The Role of Gut Microbiota and Probiotics

The gut microbiota is a very diverse ecosystem in that it is comprised of over 2,000 distinct species and has a collective gemone of 150 fold more genes than the human genome. It performs vital functions related to not only nutrition, metabolism but also secretes a number of biologically active compounds which perform various functions like inhibition of pathogens and detoxification of toxic compounds.
There is unique co-ordination between and liver. The gut-liver axis plays important role in the pathogenesis of various liver diseases. The altered gut microbiota, intestinal permeability and bacterial translocation plays a relevant role in the development of bacterial infections and other complications of cirrhosis such as variceal bleed, ascites, hepatic encephalopathy (HE) and acute on chronic liver failure. Probiotics may modulate gut microbiota and alter pathogenic interactions in chronic liver disease.
Gut microbiota has important role in pathogenesis of liver diseases. As knowledge regarding microbiota is improving; its role in health and diseases is being understood better. Gut microbiota has strong relationship with liver in health and its variations have significant role in pathogenesis of chronic liver diseases, including NAFLD, progression of fibrosis and HE etc.
The ability of probiotics to modulate gut microbiota is having therapeutic potential. There is some evidence regarding therapeutic use of probiotics in management of SBP and HE. Further research in evaluation of gut microbiota and appropriately selected useful bacterial strains as treatment modality should be undertaken.
Joise Angelina
Journal of Probiotics & Health
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biotechbiomaterials@journalres.org