Gut Microbiota as a Therapeutic Target for Metabolic Disorders

被引:57
|
作者
Okubo, Hirofumi [1 ]
Nakatsu, Yusuke [2 ]
Kushiyama, Akifumi [3 ]
Yamamotoya, Takeshi [2 ]
Matsunaga, Yasuka [2 ]
Inoue, Masa-ki [2 ]
Fujishiro, Midori [4 ]
Sakoda, Hideaki [5 ]
Ohno, Haruya [1 ]
Yoneda, Masayasu [1 ]
Ono, Hiraku [6 ]
Asano, Tomoichiro [2 ]
机构
[1] Hiroshima Univ, Grad Sch Biomed & Hlth Sci, Dept Mol & Internal Med, Hiroshima, Japan
[2] Hiroshima Univ, Grad Sch Biomed Sci, Div Mol Med Sci, Dept Med Chem, Hiroshima, Japan
[3] Asahi Life Fdn, Inst Adult Dis, Div Diabet & Metab, Tokyo, Japan
[4] Nihon Univ, Sch Med, Div Diabet & Metab Dis, Tokyo, Japan
[5] Univ Miyazaki, Fac Med, Div Neurol Respirol Endocrinol & Metab, Dept Internal Med, Miyazaki, Japan
[6] Chiba Univ, Grad Sch Med, Dept Clin Cell Biol, Chiba, Japan
关键词
Gut microbiota; obesity; type 2 diabetes mellitus; non-alcoholic fatty liver disease; prebiotics; probiotics; fecal microbiota transplantation; CHAIN FATTY-ACIDS; RESISTIN-LIKE-MOLECULE; INCREASED INTESTINAL PERMEABILITY; GLUCAGON-LIKE PEPTIDE-1; NECROSIS-FACTOR-ALPHA; FARNESOID X RECEPTOR; DIET-INDUCED OBESITY; NONALCOHOLIC STEATOHEPATITIS; LIVER-DISEASE; AKKERMANSIA-MUCINIPHILA;
D O I
10.2174/0929867324666171009121702
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Background: Gut microbiota play a vital role not only in the digestion and absorption of nutrients, but also in homeostatic maintenance of host immunity, metabolism and the gut barrier. Recent evidence suggests that gut microbiota alterations contribute to the pathogenesis of metabolic disorders. Objective and Method: In this review, we discuss the association between the gut microbiota and metabolic disorders, such as obesity, type 2 diabetes mellitus and non-alcoholic fatty liver disease, and the contribution of relevant modulating interventions, focusing on recent human studies. Results: Several studies have identified potential causal associations between gut microbiota and metabolic disorders, as well as the underlying mechanisms. The effects of modulating interventions, such as prebiotics, probiotics, fecal microbiota transplantation, and other new treatment possibilities on these metabolic disorders have also been reported. Conclusion: A growing body of evidence highlights the role of gut microbiota in the development of dysbiosis, which in turn influences host metabolism and disease phenotypes. Further studies are required to elucidate the precise mechanisms by which gut microbiota-derived mediators induce metabolic disorders and modulating interventions exert their beneficial effects in humans. The gut microbiota represents a novel potential therapeutic target for a range of metabolic disorders.
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页码:984 / 1001
页数:18
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