학술논문

The intestinal and biliary microbiome in autoimmune liver disease—current evidence and concepts.
Document Type
Article
Source
Seminars in Immunopathology. Jul2022, Vol. 44 Issue 4, p485-507. 23p.
Subject
*CHOLANGITIS
*LIVER diseases
*GUT microbiome
*AUTOIMMUNE diseases
*AUTOIMMUNE hepatitis
*MEDICAL research
*BIOMARKERS
*COMMENSALISM
Language
ISSN
1863-2297
Abstract
Autoimmune liver diseases are a group of immune-mediated liver diseases with three distinct entities, including autoimmune hepatitis, primary biliary cholangitis, and primary sclerosing cholangitis. The interplay of genetic and environmental factors leads to the breakdown of self-tolerance, resulting in hyper-responsiveness, and auto-aggressive immune activation. Emerging evidence links autoimmune liver diseases with alterations of the commensal microbiome configuration and aberrant immune system activation by microbial signals, mainly via the gut-liver axis. Thus, the microbiome is a new frontier to deepen the pathogenetic understanding, uncover biomarkers, and inspire innovative treatments. Herein, we review the current evidence on the role of the microbiome in autoimmune liver diseases from both clinical and basic research. We highlight recent achievements and also bottlenecks and limitations. Moreover, we give an outlook on future developments and potential for clinical applications. [ABSTRACT FROM AUTHOR]