You Huimin, Tan Yue, Yu Dawei, Qiu Shuting, Bai Yan, He Jincan, Cao Hua, Che Qishi, Guo Jiao, Su Zhengquan
Guangdong Engineering Research Center of Natural Products and New Drugs, Guangdong Provincial University Engineering Technology Research Center of Natural Products and Drugs, Guangdong Pharmaceutical University, Guangzhou, China.
Key Laboratory of Glucolipid Metabolic Disorder, Guangdong TCM Key Laboratory for Metabolic Diseases, Guangdong Metabolic Disease Research Center of Integrated Chinese and Western Medicine, Ministry of Education of China, Guangdong Pharmaceutical University, Guangzhou, China.
Front Nutr. 2022 May 17;9:886902. doi: 10.3389/fnut.2022.886902. eCollection 2022.
Intestinal environment disorder is a potential pathological mechanism of obesity. There is increasing evidence that disorders in the homeostasis of the intestinal environment can affect various metabolic organs, such as fat and liver, and lead to metabolic diseases. However, there are few therapeutic approaches for obesity targeting the intestinal environment. In this review, on the one hand, we discuss how intestinal microbial metabolites SCFA regulate intestinal function to improve obesity and the possible mechanisms and pathways related to obesity-related pathological processes (depending on SCFA-related receptors such as GPCRs, MCT and SMCT, and through epigenetic processes). On the other hand, we discuss dietary management strategies to enrich SCFA-producing bacteria and target specific SCFA-producing bacteria and whether fecal bacteria transplantation therapy to restore the composition of the gut microbiota to regulate SCFA can help prevent or improve obesity. Finally, we believe that it will be of great significance to establish a working model of gut- SCFA- metabolic disease development in the future for the improvement this human health concern.
肠道环境紊乱是肥胖潜在的病理机制。越来越多的证据表明,肠道环境稳态失调会影响各种代谢器官,如脂肪和肝脏,并导致代谢性疾病。然而,针对肠道环境治疗肥胖的方法却很少。在这篇综述中,一方面,我们讨论肠道微生物代谢产物短链脂肪酸(SCFA)如何调节肠道功能以改善肥胖,以及与肥胖相关病理过程相关的可能机制和途径(取决于与SCFA相关的受体,如G蛋白偶联受体、单羧酸转运体和钠依赖性单羧酸转运体,并通过表观遗传过程)。另一方面,我们讨论丰富产SCFA细菌的饮食管理策略以及针对特定产SCFA细菌的策略,以及粪便细菌移植疗法恢复肠道微生物群组成以调节SCFA是否有助于预防或改善肥胖。最后,我们认为,未来建立肠道-SCFA-代谢性疾病发展的工作模型对于改善这一人类健康问题具有重要意义。