口服组氨酸可改善 2 型糖尿病患者的血糖控制,其作用机制可能与调节肠道菌群和 MAIT 细胞有关。

Oral histidine affects gut microbiota and MAIT cells improving glycemic control in type 2 diabetes patients.

机构信息

Department of Internal and Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.

Amsterdam Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism (AGEM) Research Institute, Amsterdam, The Netherlands.

出版信息

Gut Microbes. 2024 Jan-Dec;16(1):2370616. doi: 10.1080/19490976.2024.2370616. Epub 2024 Jul 3.

Abstract

Amino acids, metabolized by host cells as well as commensal gut bacteria, have signaling effects on host metabolism. Oral supplementation of the essential amino acid histidine has been shown to exert metabolic benefits. To investigate whether dietary histidine aids glycemic control, we performed a case-controlled parallel clinical intervention study in participants with type 2 diabetes (T2D) and healthy controls. Participants received oral histidine for seven weeks. After 2 weeks of histidine supplementation, the microbiome was depleted by antibiotics to determine the microbial contribution to histidine metabolism. We assessed glycemic control, immunophenotyping of peripheral blood mononucelar cells (PBMC), DNA methylation of PBMCs and fecal gut microbiota composition. Histidine improves several markers of glycemic control, including postprandial glucose levels with a concordant increase in the proportion of MAIT cells after two weeks of histidine supplementation. The increase in MAIT cells was associated with changes in gut microbial pathways such as riboflavin biosynthesis and epigenetic changes in the amino acid transporter SLC7A5. Associations between the microbiome and MAIT cells were replicated in the MetaCardis cohort. We propose a conceptual framework for how oral histidine may affect MAIT cells via altered gut microbiota composition and SLC7A5 expression in MAIT cells directly and thereby influencing glycemic control. Future studies should focus on the role of flavin biosynthesis intermediates and SLC7A5 modulation in MAIT cells to modulate glycemic control.

摘要

氨基酸可被宿主细胞和肠道共生菌代谢,对宿主代谢具有信号作用。口服补充必需氨基酸组氨酸已被证明具有代谢益处。为了研究饮食中的组氨酸是否有助于血糖控制,我们在 2 型糖尿病(T2D)患者和健康对照者中进行了一项病例对照平行临床干预研究。参与者接受口服组氨酸 7 周。在补充组氨酸 2 周后,用抗生素耗尽微生物组以确定微生物对组氨酸代谢的贡献。我们评估了血糖控制、外周血单核细胞(PBMC)的免疫表型、PBMC 的 DNA 甲基化和粪便肠道微生物群落组成。组氨酸改善了几项血糖控制指标,包括餐后血糖水平,在补充组氨酸两周后 MAIT 细胞的比例也相应增加。MAIT 细胞的增加与肠道微生物途径的变化相关,例如核黄素生物合成和氨基酸转运蛋白 SLC7A5 的表观遗传变化。MetaCardis 队列中复制了微生物组和 MAIT 细胞之间的关联。我们提出了一个概念框架,说明口服组氨酸如何通过改变肠道微生物群落组成和 MAIT 细胞中的 SLC7A5 表达来直接影响 MAIT 细胞,从而影响血糖控制。未来的研究应重点关注黄素生物合成中间体和 SLC7A5 在 MAIT 细胞中的调节作用,以调节血糖控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f16/11225920/5ed8e275d40f/KGMI_A_2370616_F0001_OC.jpg

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