Gut bacteria selectively promoted by dietary fibers alleviate type 2 diabetes

L Zhao, F Zhang, X Ding, G Wu, YY Lam, X Wang, H Fu… - Science, 2018 - science.org
L Zhao, F Zhang, X Ding, G Wu, YY Lam, X Wang, H Fu, X Xue, C Lu, J Ma, L Yu, C Xu…
Science, 2018science.org
The gut microbiota benefits humans via short-chain fatty acid (SCFA) production from
carbohydrate fermentation, and deficiency in SCFA production is associated with type 2
diabetes mellitus (T2DM). We conducted a randomized clinical study of specifically
designed isoenergetic diets, together with fecal shotgun metagenomics, to show that a
select group of SCFA-producing strains was promoted by dietary fibers and that most other
potential producers were either diminished or unchanged in patients with T2DM. When the …
The gut microbiota benefits humans via short-chain fatty acid (SCFA) production from carbohydrate fermentation, and deficiency in SCFA production is associated with type 2 diabetes mellitus (T2DM). We conducted a randomized clinical study of specifically designed isoenergetic diets, together with fecal shotgun metagenomics, to show that a select group of SCFA-producing strains was promoted by dietary fibers and that most other potential producers were either diminished or unchanged in patients with T2DM. When the fiber-promoted SCFA producers were present in greater diversity and abundance, participants had better improvement in hemoglobin A1c levels, partly via increased glucagon-like peptide-1 production. Promotion of these positive responders diminished producers of metabolically detrimental compounds such as indole and hydrogen sulfide. Targeted restoration of these SCFA producers may present a novel ecological approach for managing T2DM.
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