Beyond genetics. Influence of dietary factors and gut microbiota on type 1 diabetes

FEBS Lett. 2014 Nov 17;588(22):4234-43. doi: 10.1016/j.febslet.2014.04.010. Epub 2014 Apr 18.

Abstract

Type 1 diabetes (T1D) is an autoimmune disease ultimately leading to destruction of insulin secreting β-cells in the pancreas. Genetic susceptibility plays an important role in T1D etiology, but even mono-zygotic twins only have a concordance rate of around 50%, underlining that other factors than purely genetic are involved in disease development. Here we review the influence of dietary and environmental factors on T1D development in humans as well as animal models. Even though data are still inconclusive, there are strong indications that gut microbiota dysbiosis plays an important role in T1D development and evidence from animal models suggests that gut microbiota manipulation might prove valuable in future prevention of T1D in genetically susceptible individuals.

Keywords: Diet; Etiology; Gut microbiota; Type 1 diabetes.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Diabetes Mellitus, Type 1 / etiology*
  • Diabetes Mellitus, Type 1 / genetics
  • Diabetes Mellitus, Type 1 / microbiology*
  • Diabetes Mellitus, Type 1 / virology
  • Diet / adverse effects*
  • Gastrointestinal Tract / microbiology*
  • Gastrointestinal Tract / parasitology
  • Gastrointestinal Tract / virology
  • Humans
  • Microbiota*