The relationship between gut microbiota, short-chain fatty acids and type 2 diabetes mellitus: the possible role of dietary fibre

Acta Diabetol. 2021 Sep;58(9):1131-1138. doi: 10.1007/s00592-021-01727-5. Epub 2021 May 10.

Abstract

Gut microbiota and its metabolites have been shown to influence multiple physiological mechanisms related to human health. Among microbial metabolites, short-chain fatty acids (SCFA) are modulators of different metabolic pathways. On the other hand, several studies suggested that diet might influence gut microbiota composition and activity thus modulating the risk of metabolic disease, i.e. obesity, insulin resistance and type 2 diabetes. Among dietary component, dietary fibre may play a pivotal role by virtue of its prebiotic effect on fibre-fermenting bacteria, that may increase SCFA production. The aim of this review was to summarize and discuss current knowledge on the impact of dietary fibre as modulator of the relationship between glucose metabolism and microbiota composition in humans. More specifically, we analysed evidence from observational studies and randomized nutritional intervention investigating the relationship between gut microbiota, short-chain fatty acids and glucose metabolism. The possible mechanisms behind this association were also discussed.

Keywords: Dietary fibre; Glucose tolerance; Gut microbiota; Insulin resistance; Short-chain fatty acids; Type 2 Diabetes.

Publication types

  • Review

MeSH terms

  • Diabetes Mellitus, Type 2*
  • Dietary Fiber
  • Fatty Acids, Volatile
  • Gastrointestinal Microbiome*
  • Humans
  • Prebiotics

Substances

  • Dietary Fiber
  • Fatty Acids, Volatile
  • Prebiotics