Gut microbiota modulation in alcoholic individuals: a literature review
DOI:
https://doi.org/10.33448/rsd-v12i3.40668Keywords:
Alcohol; Intestinal microbiota; Endotoxemia; Health.Abstract
Due to the fact that alcohol consumption has increased, and that this molecule can promote several changes, the objective of this narrative review was to describe the metabolism of ethanol and its relationship with the intestinal microbiota, as well as the diseases associated with both. Articles were used in the elaboration of the narrative review. Alcohol dependence represents an important public health problem that affects millions of people worldwide. Chronic alcohol consumption is related to increased intestinal permeability, favoring significant changes in the composition of the intestinal microbiota and allowing bacterial components to be translocated and reach the portal, and systemic circulation. Bacterial products that travel through the circulation are recognized by cells of the immune system, which release pro-inflammatory cytokines and increase the formation of reactive oxygen and nitrogen species as well as cell stress. Alcohol consumption is also related to the qualitative imbalance of microorganisms in the large intestinal, where there is less abundance of Bacteroidetes and greater Proteobacteria in alcoholist individuals compared to healthy. It is concluded that chronic alcohol intake modifies the intestinal microbiota and contributes to intestinal dysbiosis.
References
Adak, A., & Khan, M. R. (2019). An insight into gut microbiota and its functionalities. Cellular and Molecular Life Sciences, 76, 473-49. 10.1007/s00018-018-2943-4.
Alleyne, J., & Dopico, A. M. (2021). Alcohol use disorders and their harmful effects on the contractility of skeletal, cardiac and smooth muscles. Advances in Drug and Alcohol Research, 1, 1-18. https://doi.org/10.3389/ADAR.2021.10011
Arora, T., Vanslette, A. M., Hjorth, S. A., & Bäckhed, Fredrik. (2021). Microbial regulation of enteroendocrine cells. Med Review, 2, 553-570. DOI: 10.1016/j.medj.2021.03.018.
Bailey, M. A., & Holscher, H. D. (2018). Microbiome-mediated effects of the mediterranean diet on inflammation. Advances in Nutrition, 9, 193-206. 10.1093/advances/nmy013.
Bajaj, J. S. (2019). Alcohol, liver disease and the gut microbiota. Nature Reviews Gastroenterology & Hepatology, 16, 235-246. 10.1038/s41575-018-0099-1.
Barr, T., Helms, C., Grant, K., & Messaoudi, I. (2016). Opposing effects of alcohol on the immune system. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 65, 242-251. https://doi.org/10.1016/j.pnpbp.2015.09.001.
Barroso, W. K. S., Rodrigues, C. I. S., Bartolotto, L. A., Mota-Gomes, M. A., Brandão, A. A., Feitosa, A. D. M., et al. (2020). Diretrizes Brasileiras de Hipertensão Arterial - 2020. Arquivos Brasileiros de Cardiologia, 116, 516-658. 10.36660/abc.20201238.
Bartoletti, M., Giannella, M., Caraceni P., Domenicali M., Ambretti S., Tedeschi S., et al. (2014). Epidemiology and outcomes of bloodstream infection in patients with cirrhosis. Journal of Hepatology, 61, 51-58. 10.1016/j.jhep.2014.03.021.
Bishehsari, F., Magno, E., Swanson, G., Desai, V., Voigt, R. M., Forsyth, C. B., et al. (2017). Alcohol and gut-derived inflammation. Alcohol Research: Current Reviews, 38, 163-171.
Bode, C., & Bode, J. C. (2003). Effect of alcohol consumption on the gut. Best Practice & Research. Clinical Gastroenterology, 17, 575-592. https://doi.org/10.1016/s1521-6918(03)00034-9.
Butterworth, R. F. (2014). Chapter 34 - Hepatic encephalopathy in alcoholic cirrhosis. Handbook of Clinical Neurology, 125, 589-602. 10.1016/b978-0-444-62619-6.00034-3.
Cederbaum, A. I. (2012). Alcohol metabolism. Clinics in Liver Disease, 16, 667-685. 10.1016/j.cld.2012.08.002.
