Abstract
Nonalcoholic fatty liver disease (NAFLD) is a spectrum of liver conditions, and its growing prevalence is a serious concern worldwide, especially in Western countries. Researchers have pointed out several genetic mutations associated with NAFLD; however, the imbalance of the gut microbial community also plays a critical role in the progression of NAFLD. Due to the lack of approved medicine, probiotics gain special attention in controlling metabolic disorders like NAFLD. Among these probiotics, Akkermansia muciniphila (a member of natural gut microflora) is considered one of the most efficient and important bacterium in maintaining gut health, energy homeostasis, and lipid metabolism. In this perspective, we discussed the probable molecular mechanism of A. muciniphila in controlling the progression of NAFLD and restoring liver health. The therapeutic potential of A. muciniphila in NAFLD has been tested primarily on animal models, and thus, more randomized human trials should be conducted to prove its efficacy.
Keywords: Nonalcoholic fatty liver disease, gut microbiota, probiotics, Akkermansia muciniphila, energy homeostasis, gut health.
[http://dx.doi.org/10.1053/j.gastro.2019.11.312]
[http://dx.doi.org/10.1097/TXD.0000000000001033] [PMID: 33204823]
[http://dx.doi.org/10.1186/s12916-017-0806-8] [PMID: 28241825]
[http://dx.doi.org/10.1016/j.metabol.2016.01.001] [PMID: 26856933]
[http://dx.doi.org/10.1016/j.jhep.2016.05.005] [PMID: 27261415]
[http://dx.doi.org/10.1002/hep.22848] [PMID: 19291785]
[http://dx.doi.org/10.1111/liv.14696] [PMID: 33037768]
[http://dx.doi.org/10.4014/jmb.1906.06064]
[http://dx.doi.org/10.3389/fmicb.2022.1018594] [PMID: 36590421]
[http://dx.doi.org/10.1002/cld.1010] [PMID: 33552480]
[http://dx.doi.org/10.1016/j.cmet.2012.05.012] [PMID: 22768838]
[http://dx.doi.org/10.1002/hep.26093] [PMID: 23055155]
[http://dx.doi.org/10.1371/journal.pone.0062885] [PMID: 23638162]
[http://dx.doi.org/10.1002/hep.26319] [PMID: 23401313]
[http://dx.doi.org/10.1016/j.diabres.2021.108689] [PMID: 33549678]
[http://dx.doi.org/10.26355/mhd_20219_584]
[http://dx.doi.org/10.1038/s41598-021-84928-w] [PMID: 33750881]
[http://dx.doi.org/10.1080/19490976.2021.1888673] [PMID: 33651661]
[http://dx.doi.org/10.1038/s41574-021-00507-z] [PMID: 34131333]
[http://dx.doi.org/10.1080/19490976.2019.1681861] [PMID: 31696774]
[http://dx.doi.org/10.1016/j.cmet.2017.04.001]
[http://dx.doi.org/10.1097/HEP.0000000000000323] [PMID: 36727674]
[http://dx.doi.org/10.1016/S1665-2681(19)30997-4] [PMID: 23619251]
[http://dx.doi.org/10.1038/s41591-019-0495-2] [PMID: 31263284]
[http://dx.doi.org/10.3390/microorganisms9051098] [PMID: 33449810]
[http://dx.doi.org/10.1099/ijs.0.02873-0] [PMID: 15388697]
[http://dx.doi.org/10.1007/s00253-021-11453-1] [PMID: 34312713]
[http://dx.doi.org/10.1128/mSystems.00985-20] [PMID: 33622853]
[http://dx.doi.org/10.15605/jafes.037.01.13] [PMID: 35800592]
[http://dx.doi.org/10.17235/reed.2019.6068/2018]
[http://dx.doi.org/10.1136/bmjdrc-2020-001319] [PMID: 32675291]
[http://dx.doi.org/10.1080/19490976.2021.1927633] [PMID: 34030573]
[http://dx.doi.org/10.1038/s41598-022-25140-2] [PMID: 36539432]
[http://dx.doi.org/10.3390/nu14214641] [PMID: 36364902]
[http://dx.doi.org/10.3390/nu14142921] [PMID: 35889878]
[http://dx.doi.org/10.3389/fcimb.2021.683743] [PMID: 34778099]
[http://dx.doi.org/10.1053/j.gastro.2019.06.028] [PMID: 31255652]
[http://dx.doi.org/10.1016/j.jnutbio.2010.10.002] [PMID: 21292470]
[http://dx.doi.org/10.7150/ijbs.56214] [PMID: 33767591]
[http://dx.doi.org/10.1371/journal.pone.0080169] [PMID: 24475018]
[http://dx.doi.org/10.1186/s13568-020-01038-y] [PMID: 32472368]
[http://dx.doi.org/10.1080/19490976.2022.2078619] [PMID: 35613313]
[http://dx.doi.org/10.3389/fnut.2022.1071284] [PMID: 36698477]
[http://dx.doi.org/10.3390/cells10010185] [PMID: 33477821]
[http://dx.doi.org/10.1177/2050640618804444] [PMID: 30574320]
[http://dx.doi.org/10.3389/fmicb.2023.1129904] [PMID: 36937300]
[http://dx.doi.org/10.1186/s12934-017-0691-z] [PMID: 28482838]
[http://dx.doi.org/10.3389/fmicb.2022.929346] [PMID: 35910620]
[http://dx.doi.org/10.14218/JCTH.2022.00415]
[http://dx.doi.org/10.1128/AEM.03004-19] [PMID: 31953338]
[http://dx.doi.org/10.1136/gutjnl-2021-IDDF.11]
[http://dx.doi.org/10.3389/fcimb.2022.870785] [PMID: 35694542]
[http://dx.doi.org/10.1016/j.molmet.2014.02.002] [PMID: 24944896]
[http://dx.doi.org/10.3390/ijms20020387] [PMID: 30658440]
[http://dx.doi.org/10.1038/nm.4236] [PMID: 27892954]
[http://dx.doi.org/10.1186/s40168-022-01390-0] [PMID: 36380385]
[http://dx.doi.org/10.3892/etm.2022.11536] [PMID: 35949337]
[http://dx.doi.org/10.1038/s41598-022-06414-1] [PMID: 35165344]
[http://dx.doi.org/10.1080/19490976.2022.2110639] [PMID: 36036242]
[http://dx.doi.org/10.1007/s11684-022-0960-z] [PMID: 36318353]
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