FN Clarivate Analytics Web of Science VR 1.0 PT J AU Dziegielewska-Gesiak, S Fatyga, E Pilot, M Wierzgon, A Muc-Wierzgon, M AF Dziegielewska-Gesiak, Sylwia Fatyga, Edyta Pilot, Magdalena Wierzgon, Aleksander Muc-Wierzgon, Malgorzata TI Are There Differences in Gut Microbiome in Patients with Type 2 Diabetes Treated by Metformin or Metformin and Insulin? SO DIABETES METABOLIC SYNDROME AND OBESITY-TARGETS AND THERAPY LA English DT Article DE gut microbiome; type 2 diabetes; metformin; metformin plus insulin AB Introduction: Recently, gut microbiota has been described as being involved in the health and diseases of the host, and together with diet and drugs may influence metabolic health. Yet, there is still no answer which type of treatment plays the most important role in the interplay of gut microbiota and type of treatment for type 2 diabetes (T2DM). An attempt was made to answer the question of which factors have the most significant impact on the intestinal microbiome in the context of metformin or metformin+insulin use in treatment of the patients with T2DM. Thus the aim of the study was to compare the gut microbiome profiles of patients with T2DM and two of the most traditional treatment methods.Methods: T2DM patients treated by metformin (Met) and metformin+insulin (Met+Ins), with the treatment duration of 5-10 years were enrolled. Biochemically blood glucose and glycated hemoglobin (HbA1c), lipids and kidney function were investigated and the quantitative and qualitative examination of the fecal intestinal flora were performed through the next-generation sequencing.Results: There were no significant differences in the study of the gut microbiome: the dominant bacterial phyla were Firmicutes and Verrucomicrobia, while Bacteroidetes and Proteobacteria shared smaller proportions in both groups. However, the group Met+Ins had worse metabolic control in terms of blood glucose and HbA1c in comparison with the Met group.Conclusion: As there are no differences in gut microbiome in T2DM patients treated with metformin only or metformin plus insulin, adding insulin in the treatment of T2DM may delay late diabetic complications development. C1 [Dziegielewska-Gesiak, Sylwia; Fatyga, Edyta; Pilot, Magdalena; Muc-Wierzgon, Malgorzata] Med Univ Siles Katowice, Dept Internal Med Prevent, Katowice, Poland. [Wierzgon, Aleksander] Silesian Tech Univ, Fac Energy & Environm Engn, Dept Environm Biotechnol, Gliwice, Poland. [Dziegielewska-Gesiak, Sylwia] Med Univ Siles Katowice, Dept Internal Prevent Med, Piekarska 18 st, PL-41902 Katowice, Poland. C3 Medical University Silesia; Silesian University of Technology; Medical University Silesia RP Dziegielewska-Gesiak, S (通讯作者),Med Univ Siles Katowice, Dept Internal Prevent Med, Piekarska 18 st, PL-41902 Katowice, Poland. 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Epidemiological studies first recognized a relationship with metformin use in T2DM patients and reduced colorectal cancer (CRC) risk. Thereafter, metformin has gained wide attention as a candidate CRC chemopreventative agent; however, the molecular mechanisms underlying its gastrointestinal anti-cancer properties appear multi-faceted and are not well understood. An intriguing area of research is the growing evidence of metformin's metabolic juncture with gut microbiota at the intestinal mucosal interface. This review examines the mechanistic evidence which may account for metformin's protection against CRC through interactions between the drug, gut microbiota and the colonic epithelial mucosa. C1 [Jones, Georgina R.; Molloy, Mark P.] Univ Sydney, Kolling Inst, Northern Clin Sch, Bowel Canc & Biomarker Lab, St Leonards, NSW, Australia. 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Despite its widespread use and versatility, metformin's mechanisms of action remain elusive. The gut typically harbors thousands of bacterial species, and as the concentration of metformin is much higher in the gut as compared to plasma, it is plausible that microbiome-drug-host interactions may influence the functions of metformin. Detrimental perturbations in the aging gut microbiome lead to the activation of the innate immune response concomitant with chronic low-grade inflammation. With the effectiveness of metformin in diabetes and antiaging varying among individuals, there is reason to believe that the gut microbiome plays a role in the efficacy of metformin. Metformin has been implicated in the promotion and maintenance of a healthy gut microbiome and reduces many age-related degenerative pathologies. Mechanistic understanding of metformin in the promotion of a healthy gut microbiome and aging will require a systems-level approach. 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U2 44 PU ANNUAL REVIEWS PI PALO ALTO PA 4139 EL CAMINO WAY, PO BOX 10139, PALO ALTO, CA 94303-0139 USA SN 0362-1642 EI 1545-4304 J9 ANNU REV PHARMACOL JI Annu. Rev. Pharmacol. Toxicol. PY 2022 VL 62 BP 85 EP 108 DI 10.1146/annurev-pharmtox-051920-093829 PG 24 WC Pharmacology & Pharmacy; Toxicology WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy; Toxicology GA 0X7SV UT WOS:000789902300005 PM 34449247 HC Y HP N DA 2023-06-08 ER PT J AU McCreight, LJ Bailey, CJ Pearson, ER AF McCreight, Laura J. Bailey, Clifford J. Pearson, Ewan R. TI Metformin and the gastrointestinal tract SO DIABETOLOGIA LA English DT Review DE Bile acids; DPP-4; GLP-1; Gut/intestine; Lactate; Metformin; Microbiome; OCT1; Review; Serotonin; Uptake ID GLUCAGON-LIKE PEPTIDE-1; CATION TRANSPORTER 1; DIPEPTIDYL PEPTIDASE-4 ACTIVITY; MEMBRANE MONOAMINE TRANSPORTER; TYPE-2 DIABETES-MELLITUS; CACO-2 CELL MONOLAYERS; GUT MICROBIOTA; GLUCOSE CONTROL; CLINICAL PHARMACOKINETICS; GLYCEMIC RESPONSE AB Metformin is an effective agent with a good safety profile that is widely used as a first-line treatment for type 2 diabetes, yet its mechanisms of action and variability in terms of efficacy and side effects remain poorly understood. Although the liver is recognised as a major site of metformin pharmacodynamics, recent evidence also implicates the gut as an important site of action. Metformin has a number of actions within the gut. It increases intestinal glucose uptake and lactate production, increases GLP-1 concentrations and the bile acid pool within the intestine, and alters the microbiome. A novel delayed-release preparation of metformin has recently been shown to improve glycaemic control to a similar extent to immediate-release metformin, but with less systemic exposure. We believe that metformin response and tolerance is intrinsically linked with the gut. This review examines the passage of metformin through the gut, and how this can affect the efficacy of metformin treatment in the individual, and contribute to the side effects associated with metformin intolerance. C1 [McCreight, Laura J.; Pearson, Ewan R.] Univ Dundee, Ninewells Hosp, Sch Med, Pearson Grp,Div Cardiovasc & Diabet Med, Mailbox 12,Level 5, Dundee DD1 9SY, Scotland. [Bailey, Clifford J.] Aston Univ, Sch Life & Hlth Sci, Birmingham B4 7ET, W Midlands, England. C3 University of Dundee; Aston University RP Pearson, ER (通讯作者),Univ Dundee, Ninewells Hosp, Sch Med, Pearson Grp,Div Cardiovasc & Diabet Med, Mailbox 12,Level 5, Dundee DD1 9SY, Scotland. EM e.z.pearson@dundee.ac.uk OI Bailey, Clifford J/0000-0002-6998-6811; Pearson, Ewan/0000-0001-9237-8585 FU Wellcome Trust New Investigator Award FX This work is funded by the Wellcome Trust New Investigator Award, awarded to ERP. 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Ameliorate the Metabolic Status of Obese, Insulin-Resistant Hosts SO JOURNAL OF GASTROINTESTINAL AND LIVER DISEASES LA English DT Review DE intestinal microbiota; metformin; probiotics; prebiotics; obesity; insulin resistance metabolic syndrome ID TYPE-2 DIABETES-MELLITUS; CHAIN FATTY-ACIDS; GLUCAGON-LIKE PEPTIDE-1; BODY-MASS INDEX; INTESTINAL MICROBIOTA; SCUTELLARIA-BAICALENSIS; AKKERMANSIA-MUCINIPHILA; DIETARY FIBER; OPEN-LABEL; PROBIOTICS AB Obesity is a systemic disease and represents one of the leading causes of death worldwide by constituting the main risk factor for a series of non-communicable diseases such as type 2 diabetes mellitus (T2DM), cardiovascular diseases and dyslipidemia. Lifestyle interventions have been attempting to prevent T2DM and obesity but are difficult to maintain by most patients. However, the recent focus on the intestinal microbiota and its important role in the host's metabolism provides a new key for improving metabolic health. Modulating the composition of the gut microbiota was proposed as a method to manage these metabolic diseases and most frequently this is undertaken by using probiotics, prebiotics or synbiotics. Furthermore, the action of metformin, the most commonly prescribed drug for treating T2DM, is mediated in part by the gut microbiota, although this interplay may also be responsible for the frequent gastrointestinal adverse effects of metformin. Thus, adding a gut microbiota modulator (GMM), such as probiotics or prebiotics, to metformin therapy could amplify its anti-diabetic effects, while decreasing its adverse reactions. This review summarizes the various therapies that are used to shift the composition of the microbiome and their efficacy in alleviating metabolic parameters, it assesses the interaction between metformin and the gut microbiota, and it evaluates the existing clinical and preclinical studies that analyze the potential synergy of a combined metformin-GMM therapy. C1 [Seicaru, Elena Maria; Ilie, Ioana Rada Popa; Ghervan, Cristina] Iuliu Haieganu Univ Med & Pharm, Dept Endocrinol, Cluj Napoca, Romania. [Catinean, Adrian] Iuliu Haieganu Univ Med & Pharm, Dept Internal Med, Cluj Napoca, Romania. [Craciun, Alexandra Marioara] Iuliu Haieganu Univ Med & Pharm, Dept Mol Sci, Cluj Napoca, Romania. RP Ilie, IRP (通讯作者),Iuliu Haieganu Univ Med & Pharm, Dept Endocrinol, Cluj Napoca, Romania. EM ioanamanaila@yahoo.com RI Popa-Ilie, Ioana Rada/C-5122-2011; Craciun, Alexandra M/G-5762-2011 OI Popa-Ilie, Ioana Rada/0000-0002-5281-5004; Craciun, Alexandra M/0000-0003-3703-1874 FU "Iuliu Hatieganu" University of Medicine and Pharmacy [881/47/12.01.2022] FX The current paper was supported by a grant from the,Iuliu Ha.ieganu"University of Medicine and Pharmacy (contract no 881/47/12.01.2022). 