A gut microbiota-targeted dietary intervention for amelioration of chronic inflammation underlying metabolic syndrome

被引:422
作者
Xiao, Shuiming [1 ]
Fei, Na [1 ]
Pang, Xiaoyan [1 ]
Shen, Jian [2 ]
Wang, Linghua [1 ]
Zhang, Baorang [1 ]
Zhang, Menghui [1 ]
Zhang, Xiaojun [1 ]
Zhang, Chenhong [1 ]
Li, Min [1 ]
Sun, Lifeng [1 ]
Xue, Zhengsheng [1 ]
Wang, Jingjing [1 ]
Feng, Jie [1 ]
Yan, Feiyan [1 ]
Zhao, Naisi [1 ]
Liu, Jiaqi [1 ]
Long, Wenmin [1 ]
Zhao, Liping [1 ,2 ]
机构
[1] Shanghai Jiao Tong Univ, Sch Life Sci & Biotechnol, State Key Lab Microbial Metab, Shanghai 200240, Peoples R China
[2] Shanghai Jiao Tong Univ, Shanghai Ctr Syst Biomed, Key Lab Syst Biomed, Minist Educ, Shanghai 200240, Peoples R China
关键词
gut microbiota; dietary intervention; chronic inflammation; metabolic syndrome; WEIGHT-LOSS; OBESITY; ENDOTOXEMIA; OVERWEIGHT; ECOLOGY; PROTEIN;
D O I
10.1111/1574-6941.12228
中图分类号
Q93 [微生物学];
学科分类号
071005 [微生物学];
摘要
Chronic inflammation induced by endotoxin from a dysbiotic gut microbiota contributes to the development of obesity-related metabolic disorders. Modification of gut microbiota by a diet to balance its composition becomes a promising strategy to help manage obesity. A dietary scheme based on whole grains, traditional Chinese medicinal foods, and prebiotics (WTP diet) was designed to meet human nutritional needs as well as balance the gut microbiota. Ninety-three of 123 central obese volunteers (BMI28kgm(-2)) completed a self-controlled clinical trial consisting of 9-week intervention on WTP diet followed by a 14-week maintenance period. The average weight loss reached 5.79 +/- 4.64kg (6.62 +/- 4.94%), in addition to improvement in insulin sensitivity, lipid profiles, and blood pressure. Pyrosequencing of fecal samples showed that phylotypes related to endotoxin-producing opportunistic pathogens of Enterobacteriaceae and Desulfovibrionaceae were reduced significantly, while those related to gut barrier-protecting bacteria of Bifidobacteriaceae increased. Gut permeability, measured as lactulose/mannitol ratio, was decreased compared with the baseline. Plasma endotoxin load as lipopolysaccharide-binding protein was also significantly reduced, with concomitant decrease in tumor necrosis factor-, interleukin-6, and an increase in adiponectin. These results suggest that modulation of the gut microbiota via dietary intervention may enhance the intestinal barrier integrity, reduce circulating antigen load, and ultimately ameliorate the inflammation and metabolic phenotypes.
引用
收藏
页码:357 / 367
页数:11
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