Las alteraciones de la microbiota intestinal en la patogenia del hígado graso no alcohólico
Alterations of the intestinal microbiota in the pathogenesis of nonalcoholic fatty liver disease
Rev. Hosp. Clin. Univ. Chile; 29 (2), 2018
Publication year: 2018
Non-alcoholic fatty liver disease (NAFLD) is currently considered in Chile and worldwide, as
the main cause of cirrhosis and liver transplantation. It is therefore one of the main public
health objectives for reducing its prevalence. In last years, it was suggested that the intestinal
microbiota (IM) might contribute to the pathophysiology of NAFLD, as well as in the progression
toward nonalcoholic steatohepatitis (NASH) and cirrhosis. It is known that changes in the
composition of IM are associated with alterations in intestinal permeability and the production
of inflammatory metabolites. These alterations are part of the pathophysiological mechanisms
leading to the development of NASH. However studies on MI in patients with NAFLD and
NASH in Chile are scarce. Through a research grant, recently awarded at the Hospital Clínico
Universidad de Chile, we aim to confirm and characterize the intestinal dysbiosis associated
with NAFLD in Chilean patients and to establish the relationship between the changes in
microbial composition with the progression of liver damage. The description of these alterations
represents an opportunity to explore new therapeutic approaches for future interventions. In
effect, through the restoration of an intestinal microbial environment towards homeostasis in
these patients, we expect to reverse or improve the progression of damage provoked by this
disease. (AU)