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PD SEP PY 2022 VL 31 IS 3 BP 344 EP 354 DI 10.15403/jgld-4248 PG 11 WC Gastroenterology & Hepatology WE Science Citation Index Expanded (SCI-EXPANDED) SC Gastroenterology & Hepatology GA 6T2ZU UT WOS:000893549200013 PM 36112705 OA gold DA 2023-06-08 ER PT J AU Yang, JY Liu, MJ Lv, L Guo, JR He, KY Zhang, H Wang, KK Cui, CY Yan, BZ Du, DD Wang, JH Ding, Q Liu, GL Xu, ZX Jian, YP AF Yang, Jing-Yu Liu, Meng-Jie Lv, Lin Guo, Jin-Rong He, Kai-Yue Zhang, Hong Wang, Ke-Ke Cui, Cui-Yun Yan, Bei-Zhan Du, Dan-Dan Wang, Jin-Hua Ding, Qiang Liu, Guo-Long Xu, Zhi-Xiang Jian, Yong-Ping TI Metformin alleviates irradiation-induced intestinal injury by activation of FXR in intestinal epithelia SO FRONTIERS IN MICROBIOLOGY LA English DT Article DE irradiation-induced intestinal injury; microbiota; Lactobacillus; metformin; intestinal barrier; farnesoid X receptor (FXR) ID AGONIST OBETICHOLIC ACID; X RECEPTOR AGONIST; GUT MICROBIOME; ALTERS; RADIOTHERAPY; PROTECTS; ADENOMA; CANCER AB Abdominal irradiation (IR) destroys the intestinal mucosal barrier, leading to severe intestinal infection. There is an urgent need to find safe and effective treatments to reduce IR-induced intestinal injury. In this study, we reported that metformin protected mice from abdominal IR-induced intestinal injury by improving the composition and diversity of intestinal flora. The elimination of intestinal microbiota (Abx) abrogated the protective effects of metformin on irradiated mice. We further characterized that treatment of metformin increased the murine intestinal abundance of Lactobacillus, which mediated the radioprotective effect. The administration of Lactobacillus or fecal microbiota transplantation (FMT) into Abx mice considerably lessened IR-induced intestinal damage and restored the radioprotective function of metformin in Abx mice. In addition, applying the murine intestinal organoid model, we demonstrated that IR inhibited the formation of intestinal organoids, and metformin alone bore no protective effect on organoids after IR. However, a combination of metformin and Lactobacillus or Lactobacillus alone displayed a strong radioprotection on the organoid formation. We demonstrated that metformin/Lactobacillus activated the farnesoid X receptor (FXR) signaling in intestinal epithelial cells and hence upregulated tight junction proteins and mucins in intestinal epithelia, increased the number of goblet cells, and augmented the mucus layer thickness to maintain the integrity of intestinal epithelial barrier, which eventually contributed to reduced radiation intestinal injury. In addition, we found that Lactobacillus abundance was significantly increased in the intestine of patients receiving metformin while undergoing abdominal radiotherapy and the abundance was negatively correlated with the diarrhea duration of patients. In conclusion, our results demonstrate that metformin possesses a protective effect on IR-induced intestinal injury by upregulating the abundance of Lactobacillus in the intestine. C1 [Yang, Jing-Yu; Liu, Meng-Jie; Guo, Jin-Rong; He, Kai-Yue; Zhang, Hong; Xu, Zhi-Xiang; Jian, Yong-Ping] Henan Univ, Sch Life Sci, Kaifeng, Peoples R China. [Lv, Lin; Liu, Guo-Long] South China Univ Technol, Guangzhou Peoples Hosp 1, Sch Med, Dept Med Oncol, Guangzhou, Peoples R China. [Wang, Ke-Ke; Wang, Jin-Hua] Nanjing Med Univ, Jiangsu Canc Hosp, Jiangsu Inst Canc Res, Affiliated Canc Hosp, Nanjing, Peoples R China. [Cui, Cui-Yun; Yan, Bei-Zhan] Zhengzhou Univ, Henan Prov Peoples Hosp, Dept Blood Transfus, Peoples Hosp, Zhengzhou, Peoples R China. [Du, Dan-Dan] Ningjin Cty Peoples Hosp, Dept Internal Med, Dezhou, Peoples R China. [Ding, Qiang; Xu, Zhi-Xiang] Univ Alabama Birmingham, Dept Med, Birmingham, AL 35294 USA. C3 Henan University; South China University of Technology; Nanjing Medical University; Zhengzhou University; University of Alabama System; University of Alabama Birmingham RP Xu, ZX; Jian, YP (通讯作者),Henan Univ, Sch Life Sci, Kaifeng, Peoples R China.; Liu, GL (通讯作者),South China Univ Technol, Guangzhou Peoples Hosp 1, Sch Med, Dept Med Oncol, Guangzhou, Peoples R China.; Xu, ZX (通讯作者),Univ Alabama Birmingham, Dept Med, Birmingham, AL 35294 USA. EM eyglliu@scut.edu.cn; zhixiangxu08@gmail.com; yongpingjian123@163.com RI yang, jingyu/GXF-5534-2022; Liu, Mengjie/AAO-5256-2020 OI yang, jingyu/0000-0002-9860-7067; FU National Natural Science Foundation of China; [82020108024]; [32161143021]; [81772924] FX Funding This study was supported by the National Natural Science Foundation of China (Nos. 82020108024, 32161143021, and 81772924). 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Microbiol. PD OCT 13 PY 2022 VL 13 AR 932294 DI 10.3389/fmicb.2022.932294 PG 18 WC Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Microbiology GA 5T4NN UT WOS:000875845500001 PM 36312920 OA Green Published, gold DA 2023-06-08 ER PT J AU Ma, W Chen, J Meng, YH Yang, JC Cui, QH Zhou, Y AF Ma, Wei Chen, Ji Meng, Yuhong Yang, Jichun Cui, Qinghua Zhou, Yuan TI Metformin Alters Gut Microbiota of Healthy Mice: Implication for Its Potential Role in Gut Microbiota Homeostasis SO FRONTIERS IN MICROBIOLOGY LA English DT Article DE metformin; gut microbiome; diabetes; 16S rRNA sequencing; MicroPattern ID INTESTINAL MICROBIOTA; CANCER; GLUCOSE; METABOLISM; THERAPY; PHOSPHATIDYLCHOLINE; TUMORIGENESIS; INFLAMMATION; INDIVIDUALS; ASSOCIATION AB In recent years, the first-line anti-diabetic drug metformin has been shown to be also useful for the treatment of other diseases like cancer. To date, few reports were about the impact of metformin on gut microbiota. To fully understand the mechanism of action of metformin in treating diseases other than diabetes, it is especially important to investigate the impact of long-term metformin treatment on the gut microbiome in non-diabetic status. In this study, we treated healthy mice with metformin for 30 days, and observed 46 significantly changed gut microbes by using the 16S rRNA-based microbiome profiling technique. We found that microbes from the Verrucomicrobiaceae and Prevotellaceae classes were enriched, while those from Lachnospiraceae and Rhodobacteraceae were depleted. We further compared the altered microbiome profile with the profiles under various disease conditions using our recently developed comparative microbiome tool known as MicroPattern. Interestingly, the treatment of diabetes patients with metformin positively correlates with colon cancer and type 1 diabetes, indicating a confounding effect on the gut microbiome in patients with diabetes. However, the treatment of healthy mice with metformin exhibits a negative correlation with multiple inflammatory diseases, indicating a protective anti-inflammatory role of metformin in non-diabetes status. This result underscores the potential effect of metformin on gut microbiome homeostasis, which may contribute to the treatment of non-diabetic diseases. C1 [Ma, Wei; Cui, Qinghua; Zhou, Yuan] Peking Univ, Sch Basic Med Sci, Dept Biomed Informat, Beijing, Peoples R China. [Ma, Wei; Chen, Ji; Meng, Yuhong; Yang, Jichun; Cui, Qinghua; Zhou, Yuan] Peking Univ, Minist Educ, Key Lab Mol Cardiovasc Sci, Beijing, Peoples R China. [Ma, Wei] PLA Navy Gen Hosp, Cent Lab, Beijing, Peoples R China. [Chen, Ji; Meng, Yuhong; Yang, Jichun; Cui, Qinghua] Peking Univ, Sch Basic Med Sci, Dept Physiol & Pathophysiol, Beijing, Peoples R China. C3 Peking University; Peking University; Sixth Medical Center of Chinese PLA General Hospital; Peking University RP Cui, QH; Zhou, Y (通讯作者),Peking Univ, Sch Basic Med Sci, Dept Biomed Informat, Beijing, Peoples R China.; Cui, QH; Zhou, Y (通讯作者),Peking Univ, Minist Educ, Key Lab Mol Cardiovasc Sci, Beijing, Peoples R China.; Cui, QH (通讯作者),Peking Univ, Sch Basic Med Sci, Dept Physiol & Pathophysiol, Beijing, Peoples R China. EM cuiqinghua@hsc.pku.edu.cn; soontide6825@163.com RI Ma, Wei/J-6046-2019 OI Ma, Wei/0000-0003-1044-5612 FU National High Technology Research and Development Program of China [2014AA021102]; National Natural Science Foundation of China [81422006, 81670462]; China Postdoctoral Science Foundation [2016M591024] FX This study was supported by the National High Technology Research and Development Program of China (Grant No. 2014AA021102 to QC), the National Natural Science Foundation of China (Grant Nos. 81422006 and 81670462 to QC), and China Postdoctoral Science Foundation (2016M591024 to YZ). 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Microbiol. PD JUN 22 PY 2018 VL 9 AR 1336 DI 10.3389/fmicb.2018.01336 PG 8 WC Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Microbiology GA GK4BV UT WOS:000436100000001 PM 29988362 OA Green Published, gold DA 2023-06-08 ER PT J AU Rodriguez, J Hiel, S Delzenne, NM AF Rodriguez, Julie Hiel, Sophie Delzenne, Nathalie M. TI Metformin: old friend, new ways of action-implication of the gut microbiome? SO CURRENT OPINION IN CLINICAL NUTRITION AND METABOLIC CARE LA English DT Review DE diabetes; gut microbiota; intestinal function; metformin ID GLUCAGON-LIKE PEPTIDE-1; CHAIN FATTY-ACIDS; GLUCOSE; HYPERGLYCEMIA; INDIVIDUALS; ENDOTOXEMIA; SECRETION; ALTERS; IMPACT AB Purpose of reviewGut dysbiosis was recently associated with the occurrence of type 2 diabetes (T2D). In addition to this finding, an increasing number of studies performed upon the last 5 years have also shown that metformin treatment leads to changes in gut bacterial composition in diabetic patients. This review focuses on the articles describing the effects of metformin on gut homeostasis (including the gut microbiota) and proposes potential mechanisms involved in those effects.Recent findingsSeveral human and animal studies emphasized that metformin alters the gut microbiota composition by enhancing the growth of some bacteria, such as Akkermansia muciniphila, Escherichia spp. or Lactobacillus and by decreasing the levels of some other ones like Intestinibacter. In-vitro studies also demonstrated a direct action of metformin on the growth of A. muciniphila and Bifidobacterium adolescentis. Moreover, in the intestines, metformin does not only improve the glucose uptake, but it also promotes the short-chain fatty acid (SCFA) production, protects the intestinal barrier and regulates the secretion of gut peptidesSummaryIt is now clear that gut microbiota participates to the glucose-lowering effects of metformin in the context of diabetes. Further work is now needed to determine the exact mechanisms of action of the drug and to understand by which processes metformin is able to enhance the growth of some bacteria exhibiting beneficial effects for the host. C1 [Rodriguez, Julie; Hiel, Sophie; Delzenne, Nathalie M.] Catholic Univ Louvain, Louvain Drug Res Inst, Metab & Nutr Res Grp, Ave E Mounier 73 Bte B1-73-11, B-1200 Brussels, Belgium. C3 Universite Catholique Louvain RP Delzenne, NM (通讯作者),Catholic Univ Louvain, Louvain Drug Res Inst, Metab & Nutr Res Grp, Ave E Mounier 73 Bte B1-73-11, B-1200 Brussels, Belgium. EM nathalie.delzenne@uclouvain.be RI Delzenne, Nathalie/AAC-4628-2019; Rodriguez, Julie/AAM-7813-2020 OI Delzenne, Nathalie/0000-0003-2115-6082; Rodriguez, Julie/0000-0002-8271-3893 FU FRS-FNRS; Wallonia (ADIPOSTOP project) [7366]; Wallonia (FOOD4GUT project) [1318148]; Wallonia (FiberTAG project from a Joint Programming Initiative) [1610365]; European Union [613979] FX N.M.D. is a recipient of grants from FRS-FNRS, from Wallonia (ADIPOSTOP project, convention 7366; FOOD4GUT project, convention 1318148; FiberTAG project from a Joint Programming Initiative, convention 1610365) and from the European Union's Seventh Framework Program (MYNEWGUT project, agreement no. 613979). 