Laboratory of Food & Health; Research Group on Quality, Safety and Bioactivity of Plant Foods, CEBAS-CSIC, 30100 Campus de Espinardo, Murcia, Spain.
Mol Nutr Food Res. 2024 Nov;68(22):e2400526. doi: 10.1002/mnfr.202400526. Epub 2024 Nov 13.
"Personalized nutrition" aims to establish nutritional strategies to improve health outcomes for non-responders. However, it is utopian since most people share similar nutritional requirements. "Precision health," encompassing lifestyles, may be more fitting. Dietary (poly)phenols are "healthy" but non-nutritional molecules (thus, we can live without them). The gut microbiota influences (poly)phenol effects, producing metabolites with different activity than their precursors. Furthermore, producing distinctive metabolites, like urolithins, lunularin, and equol, leads to the term "polyphenol-related gut microbiota metabotypes," grouping individuals based on a genuine microbial metabolism of ellagic acid, resveratrol, and isoflavones, respectively. Additionally, (poly)phenols exert prebiotic-like effects through their antimicrobial activities, typically reducing microbial diversity and modulating microbiota functionality by impacting its composition and transcriptomics. Since the gut microbiota perceives (poly)phenols as a threat, (poly)phenol effects are mostly a consequence of microbiota adaptation through differential (poly)phenol metabolism (e.g., distinctive reductions, dehydroxylations, etc.). This viewpoint is less prosaic than considering (poly)phenols as essential nutritional players in human health, yet underscores their health significance in a coevolutionary partnership with the gut microbiota. In the perspective on the gut microbiota and (poly)phenols interplay, microbiota metabotypes could arbiter health effects. An innovative aspect is also emphasized: modulating the interacting microbial networks without altering the composition.
“个性化营养”旨在制定营养策略,以改善无反应者的健康结果。然而,这是不切实际的,因为大多数人有相似的营养需求。包含生活方式的“精准健康”可能更合适。膳食(多)酚是“健康的”,但不是营养物质(因此,我们可以没有它们)。肠道微生物群影响(多)酚的作用,产生比其前体具有不同活性的代谢物。此外,产生独特的代谢物,如尿石素、轮环藤宁和雌马酚,导致术语“与多酚相关的肠道微生物群代谢类型”,根据肠道微生物群对鞣花酸、白藜芦醇和异黄酮的真正代谢,将个体分组。此外,(多)酚通过其抗菌活性发挥类益生元作用,通常通过影响其组成和转录组学来减少微生物多样性并调节微生物群功能。由于肠道微生物群将(多)酚视为威胁,(多)酚的作用主要是微生物群通过差异(多)酚代谢适应的结果(例如,独特的减少、去羟基化等)。与将(多)酚视为人类健康的基本营养成分相比,这种观点不那么平凡,但强调了它们在与肠道微生物群的协同进化关系中的健康意义。在肠道微生物群和(多)酚相互作用的观点中,微生物群代谢类型可以裁决健康影响。还强调了一个创新方面:在不改变组成的情况下调节相互作用的微生物网络。
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