학술논문

Pediatric nonalcoholic fatty liver disease and the microbiome: Mechanisms contributing to pathogenesis and progression
Document Type
article
Source
Subject
Medical Biochemistry and Metabolomics
Biomedical and Clinical Sciences
Clinical Sciences
Digestive Diseases
Hepatitis
Nutrition
Liver Disease
Chronic Liver Disease and Cirrhosis
Pediatric Research Initiative
Pediatric
2.1 Biological and endogenous factors
Aetiology
Oral and gastrointestinal
Good Health and Well Being
Clinical sciences
Medical biochemistry and metabolomics
Language
Abstract
Nonalcoholic fatty liver disease (NAFLD) is the most common form of pediatric liver disease in the United States, and often associated with obesity and metabolic syndrome. NAFLD comprises a broad spectrum of liver diseases, from hepatic steatosis to steatohepatitis, fibrosis and cirrhosis. Disease progression is considered a multi-modal process of liver injury. The intestinal microbiome has been implicated in several aspects of NAFLD pathophysiology. Pediatric studies associating the intestinal microbiome with NAFLD have been limited in number and complicated by inconsistencies in study design and approach. Nevertheless, they provide support for involvement of the intestinal microbiome in NAFLD development and progression and point to common mechanisms shared by microbiome-associated inflammatory diseases with potential to inform future therapeutic intervention.