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Care PD JUL PY 2018 VL 21 IS 4 BP 294 EP 301 DI 10.1097/MCO.0000000000000468 PG 8 WC Endocrinology & Metabolism; Nutrition & Dietetics WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism; Nutrition & Dietetics GA GI3WA UT WOS:000434301500012 PM 29634493 DA 2023-06-08 ER PT J AU Huang, XW Hong, XL Wang, JL Sun, TT Yu, TC Yu, YN Fang, JY Xiong, H AF Huang, Xiaowen Hong, Xialu Wang, Jilin Sun, Tiantian Yu, TaChung Yu, Yanan Fang, Jingyuan Xiong, Hua TI Metformin elicits antitumour effect by modulation of the gut microbiota and rescues Fusobacterium nucleatum-induced colorectal tumourigenesis SO EBIOMEDICINE LA English DT Article DE Colorectal cancer; Metformin; Microbiome; Fusobacterium nucleatum ID IN-VITRO; ALTERS; EXPRESSION; BERBERINE; PROFILES; BACTERIA; IMPACT AB Background: The effect of metformin on gut microbiota has been reported, but whether metformin can suppress colorectal cancer (CRC) by affecting gut microbiota composition and rescue F. nucleatum-induced tumourigenicity remains unclear. Methods: To identify microbiota associated with both CRC occurrence and metformin treatment, first, we reanalyzed the gut microbiome of our previous data on two human cohorts of normal and CRC individuals. Subsequently, we summarized microbiota altered by metformin from published literatures. Several taxa, including Fusobacterium, were associated with both CRC occurrence and metformin treatment. We investigated the effect of metformin on APC(Min/+) mice given with or without F. nucleatum. 16S rRNA gene sequencing was performed. Findings: We summarized 131 genera altered by metformin from 18 published literatures. Five genera reported to be changed by metformin, including Bacteroides, Streptococcus, Achromobacter, Alistipes and Fusobacterium, were associated with CRC in both of our human cohorts. Metformin relieved the symptoms caused by F. nucleatum administration in APC(Min/+) mice, and showed promise in suppressing intestinal tumour formation and rescuing F. nucleatum-induced tumourigenicity. Administration of F. nucleatum and/or metformin had effect on gut microbiome structure, composition and functions of APC(Min/+) mice. Interpretation: This study pioneers in predicting critical CRC-associated taxa contributing to the antitumour effect of metformin, and correlating gut microbiome with the antitumour effect of metformin in experimental animals. We presented a basis for future investigations into metformin's potential effect on suppressing F. nucleatum-induced tumor formation in vivo. (C) 2020 The Authors. Published by Elsevier B.V. C1 [Huang, Xiaowen; Hong, Xialu; Wang, Jilin; Sun, Tiantian; Yu, TaChung; Fang, Jingyuan; Xiong, Hua] Shanghai Jiao Tong Univ, Renji Hosp,Minist Hlth, Sch Med,State Key Lab Oncogenes & Related Genes,K, Shanghai Inst Digest Dis,Div Gastroenterol & Hepa, 145 Middle Shandong Rd, Shanghai 200001, Peoples R China. [Yu, Yanan] Qingdao Univ, Affiliated Hosp, Dept Gastroenterol, Qingdao 266003, Shandong, Peoples R China. C3 Shanghai Jiao Tong University; Qingdao University RP Fang, JY; Xiong, H (通讯作者),Shanghai Jiao Tong Univ, Renji Hosp,Minist Hlth, Sch Med,State Key Lab Oncogenes & Related Genes,K, Shanghai Inst Digest Dis,Div Gastroenterol & Hepa, 145 Middle Shandong Rd, Shanghai 200001, Peoples R China. EM JY.Fang@sjtu.edu.cn; huaxong88@126.com RI Yu, Yan/GYV-4514-2022 FU National Natural Science Foundation of China [31701250] FX This work was supported by grants from the National Natural Science Foundation of China (31701250). 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Medicine, Research & Experimental WE Science Citation Index Expanded (SCI-EXPANDED) SC General & Internal Medicine; Research & Experimental Medicine GA QK2JN UT WOS:000620208300013 PM 33039709 OA Green Published, gold DA 2023-06-08 ER PT J AU Bonnet, F Scheen, A AF Bonnet, Fabrice Scheen, Andre TI Understanding and overcoming metformin gastrointestinal intolerance SO DIABETES OBESITY & METABOLISM LA English DT Review DE gastrointestinal intolerance; metformin; microbiota; type 2 diabetes mellitus ID EXTENDED-RELEASE METFORMIN; TYPE-2 DIABETES-MELLITUS; ALL-CAUSE MORTALITY; CATION TRANSPORTER 1; COMBINATION THERAPY; OPEN-LABEL; CLINICAL PHARMACOKINETICS; CARDIOVASCULAR OUTCOMES; GLYCEMIC CONTROL; DOUBLE-BLIND AB Metformin is the most widely prescribed drug for patients with type 2 diabetes mellitus and the first-line pharmacological option as supported by multiple international guidelines, yet a rather large proportion of patients cannot tolerate metformin in adequate amounts because of its associated gastrointestinal (GI) adverse events (AEs). GI AEs typically encountered with metformin therapy include diarrhoea, nausea, flatulence, indigestion, vomiting and abdominal discomfort, with diarrhoea and nausea being the most common. Although starting at a low dose and titrating slowly may help prevent some GI AEs associated with metformin, some patients are unable to tolerate metformin at all and it may also be difficult to convince patients to start metformin again after a bout of GI AEs. Despite this clinical importance, the underlying mechanisms of the GI intolerance associated with metformin are poorly known. In the present review, we discuss: the epidemiology of metformin-associated GI intolerance and its underlying mechanisms; genotype variability and associated factors affecting metformin GI intolerance, such as comorbidities, co-medications and bariatric surgery; clinical consequences and therapeutic strategies to overcome metformin GI intolerance. These strategies include appropriate titration of immediate-release metformin, use of extended-release metformin, the promise of delayed-release metformin and gut microbiome modulators, as well as alternative pharmacological therapies when metformin cannot be tolerated at all. Given the available data, all efforts should be made to maintain metformin before considering a shift to another drug therapy. C1 [Bonnet, Fabrice] CHU Rennes, Dept Endocrinol Diabet & Nutr, Rennes, France. [Scheen, Andre] Univ Liege, CIRM, CHU,Div Clin Pharmacol, Dept Endocrinol Diabet & Nutr, Liege, Belgium. [Scheen, Andre] Univ Liege, CHU, Dept Med, Div Diabet Nutr & Metab Disorders, Liege, Belgium. C3 CHU Rennes; Universite de Rennes; University of Liege; University of Liege RP Scheen, A (通讯作者),Univ Liege, CHU Sart Tilman B35, CIRM, Div Clin Pharmacol, B-4000 Liege, Belgium. EM andre.scheen@chu.ulg.ac.be RI Bonnet, Fabrice/G-4255-2017 OI Bonnet, Fabrice/0000-0001-9255-8228 FU Merck & Co., Inc., Kenilworth, NJ, USA FX Unrestricted financial support for a medical writer for the preparation of this article was provided by Merck & Co., Inc., Kenilworth, NJ, USA. The sponsor was not involved in any aspect of the content, writing, or review of the manuscript. 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Metab. PD APR PY 2017 VL 19 IS 4 BP 473 EP 481 DI 10.1111/dom.12854 PG 9 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA EO3SN UT WOS:000396614700001 PM 27987248 DA 2023-06-08 ER PT J AU Diaz-Perdigones, CM Munoz-Garach, A Alvarez-Bermudez, MD Moreno-Indias, I Tinahones, FJ AF Diaz-Perdigones, Cristina Ma Munoz-Garach, Araceli Dolores Alvarez-Bermudez, Maria Moreno-Indias, Isabel Tinahones, Francisco J. TI Gut microbiota of patients with type 2 diabetes and gastrointestinal intolerance to metformin differs in composition and functionality from tolerant patients SO BIOMEDICINE & PHARMACOTHERAPY LA English DT Article DE Metformin; Gastrointestinal; Adverse drug reactions; Gut microbiome ID MECHANISMS; DYSBIOSIS; ACIDS AB Objective: Metformin modifies the gut microbiome in type 2 diabetes and gastrointestinal tolerance to metformin could be mediated by the gut microbiome. Methods: We enrolled 35 patients with type 2 diabetes not receiving treatment with metformin due to suspected gastrointestinal intolerance. Metformin was reintroduced at 425 mg, increasing 425 mg every two weeks until reaching 1700 mg per day. According to the occurrence of metformin-related gastrointestinal symptoms, patients were classified into three groups: early intolerance, non-tolerant, and tolerant. Gut microbiota was profiled with 16 S rRNA. This sequencing aimed to determine the differences in the baseline gut microbiota in all groups and prospectively in the tolerant and non-tolerant groups. Results: The classification resulted in 15 early intolerant, 10 tolerant, and 10 non-tolerant subjects. Early tolerance was characterized by a higher abundance of Subdoligranulum; while Veillonella and Serratia were higher in the non-tolerant group. The tolerant group showed enrichment of Megamonas, Megamonas rupellensis, and Phascolarctobacterium spp; Ruminococcus gnavus was lower in the longitudinal analysis. At the end point Prevotellaceae, Prevotella stercorea, Megamonas funiformis, Bacteroides xylanisolvens, and Blautia producta had a higher relative abundance in the tolerant group compared to the non-tolerant group. Subdoligranulum, Ruminococcus torques_1, Phascolarctobacterium faecium, and Eubacterium were higher in the non-tolerant group. The PICRUSt analysis showed a lower activity of the amino acid biosynthesis pathways and a higher sugar degradation pathway in the intolerant groups. Conclusions: Gut microbiota of subjects with gastrointestinal intolerance depicted taxonomic and functional differences compared to tolerant patients, and this changed differently after metformin administration C1 [Diaz-Perdigones, Cristina Ma; Munoz-Garach, Araceli; Dolores Alvarez-Bermudez, Maria; Moreno-Indias, Isabel; Tinahones, Francisco J.] Univ Malaga, Virgen de la Victoria Univ Hosp, Lab Biomed Res Inst Malaga, Clin Management Unit Endocrinol & Nutr, Malaga, Spain. [Diaz-Perdigones, Cristina Ma; Dolores Alvarez-Bermudez, Maria; Tinahones, Francisco J.] Univ Malaga, Program Biomed Translat Res & New Technol, Malaga, Spain. [Dolores Alvarez-Bermudez, Maria; Moreno-Indias, Isabel; Tinahones, Francisco J.] Inst Salud Carlos III, Ctr Invest Biomed Red CIBER Fisiopatol Obesidad &, Madrid, Spain. C3 Hospital Virgen de la Victoria; Instituto de Investigacion Biomedica de Malaga y Plataforma en Nanomedicina (IBIMA); Universidad de Malaga; Universidad de Malaga; CIBER - Centro de Investigacion Biomedica en Red; CIBEROBN; Instituto de Salud Carlos III RP Moreno-Indias, I; Tinahones, FJ (通讯作者),Univ Malaga, Virgen de la Victoria Univ Hosp, Lab Biomed Res Inst Malaga, Clin Management Unit Endocrinol & Nutr, Malaga, Spain. EM isabel.moreno@ibima.eu; fjtinahones@uma.es RI Moreno-Indias, Isabel/B-6595-2017 OI Moreno-Indias, Isabel/0000-0002-6121-151X; Tinahones, Francisco J/0000-0001-6871-4403; Diaz Perdigones, Cristina Maria/0000-0002-0808-2616 FU Miguel Servet Type I program of the Carlos III Health Institute [CP16/00163]; "Network of Centers for Biomedical Research" (CIBER) of the Carlos III Health Institute (ISCIII) [CB06/03/0018]; ISCIII [PI18/01160]; Regional Development Fund (ERDF); Spanish Diabetes Society FX This study was supported by the Miguel Servet Type I program of the Carlos III Health Institute (co-founded by the European Regional Development Fund) (CP16/00163 to IM-I) . In addition, this study was supported by the "Network of Centers for Biomedical Research" (CIBER) of the Carlos III Health Institute (ISCIII) (CB06/03/0018) , research grants from the ISCIII (PI18/01160) and co-financed by the Regional Development Fund (ERDF) . Finally, this study was also undertaken with the aid of a grant from the Spanish Diabetes Society to help the development of young researchers. 