Department of Basic Medical Sciences, Western University of Health Sciences, College of Osteopathic Medicine, Pomona, CA 91766, USA.
Department of Biomedical Sciences, College of Medicine and Biological Science, University of Suceava, 720229 Suceava, Romania.
Nutrients. 2023 Jul 28;15(15):3365. doi: 10.3390/nu15153365.
Obesity is a multifactorial disease that continues to increase in prevalence worldwide. Emerging evidence has shown that the development of obesity may be influenced by taxonomic shifts in gut microbiota in response to the consumption of dietary fats. Further, these alterations in gut microbiota have been shown to promote important changes in satiation signals including gut hormones (leptin, ghrelin, GLP-1, peptide YY and CCK) and orexigenic and anorexigenic neuropeptides (AgRP, NPY, POMC, CART) that influence hyperphagia and therefore obesity. In this review, we highlight mechanisms by which gut microbiota can influence these satiation signals both locally in the gastrointestinal tract and via microbiota-gut-brain communication. Then, we describe the effects of dietary interventions and associated changes in gut microbiota on satiety signals through microbiota-dependent mechanisms. Lastly, we present microbiota optimizing therapies including prebiotics, probiotics, synbiotics and weight loss surgery that can help restore beneficial gut microbiota by enhancing satiety signals to reduce hyperphagia and subsequent obesity. Overall, a better understanding of the mechanisms by which dietary fats induce taxonomical shifts in gut microbiota and their impact on satiation signaling pathways will help develop more targeted therapeutic interventions in delaying the onset of obesity and in furthering its treatment.
肥胖是一种多因素疾病,其发病率在全球范围内持续上升。新出现的证据表明,肥胖的发展可能受到肠道微生物群落对膳食脂肪消耗的分类学变化的影响。此外,这些肠道微生物群落的改变已被证明可促进饱腹感信号的重要变化,包括肠道激素(瘦素、胃饥饿素、GLP-1、肽 YY 和 CCK)和食欲促进和食欲抑制神经肽(AgRP、NPY、POMC、CART),这些变化会影响过食,从而导致肥胖。在这篇综述中,我们强调了肠道微生物群如何通过局部在胃肠道和通过微生物群-肠道-大脑通讯来影响这些饱腹感信号的机制。然后,我们描述了饮食干预和相关的肠道微生物群变化通过微生物群依赖性机制对饱腹感信号的影响。最后,我们提出了可以通过增强饱腹感信号来减少过食和随后的肥胖,从而帮助恢复有益的肠道微生物群的微生物群优化治疗方法,包括益生元、益生菌、合生菌和减肥手术。总的来说,更好地了解膳食脂肪如何引起肠道微生物群的分类学变化及其对饱腹感信号通路的影响,将有助于开发更有针对性的治疗干预措施,以延缓肥胖的发生,并进一步治疗肥胖。
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