Harmful gut bacteria linked to alcohol-related liver damage

The role of pathobionts in alcoholic liver disease

NIH-funded research VA San Diego Healthcare System · NIH-11212762

This work looks at whether certain harmful gut bacteria make liver disease worse in people who drink heavily.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionVA San Diego Healthcare System NIH-funded
Lab location1 site (San Diego, United States)
Project IDNIH-11212762 on NIH RePORTER

What this research studies

Researchers compare gut bacteria in stool from people with alcoholic hepatitis, people with alcohol use disorder, and people without liver disease using metagenomic sequencing. They focus on an E. coli gene called kpsM that helps the bacteria hide from liver immune cells and has been linked to worse outcomes. Lab experiments study how kpsM-positive E. coli interacts with liver immune cells and use germ-free mice given patient stool to see if those bacteria worsen alcohol-related liver injury. If you join, you may be asked to provide stool and clinical samples to help link your gut microbes to liver inflammation.

Who could benefit from this research

Good fit: Adults with alcohol use disorder or alcoholic hepatitis, particularly Veterans receiving care at the San Diego VA who can provide stool and blood samples, are the most suitable candidates.

Not a fit: People without alcohol-related liver disease or whose liver problems arise from unrelated causes are unlikely to benefit directly from this research.

Why it matters

Potential benefit: If successful, this work could point to new treatments that target harmful gut bacteria to reduce liver inflammation and improve outcomes for people with alcohol-related liver disease.

How similar studies have performed: Other studies have connected microbiome changes to alcoholic liver disease and animal work supports a bacterial role, but targeting specific bacterial virulence genes like kpsM is a more recent and less-tested approach.

Where this research is happening

San Diego, 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 2026-06-13 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.