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. 2023 Mar 24;24(7):6123. doi: 10.3390/ijms24076123

Table 1.

Summary of studies about dysbiosis observed in patients with non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).

Study Population Number Liver Biopsy Sample Results
Li F. 2021 [18] NAFLD patients 15
studies (1265)
9 studies Stool Increase in Escherichia, Prevotella and Streptococcus
Decrease in Coprococcus, Faecalibacterium and Ruminococcus
No differences in Bifidobacterium, Blautia, Clostridium, Dorea, Lactobacillus, Parabacteroides or Roseburia
Wang B. 2016 [19] Non obese adult patients with or without NAFLD 126 - Stool Reduction in diversity. Increase in gram negative and decrease in gram positive
Increase in Bacteroidetes (Bacteroidia)
Decrease in Firmicutes (Lachnospiraceae, Ruminococcaceae, Lactobacillaceae and Peptostreptococcaceae)
Schwimmer J. 2019 [20] Children with NAFLD vs. overweight or obese 124 Yes Stool Increase in Bacteroidetes and Proteobacteriae
Decrease in Firmicutes and Lower α-diversity; No difference in β-diversity
NASH individuals: more Proteobacteriae and lower α-diversity
F1: increase in Verrucomicrobia and Firmicutes; F ≥ 2: Bacteroidetes, Proteobacteria and TM7
Zhu L. 2013 [22] Children and adolescents with NASH or obesity vs healthy controls 63 Yes Stool Low species abundance
Increase in Bacteroidetes (Prevotellaceae) and increase in Proteobacteriae (Enterobacteriae: E: coli; 90% OTU #20341)
Decrease in Firmicutes (Lachanospiraceae and Ruminococcaceae) and decrease in Actinobacteriae (Bifidobacterium)
Boursier J. 2016 [21] NAFLD patients 57 Yes Stool Increase in Bacteroides and decrease in Prevotella in NASH patients
Increase in Bacteroides and Ruminococcus in patients with significant fibrosis (F ≥ 2); decrease in Prevotella in patients with significant fibrosis (F ≥ 2)
Duarte S. 2018 [23] Individuals with NASH vs lean healthy controls 23 Yes Stool Lean NASH: lower abundance of Faecalibacterium and Ruminococcus
Overweight NASH: enriched in Bifidobacterium
Obese NASH: enriched in Lactobacilli
Loomba R. 2017 [24] NAFLD patients (F0–2 vs. F3–4) 87 Yes Stool F0–2: more abundance of Firmicutes; F3–4: more abundance of Proteobacteria