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Microbes & Immunity





                                        ORIGINAL RESEARCH ARTICLE
                                        Hydrogen alleviates non-alcoholic fatty liver

                                        disease in mice by regulating intestinal flora



                                        Yu Wang 1,2†  , Fan Zhang 1†  , Yan Tian 2  , Yunxi Chen 2  , Jianjun Zhou * , and
                                                                                                     2
                                        Youzhen Wei 2,3,4,5 *
                                        1 Department of Microbiology and Immunology, Shanxi Medical University, Taiyuan, Shanxi, China
                                        2 Research Center for Translational Medicine, Tongji University Affiliated East Hospital, Shanghai, China
                                        3 Hydrogen Medicine Center, the Affiliated Hospital of Qingdao University Taian City Central Hospital,
                                        Taian, Shandong, China
                                        4 Research Center for  Translational Medicine, Jinan People’s Hospital, Shandong First Medical
                                        University, Jinan, Shandong, China
                                        5 Department of Rehabilitation Medicine, Jinan Hospital (Jinan City Rehabilitation Hospital), Jinan,
                                        Shandong, China



                                        Abstract

                                        Despite being the most common form of chronic liver disease, there are still no
                                        approved drugs for the treatment of non-alcoholic fatty liver disease (NAFLD). The

            † These authors contributed equally   aim of this study was to elucidate the therapeutic effects and possible mechanisms
            to this work.               of hydrogen (H ) inhalation in mice with NAFLD. Male C57BL/6 mice (6 weeks old)
                                                     2
            *Corresponding authors:     were fed either a 60% fat diet (high-fat diet [HFD]) or a 10% fat diet (normal diet)
            Jianjun Zhou                for 11  weeks.  Then, H  was administered to random HFD-fed mice for another
                                                           2
            (zhoujj_2000@aliyun.com)    11  weeks before they were euthanized. Biochemical analysis of serum samples,
            Youzhen Wei
            (wei-youzhen@163.com)       histological  analysis  of liver and  ileum  samples, 16S  rRNA  sequencing  analysis  of
                                        stool samples, and analysis of the expression levels of related factors by enzyme-
            Citation: Wang Y, Zhang F, Tian Y,   linked immunosorbent assay were conducted to determine the effect of H
            Chen Y, Zhou J, Wei Y. Hydrogen                                                                  2
            alleviates non-alcoholic fatty liver   intervention on NAFLD. H  inhalation alleviated hyperglycemia and impaired glucose
                                                             2
            disease in mice by regulating   tolerance; decreased the serum concentrations of triglycerides, cholesterol, alanine
            intestinal flora. Microbes &   aminotransferase, aspartate aminotransferase, lipopolysaccharide, and tumor
            Immunity. 2024;1(2):70-80.
            doi: 10.36922/mi.3896       necrosis factor-alpha; and ameliorated liver injury by a HFD, although no weight
                                        loss was observed. Interestingly, H  inhalation increased the relative abundance of
            Received: June 8, 2024                                   2
                                        Akkermansia muciniphila and decreased the  Firmicutes-to-Bacteroidia ratio in the
            Accepted: August 29, 2024   intestinal tract of NAFLD mice. These data indicate that H  alleviated the symptoms
                                                                                        2
            Published Online: October 29,   of NAFLD by increasing the abundance of A. muciniphila in the intestine. Thus, H  may
                                                                                                         2
            2024                        be a new potential treatment strategy for patients with NAFLD.
            Copyright: © 2024 Author(s).
            This is an Open-Access article
            distributed under the terms of the   Keywords: Hydrogen; Non-alcoholic fatty liver disease; Intestinal flora; High-fat diet
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,
            provided the original work is
            properly cited.             1. Introduction
            Publisher’s Note: AccScience   Non-alcoholic fatty liver disease (NAFLD), which is caused by unknown factors other
            Publishing remains neutral with   than alcohol and other factors of liver injury, refers to a clinicopathological syndrome
            regard to jurisdictional claims in                                             1
            published maps and institutional   that is characterized by excessive deposition of fat in liver cells.  NAFLD is one of the
            affiliations.               most common liver diseases. With the increasing prevalence, NAFLD has become the



            Volume 1 Issue 2 (2024)                         70                               doi: 10.36922/mi.3896
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