Disease ⇒ Liver fibrosis {40000302} Record Keys Type:Disease Parent:[ ] Definition:Liver fibrosis Details Initialisation date:[ ] Other Terms:[ ] Meta Information MedDra ID:10019668 MedDra Level:pt ICD:[ ] Category:[ ] Zone:[ ] Mechanism:[ ] Notes: [ ]Shared Reference Notes [1.1] - Intestinal HDL is not routed to the systemic circulation. Rather, in the form of HDL3, it is directly transported to the liver through the hepatic portal vein. - There, it sequesters bacterial #Lipopolysaccharide from the gut that can trigger inflammation and liver damage. - In various models of liver injury, loss of enteric HDL exacerbated pathology. - By contrast, drugs elevating intestinal HDL improved disease outcomes. [1.2] [#Indole-3-propionic acid] - Circulating IPA levels were found to be lower in individuals with liver fibrosis compared to those without fibrosis [1.3] [#Lipopolysaccharide] - Increased gut permeability results in increased entry of LPS, a cell wall component of gram-negative gut flora, to reach the Liver, which activates TLR4, thus promoting liver carcinogenesis and liver fibrosis by triggering chronic inflammation. [1.4] [#Prevotella copri] - In #Primary sclerosing cholangitis, a liver disease coupled with inflammation in the bile ducts, P. copri was negatively correlated with the disease, especially in patients with concurrent inflammatory bowel disease. - Enriching the gut microbiota with P. copri was shown to decrease cholestasis and liver fibrosis. [#Prevotella copri] - P. copri positively correlated with more severe liver fibrosis in #Children. [1.5] [#Metabolic associated fatty liver disease] [#Bacteroides stercoris] - B. stercoris was selected as a feature in a metagenome-based model for predicting advanced fibrosis in US patients with NAFLD. [1.6] [#Metabolic associated fatty liver disease] - supplementation with #Lachnospiraceae and #Ruminococcaceae can protect against obesity, inflammation, intestinal dysbiosis, and hepatic #Fibrosis in MASLD [#Metabolic associated fatty liver disease] - reduced abundance of TLR4 ligands in the serum and reduced hepatic TLR expression in mice treated with #Beta-glucan, which suggests a decrease in bacterial translocation due to restored intestinal homeostasis. - TLR4 ligands as an essential driver for intrahepatic fibrosis through the recruitment of Kupffer cells and hepatic stellate cells. - mice treated with #Beta-glucan > significant reduction in MoMFs and Kupffer cells, which are well-established drivers of MASLD progression. [#Metabolic associated fatty liver disease] - increased abundance of the #Ruminococcaceae genus in patients with higher degrees of hepatic fibrosis. [1.7] [#Metabolic associated fatty liver disease] [#Human gammaherpesvirus 4] - microbial metabolite, 3-(4-hydroxyphenyl) #Lactate > associate with MAFLD and liver fibrosis. - TLR9 signaling under chronic overnutrition stress serves as a driving force for hepatic steatosis progression, with decreased TLR9 expression mitigating #Steatohepatitis and liver fibrosisReferences Notes[ ]