Arora Arpita, Behl Tapan, Sehgal Aayush, Singh Sukhbir, Sharma Neelam, Bhatia Saurabh, Sobarzo-Sanchez Eduardo, Bungau Simona
Chitkara College of Pharmacy, Chitkara University, Punjab, India.
Chitkara College of Pharmacy, Chitkara University, Punjab, India.
Life Sci. 2021 May 15;273:119311. doi: 10.1016/j.lfs.2021.119311. Epub 2021 Mar 1.
Type 2 diabetes mellitus is the most prevalent metabolic disorder characterized by hyperglycemia, hyperlipidemia as well as insulin resistance and is affecting the lives of a huge population across the globe. Genetic mutations, obesity and lack of physical activity constitute the possible factors that can lead to onset and progression of this disorder. However, there is another major factor that can be the root cause of type 2 diabetes mellitus and that is an imbalance in the microorganisms that inhabit the gut. The gut microbiome is a vital component that needs to be given significant attention because any "dysbiosis" in the colonic microorganisms can transform the host from a state of health to a state of disease. This transformation is quite obvious since the gut barrier integrity, host metabolism such as sensitivity to insulin and maintaining blood glucose level are carried out by the tiny organisms inhabiting our intestine. In fact, the normal functioning of the human body is accredited to the microbes, particularly the bacteria, because they generate their metabolites that communicate with host cells and maintain normal physiology. Giving importance to gut health is, therefore, necessary to prevent metabolic diseases that can be maintained by the intake of prebiotics, probiotics, synbiotics along with healthy diet. The tiny microorganisms in the gut that keep our body free of disorders such as type 2 diabetes mellitus need to be in a state of 'eubiosis', else the consequences of disturbance in gut microbes can progress to serious complications in the host.
2型糖尿病是最常见的代谢紊乱疾病,其特征为高血糖、高血脂以及胰岛素抵抗,影响着全球大量人口的生活。基因突变、肥胖和缺乏体育活动是可能导致该疾病发生和发展的因素。然而,还有另一个主要因素可能是2型糖尿病的根本原因,即肠道内微生物的失衡。肠道微生物群是一个至关重要的组成部分,需要给予高度关注,因为结肠微生物的任何“生态失调”都可能使宿主从健康状态转变为疾病状态。这种转变很明显,因为肠道屏障的完整性、宿主代谢(如对胰岛素的敏感性和维持血糖水平)是由栖息在我们肠道内的微小生物完成的。事实上,人体的正常功能归功于微生物,尤其是细菌,因为它们产生与宿主细胞交流并维持正常生理功能的代谢产物。因此,重视肠道健康对于预防代谢疾病是必要的,这可以通过摄入益生元、益生菌、合生元以及健康饮食来维持。肠道内使我们身体免受2型糖尿病等疾病困扰的微小微生物需要处于“微生态平衡”状态,否则肠道微生物紊乱的后果可能会在宿主身上发展为严重并发症。