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Fecal microbiota transplantation for treatment of non-alcoholic fatty liver disease: Mechanism, clinical evidence, and prospect

Xiaoxia Qiu, Sheng‐Li Cheng, Yan‐Hui Liu, Yu Li, Rui Zhang, Nannan Li, Zheng Li

2024World Journal of Gastroenterology19 citationsDOIOpen Access PDF

Abstract

The population of non-alcoholic fatty liver disease (NAFLD) patients along with relevant advanced liver disease is projected to continue growing, because currently no medications are approved for treatment. Fecal microbiota transplantation (FMT) is believed a novel and promising therapeutic approach based on the concept of the gut-liver axis in liver disease. There has been an increase in the number of pre-clinical and clinical studies evaluating FMT in NAFLD treatment, however, existing findings diverge on its effects. Herein, we briefly summarized the mechanism of FMT for NAFLD treatment, reviewed randomized controlled trials for evaluating its efficacy in NAFLD, and proposed the prospect of future trials on FMT.

Topics & Concepts

Fatty liverMedicineFecal bacteriotherapyLiver transplantationDiseaseClinical trialGastroenterologyMechanism (biology)Alcoholic liver diseasePopulationInternal medicineTransplantationGut floraRandomized controlled trialIntensive care medicineImmunologyCirrhosisBiologyClostridium difficileAntibioticsEnvironmental healthEpistemologyMicrobiologyPhilosophyLiver Disease Diagnosis and TreatmentClostridium difficile and Clostridium perfringens researchGut microbiota and health