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Publication Name World Journal of Gastrointestinal Pharmacology and Therapeutics
Manuscript ID 110271
Country Mexico
Category Gastroenterology & Hepatology
Manuscript Type Minireviews
Article Title Targeting gut microbiota in liver disease: A pharmacological approach for hepatic encephalopathy and beyond
Manuscript Source Invited Manuscript
All Author List Andres Manuel Vargas-Beltran, Stuart Javier Mialma-Omana and Diego Omar Vivanco-Tellez
Funding Agency and Grant Number
Corresponding Author Andres Manuel Vargas-Beltran, MD, Department of Hepatology, General Hospital Dr. Manuel Gea Gonzalez, Calz. de Tlalpan 4800, Belisario Domínguez Secc 16, Tlalpan, 14080 Ciudad de México, CDMX, Mexico City 14080, Ciudad de México, Mexico. andresman.vargas@gmail.com
Key Words Gut microbiota; Hepatic encephalopathy; Gut-liver axis; Probiotics; Fecal microbiota transplantation; Cirrhosis; Fatty liver
Core Tip The gut microbiota is a key player in the progression of liver diseases, especially hepatic encephalopathy, by influencing ammonia levels, inflammation, and neurocognitive function. This review discusses current and emerging therapies that target the gut-liver axis, including non-absorbable disaccharides, antibiotics, probiotics, synbiotics, postbiotics, and fecal microbiota transplantation. Novel agents such as bile acid modulators and microbiome-targeted molecules are also explored. Modulating gut microbiota may not only alleviate hepatic encephalopathy but also benefit conditions like metabolic dysfunction-associated steatotic liver disease and cirrhosis, facilitating the way for more personalized and effective liver disease management strategies.
Citation

Vargas-Beltran AM, Mialma-Omana SJ, Vivanco-Tellez DO. Targeting gut microbiota in liver disease: A pharmacological approach for hepatic encephalopathy and beyond. World J Gastrointest Pharmacol Ther 2025; 16(4): 110271

Received
2025-06-04 04:03
Peer-Review Started
2025-06-04 04:03
First Decision by Editorial Office Director
2025-06-24 11:03
Return for Revision
2025-06-24 11:03
Revised
2025-07-04 02:36
Publication Fee Transferred
Second Decision by Editor
2025-09-28 02:45
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-09-28 06:09
Articles in Press
2025-09-28 06:09
Edit the Manuscript by Language Editor
2025-10-05 02:41
Typeset the Manuscript
2025-11-25 05:15
ISSN 2150-5349 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
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