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Multi-omics Analysis Reveals the Protection of a Quadruple Probiotic Mixture in Experimental Autoimmune Hepatitis

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Editor's note
Restoring gut barrier function through targeted probiotics may blunt the autoimmune attack on liver tissue—a mechanism that could expand treatment options for autoimmune hepatitis beyond current immunosuppressants. This work advances the mechanistic case for microbiota-directed therapy in autoimmune disease, though human efficacy and the optimal bacterial consortium remain unsettled questions. Hepatologists and immunologists studying barrier-mediated autoimmunity should engage closely with these findings.

Source: europepmc · Origin: CN · Chen Y, Wang S, Chen A, Lin Z, Wang H, Li W, Liu J, Yao J, Tian D, Lei Y, Liu M. · Probiotics and antimicrobial proteins · 2026-05-23

URL: https://pubmed.ncbi.nlm.nih.gov/42176246/

AI rationale (4/5, tier: unclassified): Gut microbiota-mediated hepatic immunity via barrier function; mechanistic microbiome-host signaling relevant to mucosa.


Autoimmune hepatitis (AIH) is a chronic progressive inflammatory liver disease with a rising global incidence. The treatment of AIH remains challenging because first-line drugs show limited efficacy and systemic side effects. Gut microbiota plays a crucial role in the pathogenesis of AIH, leading to growing interest in developing probiotic-based therapies. In this study, we used multi-omics analysis to investigate the therapeutic effects of a quadruple probiotic mixture (Probiotic-quad) consisting of Bifidobacterium infantis, Lactobacillus acidophilus, Enterococcus faecalis, and Bacillus cereus in a well-established chronic AIH murine model. Our results showed that Probiotic-quad treatment significantly alleviated AIH progression, as evidenced by lower serum liver enzyme levels, ameliorated hepatic inflammatory infiltration and histopathological damage. Metagenomic sequencing results showed that gut dysbiosis in AIH mice was partially reversed after Probiotic-quad administration. Additionally, the integrity of the intestinal epithelial barrier was restored, accompanied by a reduction in serum lipopolysaccharide levels. Untargeted metabolomic and transcriptomic analysis revealed that Probiotic-quad treatment was linked to alterations in hepatic metabolism, including the citrate cycle and tryptophan metabolism, and was associated with reduced activation of the NF-κB and NOD-like receptor signaling pathways. These findings suggest that Probiotic-quad treatment ameliorates AIH severity and is potentially associated with changes in hepatic immune responses, metabolism, gut microbiota, and intestinal barrier function, highlighting its potential as an adjuvant therapy for AIH.

Published 2026-05-28 · Last kit-update 2026-05-28