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2型糖尿病患者肠道菌群特征

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目的 基于不同地域2型糖尿病(type 2 diabetes mellitus,T2DM)患者数据,解析T2DM特有的肠道菌群特征,为T2DM的临床诊断提供可参考,也为T2DM患者的精准益生菌干预提供数据支持。方法 利用公共数据库下载89例T2DM患者(T2DM组)和48例健康人(HC组)粪便宏基因组测序数据进行分析,解析T2DM患者肠道菌群的特点。结果 T2DM患者肠道菌群紊乱,主要表现为肠道菌群多样性增加,肠道中长链多尔菌、产甲酸多尔菌和Coprococcus catus等有害菌的丰度增加,短链脂肪酸产生菌(如粪考拉杆菌)的丰度显著降低。肠道中能量代谢、碳水化合物代谢和氨基酸代谢等通路以及脱氧胆酸和石胆酸等次级胆汁酸代谢物均发生显著变化。此外,不同地域(北方患者46人和南方患者43人)T2DM患者的疾病特征微生物及其代谢通路存在显著差异,这可能与居住地、饮食和生活习惯等因素相关。结论 研究结果明确了 T2DM患者的特征肠道菌群与代谢通路,为基于肠道菌群对T2DM患者进行精准营养干预提供了数据参考。
Characterization of gut microbiota in patients with type 2 diabetes mellitus
Objective Based on data from type 2 diabetes mellitus(T2DM)patients in different geographical regions,the characteristics of disease-specific gut microbiota were analysed to provide a referable means for clinical diagnosis of T2DM,as well as data to support targeted probiotic interventions for T2DM patients.Methods By downloading faecal macrogenomic data from public databases of 89 patients with T2DM(T2DM group)and 48 healthy individuals(HC group),the characteristics of the gut microbiota of T2DM patients were analysed.Results Patients with T2DM had a dis-turbed gut microbiota,characterised by increased microbial diversity;Dorea longicatena,Dorea formicigenerans and Cop-rococcus catus significantly increased,and significant changes in gut energy metabolism,carbohydrate metabolism,amino acid metabolism and secondary bile acid metabolites such as deoxycholic acid and lithocholic acid of decreased SCFAs-producing bacteria such as Phascolarctobacterium faecium were observed.In addition,there were significant differences in the disease-characterising microorganisms and their metabolic pathways in the patients from different geographical regions(46 patients from the North and 43 patients from the South),which might be related to factors such as place of residence,diet and lifestyle.Conclusion The results clarified the characteristic gut microbiota and metabolic pathways of T2DM pa-tients,and provided data for precise nutritional intervention for T2DM patients based on gut microbiota.

Type 2 diabetes mellitusGut microbiotaMetagenomicMetabolic pathway

玉霞、沈馨、赵佳、赵飞燕、孙志宏

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内蒙古农业大学乳品生物技术与工程教育部重点实验室,农业农村部奶制品加工重点实验室,内蒙古乳品生物技术与工程重点实验室,内蒙古呼和浩特 010018

2型糖尿病 肠道菌群 宏基因组 代谢通路

国家自然科学基金杰出青年基金

32325040

2024

中国微生态学杂志
中华预防医学会 大连医科大学

中国微生态学杂志

CSTPCD北大核心
影响因子:1.115
ISSN:1005-376X
年,卷(期):2024.36(7)