Table 1 Studies suggesting a causal relationship between the gut microbiota and NAFLD.

From: The interaction between the gut microbiota and dietary carbohydrates in nonalcoholic fatty liver disease

Ref

Study model

Treatment

Diet

Main results

128

8-week-old male germ-free (GF) C57BL/6 J mice

Received the microbiota from obese human donor before or after a dietary weight loss program

Normal chow diet for 4 weeks

Development of liver steatosis in mice received from donor before dietary weight loss program. High hepatic TGs and total cholesterol in mice received the microbiota from donor before weight loss program.

129

8-week-old male GF C57BL/6 J mice

Received the microbiota from mice developed hyperglycemia or normoglycemia after 16 weeks of high fat diet (HFD)

60% kcal HFD for 16 weeks after colonization.

High hepatic DNL and steatosis, abundant Barnesiella and Roseburia genera in mice colonized from hyperglycemia mice. No differences in SCFAs, but increased levels of branched-chain fatty acids.

130

8-week-old GF C57BL/6 J mice

Conventionalization with normal mice

Normal chow diet for 4 weeks

High induction of hepatic lipogenesis in conventionalization compared with GF.

131

6 to 8-week-old GF C57BL/6 J mice

 

39% and 32.8% (wt) high-fat, high-sucrose diet or normal chow diet with 30% fructose water for 8 weeks

Elevated hepatic TG in high fat, sucrose fed group and high fructose-fed group compared with GF.

132

GF C57BL/6 N mice

Antibiotics

Normal chow diet

Desaturated and elongated hepatic long-chain fatty acids in antibiotics treated mice.

133

6-week-old C57BL/6 J mice

Antibiotics

30% fructose water for 8 weeks

Reduced hepatic lipid accumulation in fructose-fed mice treated with antibiotics.

134

8 to 12-week-old male C57BL/6 J mice

Oral gavage of cecum content obtained from chow- or HFD-fed mice with bile duct ligation

60% kcal HFD or normal chow diet for 4 weeks

Reduced ratio between Bacteroidetes and Firmicutes in mice received from HFD. Enhanced liver damage in mice received from HFD.

135

4-week-old male GF C57BL/6 J mice

Inoculation of Bacteroidetes or Firmicutes

60% kcal HFD for 16 weeks

High hepatic lipid, levels of hepatic FAS, SCD1, and DGAT2 in firmicutes-treated mice.

136

4-week-old male C57BL/6 J mice

 

40% (wt) fructose diet for 7 weeks

Induction of fatty livers. Increased proteobacteria and colonic actinobacteria. Increased blood propionate and butyrate.

137

5-week-old male 129S6 mice

 

40% kcal HFD for 15 weeks

NAFLD caused by conversion of choline into methylamines by the microbiota. Lower plasma phosphatidylcholine and higher urinary excretion of methylamines.

138

8-week-old male C57BL/6 J mice

 

Methionine choline-deficient diet for 4 weeks

Increased NASH with liver fibrosis. Decreased Bifidobacterium and increased Bacteroides. Increased cholic acid, cholesterol, arachidic acid, and stearic acid in feces during NASH development.