Gut bacteria selectively promoted by dietary fibers alleviate type 2 diabetes

被引:2427
作者
Zhao, Liping [1 ,2 ,3 ,4 ]
Zhang, Feng [1 ,2 ]
Ding, Xiaoying [5 ]
Wu, Guojun [1 ,2 ]
Lam, Yan Y. [3 ,4 ]
Wang, Xuejiao [5 ]
Fu, Huaqing [1 ,2 ]
Xue, Xinhe [1 ,2 ]
Lu, Chunhua [6 ]
Ma, Jilin [6 ]
Yu, Lihua [6 ]
Xu, Chengmei [6 ]
Ren, Zhongying [6 ]
Xu, Ying [7 ]
Xu, Songmei [7 ]
Shen, Hongli [7 ]
Zhu, Xiuli [7 ]
Shi, Yu [8 ]
Shen, Qingyun [8 ]
Dong, Weiping [5 ]
Liu, Rui [1 ,2 ]
Ling, Yunxia [5 ]
Zeng, Yue [9 ]
Wang, Xingpeng [9 ]
Zhang, Qianpeng [1 ,2 ]
Wang, Jing [1 ,2 ]
Wang, Linghua [1 ,2 ]
Wu, Yanqiu [1 ,2 ]
Zeng, Benhua [10 ]
Wei, Hong [10 ]
Zhang, Menghui [1 ,2 ]
Peng, Yongde [5 ]
Zhang, Chenhong [1 ,2 ]
机构
[1] Shanghai Jiao Tong Univ, State Key Lab Microbial Metab, Shanghai 200240, Peoples R China
[2] Shanghai Jiao Tong Univ, Minist Educ, Key Lab Syst Biomed, Sch Life Sci & Biotechnol, Shanghai 200240, Peoples R China
[3] Rutgers State Univ, Dept Biochem & Microbiol, Sch Environm & Biol Sci, New Brunswick, NJ 08901 USA
[4] Rutgers State Univ, New Jersey Inst Food Nutr & Hlth, Sch Environm & Biol Sci, New Brunswick, NJ 08901 USA
[5] Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Dept Endocrinol & Metab, Sch Med, Shanghai 200080, Peoples R China
[6] Sijing Community Hlth Serv Ctr Songjiang Dist, Shanghai 201601, Peoples R China
[7] Sijing Hosp Songjiang Dist, Shanghai 201601, Peoples R China
[8] Qidong Peoples Hosp, Dept Endocrinol & Metab, Nantong 226200, Jiangsu, Peoples R China
[9] Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Dept Gastroenterol, Sch Med, Shanghai 200080, Peoples R China
[10] Army Med Univ, Dept Lab Anim Sci, Coll Basic Med Sci, Chongqing 400038, Peoples R China
基金
中国国家自然科学基金;
关键词
MICROBIOTA COMPOSITION; GLUCOSE; METAGENOME; GHRELIN; OBESITY; INDEX; ACID; PH;
D O I
10.1126/science.aao5774
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
070301 [无机化学]; 070403 [天体物理学]; 070507 [自然资源与国土空间规划学]; 090105 [作物生产系统与生态工程];
摘要
The gut microbiota benefits humans via short-chain fatty acid (SCFA) production from carbohydrate fermentation, and deficiency in SCFA production is associated with type 2 diabetes mellitus (T2DM). We conducted a randomized clinical study of specifically designed isoenergetic diets, together with fecal shotgun metagenomics, to show that a select group of SCFA-producing strains was promoted by dietary fibers and that most other potential producers were either diminished or unchanged in patients with T2DM. When the fiber-promoted SCFA producers were present in greater diversity and abundance, participants had better improvement in hemoglobin A1c levels, partly via increased glucagon-like peptide-1 production. Promotion of these positive responders diminished producers of metabolically detrimental compounds such as indole and hydrogen sulfide. Targeted restoration of these SCFA producers may present a novel ecological approach for managing T2DM.
引用
收藏
页码:1151 / +
页数:6
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