The gut liver axis and microbiota.

The gut liver axis and microbiota.

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Hepatocellular carcinoma (HCC) is the most prevalent primary malignancy in patients suffering from chronic liver diseases and cirrhosis. Recent attention has been paid to the involvement of the gut-liver axis (GLA) in HCC pathogenesis. This axis results from a bidirectional, anatomical and functional relationship between the gastrointestinal system...

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... the gut-liver axis (GLA) is involved in HCC pathogenesis, the study of the mutual interplay between the microbiota and immune response and their cross-talk with the tumor microenvironment are an important focus of current clinical research. Our review investigates and analyzes the potential therapeutic benefits of emerging insights into the mechanisms by which microbiota immunomodulation, as represented by probiotics and prebiotics, impacts HCC via the GLA. between the gastrointestinal system and the liver, largely via the portal circulation (Figure 1). A complex network of interactions between the enteric microbiome and the liver regulates and stabilizes their symbiotic connection, which includes metabolic and immunological crosstalk [16,17]. ...

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... Therapeutic strategies aimed at modifying the gut microbiota present a novel avenue harnessing the modulation of the gut-liver axis for HCC management. Probiotic, prebiotic, and synbiotic interventions, designed to restore a healthy microbiome balance, have the potential to attenuate hepatic inflammation and modulate the immune response, thereby reducing oncogenic stimuli in the liver [38,39]. Furthermore, fecal microbiota transplantation is emerging as a potential therapy, with studies suggesting its efficacy in dysbiosis correction, which subsequently imparts positive effects on liver function and inflammation modulation [40]. ...
... Although the liver is not in direct contact with the microorganisms, it is closely connected to the intestine through the biliary tract, hepatic portal vein, and bile secretion. The intestine-liver axis plays an important role in the pathogenesis of HCC [21][22][23]. Ecological imbalance is the qualitative and quantitative changes in the intestinal microflora that may destroy the intestinal barrier and increase intestinal permeability. Ecological imbalance and intestinal leakage are associated throughout chronic liver disease. ...
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