妊娠期糖尿病与肠道菌群及其代谢产物的关系。

The Association between Gut Microbiota and Its Metabolites in Gestational Diabetes Mellitus.

机构信息

Department of Clinical Laboratory, the Affiliated Hospital of Putian University, Putian, Fujian 351100, P.R. China.

Key Laboratory of Medical Microecology (Putian University), Fujian Province University, Putian, Fujian 351100, P.R. China.

出版信息

J Microbiol Biotechnol. 2024 Oct 28;34(10):1995-2004. doi: 10.4014/jmb.2403.03064. Epub 2024 Jul 24.

Abstract

Gut microbial metabolites have been demonstrated to play a role in diabetes mellitus and gestational diabetes mellitus (GDM). This study aimed to investigate gut microbiome, fecal metabolomics, and their association in pregnant women with and without GDM. The metabolome indicated that the top 2 differential metabolic pathways between control (Con) and GDM groups were phenylalanine metabolism and nucleotide metabolism. The increased Phenylalanylglycine, m-coumaric acid, and Phenylacetic acid were among the top differential metabolites between Con and GDM groups and involved in phenylalanine metabolism. Uracil and hypoxanthine were top differential metabolites in Con vs. GDM and involved in nucleotide metabolism. The proficiently altered gut microbiota at the class level was c_unclassified_ Firmicutes. Association analysis between gut microbiota and fecal metabolites indicated that the increased gut symbiont Clostridium belonged to Firmicutes and was linked to the dysregulation of phenylalanine metabolism in GDM. This study may provide the mechanism underlying how Clostridium-phenylalanine metabolism association contributes to GDM pathogenesis and also be a novel therapeutic strategy to treat GDM.

摘要

肠道微生物代谢产物已被证明在糖尿病和妊娠期糖尿病(GDM)中发挥作用。本研究旨在调查患有和未患有 GDM 的孕妇的肠道微生物组、粪便代谢组学及其相关性。代谢组学表明,对照组(Con)和 GDM 组之间差异最大的前 2 个代谢途径是苯丙氨酸代谢和核苷酸代谢。苯丙氨酸代谢途径中,苯丙氨酸甘氨酸、间香豆酸和苯乙酸等差异代谢物增加。在 Con 与 GDM 之间,嘧啶核苷和次黄嘌呤是差异最大的代谢物,它们参与核苷酸代谢。在属水平上,肠道微生物组的改变与拟杆菌门未分类的梭菌有关。肠道微生物群和粪便代谢物之间的关联分析表明,增加的肠道共生菌梭状芽孢杆菌属于厚壁菌门,与 GDM 中苯丙氨酸代谢的失调有关。本研究可能为梭状芽孢杆菌-苯丙氨酸代谢关联如何导致 GDM 发病机制提供了机制,并可能成为治疗 GDM 的一种新的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac69/11540604/4fac2208d30b/jmb-34-10-1995-f1.jpg

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