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Research Progress on the Therapeutic Effect of Polysaccharides on Non-Alcoholic Fatty Liver Disease through the Regulation of the Gut-Liver Axis

Journal

Publisher

MDPI
DOI: 10.3390/ijms231911710

Keywords

polysaccharide; gut-liver axis; NAFLD; gut microbiota; intestinal barrier

Funding

  1. National Natural Science Foundation of China [31970349]
  2. Department of Science and Technology of Hubei Province (Key R&D Program of Hubei Province) [2020ACA007-01]

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NAFLD is the most common chronic liver disease affecting global public health at present, and there is a lack of research on its mechanism and therapeutic strategy. The gut-liver axis theory has gradually disclosed the association between polysaccharides and the protective role in NAFLD by affecting multiple interrelated levels such as gut microbiota, metabolites regulation, and intestinal barrier function.
Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease affecting global public health at present, which can induce cirrhosis and liver cancer in serious cases. However, NAFLD is a multifactorial disease, and there is still a lack of research on its mechanism and therapeutic strategy. With the development of the gut-liver axis theory, the association between the gut-liver axis and the pathogenesis of NAFLD has been gradually disclosed. Polysaccharides, as a kind of natural product, have the advantages of low toxicity, multi-target and multi-pathway action. It has been reported that polysaccharides can affect the gut-liver axis at multiple interrelated levels, such as maintaining the ecological balance of gut microbiota (GM), regulating the metabolites of GM and improving the intestinal barrier function, which thereby plays a protective role in NAFLD. These studies have great scientific significance in understanding NAFLD based on the gut-liver axis and developing safe and effective medical treatments. Herein, we reviewed the recent progress of polysaccharides in improving nonalcoholic fatty liver disease (NAFLD) through the gut-liver axis.

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