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Pharmacother. PD JAN PY 2022 VL 145 AR 112448 DI 10.1016/j.biopha.2021.112448 EA NOV 2021 PG 9 WC Medicine, Research & Experimental; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine; Pharmacology & Pharmacy GA XG9AG UT WOS:000725038200003 PM 34844104 OA gold DA 2023-06-08 ER PT J AU Huang, YX Lou, XD Jiang, CP Ji, XY Tao, XM Sun, J Bao, ZJ AF Huang, Yuxin Lou, Xudan Jiang, Cuiping Ji, Xueying Tao, Xiaoming Sun, Jiao Bao, Zhijun TI Gut microbiota is correlated with gastrointestinal adverse events of metformin in patients with type 2 diabetes SO FRONTIERS IN ENDOCRINOLOGY LA English DT Article DE type 2 diabetes; metformin; gastrointestinal adverse events; gut microbiota; short-chain fatty acids (SCFAs) ID GLUCAGON-LIKE PEPTIDE-1; CHAIN FATTY-ACIDS; INTOLERANCE; TOLERANCE; SECRETION; HEIGHT AB AimGastrointestinal discomfort is the most common adverse event in metformin treatment for type 2 diabetes. The mechanism of action of metformin is associated with gut microbiota. However, the gut microbial community structure related to metformin-induced gastrointestinal adverse events remains unclear. This study aimed to investigate it. Methods50 patients with newly diagnosed diabetes were treated with metformin 1500mg/d for 12 weeks. The patients were divided into two groups according to whether gastrointestinal adverse events occurred (group B) or did not occur (group A) after treatment. The fecal bacterial communities and short-chain fatty acids (SCFAs) were sequenced and compared. 70 diabetes mice were randomly divided into 8 groups and treated with metformin (Met), clindamycin (Clin) and/or SCFA, which were the Met+/Clin+, Met+/Clin-, Met-/Clin+, Met-/Clin-, Met+/SCFA+, Met+/SCFA-, Met-/SCFA+ and Met-/SCFA- group. After 4 weeks of metformin treatment, blood glucose, food intake, fecal SCFAs, gut microbiota and gut hormones were measured. ResultsMetformin increased the abundance of Phascolarctobacterium, Intestinimonas and Clostridium III. Functional prediction analysis showed that the propanoate metabolism pathway was significantly up-regulated. The concentrations of acetic acid and propanoic acid in feces were significantly increased. The abundance of Clostridium sensu stricto, Streptococcus and Akkermansia induced by metformin in group B was higher than that in group A. The propanoate metabolism pathway and propanoic acid in feces were significantly up-regulated in group B. In the animal experiments, the food intake decreased and glucose control increased in metformin groups compared with those in the control groups. The total GLP-1 level in the Met+/Clin- group was significantly higher than that in the Met-/Clin- group, while there was no statistical difference between the Met-/Clin- and Met+/Clin+ group. The total GLP-1 level in the Met-/SCFA+ group was significantly higher than that in the Met-/SCFA-group, while the levels of total GLP-1 and active GLP-1 in the Met+/SCFA- group and the Met+/SCFA+ group were significantly higher than those in the Met-/SCFA-group. ConclusionsOur data suggest that metformin promotes the secretion of intestinal hormones such as GLP-1 by increasing the abundance of SCFA-producing bacteria, which not only plays an anti-diabetic role, but also may causes gastrointestinal adverse events. C1 [Huang, Yuxin; Lou, Xudan; Jiang, Cuiping; Tao, Xiaoming; Sun, Jiao] Fudan Univ, Dept Endocrinol, Huadong Hosp, Shanghai, Peoples R China. [Ji, Xueying; Bao, Zhijun] Fudan Univ, Dept Gerontol, Huadong Hosp, Shanghai, Peoples R China. C3 Fudan University; Fudan University RP Tao, XM (通讯作者),Fudan Univ, Dept Endocrinol, Huadong Hosp, Shanghai, Peoples R China.; Bao, ZJ (通讯作者),Fudan Univ, Dept Gerontol, Huadong Hosp, Shanghai, Peoples R China. EM t983166@163.com; xinyi8681@sina.com RI Ji, Xueying/HRA-8284-2023 FU Natural Science Foundation of Xinjiang Uygur Autonomous Region; Scientific Research Topics of Shanghai Health and Family Planning Commission; Shanghai Sailing program; Key Talents Program of Huadong Hospital Affiliated to Fudan University; [2021D01C025]; [20184Y0168]; [21YF1411700]; [H-1068] FX Funding Natural Science Foundation of Xinjiang Uygur Autonomous Region (2021D01C025); Scientific Research Topics of Shanghai Health and Family Planning Commission (20184Y0168); Shanghai Sailing program (21YF1411700). Key Talents Program of Huadong Hospital Affiliated to Fudan University (H-1068). 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Endocrinol. PD NOV 17 PY 2022 VL 13 AR 1044030 DI 10.3389/fendo.2022.1044030 PG 14 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA 6S0RI UT WOS:000892704200001 PM 36465607 OA gold, Green Published DA 2023-06-08 ER PT J AU Rogall, ET Jacob, S Triebskorn, R Schwartz, T AF Rogall, Eike Thorben Jacob, Stefanie Triebskorn, Rita Schwartz, Thomas TI The impact of the anti-diabetic drug metformin on the intestinal microbiome of larval brown trout (Salmo trutta f. fario) SO ENVIRONMENTAL SCIENCES EUROPE LA English DT Article DE Microbiome; Brown trout; Metformin; Virulence ID TRANSFORMATION PRODUCT GUANYLUREA; PERSONAL CARE PRODUCTS; WASTE-WATER; GUT MICROBIOME; SURFACE-WATER; PHARMACEUTICALS; ENVIRONMENT; MICROPOLLUTANTS; DEGRADATION; STRESSORS AB Background The anti-diabetic pharmaceutical metformin is frequently analysed in the aquatic environment. Its impact on the fish microbiome is studied to get a deeper knowledge about the consequence of the metformin presence in river systems. Gut microbiome analyses were performed on larval brown trout with metformin including environmental concentrations. Therefore, the fish were exposed to metformin in concentrations of 0, 1, 10, 100, and 1000 mu g/L. Especially, the lower metformin concentrations were measured in river waters containing percentages of conditioned wastewater from municipal wastewater treatment plants. Results Two complementary molecular biological methods for population analysis targeting the 16S rRNA gene regions V1-V3, i.e.: (1) 16S amplicon sequencing and (2) polymerase chain reaction (PCR) combined with denaturing gradient gel electrophoresis (DGGE). Both analyses demonstrated significant microbiome alterations even at low metformin concentrations being analysed in German rivers. The amplicon sequencing revealed the most distinct shifts in the Firmicutes phylum, or more specifically, within the Bacillales order, which were most affected by metformin exposure. Within the Bacillales order, the Planococcaceae family, which is described to provide essential amino acids for the fish, completely disappeared after metformin treatment. Conversely, the percentage of other bacteria, such as Staphylococcaceae, increased after exposure to metformin. Similarity profiles of the microbiomes could be generated using the Sorensen index calculation after PCR-DGGE analyses and confirmed shifts in the composition of the brown trout intestinal microbiome after metformin exposures. In vitro gene expression analyses of virulence factors from fish pathogens, previously identified in the fish microbiomes DNA extracts, were conducted in the presence or absence of environmentally relevant concentrations. Here, marker genes of Enterococcus faecium, Enterococcus faecalis, and Aeromonas hydrophila were detected and quantified via PCR approaches, firstly. An increased expression of the species-specific virulence genes was observed after normalisation with control data and ribosomal housekeeping genes. Conclusion Environmentally relevant concentrations of metformin can alter the composition in gut microbiome of brown trout in different ways. Both, the metformin-induced expression of virulence genes in fish pathogens in vitro and the impact of metformin on the microbiome composition in vivo in larval brown trout open the discussion about a possible long-term effect on the vitality, growth, and development in more mature brown trouts. C1 [Rogall, Eike Thorben; Schwartz, Thomas] Karlsruhe Inst Technol, Inst Funct Interfaces IFG, Hermann von Helmholtz Pl 1, D-76344 Eggenstein Leopoldshafen, Germany. [Jacob, Stefanie; Triebskorn, Rita] Univ Tubingen, Anim Physiol Ecol, Morgenstelle 5, D-72076 Tubingen, Germany. C3 Helmholtz Association; Karlsruhe Institute of Technology; Eberhard Karls University of Tubingen RP Schwartz, T (通讯作者),Karlsruhe Inst Technol, Inst Funct Interfaces IFG, Hermann von Helmholtz Pl 1, D-76344 Eggenstein Leopoldshafen, Germany. EM thomas.schwartz@kit.edu FU Ministry for Science, Research and Arts of Baden-Wurttemberg [33-5733-25-11t32/2] FX This study is funded by the Ministry for Science, Research and Arts of Baden-Wurttemberg (Grant no. 33-5733-25-11t32/2). 