Kinoshita Keita, Ozato Naoki, Yamaguchi Tohru, Mori Kenta, Katsuragi Yoshihisa, Sato Noriaki, Imoto Seiya, Ihara Kazushige, Murashita Koichi, Nakaji Shigeyuki, Mikami Tatsuya
Department of Active Life Promotion Sciences, Hirosaki University Graduate School of Medicine, Aomori, Japan.
Human Health Care Products Research Laboratories, Kao Corporation, Tokyo, Japan.
J Diabetes Investig. 2025 Jul;16(7):1315-1324. doi: 10.1111/jdi.70061. Epub 2025 May 7.
BACKGROUND: Although the gut microbiota is associated with type 2 diabetes (T2D) and its remission in clinical settings, their relationship in the general population remains unclear. This study aimed to investigate the association between the gut microbiota and T2D and its remission in a population-based setting. METHODS: A cross-sectional study was conducted on 1,639 Japanese participants with (n = 106) or without (n = 1,533) T2D. The gut microbiota was compared between the two groups using multivariable-adjusted logistic regression. The relative abundance of the gut microbiota in fecal samples was calculated using 16S ribosomal RNA amplification. The association between the gut microbiota and T2D remission was determined via longitudinal analyses. RESULTS: Six genera were independently associated with T2D; a higher abundance of Faecalibacterium, Blautia, Roseburia, and Oscillibacter was significantly associated with a lower odds ratio for T2D, whereas a higher abundance of Megasphaera and Lactobacillus was significantly associated with a higher odds ratio for T2D. Of these, only Blautia abundance was significantly increased in the remission group compared with that in the non-remission group. In the remission group, an increase in Blautia abundance was significantly correlated with an increase in adiponectin level and skeletal muscle mass. CONCLUSIONS: Specific gut microbes were significantly associated with T2D and its remission. The gut microbiota may represent a potential area for further exploration in T2D treatment and prevention. However, additional large-scale cohort studies or intervention studies using a probiotic or prebiotic approach are needed to validate these findings.
背景:尽管肠道微生物群与2型糖尿病(T2D)及其在临床环境中的缓解有关,但其在普通人群中的关系仍不清楚。本研究旨在调查基于人群的环境中肠道微生物群与T2D及其缓解之间的关联。 方法:对1639名有(n = 106)或无(n = 1533)T2D的日本参与者进行了一项横断面研究。使用多变量调整的逻辑回归比较两组之间的肠道微生物群。使用16S核糖体RNA扩增计算粪便样本中肠道微生物群的相对丰度。通过纵向分析确定肠道微生物群与T2D缓解之间的关联。 结果:六个属与T2D独立相关;较高丰度的粪杆菌属、布劳特氏菌属、罗斯氏菌属和颤杆菌属与较低的T2D比值比显著相关,而较高丰度的巨球型菌属和乳杆菌属与较高的T2D比值比显著相关。其中,与未缓解组相比,缓解组中只有布劳特氏菌属的丰度显著增加。在缓解组中,布劳特氏菌属丰度的增加与脂联素水平和骨骼肌质量的增加显著相关。 结论:特定的肠道微生物与T2D及其缓解显著相关。肠道微生物群可能是T2D治疗和预防中进一步探索的潜在领域。然而,需要额外的大规模队列研究或使用益生菌或益生元方法的干预研究来验证这些发现。
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