Interplay of gut microbiota, glucagon-like peptide receptor agonists, and nutrition: New frontiers in metabolic dysfunction-associated steatotic liver disease therapy

Nov 22, 2024World journal of gastroenterology

How gut bacteria, diabetes drugs, and diet interact in treating fatty liver disease linked to metabolism

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Abstract

The gut-liver axis is crucial in the development of metabolic dysfunction-associated steatotic liver disease (MASLD).

  • Key metabolites from gut bacteria, such as lipopolysaccharides and short-chain fatty acids, play an important role in MASLD.
  • Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) may aid in managing MASLD by promoting weight loss and enhancing liver health.
  • GLP-1 RAs are associated with restoring gut-liver axis functionality, particularly when combined with dietary changes.
  • The gut microbiome may significantly influence the effectiveness of GLP-1 RA therapies for MASLD.
  • Metabolites from gut bacteria can stimulate GLP-1 secretion, potentially improving metabolic health.
  • Integrating dietary interventions with GLP-1 RA treatment could enhance liver health by influencing the gut microbiota and related metabolic pathways.

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