Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, the Netherlands .
Amsterdam Gastroenterology Endocrinology Metabolism, Research Institute, Amsterdam, the Netherlands .
Am J Gastroenterol. 2024 Jun 1;119(6):1038-1046. doi: 10.14309/ajg.0000000000002730. Epub 2024 Feb 19.
The metabolic syndrome (MetSyn) is currently one of the biggest global health challenges because of its impact on public health. MetSyn includes the cluster of metabolic disorders including obesity, high blood pressure, hyperglycemia, high triglyceride levels, and hepatic steatosis. Together, these abnormalities increase the cardiovascular risk of individuals and pose a threat to healthcare systems worldwide. To better understand and address this complex issue, recent research has been increasingly focusing on unraveling the delicate interplay between metabolic disorders and the intestines and more specifically our gut microbiome. The gut microbiome entails all microorganisms inhabiting the gastrointestinal tract and plays a pivotal role in metabolic processes and overall health of its host. Emerging evidence proves an association between the gut microbiome composition and aspects of MetSyn, such as obesity. Understanding these relationships is crucial because they offer valuable insights into the mechanisms underlying development and progression of metabolic disorders and possible treatment options. Yet, how should we interpret this relationship? This review focuses on the interplay between the gut and MetSyn. In addition, we have reviewed the existing evidence of the gut microbiome and its association with and impact on metabolic disorders, in an attempt to understand the complex interactions and nature of this association. We also explored potential therapeutic options targeting the gut to modify metabolic disorders and obesity.
代谢综合征(MetSyn)目前是全球最大的健康挑战之一,因为它对公众健康产生了影响。MetSyn 包括一系列代谢紊乱,包括肥胖、高血压、高血糖、高甘油三酯水平和肝脂肪变性。这些异常共同增加了个体的心血管风险,并对全球医疗保健系统构成威胁。为了更好地理解和解决这个复杂的问题,最近的研究越来越关注解开代谢紊乱与肠道之间的微妙相互作用,更具体地说是我们的肠道微生物组。肠道微生物组包括居住在胃肠道中的所有微生物,在代谢过程和宿主的整体健康中起着关键作用。新出现的证据证明了肠道微生物组组成与 MetSyn 某些方面(如肥胖)之间存在关联。理解这些关系至关重要,因为它们为理解代谢紊乱的发展和进展的机制以及可能的治疗选择提供了有价值的见解。那么,我们应该如何解释这种关系呢?本综述重点关注肠道与 MetSyn 之间的相互作用。此外,我们还回顾了肠道微生物组及其与代谢紊乱的关联及其对代谢紊乱的影响的现有证据,试图了解这种关联的复杂相互作用和性质。我们还探讨了针对肠道的潜在治疗选择,以改变代谢紊乱和肥胖。