Chen, Y., Yang, F., Lu, H., Wang, B., Chen, Y., Lei, D., et al. (2011). Characterization of fecal microbial communities in patients with liver cirrhosis. Hepatology, 54, 562-572. 10.1002/hep.24423.
Day, E., & Rudd, J. H. F (2019). Alcohol use disorders and the heart. Addiction, 114, 1670-1678. 10.1111/add.14703.
Donaldson, G. P., Lee, S. M., & Mazmanian, S. K. (2015). Gut biogeography of the bacterial microbiota. Nature Reviews Microbiology, 14, 20-32. 10.1038/nrmicro3552.
Engen, P. A., Green, S. J., Voigt, R. M., Forsyth, C. B., & Keshavarzian, A. (2015). The gastrointestinal microbiome: alcohol effects on the composition of intestinal microbiota. Alcohol Research: Current Reviews, 37, 223-236.
Ezhilarasan, D. (2018). Oxidative stress is bane in chronic liver diseases: Clinical and experimental perspective. Arab Journal of Gastroenterology, 19, 56-64. https://doi.org/10.1016/j.ajg.2018.03.002.
Garcia, L. P., & Sanchez, Z. M. (2020). Consumo de álcool durante a pandemia da COVID-19: Uma reflexão necessária para o enfrentamento da situação. Cadernos de Saúde Pública, 36, e00124520. https://doi.org/10.1590/0102-311X00124520.
Gupta, H., Suk, K. T., & Kim, D. J. (2021). Gut microbiota at the intersection of alcohol, brain, and the liver. Journal of Clinical Medicine, 10, 541. https://doi.org/10.3390/jcm10030541.
Gurwara, S., Dai A., Ajami, N. J., Graham, D. Y., White, D. L., Chen, L., et al (2020). Alcohol use alters the colonic mucosa–associated gut microbiota in humans. Nutrition Research, 83, 119-128. 10.1016/j.nutres.2020.09.004.
Hadjihambi, A., Arias, N., Sheikh, M., & Jalan, R. (2017). Hepatic encephalopathy: A critical current review. Hepatology International, 12, 135-147. 10.1007/s12072-017-9812-3.
Han, S. H., Suk, K. T., Kim, D. J., Kim, M. Y., Baik, S. K., Kim, Y. D., et al. (2015). Effects of probiotics (cultured Lactobacillus subtilis/Streptococcus faecium) in the treatment of alcoholic hepatites: Randomized-controlled multicenter study. European Journal of Gastroenterology & Hepatology, 27, 1300-1306. 10.1097/meg.0000000000000458.
Hammer, A. M., Morris, N. L., Earley, Z. M., & Choudhry, M. A. (2015). The first line of defense: the effects of alcohol on post-burn intestinal barrier, immune cells, and microbiome. Alcohol Research: Current Reviews, 37, 209-222.
Hartmann, P., Lang S., Zeng, S., Duan, Y., Zhang, X., Wang, Y., et al. (2021). Dynamic changes of the fungal microbiome in alcohol use disorder. Frontiers in Physiology, 12, 1-10. 10.3389/fphys.2021.699253.
Heier, C., Xie, H., & Zimmermann, R. (2016). Nonoxidative ethanol metabolism in humans - from biomarkers to bioactive lipids. International Union of Biochemistry and Molecular Biology, 68, 916-923. 10.1002/iub.1569.
Hritz, I., Mandrekar, P., Velayudham, A., Catalano, D., Dolganiuc, A., Kodys, K., et al. (2008). The critical role of toll-like receptor (TLR) 4 in alcoholic liver disease is independent of the common TLR adapter MyD88. Hepatology, 48, 1224-1231. 10.1002/hep.22470.
Hugbart C., Verres Y., Daré B. L., Bucher S., Vène E., Bodin, A., et al. (2020). Non-oxidative ethanol metabolism in human hepatic cells in vitro: Involvement of uridine diphospho-glucuronosyltransferase 1A9 in ethylglucuronide production. Toxicology in Vitro, 66, 104842. https://doi.org/10.1016/j.tiv.2020.104842.