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Sci Eur. PD APR 22 PY 2020 VL 32 IS 1 AR 65 DI 10.1186/s12302-020-00341-6 PG 14 WC Environmental Sciences WE Science Citation Index Expanded (SCI-EXPANDED) SC Environmental Sciences & Ecology GA LJ2BA UT WOS:000529974200002 OA Green Published, gold DA 2023-06-08 ER PT J AU Broadfield, LA Saigal, A Szamosi, JC Hammill, JA Bezverbnaya, K Wang, DD Gautam, J Tsakiridis, EE Di Pastena, F McNicol, J Wu, JH Syed, S Lally, JSV Raphenya, AR Blouin, MJ Pollak, M Sacconi, A Blandino, G McArthur, AG Schertzer, JD Surette, MG Collins, SM Bramson, JL Muti, P Tsakiridis, T Steinberg, GR AF Broadfield, Lindsay A. Saigal, Amna Szamosi, Jake C. Hammill, Joanne A. Bezverbnaya, Ksenia Wang, Dongdong Gautam, Jaya Tsakiridis, Evangelia E. Di Pastena, Fiorella McNicol, Jamie Wu, Jianhan Syed, Saad Lally, James S. V. Raphenya, Amogelang R. Blouin, Marie-Jose Pollak, Michael Sacconi, Andrea Blandino, Giovanni McArthur, Andrew G. Schertzer, Jonathan D. Surette, Michael G. Collins, Stephen M. Bramson, Jonathan L. Muti, Paola Tsakiridis, Theodoros Steinberg, Gregory R. TI Metformin-induced reductions in tumor growth involves modulation of the gut microbiome SO MOLECULAR METABOLISM LA English DT Article DE Gut microbiome; Metformin; High-fat diet; Obesity; Colon cancer ID CHAIN FATTY-ACIDS; METAGENOME-WIDE ASSOCIATION; INTESTINAL MICROBIOTA; EXPRESSION; CANCER; ALTERS AB Background/Purpose: Type 2 diabetes and obesity increase the risk of developing colorectal cancer. Metformin may reduce colorectal cancer but the mechanisms mediating this effect remain unclear. In mice and humans, a high-fat diet (HFD), obesity and metformin are known to alter the gut microbiome but whether this is important for influencing tumor growth is not known.Methods: Mice with syngeneic MC38 colon adenocarcinomas were treated with metformin or feces obtained from control or metformin treated mice.Results: We find that compared to chow-fed controls, tumor growth is increased when mice are fed a HFD and that this acceleration of tumor growth can be partially recapitulated through transfer of the fecal microbiome or in vitro treatment of cells with fecal filtrates from HFD-fed animals. Treatment of HFD-fed mice with orally ingested, but not intraperitoneally injected, metformin suppresses tumor growth and increases the expression of short-chain fatty acid (SCFA)-producing microbes Alistipes, Lachnospiraceae and Ruminococcaceae. The transfer of the gut microbiome from mice treated orally with metformin to drug naive, conventionalized HFD-fed mice increases circulating propionate and butyrate, reduces tumor proliferation, and suppresses the expression of sterol response element binding protein (SREBP) gene targets in the tumor.Conclusion: These data indicate that in obese mice fed a HFD, metformin reduces tumor burden through changes in the gut microbiome. (c) 2022 The Author(s). Published by Elsevier GmbH. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). C1 [Broadfield, Lindsay A.; Saigal, Amna; Wang, Dongdong; Gautam, Jaya; Tsakiridis, Evangelia E.; Di Pastena, Fiorella; Wu, Jianhan; Syed, Saad; Lally, James S. V.; McArthur, Andrew G.; Schertzer, Jonathan D.; Surette, Michael G.; Muti, Paola; Tsakiridis, Theodoros; Steinberg, Gregory R.] McMaster Univ, Ctr Metab Obes & Diabet Res, Hamilton, ON, Canada. [Broadfield, Lindsay A.; Wang, Dongdong; Gautam, Jaya; Tsakiridis, Evangelia E.; Di Pastena, Fiorella; Wu, Jianhan; Syed, Saad; Lally, James S. V.; Surette, Michael G.; Collins, Stephen M.; Steinberg, Gregory R.] McMaster Univ, Dept Med, Hamilton, ON, Canada. [Szamosi, Jake C.; Syed, Saad; Schertzer, Jonathan D.; Surette, Michael G.; Collins, Stephen M.] McMaster Univ, Farncombe Family Digest Res Inst, Hamilton, ON, Canada. [Hammill, Joanne A.; Bezverbnaya, Ksenia; McNicol, Jamie; Bramson, Jonathan L.] McMaster Univ, Dept Pathol & Mol Med, Hamilton, ON, Canada. [Szamosi, Jake C.; McArthur, Andrew G.; Schertzer, Jonathan D.; Surette, Michael G.; Steinberg, Gregory R.] McMaster Univ, Dept Biochem & Biomed Sci, Hamilton, ON, Canada. [Muti, Paola; Tsakiridis, Theodoros] McMaster Univ, Dept Oncol, Hamilton, ON, Canada. [Blouin, Marie-Jose; Pollak, Michael] Jewish Gen Hosp, Lady Davis Inst Med Res, Segal Canc Ctr, Montreal, PQ, Canada. [Blouin, Marie-Jose; Pollak, Michael] McGill Univ, Gerald Bronfman Dept Oncol, Montreal, PQ, Canada. [Blandino, Giovanni] Italian Natl Canc Inst Regina Elena, Oncogen & Epigenet Unit, Rome, Italy. [Steinberg, Gregory R.] HSC 4N63, 1280 Main St, Hamilton, ON L8S 4K1, Canada. C3 McMaster University; McMaster University; McMaster University; McMaster University; McMaster University; McMaster University; Lady Davis Institute; McGill University; McGill University RP Steinberg, GR (通讯作者),McMaster Univ, Ctr Metab Obes & Diabet Res, Hamilton, ON, Canada.; Steinberg, GR (通讯作者),McMaster Univ, Dept Med, Hamilton, ON, Canada.; Steinberg, GR (通讯作者),McMaster Univ, Dept Biochem & Biomed Sci, Hamilton, ON, Canada.; Steinberg, GR (通讯作者),HSC 4N63, 1280 Main St, Hamilton, ON L8S 4K1, Canada. EM gsteinberg@mcmaster.ca RI sacconi, andrea/J-3669-2018; Raphenya, Amogelang/HTR-8993-2023; Schertzer, Jonathan/P-3395-2017; Wang, Dongdong/P-7257-2016 OI sacconi, andrea/0000-0002-8276-0438; Raphenya, Amogelang/0000-0001-9259-5280; Tsakiridis, Theodoros/0000-0002-8675-4422; Schertzer, Jonathan/0000-0002-1547-5856; Wang, Dongdong/0000-0002-6195-4428; Broadfield, Lindsay A/0000-0002-7878-5712; Di Pastena, Fiorella/0000-0003-3509-8936 FU Canadian Cancer Society; Canadian Institutes of Health Research [201709FDN-CEBA-116200, 144625-1]; Diabetes Canada [DI-5-17-5302-GS] FX Authors would like to thank Dr. Jun Han of the University of Victoria Genome BC Pro-teomics center, a node of The Metabolomics Innovation Centre (TMIC) for metabolomics measurements. G.R.S is a Canada Research Chair and the J. Bruce Duncan Chair in Metabolic Diseases. This study was supported by research grants from the Canadian Cancer Society, Canadian Institutes of Health Research (201709FDN-CEBA-116200 and 144625-1 to GRS) and Diabetes Canada (DI-5-17-5302-GS) . 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Metab. PD JUL PY 2022 VL 61 AR 101498 DI 10.1016/j.molmet.2022.101498 EA MAY 2022 PG 11 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA 1T2BK UT WOS:000804540600008 PM 35452877 OA gold, Green Published DA 2023-06-08 ER PT J AU Liu, ZY Liao, WD Zhang, ZH Sun, RP Luo, YF Chen, QF Li, X Lu, RL Ying, Y AF Liu, Zhiyi Liao, Wangdi Zhang, Zihan Sun, Ruipu Luo, Yunfei Chen, Qiongfeng Li, Xin Lu, Ruiling Ying, Ying TI Metformin Affects Gut Microbiota Composition and Diversity Associated with Amelioration of Dextran Sulfate Sodium-Induced Colitis in Mice SO FRONTIERS IN PHARMACOLOGY LA English DT Article DE inflammatory bowel disease; metformin; gut microbiota; anti-inflammatory effect; biodiversity ID AKKERMANSIA-MUCINIPHILA; DISEASE AB Background: Inflammatory bowel disease (IBD) is an increasingly common and globally emergent immune-mediated disorder. The etiology of IBD is complex, involving multiple factors such as immune dysregulation, environmental factors, genetic mutations, and microbiota dysbiosis, exacerbated by a lack of effective clinical therapies. Recently, studies hypothesized that dysbiosis of intestinal flora might participate in the onset of IBD. Metformin is widely used to treat type 2 diabetes and has shown beneficial effects in mouse models of IBD, although its underlying mechanisms remain poorly understood. Accumulating studies found that metformin shows beneficial effects for diabetes by affecting microbiota composition. This study explores possible regulatory effects of metformin on intestinal microecology during treatment for IBD. Methods: Inflammation was induced using 3% Dextran Sulfate Sodium (DSS) solution to generate mice models of IBD. Metformin treatments were assayed by measuring body weights and colon lengths of mice and H&E staining to observe histological effects on colon tissue structures. Changes in bacterial community composition and diversity-related to IBD and metformin treatment were assessed by high-throughput metagenomic sequencing analysis. Results: Metformin administration significantly ameliorated body weight loss, inhibited colon shrinking, and contributed to preserving the integrity of colon histological structures. The gut microbiota profiles revealed that the biodiversity of intestinal flora lost during inflammation was restored under metformin treatment. Metformin administration was also associated with decreased pathogenic Escherichia shigella and increased abundance of Lactobacillus and Akkermansia. Conclusion: Metformin appears to induce anti-inflammatory effects, thus ameliorating colitis symptoms, concurrent with enrichment for beneficial taxa and restored microbial diversity, suggesting a viable strategy against IBD. C1 [Liu, Zhiyi; Zhang, Zihan; Sun, Ruipu; Ying, Ying] Nanchang Univ, Jiangxi Inst Resp Dis, Affiliated Hosp 1, Nanchang, Jiangxi, Peoples R China. [Liu, Zhiyi; Zhang, Zihan; Sun, Ruipu] Nanchang Univ, Queen Mary Sch, Nanchang, Jiangxi, Peoples R China. [Liao, Wangdi; Li, Xin; Lu, Ruiling] Nanchang Univ, Dept Gastroenterol, Affiliated Hosp 1, Nanchang, Jiangxi, Peoples R China. [Luo, Yunfei; Chen, Qiongfeng; Ying, Ying] Nanchang Univ, Dept Pathophysiol, Sch Basic Med Sci, Nanchang, Jiangxi, Peoples R China. [Ying, Ying] Nanchang Univ, Dept Resp & Crit Care Med, Affiliated Hosp 1, Nanchang, Jiangxi, Peoples R China. C3 Nanchang University; Nanchang University; Nanchang University; Nanchang University; Nanchang University RP Ying, Y (通讯作者),Nanchang Univ, Jiangxi Inst Resp Dis, Affiliated Hosp 1, Nanchang, Jiangxi, Peoples R China.; Ying, Y (通讯作者),Nanchang Univ, Dept Pathophysiol, Sch Basic Med Sci, Nanchang, Jiangxi, Peoples R China.; Ying, Y (通讯作者),Nanchang Univ, Dept Resp & Crit Care Med, Affiliated Hosp 1, Nanchang, Jiangxi, Peoples R China. EM yingying@ncu.edu.cn RI Sun, Ruipu/GYR-3422-2022 OI luo, yunfei/0000-0002-6838-5950 FU National Natural Science Foundation of China [81960110]; Nanchang University Students' Innovation and Entrepreneurship Training Program [2020CX299] FX This study was supported by the National Natural Science Foundation of China (No. 81960110), Nanchang University Students' Innovation and Entrepreneurship Training Program (No. 2020CX299). 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J. Endocrinol. Metab. PD JUN PY 2019 VL 18 IS 2 BP 141 EP 144 DI 10.1007/s42000-019-00093-w PG 4 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA IQ3BV UT WOS:000480626500004 PM 30719628 DA 2023-06-08 ER PT J AU Szymczak-Pajor, I Wenclewska, S Sliwinska, A AF Szymczak-Pajor, Izabela Wenclewska, Sylwia Sliwinska, Agnieszka TI Metabolic Action of Metformin SO PHARMACEUTICALS LA English DT Review DE metformin; hepatic gluconeogenesis; glucose metabolism; lipid metabolism ID ACTIVATED PROTEIN-KINASE; ORGANIC CATION TRANSPORTERS; MITOCHONDRIAL GLYCEROL-3-PHOSPHATE DEHYDROGENASE; GLUCAGON-LIKE PEPTIDE-1; BROWN ADIPOSE-TISSUE; GLUCOSE-PRODUCTION; HEPATIC GLUCONEOGENESIS; FATTY-ACID; SKELETAL-MUSCLE; GUT MICROBIOTA AB Metformin, a cheap and safe biguanide derivative, due to its ability to influence metabolism, is widely used as a first-line drug for type 2 diabetes (T2DM) treatment. Therefore, the aim of this review was to present the updated biochemical and molecular effects exerted by the drug. It has been well explored that metformin suppresses hepatic glucose production in both AMPK-independent and AMPK-dependent manners. Substantial scientific evidence also revealed that its action is related to decreased secretion of lipids from intestinal epithelial cells, as well as strengthened oxidation of fatty acids in adipose tissue and muscles. It was recognized that metformin's supra-therapeutic doses suppress mitochondrial respiration in intestinal epithelial cells, whereas its therapeutic doses elevate cellular respiration in the liver. The drug is also suggested to improve systemic insulin sensitivity as a result of alteration in gut microbiota composition, maintenance of intestinal barrier integrity, and alleviation of low-grade inflammation. C1 [Szymczak-Pajor, Izabela; Sliwinska, Agnieszka] Med Univ Lodz, Dept Nucle Acid Biochem, 251 Pomorska Str, PL-92213 Lodz, Poland. [Wenclewska, Sylwia] Med Univ Lodz, Dept Internal Med Diabetol & Clin Pharmacol, 251 Pomorska Str, PL-92213 Lodz, Poland. C3 Medical University Lodz; Medical University Lodz RP Szymczak-Pajor, I (通讯作者),Med Univ Lodz, Dept Nucle Acid Biochem, 251 Pomorska Str, PL-92213 Lodz, Poland. EM izabela.szymczak@umed.lodz.pl; sylwia.wenclewska@umed.lodz.pl; agnieszka.sliwinska@umed.lodz.pl RI Sliwinska, Agnieszka/S-9813-2016 OI Sliwinska, Agnieszka/0000-0002-6864-0704; Szymczak-Pajor, Izabela/0000-0002-6545-579X FU Medical University of Lodz [503/1-159-01/503-21-001] FX This study and paper were supported by a grant from the Medical University of Lodz (No. 503/1-159-01/503-21-001). 