Guo Yajie, Huang Zihua, Sang Dan, Gao Qiong, Li Qingjiao
The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Front Bioeng Biotechnol. 2020 Sep 15;8:575442. doi: 10.3389/fbioe.2020.575442. eCollection 2020.
Type 2 diabetes (T2D) is a rapidly growing epidemic, which leads to increased mortality rates and health care costs. Nutrients (namely, carbohydrates, fat, protein, mineral substances, and vitamin), sensing, and management are central to metabolic homeostasis, therefore presenting a leading factor contributing to T2D. Understanding the comprehensive effects and the underlying mechanisms of nutrition in regulating glucose metabolism and the interactions of diet with genetics, epigenetics, and gut microbiota is helpful for developing new strategies to prevent and treat T2D. In this review, we discuss different mechanistic pathways contributing to T2D and then summarize the current researches concerning associations between different nutrients intake and glucose homeostasis. We also explore the possible relationship between nutrients and genetic background, epigenetics, and metagenomics in terms of the susceptibility and treatment of T2D. For the specificity of individual, precision nutrition depends on the person's genotype, and microbiota is vital to the prevention and intervention of T2D.
2型糖尿病(T2D)是一种迅速蔓延的流行病,会导致死亡率上升和医疗成本增加。营养物质(即碳水化合物、脂肪、蛋白质、矿物质和维生素)的感知与管理是代谢稳态的核心,因此是导致T2D的一个主要因素。了解营养在调节葡萄糖代谢中的综合作用及潜在机制,以及饮食与遗传学、表观遗传学和肠道微生物群的相互作用,有助于制定预防和治疗T2D的新策略。在本综述中,我们讨论了导致T2D的不同机制途径,然后总结了当前关于不同营养素摄入与葡萄糖稳态之间关联的研究。我们还从T2D的易感性和治疗方面探讨了营养素与遗传背景、表观遗传学和宏基因组学之间的可能关系。就个体特异性而言,精准营养取决于个体的基因型,而微生物群对T2D的预防和干预至关重要。