Betaine to protect the liver by fixing gut-liver damage in alcohol-related liver disease

Gut-Liver Axis in the Pathogenesis of Alcohol-Associated Liver Disease: Protection by Betaine Treatment

NIH-funded research Omaha VA Medical Center · NIH-11264784

Researchers are testing whether betaine, a natural compound, can protect the livers of people with alcohol-related liver disease by repairing the gut barrier and lowering harmful gut-derived toxins.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionOmaha VA Medical Center NIH-funded
Lab location1 site (Omaha, United States)
Project IDNIH-11264784 on NIH RePORTER

What this research studies

You would learn whether alcohol weakens the intestinal barrier and allows harmful bacterial products to reach the liver, driving inflammation. The team will study gut microbes, intestinal tight junctions, and levels of microbial molecules in the blood and liver using laboratory models and tissue or blood samples. They will give betaine to see if it restores the gut barrier and reduces liver inflammation and cell injury. Results could point toward new treatment options for people with alcoholic hepatitis.

Who could benefit from this research

Good fit: Adults with alcohol-associated liver disease or recent alcoholic hepatitis, particularly those receiving care through the VA, would be the most relevant candidates for related clinical testing.

Not a fit: People whose liver disease is caused by non-alcohol conditions or those with very advanced, end-stage cirrhosis may not benefit from this approach.

Why it matters

Potential benefit: If successful, this work could lead to a treatment that reduces liver inflammation and injury in people with alcohol-associated liver disease.

How similar studies have performed: Preclinical studies in animals have suggested betaine and gut-targeted approaches can reduce alcohol-related liver injury, but human trials remain limited.

Where this research is happening

Omaha, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Alcoholic Liver Diseases
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.