“…Most importantly, the pronounced reduction of Parabacteroides, Dialister, and Eubacterium eligens group had been previously observed in diagnosed GDM patients in comparison to healthy pregnant women (Kuang et al, 2017;Cortez et al, 2018), suggesting that changes in these bacteria were closely related to GDM, and occurred over time prior to the development of GDM, the potential pathological mechanism is worthy of further research utilizing sterile animal verification trials. Most of these bacteria, including Parabacteroides, Megasphaera, Ruminococcaceae UCG 005, Ruminococcaceae UCG 002, Eubacterium xylanophilum group and Eubacterium eligens group, could produce short-chain fatty acids (SCFAs) such as butyrate, propionate, and acetate (Chen et al, 2017;Chung et al, 2017;Gao et al, 2018;Wang et al, 2018bWang et al, , 2019Metzler-Zebeli et al, 2019), which could maintain normal physiological functioning of the intestines, regulate gut permeability, increase insulin sensitivity, and induce gut inflammatory responses that recede the development of diabetes (Vaarala et al, 2008). Additionally, the study provided a clear insight into the correlations between differential genera and maternal clinical indices, besides several reported associations (Guo et al, 2018;Wei et al, 2018), the others, especially the associations with blood pressure, blood lipids, dietary intake, liver and kidney functions, still need validation via continued research in this field.…”