“…Integrity of the mucosal barrier can be disrupted by dysbiosis of the microbiome caused by inflammation, infections, antibiotic usage, western diet, or alcohol consumption [ 41 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ]. The mucus layer interacts with the microbiome and lower abundance of Akkermansia muciniphila was shown to decrease the mucus film [ 52 , 53 , 54 , 55 , 56 , 57 ]. An impaired gut barrier allows microbes and PAMPs to pass and reach the liver via the portal vein [ 34 ].…”