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PHARMACOLOGY LA English DT Article DE antipsychotic; metabolic dysfunction; metformin; gut-brain axis; gut microbiota; hypothalamus ID INDUCED WEIGHT-GAIN; GENOME-WIDE ASSOCIATION; DOUBLE-BLIND; INSULIN-RESISTANCE; 1ST-EPISODE SCHIZOPHRENIA; ATYPICAL ANTIPSYCHOTICS; PEPTIDE-1 SECRETION; CHRONIC OLANZAPINE; PROLACTIN LEVELS; BODY-WEIGHT AB Antipsychotics are the first-line medications prescribed for patients with schizophrenia or other mental disorders. Cumulative evidence has revealed that metabolic dysfunctions frequently occur in patients receiving antipsychotics, especially second-generation antipsychotics, and these effects may decrease patient compliance and increase health costs. Metformin is an effective pharmaceutical adjuvant for ameliorating antipsychotic-induced metabolic dysfunction (AIMD) in clinical practice. However, the mechanism of the effects of metformin on AIMD remains unclear. The gut-brain axis is a bidirectional communication system between the gastrointestinal tract and the central nervous system and has been associated with many pathological and physiological conditions, such as those related to metabolism. Antipsychotics interact with and have affinity for dopamine receptors and other receptors in the brain, and treatment with these antipsychotics has been shown to influence gut microbiota metabolism and composition, as observed in both animal and human studies. Metformin exerts an antidiabetic effect that is correlated with activation of AMP-kinase in the hypothalamus, and metformin also influences gut flora. Therefore, the gut-brain axis may play a role in the effect of metformin on AIMD. Since no direct evidence is available, this perspective may provide a direction for further research. C1 [Luo, Chao; Wang, Xu; Huang, Hanxue; Mao, Xiaoyuan; Zhou, Honghao; Liu, Zhaoqian] Cent South Univ, Xiangya Hosp, Dept Clin Pharmacol, Changsha, Hunan, Peoples R China. [Luo, Chao; Wang, Xu; Huang, Hanxue; Mao, Xiaoyuan; Zhou, Honghao; Liu, Zhaoqian] Cent South Univ, Hunan Key Lab Pharmacogenet, Inst Clin Pharmacol, Changsha, Hunan, Peoples R China. [Luo, Chao] Cent South Univ, Sch Life Sci, Changsha, Hunan, Peoples R China. [Zhou, Honghao; Liu, Zhaoqian] Cent South Univ, Xiangya Hosp, Natl Clin Res Ctr Geriatr Disorders, Changsha, Hunan, Peoples R China. C3 Central South University; Central South University; Central South University; Central South University RP Liu, ZQ (通讯作者),Cent South Univ, Xiangya Hosp, Dept Clin Pharmacol, Changsha, Hunan, Peoples R China.; Liu, ZQ (通讯作者),Cent South Univ, Hunan Key Lab Pharmacogenet, Inst Clin Pharmacol, Changsha, Hunan, Peoples R China.; Liu, ZQ (通讯作者),Cent South Univ, Xiangya Hosp, Natl Clin Res Ctr Geriatr Disorders, Changsha, Hunan, Peoples R China. EM liuzhaoqian63@126.com RI lll, zzzz/HJY-6145-2023; Luo, Chao/GQH-1910-2022 OI Luo, Chao/0000-0002-7007-1440 FU National Key Research and Development Program of China [2016YFC1306900]; National Natural Science Foundation of China [81573508]; Open Foundation of Innovative Platform in Colleges and University of Hunan Province of China [[2015]54]; Clinical Research Fund of Peking University Unamed-Central South University Xiangya Hospital [xywm2015I16] FX This work was supported by the National Key Research and Development Program of China (2016YFC1306900), National Natural Science Foundation of China (81573508), Open Foundation of Innovative Platform in Colleges and University of Hunan Province of China ([2015]54), and Clinical Research Fund of Peking University Unamed-Central South University Xiangya Hospital (xywm2015I16). 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Pharmacol. PD APR 9 PY 2019 VL 10 AR 371 DI 10.3389/fphar.2019.00371 PG 8 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED); Social Science Citation Index (SSCI) SC Pharmacology & Pharmacy GA HS5TP UT WOS:000463934300001 PM 31024322 OA Green Published, gold DA 2023-06-08 ER PT J AU Jauvain, M Courtois, S Lehours, P Bessede, E AF Jauvain, Marine Courtois, Sarah Lehours, Philippe Bessede, Emilie TI Metformin Modifies the Gut Microbiota of Mice Infected with Helicobacter pylori SO PHARMACEUTICALS LA English DT Article DE Helicobacter pylori; metformin; microbiota; PICRUSt ID NITRIC-OXIDE SYNTHASE; CANCER; ASSOCIATION; GLUCOSE; RISK; EPIDEMIOLOGY; METABOLITES; EXPRESSION; INTESTINE; COMMUNITY AB Metformin is widely prescribed to treat type 2 diabetes. Diabetes patients treated with metformin have a decreased risk of cancers, including gastric cancer. Among the factors influencing digestive carcinogenesis, gut microbiota interactions have been intensively studied. Metformin exhibits direct antimicrobial activity toward Helicobacter pylori, which plays a crucial role in gastric carcinogenesis. Mice were infected with H. pylori and treated for 12 days with either metformin or phosphate-buffered saline (PBS) as a control. At the end of the treatment period, the mice were euthanized and cecal and intestinal contents and stool were collected. The gut microbiota of the three different digestive sites (stool, cecal, and intestinal contents) were characterized through 16S RNA gene sequencing. In mice infected with H. pylori, metformin significantly decreased alpha diversity indices and led to significant variation in the relative abundance of some bacterial taxa including Clostridium and Lactobacillus, which were directly inhibited by metformin in vitro. PICRUSt analysis suggested that metformin modifies functional pathway expression, including a decrease in nitrate reducing bacteria in the intestine. Metformin significantly changed the composition and predicted function of the gut microbiota of mice infected with H. pylori; these modifications could be implicated in digestive cancer prevention. C1 [Jauvain, Marine; Courtois, Sarah; Lehours, Philippe; Bessede, Emilie] Univ Bordeaux, BaRITOn, UMR 1053 Bordeaux Res Translat Oncol, INSERM, F-33000 Bordeaux, France. [Lehours, Philippe; Bessede, Emilie] Univ Hosp Bordeaux, French Natl Reference Ctr Campylobacters & Helico, F-33000 Bordeaux, France. C3 Institut National de la Sante et de la Recherche Medicale (Inserm); UDICE-French Research Universities; Universite de Bordeaux; CHU Bordeaux; UDICE-French Research Universities; Universite de Bordeaux RP Bessede, E (通讯作者),Univ Bordeaux, BaRITOn, UMR 1053 Bordeaux Res Translat Oncol, INSERM, F-33000 Bordeaux, France.; Bessede, E (通讯作者),Univ Hosp Bordeaux, French Natl Reference Ctr Campylobacters & Helico, F-33000 Bordeaux, France. 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Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA RR9TQ UT WOS:000643431700001 PM 33916777 OA Green Published, gold DA 2023-06-08 ER PT J AU Nakajima, H Takewaki, F Hashimoto, Y Kajiyama, S Majima, S Okada, H Senmaru, T Ushigome, E Nakanishi, N Hamaguchi, M Yamazaki, M Tanaka, Y Oikawa, Y Nakajima, S Ohno, H Fukui, M AF Nakajima, Hanako Takewaki, Fumie Hashimoto, Yoshitaka Kajiyama, Shizuo Majima, Saori Okada, Hiroshi Senmaru, Takafumi Ushigome, Emi Nakanishi, Naoko Hamaguchi, Masahide Yamazaki, Masahiro Tanaka, Yoshiki Oikawa, Yousuke Nakajima, Shunji Ohno, Hiroshi Fukui, Michiaki TI The Effects of Metformin on the Gut Microbiota of Patients with Type 2 Diabetes: A Two-Center, Quasi-Experimental Study SO LIFE-BASEL LA English DT Article DE metformin; diabetes mellites; dysbiosis; gastrointestinal symptoms ID GASTROINTESTINAL SYMPTOMS; RATING-SCALE; JAPANESE; VERSION; HYPERGLYCEMIA; ASSOCIATION; METAGENOME; INHIBITOR; DYSBIOSIS; IMMUNITY AB Metformin is reported to affect human gut microbiota; however, the nature of this association in Japanese patients with type 2 diabetes mellitus (T2DM) is unknown. We enrolled 31 patients with T2DM who took metformin for the first time in this study. We compared them before and after four weeks of taking metformin. Fecal samples were collected and 16S rDNA sequences were performed to identify the gut microbiota. Blood samples and Gastrointestinal Symptom Rating Scale (GSRS) questionnaire results, denoting gastro-intestinal symptoms, were also collected. In the whole-group analysis, no significant differences were found at the phylum level. In a subgroup of 21 patients that excluding those using medications affecting gut microbiota, there was a significant decrease of the phylum Firmicutes (p= 0.042) and of the ratio of the Firmicutes and Bacteroidetes abundances (p= 0.04) after taking metformin. Changes in abdominal pain (r= -0.56,p= 0.008) and regurgitation (r= -0.53,p= 0.01) were associated withParabacteroides. Despite there being no direct association with abdominal symptoms, our study revealed that the composition of gut microbiota in Japanese individuals with T2DM partially changed after starting metformin. C1 [Nakajima, Hanako; Takewaki, Fumie; Hashimoto, Yoshitaka; Kajiyama, Shizuo; Majima, Saori; Okada, Hiroshi; Senmaru, Takafumi; Ushigome, Emi; Nakanishi, Naoko; Hamaguchi, Masahide; Yamazaki, Masahiro; Fukui, Michiaki] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Endocrinol & Metab, Kyoto 6028566, Japan. [Kajiyama, Shizuo] Kajiyama Clin, Kyoto 6008898, Japan. [Okada, Hiroshi] Matsushita Mem Hosp, Dept Internal Med, Moriguchi, Osaka 5708540, Japan. [Tanaka, Yoshiki; Oikawa, Yousuke; Nakajima, Shunji; Ohno, Hiroshi] Biofermin Pharmaceut Co Ltd, R&D Ctr, Kobe, Hyogo 6500021, Japan. C3 Kyoto Prefectural University of Medicine RP Hashimoto, Y (通讯作者),Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Endocrinol & Metab, Kyoto 6028566, Japan. EM tabahana@koto.kpu-m.ac.jp; fumi12112000@yahoo.co.jp; y-hashi@koto.kpu-m.ac.jp; kajiyama-clinic@dream.ocn.ne.jp; saori-m@koto.kpu-m.ac.jp; conti@koto.kpu-m.ac.jp; semmarut@koto.kpu-m.ac.jp; emis@koto.kpu-m.ac.jp; naoko-n@koto.kpu-m.ac.jp; mhama@koto.kpu-m.ac.jp; masahiro@koto.kpu-m.ac.jp; tanaka_yoshiki@biofermin.co.jp; oikawa_yousuke@biofermin.co.jp; nakajima_shunji@biofermin.co.jp; ohno_hiroshi@biofermin.co.jp; michiaki@koto.kpu-m.ac.jp RI Hashimoto, Yoshitaka/AAH-8503-2020 OI Hashimoto, Yoshitaka/0000-0002-8794-0550; Fukui, Michiaki/0000-0003-0903-1797; Hamaguchi, Masahide/0000-0002-8651-4445; Okada, Hiroshi/0000-0002-1707-970X; Nakajima, Hanako/0000-0002-3209-1790; Nakajima, Shunji/0000-0002-9864-6111; Nakanishi, Naoko/0000-0003-0092-2593 FU Biofermin Pharma Co., Ltd, Kobe, Japan FX This work was supported by the Biofermin Pharma Co., Ltd, Kobe, Japan. 