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Lactobacillus attenuates progression of nonalcoholic fatty liver disease by lowering cholesterol and steatosis.


ABSTRACT:

Background/aims

Nonalcoholic fatty liver disease (NAFLD) is closely related to gut-microbiome. There is a paucity of research on which strains of gut microbiota affect the progression of NAFLD. This study explored the NAFLD-associated microbiome in humans and the role of Lactobacillus in the progression of NAFLD in mice.

Methods

The gut microbiome was analyzed via next-generation sequencing in healthy people (n=37) and NAFLD patients with elevated liver enzymes (n=57). Six-week-old male C57BL/6J mice were separated into six groups (n=10 per group; normal, Western, and four Western diet + strains [109 colony-forming units/g for 8 weeks; L. acidophilus, L. fermentum, L. paracasei, and L. plantarum]). Liver/body weight ratio, liver pathology, serum analysis, and metagenomics in the mice were examined.

Results

Compared to healthy subjects (1.6±4.3), NAFLD patients showed an elevated Firmicutes/Bacteroidetes ratio (25.0±29.0) and a reduced composition of Akkermansia and L. murinus (P<0.05). In the animal experiment, L. acidophilus group was associated with a significant reduction in liver/body weight ratio (5.5±0.4) compared to the Western group (6.2±0.6) (P<0.05). L. acidophilus (41.0±8.6), L. fermentum (44.3±12.6), and L. plantarum (39.0±7.6) groups showed decreased cholesterol levels compared to the Western group (85.7±8.6) (P<0.05). In comparison of steatosis, L. acidophilus (1.9±0.6), L. plantarum (2.4±0.7), and L. paracasei (2.0±0.9) groups showed significant improvement of steatosis compared to the Western group (2.6±0.5) (P<0.05).

Conclusion

Ingestion of Lactobacillus, such as L. acidophilus, L. fermentum, and L. plantarum, ameliorates the progression of nonalcoholic steatosis by lowering cholesterol. The use of Lactobacillus can be considered as a useful strategy for the treatment of NAFLD.

SUBMITTER: Lee NY 

PROVIDER: S-EPMC7820205 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Lactobacillus attenuates progression of nonalcoholic fatty liver disease by lowering cholesterol and steatosis.

Lee Na Young NY   Shin Min Jea MJ   Youn Gi Soo GS   Yoon Sang Jun SJ   Choi Ye Rin YR   Kim Hyeong Seop HS   Gupta Haripriya H   Han Sang Hak SH   Kim Byoung Kook BK   Lee Do Yup DY   Park Tae Sik TS   Sung Hotaik H   Kim Byung Yong BY   Suk Ki Tae KT  

Clinical and molecular hepatology 20201203 1


<h4>Background/aims</h4>Nonalcoholic fatty liver disease (NAFLD) is closely related to gut-microbiome. There is a paucity of research on which strains of gut microbiota affect the progression of NAFLD. This study explored the NAFLD-associated microbiome in humans and the role of Lactobacillus in the progression of NAFLD in mice.<h4>Methods</h4>The gut microbiome was analyzed via next-generation sequencing in healthy people (n=37) and NAFLD patients with elevated liver enzymes (n=57). Six-week-ol  ...[more]

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