Hyun, J., Han, J., Lee, C., Yoon, M., & Jung, Y. (2021). Pathophysiological aspects of alcohol metabolism in the liver. International Journal of Molecular Sciences, 22, 5717. https://doi.org/10.3390/ijms22115717.
Illiano, P., Brambilla, R., & Parolini, C. (2020). The mutual interplay of gut microbiota, diet and human disease. The FEBS Journal, 287, 833-855. 10.1111/febs.15217.
Johansson, M. E. V., & Hansson, G. C. (2016). Immunological aspects of intestinal mucus and mucins. Nature Reviews Immunology, 16, 639-649. https://doi.org/10.1038/nri.2016.88.
Jones, R. M., & Neish, A. S. (2021). Gut microbiota in intestinal and liver disease. Annual Review of Pathology: Mechanisms of Disease, 16, 251-275. https://doi.org/10.1146/annurev-pathol-030320-095722.
Jung, S-J., Hwang, J-H., Park, E-O., Lee, S-O., Chung, Y-J., Chung, M-J., et al. (2021). Regulation of alcohol and acetaldehyde metabolism by a mixture of lactobacillus and bifidobacterium species in human. Nutrients, 13, 1875. https://doi.org/10.3390/nu13061875.
Kc, D., Sumner, R., & Lippmann, S. (2020). Gut microbiota and health. Postgraduate Medicine, 132, 274. https://doi.org/10.1080/00325481.2019.1662711.
Keir, M. E., Yi, T., Lu, T. T., & Ghilardi, N. (2020). The role of IL-22 in intestinal health and disease. Journal of Experimental Medicine, 217, e20192195. https://doi.org/10.1084/jem.20192195.
Khaderi, S. A. (2019). Introduction: Alcohol and alcoholism. Clinics in Liver Disease, 23, 1-10. 10.1016/j.cld.2018.09.009.
Lazar, V., Ditu, L-M., Pircalabioru, G. G., Picu, A., Petcu, L., Cucu, N., et al. (2019). Gut microbiota, host organism, and diet trialogue in diabetes and obesity. Frontiers in Nutrition, 6, 1-20. 10.3389/fnut.2019.00021.
Leclercq, S., Saeger, C., Delzenne, N., Timary, P., & Stärkel, P. (2014). Role of inflammatory pathways, blood mononuclear cells, and gut-derived bacterial products in alcohol dependence. Biological Psychiatry, 76, 725-733. 10.1016/j.biopsych.2014.02.003.
Levitt, D. G., & Levitt, M. D. (2018). A model of blood-ammonia homeostasis based on a quantitative analysis of nitrogen metabolism in the multiple organs involved in the production, catabolism, and excretion of ammonia in humans. Clinical and Experimental Gastroenterology, 11, 193-215. 10.2147/CEG.S160921.
Li, X., Liu, Y., Guo, X., Ma, Y., Zhang, H., & Liang, H. (2021). Effect of Lactobacillus casei on lipid metabolism and intestinal microflora in patients with alcoholic liver injury. European Journal of Clinical Nutrition, 75, 1227-1236. https://doi.org/10.1038/s41430-020-00852-8.
Li, Y., Pan, A., Wang, D. D., Liu, X., Dhana, K., Franco, O. H., et al. (2018). Impact of healthy lifestyle factors on life expectancies in the US population. Circulation, 138, 345-355. https://doi.org/10.1161/CIRCULATIONAHA.117.032047.
Liberale, L., Bonaventura, A., Montecucco, F., Dallegri, F., & Carbone, F. (2019). Impact of red wine consumption on cardiovascular health. Current Medicinal Chemistry, 26, 3542-3566. https://doi.org/10.2174/0929867324666170518100606.
Lu, R., Voigt, R. M., Zhang, Y., Kato, I., Xia, Y., Forsyth, C. B., et al. (2017). Alcohol injury damages intestinal stem cells. Alcoholism: Clinical and Experimental Research, 41, 727-734. 10.1111/acer.13351.
Lu, Y., & Cederbaum, A. I. (2008). CYP2E1 and oxidative liver injury by alcohol. Free Radical Biology and Medicine, 44, 723-738. https://doi.org/10.1016/j.freeradbiomed.2007.11.004.
