ORIGINAL RESEARCH article
Front. Cell. Infect. Microbiol.
Sec. Intestinal Microbiome
Volume 15 - 2025 | doi: 10.3389/fcimb.2025.1560564
This article is part of the Research TopicDeciphering Microbial Metabolites: Their Impact on Gastrointestinal and Metabolic HealthView all 5 articles
Distinct gut microbiota and metabolomic profiles in HBVrelated liver cirrhosis: Insights into disease progression
Provisionally accepted
- Beijing Ditan Hospital, Capital Medical University, Beijing, China
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Background: Hepatitis B virus (HBV)-related liver cirrhosis (HBV-LC) is a significant global health issue, affecting gut microbiota (GM) composition and metabolic processes. This study aimed to explore the associations between intestinal microbiota, metabolic profiles, and disease progression in patients with HBV-LC.: Fecal samples were collected prospectively from 40 healthy controls (HC) and 83 HBV-LC patients between December 2022 and August 2023. Gut microbiota alterations at various stages of liver function were analyzed using 16S rRNA gene 2 sequencing. Untargeted metabolomics was employed to identify potential biomarkers and metabolic pathways associated with early cirrhosis. Additionally, correlations between bacterial genera, inflammatory markers, and metabolites were investigated. Results: HBV-LC patients demonstrated a significant reduction in bacterial diversity and relative abundance compared to the HC group. Genera such as Alistipes and Lachnospira were notably depleted, while Fusobacterium and Enterococcus were enriched in patients with Model for End-Stage Liver Disease (MELD) scores ≥ 21 or Child-Turcotte-Pugh C grade. Correlation analyses revealed strong associations between intestinal flora, clinical indicators of disease severity, and inflammatory factors. Metabolic analysis showed decreased levels of tocopherol and 21hydroxypregnenolone, which were strongly linked to the reduced abundance of Alistipes and Lachnospira. Biosynthesis of unsaturated fatty acids and linoleic acid metabolism emerged as critical enrichment pathways.Conclusions: HBV-LC patients displayed significant alterations in gut microbiota and fecal metabolites, which correlated closely with disease severity and inflammatory status. These findings provide new insights into cirrhosis pathogenesis and suggest potential biomarkers for early diagnosis and disease monitoring.
Keywords: Gut Microbiota, cirrhosis, Hepatitis B virus, 16S rRNA sequencing, Metabolomics
Received: 15 Jan 2025; Accepted: 24 Apr 2025.
Copyright: © 2025 Wang, Shi, Sun and Feng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Xianbo Wang, Beijing Ditan Hospital, Capital Medical University, Beijing, China
Ying Feng, Beijing Ditan Hospital, Capital Medical University, Beijing, China
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