2017
DOI: 10.3390/genes9010010
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Microbial Regulation of Glucose Metabolism and Insulin Resistance

Abstract: Type 2 diabetes is a combined disease, resulting from a hyperglycemia and peripheral and hepatic insulin resistance. Recent data suggest that the gut microbiota is involved in diabetes development, altering metabolic processes including glucose and fatty acid metabolism. Thus, type 2 diabetes patients show a microbial dysbiosis, with reduced butyrate-producing bacteria and elevated potential pathogens compared to metabolically healthy individuals. Furthermore, probiotics are a known tool to modulate the microb… Show more

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Cited by 41 publications
(25 citation statements)
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“…In contrast to our findings, probiotic supplementation to postmenopausal women did not enhance testosterone and SHBG levels [ 38 ]. The speculated mechanisms by which probiotic may improve hormonal profiles result from the balance of intestinal microbiota, enhancement of digestion and absorption of dietary nutrients [ 20 ], increasing insulin sensitivity [ 39 ], and interaction with the gut-brain axis [ 40 ]. In addition, induced oxidative stress involves in the development of hyperandrogenoism in PCOS [ 41 ].…”
Section: Discussionmentioning
confidence: 99%
“…In contrast to our findings, probiotic supplementation to postmenopausal women did not enhance testosterone and SHBG levels [ 38 ]. The speculated mechanisms by which probiotic may improve hormonal profiles result from the balance of intestinal microbiota, enhancement of digestion and absorption of dietary nutrients [ 20 ], increasing insulin sensitivity [ 39 ], and interaction with the gut-brain axis [ 40 ]. In addition, induced oxidative stress involves in the development of hyperandrogenoism in PCOS [ 41 ].…”
Section: Discussionmentioning
confidence: 99%
“…Pre-and pro-biotics and synbiotics are relatively inexpensive alternatives to conventional CVD medications, with fewer side effects (732). Mechanisms by which pre-and pro-bioticmediated changes in the gut microbiota may improve adipose function are still emerging, but may include the promotion of an anti-inflammatory milieu (including reducing intestinal permeability to decrease circulating endotoxins), enhancing fat oxidation, recruitment of beige adipocytes, increased energy expenditure, and improved lipoprotein profile, which collectively could improve insulin sensitivity and reduce ectopic fat to combat T2DM and CVD (733)(734)(735)(736)(737)(738)(739). While it is generally accepted that particular pre-and pro-biotics reduce diet-induced weight and adiposity gain in animal models (736,(740)(741)(742)(743), human intervention studies to date showing efficacy of probiotic treatment are still emerging (744,745), warranting further study (746).…”
Section: Probiotics Prebiotics and Synbioticsmentioning
confidence: 99%
“…There is mounting evidence that the intestinal microbiota may have an impact on both type 2 diabetes mellitus and obesity through alterations of metabolic processes in glucose and fatty acid metabolism pathways [ 1 4 ]. This impact is not only attributed to the composition of the intestinal microbiota, but also to a change in the bacterial diversity within the gut [ 3 , 5 , 6 ].…”
Section: Introductionmentioning
confidence: 99%