Intermittent fasting and metabolic dysfunction-associated steatotic liver disease: the potential role of the gut-liver axis

Abstract Metabolic dysfunction-associated steatotic liver disease (MASLD) is a growing public health concern linked to the increasing prevalence of metabolic syndrome, including obesity and type 2 diabetes (T2D). MASLD remains a significant clinical challenge due to the absence of effective therapeu...

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Main Authors: Zhaoxi Zhang, Alice Pik-Shan Kong, Vincent Wai-Sun Wong, Hannah Xiaoyan Hui
Format: Article
Language:English
Published: BMC 2025-05-01
Series:Cell & Bioscience
Online Access:https://doi.org/10.1186/s13578-025-01406-w
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author Zhaoxi Zhang
Alice Pik-Shan Kong
Vincent Wai-Sun Wong
Hannah Xiaoyan Hui
author_facet Zhaoxi Zhang
Alice Pik-Shan Kong
Vincent Wai-Sun Wong
Hannah Xiaoyan Hui
author_sort Zhaoxi Zhang
collection DOAJ
description Abstract Metabolic dysfunction-associated steatotic liver disease (MASLD) is a growing public health concern linked to the increasing prevalence of metabolic syndrome, including obesity and type 2 diabetes (T2D). MASLD remains a significant clinical challenge due to the absence of effective therapeutic interventions. Intermittent fasting (IF) has emerged as a promising non-pharmacological strategy for managing MASLD. Although the exact mechanisms underpinning the possible beneficial effects of IF on MASLD are not yet fully elucidated, the gut microbiota and its metabolic byproducts are increasingly recognized as potential mediators of these effects. The gut-liver axis may act as an important conduit through which IF exerts its beneficial influence on hepatic function. This review comprehensively examines the impact of various IF protocols on gut microbiota composition, investigating the resultant alterations in microbial diversity and metabolomic profiles, and their potential implications for liver health and the improvement of MASLD.
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spelling doaj-art-cb06a21d8eaa430689b9cf60a3f7e8f62025-08-20T02:34:19ZengBMCCell & Bioscience2045-37012025-05-0115112710.1186/s13578-025-01406-wIntermittent fasting and metabolic dysfunction-associated steatotic liver disease: the potential role of the gut-liver axisZhaoxi Zhang0Alice Pik-Shan Kong1Vincent Wai-Sun Wong2Hannah Xiaoyan Hui3School of Biomedical Sciences, The Chinese University of Hong KongDepartment of Medicine and Therapeutics, The Chinese University of Hong KongInstitute of Digestive Disease and Department of Medicine and Therapeutics, State Key Laboratory of Digestive Disease, Li Ka Shing Institute of Health Sciences, Shenzhen Research Institute, The Chinese University of Hong KongSchool of Biomedical Sciences, The Chinese University of Hong KongAbstract Metabolic dysfunction-associated steatotic liver disease (MASLD) is a growing public health concern linked to the increasing prevalence of metabolic syndrome, including obesity and type 2 diabetes (T2D). MASLD remains a significant clinical challenge due to the absence of effective therapeutic interventions. Intermittent fasting (IF) has emerged as a promising non-pharmacological strategy for managing MASLD. Although the exact mechanisms underpinning the possible beneficial effects of IF on MASLD are not yet fully elucidated, the gut microbiota and its metabolic byproducts are increasingly recognized as potential mediators of these effects. The gut-liver axis may act as an important conduit through which IF exerts its beneficial influence on hepatic function. This review comprehensively examines the impact of various IF protocols on gut microbiota composition, investigating the resultant alterations in microbial diversity and metabolomic profiles, and their potential implications for liver health and the improvement of MASLD.https://doi.org/10.1186/s13578-025-01406-w
spellingShingle Zhaoxi Zhang
Alice Pik-Shan Kong
Vincent Wai-Sun Wong
Hannah Xiaoyan Hui
Intermittent fasting and metabolic dysfunction-associated steatotic liver disease: the potential role of the gut-liver axis
Cell & Bioscience
title Intermittent fasting and metabolic dysfunction-associated steatotic liver disease: the potential role of the gut-liver axis
title_full Intermittent fasting and metabolic dysfunction-associated steatotic liver disease: the potential role of the gut-liver axis
title_fullStr Intermittent fasting and metabolic dysfunction-associated steatotic liver disease: the potential role of the gut-liver axis
title_full_unstemmed Intermittent fasting and metabolic dysfunction-associated steatotic liver disease: the potential role of the gut-liver axis
title_short Intermittent fasting and metabolic dysfunction-associated steatotic liver disease: the potential role of the gut-liver axis
title_sort intermittent fasting and metabolic dysfunction associated steatotic liver disease the potential role of the gut liver axis
url https://doi.org/10.1186/s13578-025-01406-w
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