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膳食纤维选择性促进肠道细菌,可缓解 2 型糖尿病。

Gut bacteria selectively promoted by dietary fibers alleviate type 2 diabetes.

机构信息

State Key Laboratory of Microbial Metabolism and Ministry of Education Key Laboratory of Systems Biomedicine, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai 200240, China.

Department of Biochemistry and Microbiology and New Jersey Institute for Food, Nutrition, and Health, School of Environmental and Biological Sciences, Rutgers University, NJ 08901, USA.

出版信息

Science. 2018 Mar 9;359(6380):1151-1156. doi: 10.1126/science.aao5774.

Abstract

The gut microbiota benefits humans via short-chain fatty acid (SCFA) production from carbohydrate fermentation, and deficiency in SCFA production is associated with type 2 diabetes mellitus (T2DM). We conducted a randomized clinical study of specifically designed isoenergetic diets, together with fecal shotgun metagenomics, to show that a select group of SCFA-producing strains was promoted by dietary fibers and that most other potential producers were either diminished or unchanged in patients with T2DM. When the fiber-promoted SCFA producers were present in greater diversity and abundance, participants had better improvement in hemoglobin A1c levels, partly via increased glucagon-like peptide-1 production. Promotion of these positive responders diminished producers of metabolically detrimental compounds such as indole and hydrogen sulfide. Targeted restoration of these SCFA producers may present a novel ecological approach for managing T2DM.

摘要

肠道微生物群通过碳水化合物发酵产生短链脂肪酸 (SCFA) 使人类受益,而 SCFA 产生不足与 2 型糖尿病 (T2DM) 有关。我们进行了一项随机临床研究,专门设计了等能量饮食,并结合粪便 shotgun 宏基因组学,结果表明膳食纤维促进了一组特定的 SCFA 产生菌的生长,而大多数其他潜在的产生菌在 T2DM 患者中要么减少,要么不变。当纤维促进的 SCFA 产生菌多样性和丰度增加时,参与者的血红蛋白 A1c 水平得到了更好的改善,部分原因是胰高血糖素样肽-1 的产生增加。促进这些积极反应者会减少代谢有害化合物如吲哚和硫化氢的产生菌。靶向恢复这些 SCFA 产生菌可能为管理 T2DM 提供一种新的生态方法。

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