Hepatocellular Carcinoma and Human Gut Microbiome: Association with Disease and Scope for Therapeutic Intervention DOI
Ishfaq Hassan Mir, Saqib Hassan, Joseph Selvin

et al.

Published: Jan. 1, 2023

Hepatocellular carcinoma (HCC) is the world's third most prevalent cause of cancer-related mortality. HCC frequently occurs in patients with chronic liver diseases, and it triggered by a vicious cycle damage, inflammation, regeneration. Current research showcases that bacterial microbiome has an indispensable part fostering development associated disorders. This chapter will explore mechanisms which gut microbiota triggers progression hepatocarcinogenesis disorders, particular emphasis on obesity, alcoholic disease, metabolic-associated fatty cirrhosis, HCC. The pertinent mechanisms, encompassing bile acids, Toll-like receptors, mycotoxicosis, immune checkpoint inhibitors, facilitating such maladies are covered as well. Furthermore, several prospective highlights for diagnosis treatment interventions presented, may be used future clinical settings combating Based preclinical accomplishments, we highlight gut-microbiota-liver axis intriguing target concurrent prevention disease induction.

Language: Английский

Gut liver brain axis in diseases: the implications for therapeutic interventions DOI Creative Commons

Mengyao Yan,

Shuli Man,

Benyue Sun

et al.

Signal Transduction and Targeted Therapy, Journal Year: 2023, Volume and Issue: 8(1)

Published: Dec. 6, 2023

Gut-liver-brain axis is a three-way highway of information interaction system among the gastrointestinal tract, liver, and nervous systems. In past few decades, breakthrough progress has been made in gut liver brain axis, mainly through understanding its formation mechanism increasing treatment strategies. this review, we discuss various complex networks including barrier permeability, hormones, microbial metabolites, vagus nerve, neurotransmitters, immunity, toxic β-amyloid (Aβ) metabolism, epigenetic regulation gut-liver-brain axis. Some therapies containing antibiotics, probiotics, prebiotics, synbiotics, fecal microbiota transplantation (FMT), polyphenols, low FODMAP diet nanotechnology application regulate Besides, some special treatments targeting gut-liver include farnesoid X receptor (FXR) agonists, takeda G protein-coupled 5 (TGR5) glucagon-like peptide-1 (GLP-1) antagonists fibroblast growth factor 19 (FGF19) analogs. Targeting gut-brain embraces cognitive behavioral therapy (CBT), antidepressants tryptophan metabolism-related therapies. liver-brain contains Aβ future, better interactions will promote development novel preventative strategies discovery precise therapeutic targets multiple diseases.

Language: Английский

Citations

91

The Rise of Gastrointestinal Cancers as a Global Phenomenon: Unhealthy Behavior or Progress? DOI Open Access
Sílvia Rodrigues Jardim,

Lucila Marieta Perrotta de Souza,

Heitor Siffert Pereira de Souza

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(4), P. 3640 - 3640

Published: Feb. 18, 2023

The overall burden of cancer is rapidly increasing worldwide, reflecting not only population growth and aging, but also the prevalence spread risk factors. Gastrointestinal (GI) cancers, including stomach, liver, esophageal, pancreatic, colorectal represent more than a quarter all cancers. While smoking alcohol use are factors most commonly associated with development, growing consensus includes dietary habits as relevant for GI Current evidence suggests that socioeconomic development results in several lifestyle modifications, shifts from local traditional diets to less-healthy Western diets. Moreover, recent data indicate increased production consumption processed foods underlies current pandemics obesity related metabolic disorders, which directly or indirectly emergence various chronic noncommunicable conditions However, environmental changes restricted patterns, unhealthy behavioral features should be analyzed holistic view lifestyle. In this review, we discussed epidemiological aspects, gut dysbiosis, cellular molecular characteristics cancers explored impact behaviors, diet, physical activity on developing context progressive societal changes.

Language: Английский

Citations

70

The Gut–Organ Axis within the Human Body: Gut Dysbiosis and the Role of Prebiotics DOI Creative Commons

Georgia Saxami,

Evangelia N. Kerezoudi, Christos Eliopoulos

et al.

