4.7 Review

A Perspective Of Intestinal Immune-Microbiome Interactions In Alcohol-Associated Liver Disease

Journal

INTERNATIONAL JOURNAL OF BIOLOGICAL SCIENCES
Volume 17, Issue 1, Pages 307-327

Publisher

IVYSPRING INT PUBL
DOI: 10.7150/ijbs.53589

Keywords

Liver; intestine; microbiome; immune system; alcohol-associated liver disease

Funding

  1. AASLD Pinnacle Research Award in Liver Disease
  2. Southern California Research Center for Alcoholic Liver and Pancreatic Disease (ALPD) [P50 AA011999]
  3. [P30 DK120515]

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Understanding the complex interactions between the gut microbiome and the host immune system has revealed new possibilities for treating alcohol-associated liver disease. Research has shown that the breakdown of protective gut barriers and the immune response to gut microbes play key roles in the development of this condition, opening up avenues for alternative therapies.
Uncovering the intricacies of the gut microbiome and how it interacts with the host immune system has opened up pathways in the search for the treatment of disease conditions. Alcohol-associated liver disease is a major cause of death worldwide. Research has shed light on the breakdown of the protective gut barriers, translocation of gut microbes to the liver and inflammatory immune response to microbes all contributing to alcohol-associated liver disease. This knowledge has opened up avenues for alternative therapies to alleviate alcohol-associated liver disease based on the interaction of the commensal gut microbiome as a key player in the regulation of the immune response. This review describes the relevance of the intestinal immune system, the gut microbiota, and specialized and non-specialized intestinal cells in the regulation of intestinal homeostasis. It also reflects how these components are altered during alcohol-associated liver disease and discusses new approaches for potential future therapies in alcohol-associated liver disease.

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