Pilot Study on Gut Microbiota Profile in Indian Children with Type 1 Diabetes

Indian J Endocrinol Metab. 2023 Sep-Oct;27(5):404-409. doi: 10.4103/ijem.ijem_22_22. Epub 2023 Oct 30.

Abstract

Background: Non-genetic factors like microbial dysbiosis may be contributing to the increasing incidence/progression of type 1 diabetes mellitus (T1DM).

Objectives: To analyse the gut microbiota profile in Indian children with T1DM and its effect on glycaemic control.

Methodology: Faecal samples of 29 children with T1DM were collected and faecal microbial DNA was extracted and subjected to 16S rRNA (ribosomal RNA) sequencing and further analysis.

Results: The dominant phyla in children with T1DM were Firmicutes and Bacteroidetes. Butyrate-producing bacteria Blautia and Ruminococcus showed a significant negative correlation with the glycosylated haemoglobin (HbA1C) levels (p < 0.05). Coprococcus and Propionibacterium were important negative predictors of glycaemic control (p < 0.05).

Conclusion: Our study suggests that Indian children with T1DM have a distinct gut microbiome taxonomic composition and that short-chain fatty acid-producing bacteria like Ruminococcus and Blautia (butyrate-producing) may play an important role in the glycaemic control of subjects with T1DM.

Keywords: Children; India; SCFA; glycaemic control; microbiota; short-chain fatty acids; type 1 diabetes.