Life, Journal Year: 2023, Volume and Issue: 13(10), P. 2023 - 2023

Published: Oct. 8, 2023

The human gut microbiota (GM) is a complex microbial ecosystem that colonises the gastrointestinal tract (GIT) and comprised of bacteria, viruses, fungi, protozoa. GM has symbiotic relationship with its host fundamental for body homeostasis. not limited to scope GIT, but there are bidirectional interactions between other organs, highlighting concept "gut-organ axis". Any deviation from normal composition GM, termed "microbial dysbiosis", implicated in pathogenesis various diseases. Only few studies have demonstrated modifications disease phenotypes, it still unknown whether an altered contributes or simply reflects status. Restoration probiotics prebiotics been postulated, evidence effects limited. Prebiotics substrates "selectively utilized by microorganisms, conferring health benefit". This study highlights vital organs demonstrates dysbiosis emergence certain representative Finally, this article focuses on potential as target therapy manipulate presents gaps literature research.

Language: Английский

Citations

27

Pathogenesis of Hepatocellular Carcinoma: The Interplay of Apoptosis and Autophagy DOI Creative Commons
Elias Kouroumalis, Ioannis Tsomidis, Argyro Voumvouraki

et al.

Biomedicines, Journal Year: 2023, Volume and Issue: 11(4), P. 1166 - 1166

Published: April 13, 2023

The pathogenesis of hepatocellular carcinoma (HCC) is a multifactorial process that has not yet been fully investigated. Autophagy and apoptosis are two important cellular pathways critical for cell survival or death. balance between autophagy regulates liver turnover maintains intracellular homeostasis. However, the often dysregulated in many cancers, including HCC. may be either independent parallel one influence other. inhibit promote apoptosis, thus regulating fate cancer cells. In this review, concise overview HCC presented, with emphasis on new developments, role endoplasmic reticulum stress, implication microRNAs gut microbiota. characteristics associated specific disease also described brief description provided. initiation, progress metastatic potential reviewed experimental evidence indicating an interplay extensively analyzed. ferroptosis, recently pathway regulated death, presented. Finally, therapeutic implications drug resistance examined.

Language: Английский

Citations

23

Gut–Liver–Pancreas Axis Crosstalk in Health and Disease: From the Role of Microbial Metabolites to Innovative Microbiota Manipulating Strategies DOI Creative Commons
Giada Marroncini,

Laura Naldi,

Serena Martinelli

et al.

Biomedicines, Journal Year: 2024, Volume and Issue: 12(7), P. 1398 - 1398

Published: June 24, 2024

The functions of the gut are closely related to those many other organs in human body. Indeed, microbiota (GM) metabolize several nutrients and compounds that, once released bloodstream, can reach distant organs, thus influencing metabolic inflammatory tone host. main microbiota-derived metabolites responsible for modulation endocrine responses short-chain fatty acids (SCFAs), bile glucagon-like peptide 1 (GLP-1). These molecules (i) regulate pancreatic hormones (insulin glucagon), (ii) increase glycogen synthesis liver, (iii) boost energy expenditure, especially skeletal muscles brown adipose tissue. In words, they critical maintaining glucose lipid homeostasis. GM dysbiosis, imbalance microbiota-related products affect proper functions, including gut–liver–pancreas axis (GLPA). addition, dysbiosis contribute onset some diseases such as non-alcoholic steatohepatitis (NASH)/non-alcoholic liver disease (NAFLD), hepatocellular carcinoma (HCC), type 2 diabetes (T2D). this review, we explored roles their involvement progression these diseases. detailed microbiota-modulating strategies that could improve diseases’ development by restoring healthy balance GLPA.

Language: Английский

Citations

7

Harnessing CD8+ T cell dynamics in hepatitis B virus‐associated liver diseases: Insights, therapies and future directions DOI Creative Commons
Bing Yue, Yuxia Gao, Yi Hu

et al.

Clinical and Translational Medicine, Journal Year: 2024, Volume and Issue: 14(7)

Published: June 27, 2024

Abstract Hepatitis B virus (HBV) infection playsa significant role in the etiology and progression of liver‐relatedpathologies, encompassing chronic hepatitis, fibrosis, cirrhosis, eventual hepatocellularcarcinoma (HCC). Notably, HBV stands as primary etiologicalfactor driving development HCC. Given contribution ofHBV to liver diseases, a comprehensive understanding immunedynamics microenvironment, spanning infection,fibrosis, HCC, is essential. In this review, we focused on thefunctional alterations CD8 + T cells within pathogenic livermicroenvironment from We thoroughly reviewed roles ofhypoxia, acidic pH, metabolic reprogramming, amino acid deficiency, inhibitory checkpointmolecules, immunosuppressive cytokines, gut‐liver communication shapingthe dysfunction microenvironment. Thesefactors significantly impact clinical prognosis. Furthermore, comprehensivelyreviewed cell‐based therapy strategies for diseases,encompassing infection, Strategies includeimmune checkpoint blockades, T‐cell targeting therapy, therapeuticT‐cell vaccination, adoptive transfer genetically engineered cells, along with combined usage programmed cell death protein‐1/programmeddeath ligand‐1 (PD‐1/PD‐L1) inhibitors mitochondria‐targeted antioxidants.Given that at various stages hepatitis Bvirus‐induced hepatocellular carcinoma (HBV HCC) shows promise, reviewedthe ongoing need research elucidate complex interplay between microenvironment toHCC. also discussed personalized treatment regimens, combining therapeuticstrategies harnessing gut microbiota modulation, which holds potential forenhanced benefits. conclusion, review delves into changes, during HCC progression, andrelated diseases.

