Table 2.
Human studies investigating microbiota involvement in the development of NAFLD and NASH.
| Study | Technique | Groups | Samples | Main findings | |
|---|---|---|---|---|---|
| NAFLD | Michail et al., 2015 [52] | 16s rRNA Microarray microbial community profiling | 13 obese children with NAFLD 11 obese children without NAFLD 26 healthy children  | 
Stool | Obese children with NAFLD: ↑ Gammaproteobacteria ↑ Epsilonproteobacteria ↑ Prevotella  | 
| Spencer et al., 2011 [53] | 16s rRNA V1–V2 region sequence analysis | 15 individuals: 10 days normal diet (baseline), then 42 days choline-depleted diet. Back to 10 days normal diet  | 
Multiple stool samples from multiple time points | Baseline samples: ↑ Gammaproteobacter at baseline correlates to lower risk of developing fatty liver on low-choline diet. ↑ Erysipelotrichia at baseline correlates to higher risk of developing fatty liver on low-choline diet.  | 
|
| Raman et al., 2013 [55] | 16s rRNA V1–V2 region sequence analysis | 30 obese NAFLD patients 30 healthy controls  | 
stool | Obese NAFLD versus healthy controls: ↑ Lactobacillus ↓ Firmicutes ↓ Oscillibacteria  | 
|
| NASH | Zhu et al., 2013 [56] | 16s rRNA V4–V5 region sequence analysis | 22 NASH children 25 obese children 16 healthy controls  | 
stool | Obese and NASH versus Healthy controls: ↑ Bacteroidetes ↑ Prevotella NASH versus obese and healthy controls ↑ Proteobacter ↑ Enterobacteriaceae ↑ Escherichia  | 
| Wong et al., 2013 [136] | 16s rRNA V1–V2 region sequence analysis | 16 NASH patients 22 Healthy controls  | 
stool | NASH versus healthy controls: ↓ Firmicutes No Change – Bacteroidetes ↑ Parabacteroides ↑ Allisonella ↓ Faecalibacterium ↓ Anaerosporobacter  | 
|
| Boursier et al., 2016 [59] | 16s rRNA V4 region sequence analysis | 22 NAFLD patients 35 NASH patients  | 
stool | NASH versus NAFLD: ↑ Bacteroidetes  |