A Metabolite Perspective on the Involvement of the Gut Microbiota in Type 2 Diabetes

Int J Mol Sci. 2023 Oct 8;24(19):14991. doi: 10.3390/ijms241914991.

Abstract

Type 2 diabetes (T2D) is a commonly diagnosed condition that has been extensively studied. The composition and activity of gut microbes, as well as the metabolites they produce (such as short-chain fatty acids, lipopolysaccharides, trimethylamine N-oxide, and bile acids) can significantly impact diabetes development. Treatment options, including medication, can enhance the gut microbiome and its metabolites, and even reverse intestinal epithelial dysfunction. Both animal and human studies have demonstrated the role of microbiota metabolites in influencing diabetes, as well as their complex chemical interactions with signaling molecules. This article focuses on the importance of microbiota metabolites in type 2 diabetes and provides an overview of various pharmacological and dietary components that can serve as therapeutic tools for reducing the risk of developing diabetes. A deeper understanding of the link between gut microbial metabolites and T2D will enhance our knowledge of the disease and may offer new treatment approaches. Although many animal studies have investigated the palliative and attenuating effects of gut microbial metabolites on T2D, few have established a complete cure. Therefore, conducting more systematic studies in the future is necessary.

Keywords: bile acids; dietary diet; gut microbiota; metabolites; short-chain fatty acids.

Publication types

  • Review

MeSH terms

  • Animals
  • Diabetes Mellitus, Type 2*
  • Diet
  • Fatty Acids, Volatile
  • Gastrointestinal Microbiome*
  • Humans
  • Microbiota*

Substances

  • Fatty Acids, Volatile