Laboratory of Nutritional Biochemistry, Department of Applied Biosciences, Graduate School of Bioagricultural Sciences, Nagoya University, Nagoya 464-8601, Aichi, Japan.
Department of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Aichi, Japan.
Nutrients. 2021 Aug 27;13(9):2983. doi: 10.3390/nu13092983.
Insulin resistance leads to the onset of medical conditions such as type 2 diabetes, and its development is associated with the alteration in the gut microbiota. Although it has been demonstrated that supplementation with prebiotics modulates the gut microbiota, limited evidence is available for effects of prebiotics on insulin resistance, especially for humans. We investigated the prebiotic effect of 1-kestose supplementation on fasting insulin concentration in obesity-prone humans and rats. In the preliminary study using rats, the hyperinsulinemia induced by high-fat diet was suppressed by intake of water with 2% (/) 1-kestose. In the clinical study using obese-prone volunteers, the fasting serum insulin level was significantly reduced from 6.5 µU/mL (95% CI, 5.5-7.6) to 5.3 (4.6-6.0) by the 12-week intervention with supplementation of 10 g 1-kestose/day, whereas it was not changed by the intervention with placebo (6.2 µU/mL (5.4-7.1) and 6.5 (5.5-7.6) before and after intervention, respectively). The relative abundance of fecal was significantly increased to 0.3244 (SD, 0.1526) in 1-kestose-supplemented participants compared to that in control participants (0.1971 (0.1158)). These results suggest that prebiotic intervention using 1-kestose may potentially ameliorate insulin resistance in overweight humans via the modulation of the gut microbiota. UMIN 000028824.
胰岛素抵抗会导致 2 型糖尿病等医学病症的发生,其发展与肠道微生物群的改变有关。虽然已经证明,补充益生元可以调节肠道微生物群,但关于益生元对胰岛素抵抗的影响的证据有限,特别是针对人类。我们研究了 1-蔗果三糖补充对肥胖易感人群和大鼠空腹胰岛素浓度的益生元作用。在使用大鼠的初步研究中,高脂肪饮食引起的高胰岛素血症通过摄入含 2%(/)1-蔗果三糖水得到抑制。在使用肥胖易感志愿者的临床研究中,通过 12 周每天补充 10 克 1-蔗果三糖的干预,空腹血清胰岛素水平从 6.5µU/mL(95%CI,5.5-7.6)显著降低至 5.3(4.6-6.0),而安慰剂干预没有变化(分别为 6.2µU/mL(5.4-7.1)和 6.5(5.5-7.6))。与对照组相比,1-蔗果三糖补充组粪便中的相对丰度显著增加到 0.3244(SD,0.1526)(0.1971(0.1158))。这些结果表明,通过调节肠道微生物群,使用 1-蔗果三糖的益生元干预可能潜在地改善超重人群的胰岛素抵抗。UMIN 000028824。
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