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肠道微生物群在糖尿病发病机制及治疗中的作用:基于前沿研究的综述

Role of gut microbiota in the pathogenesis and treatment of diabetes mullites: Advanced research-based review.

作者信息

Ye Junjun, Wu Zezhen, Zhao Yifei, Zhang Shuo, Liu Weiting, Su Yu

机构信息

Department of Endocrine and Metabolic Diseases, Longhu Hospital, The First Affiliated Hospital of Shantou University Medical College, Shantou, China.

Shantou University Medical College, Shantou, China.

出版信息

Front Microbiol. 2022 Oct 19;13:1029890. doi: 10.3389/fmicb.2022.1029890. eCollection 2022.

Abstract

Gut microbiota plays an important role in the proper functioning of human organisms, while its dysbiosis is associated with disease in various body organs. Diabetes mellitus (DM) is a set of heterogeneous metabolic diseases characterized by hyperglycemia caused by direct or indirect insulin deficiency. There is growing evidence that gut microbiota dysbiosis is closely linked to the development of DM. Gut microbiota composition changes in type 1 diabetes mullites (T1DM) and type 2 diabetes mullites (T2DM) patients, which may cause gut leakiness and uncontrolled entry of antigens into the circulation system, triggering an immune response that damages the isle β cells or metabolic disorders. This review summarizes gut microbiota composition in healthy individuals and compares it to diabetes mullites patients. The possible pathogenesis by which gut microbiota dysbiosis causes DM, particularly gut leakiness and changes in gut microbiota metabolites is also discussed. It also presents the process of microbial-based therapies of DM.

摘要

肠道微生物群在人体正常功能中发挥着重要作用,而其生态失调与身体各器官的疾病有关。糖尿病(DM)是一组异质性代谢疾病,其特征是由直接或间接胰岛素缺乏引起的高血糖。越来越多的证据表明,肠道微生物群失调与糖尿病的发生密切相关。1型糖尿病(T1DM)和2型糖尿病(T2DM)患者的肠道微生物群组成发生变化,这可能导致肠道通透性增加以及抗原不受控制地进入循环系统,引发免疫反应,损害胰岛β细胞或导致代谢紊乱。本综述总结了健康个体的肠道微生物群组成,并将其与糖尿病患者进行了比较。还讨论了肠道微生物群失调导致糖尿病的可能发病机制,特别是肠道通透性增加和肠道微生物群代谢产物的变化。此外,还介绍了基于微生物的糖尿病治疗过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/760d/9627042/5cf9790a7c49/fmicb-13-1029890-g001.jpg

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