Yang Bo Gie, Hur Kyu Yeon, Lee Myung Shik
Severance Biomedical Science Institute & Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Yonsei Med J. 2017 Nov;58(6):1083-1091. doi: 10.3349/ymj.2017.58.6.1083.
Gut microbiota play critical physiological roles in energy extraction from the intestine and in the control of systemic immunity, as well as local intestinal immunity. Disturbance of gut microbiota leads to the development of several diseases, such as colitis, inflammatory bowel diseases, metabolic disorders, cancer, etc. From a metabolic point of view, the gut is a large metabolic organ and one of the first to come into contact with dietary fats. Interestingly, excessive dietary fat has been incriminated as a primary culprit of metabolic syndrome and obesity. After intake of high-fat diet or Western diet, extensive changes in gut microbiota have been observed, which may be an underlying cause of alterations in whole body metabolism and nutrient homeostasis. Here, we summarize recent data on changes in the gut microbiota and immunity associated with dietary fat, as well as their relationships with the pathogenesis of metabolic syndrome. These findings may provide insight into the understanding of the complex pathophysiology related to the development of metabolic diseases and offer an opportunity to develop novel candidates for therapeutic agents.
肠道微生物群在从肠道提取能量以及控制全身免疫和局部肠道免疫方面发挥着关键的生理作用。肠道微生物群的紊乱会导致多种疾病的发生,如结肠炎、炎症性肠病、代谢紊乱、癌症等。从代谢的角度来看,肠道是一个大型代谢器官,也是最早接触膳食脂肪的器官之一。有趣的是,过量的膳食脂肪被认为是代谢综合征和肥胖的主要罪魁祸首。在摄入高脂饮食或西方饮食后,已观察到肠道微生物群发生广泛变化,这可能是全身代谢和营养稳态改变的潜在原因。在此,我们总结了近期关于与膳食脂肪相关的肠道微生物群和免疫变化的数据,以及它们与代谢综合征发病机制的关系。这些发现可能有助于深入理解与代谢疾病发展相关的复杂病理生理学,并为开发新型治疗药物提供机会。