Intestinal Fungal Dysbiosis and Systemic Immune Response to Fungi in Patients With Alcoholic Hepatitis

酒精性肝炎患者的肠道真菌失调和全身对真菌的免疫反应

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作者:Sonja Lang, Yi Duan, Jinyuan Liu, Manolito G Torralba, Claire Kuelbs, Meritxell Ventura-Cots, Juan G Abraldes, Francisco Bosques-Padilla, Elizabeth C Verna, Robert S Brown Jr, Victor Vargas, Jose Altamirano, Juan Caballería, Debbie Shawcross, Michael R Lucey, Alexandre Louvet, Philippe Mathurin, Gua

Conclusion

Patients with alcohol-associated liver disease have a lower fungal diversity with an overgrowth of Candida compared with controls. Higher serum ASCA was associated with increased mortality in patients with alcoholic hepatitis. Intestinal fungi may serve as a therapeutic target to improve survival, and ASCA may be useful to predict the outcome in patients with alcoholic hepatitis.

Trial registration

ClinicalTrials.gov NCT02075918.

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