Manolis, T. A., Manolis, A. A., & Manolis, A. S. (2019). Cardiovascular effects of alcohol: A double-edged sword / how to remain at the nadir point of the J-Curve? Alcohol, 76, 117-129. https://doi.org/10.1016/j.alcohol.2018.08.011.
Marques, D. O., & Quintilio, M. S. V. (2021). Farmacologia e riscos das drogas para emagrecer. Revista Coleta Científica, 5, 38-49. https://doi.org/10.5281/zenodo.5093482.
Martin-Gallausiaux, C., Marinelli, L., Blottière, H. M., Larraufie, P., & Lapaque, N. (2021). SCFA: Mechanisms and functional importance in the gut. The Proceedings of the Nutrition Society, 80, 37-49. https://doi.org/10.1017/S0029665120006916.
McCauley, H. A., Matthis, A. L., Enriquez, J. R., Nichol, J. T., Sanchez, J. G., Stone, W. J., et al. (2020). Enteroendocrine cells couple nutrient sensing to nutrient absorption by regulating ion transport. Nature Communications, 11, 4791. https://doi.org/10.1038/s41467-020-18536-z.
Mendes, B. G., & Schnabl, B. (2020). From intestinal dysbiosis to alcohol-associated liver disease. Clinical and Molecular Hepatology, 26, 595-605. https://doi.org/10.3350/cmh.2020.0086.
Meroni, M., Longo, M., & Dongiovanni, P. (2019). Alcohol or gut microbiota: who is the guilty? International Journal of Molecular Sciences, 20, 4568. https://doi.org/10.3390/ijms20184568.
Michalak, A., Lach, T., & Cichoż-Lach, H. (2021). Oxidative stress-a key player in the course of alcohol-related liver disease. Journal Clinical Medicine, 10, 3011. 10.3390/jcm10143011.
Minzer, S., Losno, R. A., & Casas, R. (2020). The effect of alcohol on cardiovascular risk factors: is there new information? Nutrients, 12, 912. https://doi.org/10.3390/nu12040912.
Morais, L. H., Schreiber, H. L., & Mazmanian, S. K. (2020). The gut microbiota-brain axis in behaviour and brain disorders. Nature Reviews Microbiology, 19, 241-255. 10.1038/s41579-020-00460-0.
Mutlu, E. A., Gillevet, P. M., Rangwala, H., Sikaroodi, M., Naqvi, A., Engen, P. A., et al. (2012). Colonic microbiome is altered in alcoholism. American Journal of Physiology-Gastrointestinal and Liver Physiology, 302, G966-G978. 10.1152/ajpgi.00380.2011.
Mutlu, E., Keshavarzian, A., Engen, P., Forsyth, C. B., Sikarodi, M., & Gillevet, P. (2009). Intestinal dysbiosis: a possible mechanism of alcohol-induced endotoxemia and alcoholic steatohepatitis in rats. Alcohol: Clinical & Experimental Research, 33, 1836-1846. 10.1111/j.1530 0277.2009.01022.x.
Passos, M. C. F., & Prado Moraes-Filho, J. (2017). Intestinal microbiota in digestive diseases. Arquivos de Gastroenterologia, 54, 255-262. dx.doi.org/10.1590/S0004-2803.201700000-31.
Pushpanathan, P., Mathew, G. S., Selvarajan, S., Seshadri, K. G., & Srikanth, P. (2019). Gut microbiota and its mysteries. Indian Journal of Medical Microbiology, 37, 268-277. https://doi.org/10.4103/ijmm.IJMM_19_373.
Rodrigues, R. R., Gurung, M., Li, Z., García-Jaramillo, M. G., Greer, R., Gaulke, C., et al. (2021). Transkingdom interactions between Lactobacilli and hepatic mitochondria attenuate western diet-induced diabetes. Nature Communications, 12, 101. 10.1038/s41467-020-20313-x.
Sarin, S. K., Pande, A., & Schnabl, B. (2019). Microbiome as a therapeutic target in alcohol-related liver disease. Journal of Hepatology, 70, 260-272. https://doi.org/10.1016/j.jhep.2018.10.019.