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Dysregulation of gut microbiota composition, also known as dysbiosis, is involved in the clinical outcome of diabetes, inflammatory bowel diseases, cancer, aging and HIV infection. Gut dysbiosis and inflammation persist in people living with HIV (PLWH) despite receiving antiretroviral therapy, further contributing to non-AIDS comorbidities. Metformin, a widely used antidiabetic agent, has been found to benefit microbiota composition, promote gut barrier integrity and reduce inflammation in human and animal models of diabetes. Inspired by the effect of metformin on diabetes-related gut dysbiosis, we herein critically review the relevance of metformin to control inflammation in PLWH. Metformin may improve gut microbiota composition, in turn reducing inflammation and risk of non-AIDS comorbidities. This review will pave the way towards innovative strategies to counteract dysregulated microbiota and improve the lives of PLWH. C1 [Ouyang, Jing; Chen, Yaokai] Chongqing Publ Hlth Med Ctr, Baoyu Rd 109, Chongqing, Peoples R China. [Ouyang, Jing; Isnard, Stephane; Lin, John; Fombuena, Brandon; Routy, Jean-Pierre] McGill Univ Hlth Ctr, Res Inst, Infect Dis & Immun Global Hlth Program, 1001 Blvd Decarie, Montreal, PQ, Canada. [Ouyang, Jing; Isnard, Stephane; Lin, John; Fombuena, Brandon; Routy, Jean-Pierre] McGill Univ Hlth Ctr, Chron Viral Illness Serv, 1001 Blvd Decarie, Montreal, PQ, Canada. [Fombuena, Brandon] McGill Univ, Dept Microbiol & Immunol, 845 Sherbrooke St West, Montreal, PQ, Canada. [Marette, Andre] Laval Univ, Cardiol Axis Quebec Heart & Lung Inst, Dept Med, Fac Med, 2325 Rue Univ, Laval, PQ, Canada. [Marette, Andre] Laval Univ, Inst Nutr & Funct Foods, 2325 Rue Univ, Laval, PQ, Canada. [Routy, Bertrand] Univ Montreal CRCHUM, Res Ctr, 900 St Denis St, Montreal, PQ, Canada. [Routy, Bertrand] Univ Montreal Healthcare Ctr CHUM, Hematol Oncol Div, Dept Med, 1051 Rue Sanguinet, Montreal, PQ, Canada. [Routy, Jean-Pierre] McGill Univ Hlth Ctr, Div Hematol, 1001 Blvd Decarie, Montreal, PQ, Canada. C3 McGill University; McGill University; McGill University; Laval University; Quebec Heart & Lung Institute; Laval University; Universite de Montreal; McGill University RP Chen, YK (通讯作者),Chongqing Publ Hlth Med Ctr, Baoyu Rd 109, Chongqing, Peoples R China.; Routy, JP (通讯作者),McGill Univ Hlth Ctr, Res Inst, Infect Dis & Immun Global Hlth Program, 1001 Blvd Decarie, Montreal, PQ, Canada. EM yaokaichen@hotmail.com; jean-pierre.routy@mcgill.ca RI Marette, Andre/E-9342-2013 OI Lin, John/0000-0002-2596-969X; Marette, Andre/0000-0003-3950-5973 FU Fonds de la Recherche Quebec-Sante (FRQ-S): Reseau SIDA/Maladies infectieuses and Therapie cellulaire; Canadian Institutes of Health Research (CIHR) [HOP 103230, PTJ 166049]; Vaccines & Immunotherapies Core of the CIHR Canadian HIV Trials Network (CTN) [CTN 257, CTN PT027]; Canadian Foundation for AIDS Research (CANFAR) [02-512]; CIHR [HB2-164064]; Chinese National Science and Technology Major Project [2018ZX10302104]; CIHR Foundation Grant FX Our work was funded by the Fonds de la Recherche Quebec-Sante (FRQ-S): Reseau SIDA/Maladies infectieuses and Therapie cellulaire; the Canadian Institutes of Health Research (CIHR; Grants HOP 103230 and PTJ 166049); the Vaccines & Immunotherapies Core of the CIHR Canadian HIV Trials Network (CTN; Grant CTN 257 and CTN PT027); the Canadian Foundation for AIDS Research (CANFAR; Grant 02-512); CIHR-funded Canadian HIV Cure Enterprise (CanCURE) Team Grant HB2-164064; and the Chinese National Science and Technology Major Project (No. 2018ZX10302104). Andre Marette holds a CIHR/Pfizer research Chair in the pathogenesis of insulin resistance and cardiovascular complications and is supported by a CIHR Foundation Grant. 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Ther. PD MAR 10 PY 2020 VL 17 IS 1 AR 10 DI 10.1186/s12981-020-00267-2 PG 9 WC Infectious Diseases WE Science Citation Index Expanded (SCI-EXPANDED) SC Infectious Diseases GA KW3TD UT WOS:000521088500001 PM 32156291 OA Green Published, gold DA 2023-06-08 ER PT J AU Ryan, PM Patterson, E Carafa, I Mandal, R Wishart, DS Dinan, TG Cryan, JF Tuohy, KM Stanton, C Ross, RP AF Ryan, Paul M. Patterson, Elaine Carafa, Ilaria Mandal, Rupasri Wishart, David S. Dinan, Timothy G. Cryan, John F. Tuohy, Kieran M. Stanton, Catherine Ross, R. Paul TI Metformin and Dipeptidyl Peptidase-4 Inhibitor Differentially Modulate the Intestinal Microbiota and Plasma Metabolome of Metabolically Dysfunctional Mice SO CANADIAN JOURNAL OF DIABETES LA English DT Article DE diabetes; DPP-4; metformin; microbiota; PKF-275-055 ID HUMAN GUT MICROBIOME; GLUCOSE; OBESE; IMPACT; BUTYRATE; WEIGHT; TOOL AB Objectives: Recent evidence indicates that gut microbiota is altered considerably by a variety of commonly prescribed medications. This study assessed the impact of 2 antidiabetic therapeutics on gut microbiota and markers of cardiometabolic disease in metabolically dysfunctional mice. Methods: C57BL/6 mice were fed a high-fat diet for 24 weeks while receiving 1 of 2 antidiabetic therapeutics-metformin or dipeptidyl peptidase-4 (DPP-4) inhibitor, PKF-275-055-for the final 12 weeks. Mice were assessed for weight gain, glucose and cholesterol metabolism, and adiposity. In addition, cecal microbiota was analyzed by 16S compositional sequencing, and plasma metabolome was analyzed by liquid chromatography with tandem mass spectrometry. Results: Both therapeutics had similar metabolic effects, attenuating mesenteric adiposity and improving cholesterol metabolism and insulin sensitivity. However, multivariate analyses of microbiota and metabolomics data revealed clear divergence of the therapeutic groups. Although both metformin and PKF-275-055 mice displayed significantly decreased Firmicutes/Bacteroidetes ratios, only metformin harboured metabolic health-associated Akkermansia, Parabacteroides and Christensenella. Paradoxically, metformin also reduced a diversity, a metric frequently associated with host metabolic fitness. PKF-275-055 mice displayed elevated levels of butyrate-producing Ruminococcus and acetogen Dorea, with reduced levels of certain plasma sphingomyelin, phosphatidylcholine and lysophosphatidylcholine entities. In turn, metformin reduced levels of acylcarnitines, a functional group associated with systemic metabolic dysfunction. Finally, several associations were identified between metabolites and altered taxa. Conclusions: This study represents the first direct comparison of the microbiota-modifying effects of metformin and a DPP-4 inhibitor, and proposes several putative microbial targets both in terms of novel therapeutic development and adverse effect prevention. (C) 2019 Canadian Diabetes Association. C1 [Ryan, Paul M.] Univ Coll Cork, Sch Med, Cty Cork, Ireland. [Ryan, Paul M.; Patterson, Elaine; Stanton, Catherine] Teagasc Food Res Ctr, Moorepk, Fermoy, Cork, Ireland. [Ryan, Paul M.; Patterson, Elaine; Dinan, Timothy G.; Cryan, John F.; Stanton, Catherine; Ross, R. Paul] Univ Coll Cork, APC Microbiome Ireland, Biosci Bldg,Coll Rd, Cork, Cty Cork, Ireland. [Carafa, Ilaria; Tuohy, Kieran M.] Fdn Edmund Mach, Ist Agrario, San Michele All Adige, Italy. [Mandal, Rupasri; Wishart, David S.] Univ Alberta, Dept Biol Sci, Edmonton, AB, Canada. [Wishart, David S.] Univ Alberta, Dept Comp Sci, Edmonton, AB, Canada. [Wishart, David S.] Natl Inst Nanotechnol, Edmonton, AB, Canada. [Dinan, Timothy G.] Univ Coll Cork, Dept Psychiat, Cty Cork, Ireland. [Cryan, John F.] Univ Coll Cork, Dept Neurosci, Cty Cork, Ireland. C3 University College Cork; Teagasc; University College Cork; Fondazione Edmund Mach; University of Alberta; University of Alberta; National Research Council Canada; University College Cork; University College Cork RP Ross, RP (通讯作者),Univ Coll Cork, APC Microbiome Ireland, Biosci Bldg,Coll Rd, Cork, Cty Cork, Ireland. EM p.ross@ucc.ie RI Stanton, Catherine/A-9549-2015; Cryan, John F./A-6950-2013; Dinan, Timothy/ABA-8284-2020; Ryan, Paul MacDaragh/ABG-5352-2020; Tuohy, Kieran M/G-9142-2011; Wishart, David Scott/ABI-3181-2020; Ross, Paul/A-7584-2015 OI Stanton, Catherine/0000-0002-6724-7011; Cryan, John F./0000-0001-5887-2723; Ryan, Paul MacDaragh/0000-0001-7251-6725; Tuohy, Kieran M/0000-0001-6882-7192; Ross, Paul/0000-0003-4876-8839; Carafa, Ilaria/0000-0002-3662-9535 FU Teagasc Walsh Fellowship; Ireland Canada University Foundation Dobbin Scholarship; Teagasc Walsh Fellow Short-term Overseas Training Award; APC Microbiome Ireland - Science Foundation Ireland [SFI/12/RC/2273] FX P.M.R. was in receipt of a Teagasc Walsh Fellowship and travel support for work carried out in The Metabolomics Innovation Centre, which was provided by the Ireland Canada University Foundation Dobbin Scholarship and the Teagasc Walsh Fellow Short-term Overseas Training Award. This work is supported by APC Microbiome Ireland, a research centre funded by Science Foundation Ireland (grant number SFI/12/RC/2273). 