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Review
. 2025 Jun;17(3):1688-1710.
doi: 10.1007/s12602-024-10431-z. Epub 2024 Dec 30.

Effects of Probiotics on Liver Diseases: Current In Vitro and In Vivo Studies

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Review

Effects of Probiotics on Liver Diseases: Current In Vitro and In Vivo Studies

Maryam Sadri et al. Probiotics Antimicrob Proteins. 2025 Jun.

Abstract

Various types of liver or hepatic diseases cause the death of about 2 million people worldwide every year, of which 1 million die from the complications of cirrhosis and another million from hepatocellular carcinoma and viral hepatitis. Currently, the second most common solid organ transplant is the liver, and the current rate represents less than 10% of global transplant requests. Hence, finding new approaches to treat and prevent liver diseases is essential. In liver diseases, the interaction between the liver, gut, and immune system is crucial, and probiotics positively affect the human microbiota. Probiotics are a non-toxic and biosafe alternative to synthetic chemical compounds. Health promotion by lowering cholesterol levels, stimulating host immunity, the natural gut microbiota, and other functions are some of the activities of probiotics, and their metabolites, including bacteriocins, can exert antimicrobial effects against a broad range of pathogenic bacteria. The present review discusses the available data on the results of preclinical and clinical studies on the effects of probiotic administration on different types of liver diseases.

Keywords: Hepatic diseases; In vivo and in vitro studies; Liver diseases; Probiotics.

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Conflict of interest statement

Declarations. Ethics Approval and Consent to Participate: Not applicable. Consent for Publication: Not applicable. Competing Interests: The authors declare no competing interests.

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