Seki, E., & Schnabl, B. (2012). Role of innate immunity and the microbiota in liver fibrosis: crosstalk between the liver and gut. The Journal of Physiology, 590, 447-458. 10.1113/jphysiol.2011.219691.
Seitz, H. K., Bataller, R., Cortez-Pinto, H., Gao, B., Gual, A., Lackner, C., et al. (2018). Alcoholic liver disease. Nature Reviews Disease Primers, 4, 1-22. 10.1038/s41572-018-0014-7.
Shiba, S., Nakamoto N., Chu, P-S., Ojiro, K., Taniki, N., Yamaguchi, A., et al. (2021). Acetaldehyde exposure underlies functional defects in monocytes induced by excessive alcohol consumption. Scientific Reports, 11, 13690. 10.1038/s41598-021-93086-y.
Slevin, E., Baiocchi, L., Wu, N., Ekser, B., Sato, K., Lin, E., et al. (2020). Kupffer cells: inflammation pathways and cell-cell interactions in alcohol-associated liver disease. The American Journal of Pathology, 190, 2185-2193. https://doi.org/10.1016/j.ajpath.2020.08.014.
Taniai, M. (2020). Alcohol and hepatocarcinogenesis. Clinical and Molecular Hepatology, 26, 736-741. https://doi.org/10.3350/cmh.2020.0203.
Tomasello, G., Mazzola, M., Leone, A., Sinagra, E., Zummo, G., Farina, F., et al. (2016). Nutrition, oxidative stress and intestinal dysbiosis: Influence of diet on gut microbiota in inflammatory bowel diseases. Biomedical Papers of the Medical Faculty of the University Palacky Olomouc Czech Repub, 160, 461-466. https://doi.org/10.5507/bp.2016.052.
Trebicka, J., Bork, P., Krag, A., & Arumugam, M. (2020). Utilizing the gut microbiome in decompensated cirrhosis and acute-on-chronic liver failure. Nature Reviews Gastroenterology & Hepatology, 18, 167-180. 10.1038/s41575-020-00376-3.
Wang, H., Mehal, W., Nagy, L. E., & Rotman, Y. (2021). Immunological mechanisms and therapeutic targets of fatty liver diseases. Cellular & Molecular Immunology, 18, 73-91. https://doi.org/10.1038/s41423-020-00579-3.
Wang, S-C., Chen, Y-C., Chen, S-J., Lee, C-H., & Cheng, C-M. (2020). Alcohol addiction, gut microbiota, and alcoholism treatment: A review. International Journal of Molecular Sciences, 21, 6413. https://doi.org/10.3390/ijms21176413.
Wannamethee, S. G., Shaper, A. G., & Whincup, P. H. (2005) Alcohol and adiposity: effects of quantity and type of drink and time relation with meals. International Journal of Obesity, 29, 1436-1444. 10.1038/sj.ijo.0803034.
Wolk, K., Witte, E., Witte, K., Warszawska, K., & Sabat, R. (2010). Biology of interleukin-22. Seminars in Immunopathology, 32, 17-31. https://doi.org/10.1007/s00281-009-0188-x.
Woźniak, D., Cichy, W., Przysławski, J., & Drzymała-Czyż, S. (2021). The role of microbiota and enteroendocrine cells in maintaining homeostasis in the human digestive tract. Advances in Medical Sciences, 66, 284-292. https://doi.org/10.1016/j.advms.2021.05.003.
Wu, Y., Min, J., Ge, C., Shu, J., Tian, D., Yuan, Y., & Zhou, D. (2020). Interleukin 22 in liver injury, inflammation and cancer. International Journal of Biological Sciences, 16, 2405-2413. https://doi.org/10.7150/ijbs.38925.
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Copyright (c) 2023 Bianca Ferreira de Santana; Martha Elisa Ferreira de Almeida; Beatriz Barakat ; Lucas Inácio de Loyola Vinha; Madalena Geralda Cupertino Ribeiro; Gabrielly Senna Parussolo
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