Evidence map›Paper›PMID 42057131›Full record

ReviewJournal of nanobiotechnology2026

Engineered live bacteria for liver diseases and gut-liver axis disorders: from genetic modification to advanced delivery systems.

Yanan Zhang, Yawen Zhu, Yun Yang, Dayu Chen, Jinglin Wang

Abstract readReview
In one paragraph

Review in Journal of nanobiotechnology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yanan Zhang *Division of Hepatobiliary and Transplantation Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, Clinical College of Nanjing University of Chinese Medicine, Nanjing, 210008, China.
Yawen Zhu *Division of Hepatobiliary and Transplantation Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, Clinical College of Nanjing University of Chinese Medicine, Nanjing, 210008, China.
Yun YangDepartment of Stomatology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210008, China. lizhen8127@163.com.
Dayu ChenDepartment of Pharmacy, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210008, China. cdy_pharmacy@njglyy.com.
Jinglin WangDivision of Hepatobiliary and Transplantation Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, Clinical College of Nanjing University of Chinese Medicine, Nanjing, 210008, China. jinglinwang@njglyy.com.

Funding

the National Natural Science Foundation of China 82270646
6 · The paper itself

Abstract

Liver diseases, including hepatocellular carcinoma (HCC), non-alcoholic fatty liver disease (NAFLD), and alcoholic liver disease (ALD), impose a significant global health burden, with over 2 million deaths annually and substantial economic losses. Current treatments, primarily pharmacological, face challenges such as insufficient efficacy, poor absorption, and drug resistance. The liver-gut axis, a critical pathway linking the liver and intestines, offers a therapeutic target for these diseases. Engineered live bacteria, modified through genetic engineering and synthetic biology, have emerged as a promising alternative. These bacteria can be designed to deliver therapeutic agents directly to the liver or gut, enhancing efficacy and reducing systemic side effects. This review explores the application of engineered live bacteria in treating liver diseases, focusing on strains such as Bifidobacterium, Escherichia coli Nissle 1917 (EcN), Bacillus subtilis (B. subtilis), Saccharomyces boulardii (S. boulardii), and Lactobacillus reuteri (L. reuteri). It also pays attention to the internal genetic modification and external covalent connection of the original live bacteria. We discuss the design of dosage forms, including capsule formulations, microencapsulation, and nanopreparations, and administration methods like oral and in situ injection. Additionally, we address the challenges and future prospects of using engineered live bacteria to target liver diseases and related conditions, aiming to advance their clinical application and reduce the global burden of liver diseases.

Indexed as

BacteriaDrug Delivery SystemsLiver DiseasesAnimalsGenetic EngineeringHumansLiverProbioticsDrug deliveryEngineered live bacteriaGut-liver axisLiver diseasesTherapeutics

Identifiers

PMID42057131
PMCPMC13274016

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.