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肠道菌群对肾移植术后糖尿病管理的影响。

Influence of gut flora on diabetes management after kidney transplantation.

作者信息

Chen Luo-Bei, Chen Qian, Chao Sheng, Yuan Zhi-Hui, Jia Lei, Niu Yu-Lin

机构信息

Department of Organ Transplantation, Affiliated Hospital of Guizhou Medical University, No. 28 Guimedical Street, Yunyan District, Guiyang, Guizhou Province, 550000, China.

出版信息

BMC Nephrol. 2024 Dec 23;25(1):468. doi: 10.1186/s12882-024-03899-y.

DOI:10.1186/s12882-024-03899-y
PMID:39716100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11665093/
Abstract

Post-transplant diabetes mellitus (PTDM) is a common complication following renal transplantation, and its incidence has been gradually increasing in recent years, posing a significant public health challenge. Managing PTDM is complex, as studies suggest that it involves changes in the microbial flora across multiple organs. Recent research highlights the critical role of gut flora metabolism in the development of diabetes among post-renal transplant patients. This paper reviews the alterations in gut flora observed in PTDM patients and explores how gut flora influences PTDM. These findings may offer new perspectives on targeting gut flora metabolites for the prevention and treatment of PTDM.

摘要

移植后糖尿病(PTDM)是肾移植术后常见的并发症,近年来其发病率呈逐渐上升趋势,对公共卫生构成了重大挑战。管理PTDM很复杂,因为研究表明它涉及多个器官微生物群的变化。最近的研究强调了肠道菌群代谢在肾移植后患者糖尿病发生中的关键作用。本文综述了PTDM患者肠道菌群的变化,并探讨了肠道菌群如何影响PTDM。这些发现可能为针对肠道菌群代谢产物预防和治疗PTDM提供新的视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f2/11665093/5ee8d56c6e92/12882_2024_3899_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f2/11665093/e7e4fe92e2e2/12882_2024_3899_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f2/11665093/5ee8d56c6e92/12882_2024_3899_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f2/11665093/e7e4fe92e2e2/12882_2024_3899_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f2/11665093/5ee8d56c6e92/12882_2024_3899_Fig2_HTML.jpg

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本文引用的文献

1
The Gut Microbiota and Diabetes: Research, Translation, and Clinical Applications-2023 Diabetes, Diabetes Care, and Diabetologia Expert Forum.肠道微生物群与糖尿病:研究、转化与临床应用——2023 年糖尿病、糖尿病护理与糖尿病学专家论坛。
Diabetes Care. 2024 Sep 1;47(9):1491-1508. doi: 10.2337/dci24-0052.
2
Gut microbial metabolites SCFAs and chronic kidney disease.肠道微生物代谢产物 SCFAs 与慢性肾脏病。
J Transl Med. 2024 Feb 18;22(1):172. doi: 10.1186/s12967-024-04974-6.
3
The application of nanotechnology in kidney transplantation.纳米技术在肾移植中的应用。
Nanomedicine (Lond). 2024 Feb;19(5):413-429. doi: 10.2217/nnm-2023-0286. Epub 2024 Jan 26.
4
Resveratrol improves diabetic kidney disease by modulating the gut microbiota-short chain fatty acids axis in mice.白藜芦醇通过调节肠道微生物群-短链脂肪酸轴改善小鼠的糖尿病肾病。
Int J Food Sci Nutr. 2024 May;75(3):264-276. doi: 10.1080/09637486.2024.2303041. Epub 2024 Jan 18.
5
Health-related quality of life is linked to the gut microbiome in kidney transplant recipients.健康相关生活质量与肾移植受者的肠道微生物组有关。
Nat Commun. 2023 Dec 2;14(1):7968. doi: 10.1038/s41467-023-43431-8.
6
Unraveling Intestinal Microbial Shifts in ESRD and Kidney Transplantation: Implications for Disease-Related Dysbiosis.揭示终末期肾病和肾移植中的肠道微生物变化:对疾病相关生态失调的影响
Microorganisms. 2023 Nov 10;11(11):2747. doi: 10.3390/microorganisms11112747.
7
Gut Microbiota Interventions to Retain Residual Kidney Function.肠道微生物群干预以保留残余肾功能。
Toxins (Basel). 2023 Aug 11;15(8):499. doi: 10.3390/toxins15080499.
8
Targeting BCAA metabolism to potentiate metformin's therapeutic efficacy in the treatment of diabetes in mice.靶向支链氨基酸代谢以增强二甲双胍在治疗小鼠糖尿病中的疗效。
Diabetologia. 2023 Nov;66(11):2139-2153. doi: 10.1007/s00125-023-05985-6. Epub 2023 Aug 15.
9
The gut microbiome and metabolome in kidney transplant recipients with normal and moderately decreased kidney function.肾功能正常和中度降低的肾移植受者的肠道微生物组和代谢组。
Ren Fail. 2023 Dec;45(1):2228419. doi: 10.1080/0886022X.2023.2228419.
10
Regulation of gut microbiota: a novel pretreatment for complications in patients who have undergone kidney transplantation.调控肠道菌群:一种新的肾移植患者并发症预处理方法。
Front Cell Infect Microbiol. 2023 Jun 6;13:1169500. doi: 10.3389/fcimb.2023.1169500. eCollection 2023.