Language: Английский

Citations

7

Role of Gut Microbial Metabolites in the Pathogenesis of Primary Liver Cancers DOI Open Access

Maria Pallozzi,

Valeria De Gaetano,

Natalia Di Tommaso

et al.

Nutrients, Journal Year: 2024, Volume and Issue: 16(14), P. 2372 - 2372

Published: July 22, 2024

Hepatobiliary malignancies, which include hepatocellular carcinoma (HCC) and cholangiocarcinoma (CCA), are the sixth most common cancers third leading cause of cancer-related death worldwide. Hepatic carcinogenesis is highly stimulated by chronic inflammation, defined as fibrosis deposition, an aberrant imbalance between liver necrosis nodular regeneration. In this context, gut-liver axis gut microbiota have demonstrated a critical role in pathogenesis HCC, dysbiosis altered intestinal permeability promote bacterial translocation, to inflammation tumorigenesis through several pathways. A few data exist on or bacteria resident biliary tract CCA, some microbial metabolites, such choline bile acids, seem show association. review, we analyze impact its metabolites HCC CCA development biomarker hepatobiliary cancer risk response during anti-tumor therapy. We also discuss future application management.

Language: Английский

Citations

7

Interleukin-6 in Hepatocellular Carcinoma: A Dualistic Point of View DOI Creative Commons
Iuliana Nenu,

Teodora Maria Toadere,

Ioan Topor

et al.

Biomedicines, Journal Year: 2023, Volume and Issue: 11(10), P. 2623 - 2623

Published: Sept. 24, 2023

Hepatocellular Carcinoma (HCC) is a pressing health concern, demanding deep understanding of various mediators’ roles in its development for therapeutic progress. Notably, interleukin-6 (IL-6) has taken center stage investigations due to intricate and context-dependent functions. This review delves into the dual nature IL-6 HCC, exploring seemingly contradictory as both promoter an inhibitor disease progression. We dissect pro-tumorigenic effects IL-6, including impact on tumor growth, angiogenesis, metastasis. Concurrently, we examine anti-tumorigenic attributes, such role immune response activation, cellular senescence induction, surveillance. Through comprehensive exploration interactions between microenvironment, this highlights need nuanced comprehension signaling HCC. It underscores importance tailored strategies that consider dynamic stages diverse surroundings within microenvironment. Future research directions aimed at unraveling multifaceted mechanisms HCC hold promise developing more effective treatment improving patient outcomes.

Language: Английский

Citations

16

Inflammatory Response in the Pathogenesis and Treatment of Hepatocellular Carcinoma: A Double-Edged Weapon DOI Open Access

Linda Galasso,

Lucia Cerrito, Valeria Maccauro

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(13), P. 7191 - 7191

Published: June 29, 2024

Hepatocellular carcinoma (HCC) is the most frequent among primary liver tumors (90%) and one of main causes cancer-related death. It develops usually in a chronically inflamed environment, ranging from compensatory parenchymal regeneration to fibrosis cirrhosis: carcinogenesis can potentially happen each these stages. Inflammation determined by chronic viral infection (hepatitis B, hepatitis C, delta viruses) represents an important risk factor for HCC etiology through both direct damage immune-related mechanisms. The deregulation physiological immunological network lead carcinogenesis. recent introduction immunotherapy as gold-standard first-line treatment highlights role immune system inflammation double-edged weapon treatment. In this review we highlight how key hepatocarcinogenesis viral, alcohol metabolic diseases.

Language: Английский

Citations

6

Current and emerging strategies for the prevention of hepatocellular carcinoma DOI
Yee Hui Yeo, Manal F. Abdelmalek, Seema A. Khan

et al.

Nature Reviews Gastroenterology & Hepatology, Journal Year: 2024, Volume and Issue: 22(3), P. 173 - 190

Published: Dec. 9, 2024

Language: Английский

Citations

5