled, clinical trial", Br J Nutr, 117, pp.662~668 (2017)
  195. Bakhshimoghaddam F, "Daily consumption of synbiotic yogurt decreases liver steatosis in patients with nonalcoholic fatty liver disease: a randomized controlled clinical trial", J Nutr, 148, pp.1276~1284 (2018)
  196. Kobyliak N, "Beneficial effects of probiotic combination with omega-3 fatty acids in NAFLD: a randomized clinical study", Minerva Med, 109, pp.418~428 (2018)
  197. Kobyliak N, "A multi-strain probiotic reduces the fatty liver index, cytokines and aminotransferase levels in NAFLD patients:evidence from a randomized clinical trial", J Gastrointestin Liver Dis, 27, pp.41~49 (2018)
  198. Saba Sayari, "Combined effects of synbiotic and sitagliptin versus sitagliptin alone in patients with nonalcoholic fatty liver disease", Clinical and Molecular Hepatology, 24(3), pp.331~338 (2018), 대한간학회
  199. Wang W, "Efficacy of probiotics on the treatment of non-alcoholic fatty liver disease", Zhonghua Nei Ke Za Zhi, 57, pp.101~106 (2018)
  200. Ahn SB, "Randomized, double-blind, placebo-controlled study of a multispecies probiotic mixture in nonalcoholic fatty liver disease", Sci Rep, 9, pp.5688~ (2019)
  201. Duseja A, "High potency multistrain probiotic improves liver histology in non-alcoholic fatty liver disease (NAFLD): a randomized, double-blind, proof of concept study", BMJ Open Gastroenterol, 6, pp.e000315~ (2019)
  202. Scorletti E, "Synbiotics alter fecal microbiomes, but not liver fat or fibrosis, in a randomized trial of patients with nonalcoholic fatty liver disease", Gastroenterology, 158, pp.1597~1610.e7 (2020)
  203. Jennison E, "Diagnosis and management of non-alcoholic fatty liver disease", Postgrad Med J, 95, pp.314~322 (2019)

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