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Diabetes PD MAR PY 2020 VL 44 IS 2 BP 146 EP + DI 10.1016/j.jcjd.2019.05.008 PG 12 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA KS0RZ UT WOS:000518020500007 PM 31445961 DA 2023-06-08 ER PT J AU Wang, XR Huang, HM Zhu, YY Li, SL Zhang, PF Jiang, JJ Xi, CX Wu, LL Gao, XL Fu, YY Zhang, DH Chen, YQ Hu, SH Lai, JB AF Wang, Xiaorong Huang, Huimin Zhu, Yiyi Li, Shaoli Zhang, Peifen Jiang, Jiajun Xi, Caixi Wu, Lingling Gao, Xingle Fu, Yaoyang Zhang, Danhua Chen, Yiqing Hu, Shaohua Lai, Jianbo TI Metformin acts on the gut-brain axis to ameliorate antipsychotic- induced metabolic dysfunction SO BIOSCIENCE TRENDS LA English DT Review DE antipsychotic-induced metabolic dysfunction; gut-brain axis; gut microbiota; metformin; hypothalamus; neuropeptide ID INDUCED WEIGHT-GAIN; ACTIVATED PROTEIN-KINASE; CHAIN FATTY-ACIDS; BODY-WEIGHT; ATYPICAL ANTIPSYCHOTICS; HYPOTHALAMIC REGULATION; PSYCHOTIC DISORDERS; INSULIN-RESISTANCE; CHRONIC OLANZAPINE; POTENTIAL ROLE AB Antipsychotic-induced metabolic dysfunction (AIMD) is an intractable clinical challenge worldwide. The situation is becoming more critical as second-generation antipsychotics (SGAs), to a great extent, have replaced the role of first-generation antipsychotics in managing major psychiatric disorders. Although the exact mechanisms for developing AIMD is intricate, emerging evidence has indicated the involvement of the microbiota-gut-brain axis in AIMD. SGAs treatment may change the diversity and compositions of intestinal flora (e.g., decreased abundance of Bacteroidetes and Akkermansia muciniphila, and increased Firmicutes). Short-chain fatty acids and other metabolites derived from gut microbiota, on the one hand, can regulate the activity of intestinal endocrine cells and their secretion of satiety hormones (e.g., glucagon-like peptide 1, peptide YY, cholecystokinin and ghrelin); on the other hand, can activate the vagus nerve or transport into the brain to exert a central modulation of foraging behaviors via binding to neuropeptide receptors. Interestingly, metformin, a classical antidiabetic agent, is capable of alleviating AIMD possibly by regulating the microbiotagut-brain axis. That is, metformin can not only partially reverse the alterations of gut microbial communities due to SGAs treatment, but also play a positive role in rectifying the disturbances of peripheral and central satiety-related neuropeptides. Current evidence has indicated a promising role for metformin on ameliorating AMID, but further verifications in well-designed clinical trials are still warranted. C1 [Wang, Xiaorong; Huang, Huimin; Zhu, Yiyi; Li, Shaoli; Zhang, Peifen; Xi, Caixi; Wu, Lingling; Gao, Xingle; Fu, Yaoyang; Zhang, Danhua; Chen, Yiqing; Hu, Shaohua; Lai, Jianbo] Zhejiang Univ, Affiliated Hosp 1, Dept Psychiat, Sch Med, 79 Qingchun Rd, Hangzhou 310003, Zhejiang, Peoples R China. [Wang, Xiaorong; Jiang, Jiajun; Hu, Shaohua; Lai, Jianbo] Key Lab Mental Disorders Management Zhejiang Prov, Hangzhou, Zhejiang, Peoples R China. [Wang, Xiaorong; Hu, Shaohua; Lai, Jianbo] Zhejiang Univ, Brain Res Inst, Hangzhou, Zhejiang, Peoples R China. [Wang, Xiaorong; Hu, Shaohua; Lai, Jianbo] Zhejiang Engn Ctr Math Mental Hlth, Hangzhou, Zhejiang, Peoples R China. [Huang, Huimin; Zhu, Yiyi] Wenzhou Med Univ, Wenzhou, Zhejiang, Peoples R China. C3 Zhejiang University; Zhejiang University; Wenzhou Medical University RP Hu, SH; Lai, JB (通讯作者),Zhejiang Univ, Affiliated Hosp 1, Dept Psychiat, Sch Med, 79 Qingchun Rd, Hangzhou 310003, Zhejiang, Peoples R China. 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Trends PD OCT PY 2021 VL 15 IS 5 BP 321 EP 329 DI 10.5582/bst.2021.01317 PG 9 WC Biology WE Science Citation Index Expanded (SCI-EXPANDED); Social Science Citation Index (SSCI) SC Life Sciences & Biomedicine - Other Topics GA WX4FW UT WOS:000718554600008 PM 34588398 OA gold DA 2023-06-08 ER PT J AU Bryrup, T Thomsen, CW Kern, T Allin, KH Brandslund, I Jorgensen, NR Vestergaard, H Hansen, T Hansen, TH Pedersen, O Nielsen, T AF Bryrup, Thomas Thomsen, Caecilie W. Kern, Timo Allin, Kristine H. Brandslund, Ivan Jorgensen, Nikias R. Vestergaard, Henrik Hansen, Torben Hansen, Tue H. Pedersen, Oluf Nielsen, Trine TI Metformin-induced changes of the gut microbiota in healthy young men: results of a non-blinded, one-armed intervention study SO DIABETOLOGIA LA English DT Article DE Drug therapy; Gut microbiota; Intervention; Metformin; Microbiome; Microbiota; Type 2 diabetes ID GLUCOSE; GLUCONEOGENESIS; BIGUANIDES; METAGENOME; HISTAMINE; GLUCAGON; REVEALS; PATHWAY; INSULIN AB Aims/hypothesis Individuals with type 2 diabetes have an altered bacterial composition of their gut microbiota compared with non-diabetic individuals. However, these alterations may be confounded by medication, notably the blood-glucose-lowering biguanide, metformin. We undertook a clinical trial in healthy and previously drug-free men with the primary aim of investigating metformin-induced compositional changes in the non-diabetic state. A secondary aim was to examine whether the pre-treatment gut microbiota was related to gastrointestinal adverse effects during metformin treatment. Methods Twenty-seven healthy young Danish men were included in an 18-week one-armed crossover trial consisting of a pre-intervention period, an intervention period and a post-intervention period, each period lasting 6 weeks. Inclusion criteria were men of age 18-35 years, BMI between 18.5 kg/m(2) and 27.5 kg/m(2), HbA(1c) < 39 mmol/mol (5.7%) and plasma creatinine within the normal range. No prescribed medication, including antibiotics, for 2 months prior to recruitment were allowed and no previous gastrointestinal surgery, discounting appendectomy or chronic illness requiring medical treatment. During the intervention the participants were given metformin up to 1 g twice daily. Participants were examined five times in the fasting state with blood sampling and recording of gastrointestinal symptoms. Examinations took place at Frederiksberg Hospital, Denmark before and after the pre-intervention period, halfway through and immediately after the end of intervention and after the wash-out period. Faecal samples were collected at nine evenly distributed time points, and bacterial DNA was extracted and subjected to 16S rRNA gene amplicon sequencing in order to evaluate gut microbiota composition. Subjective gastrointestinal symptoms were reported at each visit. Results Data from participants who completed visit 1 (n = 23) are included in analyses. For the primary outcome the relative abundance of 11 bacterial genera significantly changed during the intervention but returned to baseline levels after treatment cessation. In line with previous reports, we observed a reduced abundance of Intestinibacter spp. and Clostridium spp., as well as an increased abundance of Escherichia/Shigella spp. and Bilophila wadsworthia. The relative abundance at baseline of 12 bacterial genera predicted self-reported gastrointestinal adverse effects. Conclusions/interpretation Intake of metformin changes the gut microbiota composition in normoglycaemic young men. The microbiota changes induced by metformin extend and validate previous reports in individuals with type 2 diabetes. Secondary analyses suggest that pre-treatment gut microbiota composition may be a determinant for development of gastrointestinal adverse effects following metformin intake. These results require further investigation and replication in larger prospective studies. C1 [Bryrup, Thomas; Thomsen, Caecilie W.; Kern, Timo; Allin, Kristine H.; Vestergaard, Henrik; Hansen, Torben; Hansen, Tue H.; Pedersen, Oluf; Nielsen, Trine] Univ Copenhagen, Novo Nordisk Fdn Ctr Basic Metab Res, Fac Hlth & Med Sci, Blegdamsvej 3B, DK-2200 Copenhagen, Denmark. [Allin, Kristine H.] Bispebjerg & Frederiksberg Hosp, Ctr Clin Res & Prevent, Copenhagen, Denmark. [Brandslund, Ivan] Lillebaelt Hosp, Dept Biochem & Immunol, Vejle, Denmark. [Brandslund, Ivan] Univ Southern Denmark, Inst Reg Hlth Res, Odense C, Denmark. [Jorgensen, Nikias R.] Rigshosp, Dept Clin Biochem, Copenhagen, Denmark. [Jorgensen, Nikias R.] Univ Southern Denmark, Odense Patient Data Explorat Network OPEN, Odense Univ Hosp, Inst Clin Res, Odense, Denmark. [Vestergaard, Henrik] Steno Diabet Ctr Copenhagen, Gentofte, Denmark. [Hansen, Torben] Univ Southern Denmark, Fac Hlth Sci, Odense, Denmark. [Hansen, Tue H.] Slagelse Hosp, Dept Cardiol & Endocrinol, Slagelse, Denmark. C3 Novo Nordisk Foundation; University of Copenhagen; University of Copenhagen; Bispebjerg Hospital; University of Southern Denmark; Rigshospitalet; University of Copenhagen; University of Southern Denmark; Odense University Hospital; Steno Diabetes Center; University of Southern Denmark RP Pedersen, O; Nielsen, T (通讯作者),Univ Copenhagen, Novo Nordisk Fdn Ctr Basic Metab Res, Fac Hlth & Med Sci, Blegdamsvej 3B, DK-2200 Copenhagen, Denmark. EM oluf@sund.ku.dk; trine.nielsen@sund.ku.dk RI Pedersen, Oluf/Z-1731-2019; Bryrup, Thomas/AAJ-1302-2021; Allin, Kristine Højgaard/ABG-3463-2021; Pedersen, Oluf/AAG-8015-2020; Hansen, Tue Haldor/S-7724-2016; Nielsen, trine/HJZ-4867-2023 OI Pedersen, Oluf/0000-0002-3321-3972; Hansen, Tue Haldor/0000-0001-5948-8993; Nielsen, trine/0000-0002-2066-7895; Brandslund, Ivan/0000-0002-4203-5442; Bryrup, Thomas/0000-0001-8533-6766; Kern, Timo/0000-0001-7139-9766; Allin, Kristine Hojgaard/0000-0002-6880-5759; Jorgensen, Niklas Rye/0000-0001-9624-5210; Vestergaard, Henrik/0000-0003-3090-269X; Hansen, Torben/0000-0001-8748-3831 FU Danish Diabetes Association; Novo Nordisk Foundation [NNF14OC00128]; Novo Nordisk Foundation for Basic Metabolic Research; Hagedorn Prize FX The project was financed by research grants from the Danish Diabetes Association (received by TN), The Novo Nordisk Foundation (grant number NNF14OC00128), internal funding at the Novo Nordisk Foundation for Basic Metabolic Research and the Hagedorn Prize (received by OP). 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We aimed to evaluate the influence of metformin on the intestinal microbiota (IM), metabolism, and functional and morphological characteristics of myocardium in rats with IGT. IGT was modelled in SPF Wistar rats with a high-fat diet and streptozotocin and nicotinamide injection. Rats were divided into three groups: IGT (without treatment), IGT MET (metformin therapy), and CRL (without IGT induction and treatment). IGT group was characterized by: higher body weight, increased serum glucose and total cholesterol levels, atherogenic coefficient, impairment in the functional parameters of the isolated heart during perfusion, and larger myocardium infarction (MI) size in comparison with the CRL group. IM of IGT rats differed from that of CRL: an increase of Bacteroides, Acinetobacter, Akkermansia, Roseburia, and a decrease of Lactobacillus genera representation. Metformin therapy led to the diminishing of metabolic syndrome (MS) symptoms, which correlated with IM restoration, especially with the growth of Akkermansia spp. and decline of Roseburia populations and their influence on other members of IM. The obtained results allow us to consider from a new point of view the expediency of probiotic A. muciniphila use for MS treatment. C1 [Ermolenko, Elena; Voropaeva, Lyubov; Lavrenova, Nadezhda; Kotyleva, Maryna; Gladyshev, Nikita; Dmitriev, Alexander; Suvorov, Alexander] Fed State Budgetary Inst, Inst Expt Med, St Petersburg 197376, Russia. [Simanenkova, Anna; Minasian, Sarkis; Chernikova, Alena; Timkina, Natalya; Galagudza, Michael; Karonova, Tatiana] Almazov Natl Med Res Ctr, St Petersburg 197341, Russia. C3 Institute of Experimental Medicine; Almazov National Medical Research Centre RP Ermolenko, E (通讯作者),Fed State Budgetary Inst, Inst Expt Med, St Petersburg 197376, Russia. EM lermolenkol@yandex.ru; annasimanenkova@mail.ru; lu_bashka@mail.ru; nadezhda.lavrenova.vrn@gmail.com; mariha.lenivaya@mail.ru; carkis@yandex.ru; arabicaa@gmail.com; n.timkina2014@yandex.ru; krinege@mail.ru; admitriev10@yandex.ru; navivus2@gmail.com; galagudza@almazovcentre.ru; karonova@mail.ru RI ; Suvorov, Alexander/J-6921-2013 OI Gladyshev, Nikita/0000-0003-2732-5676; Suvorov, Alexander/0000-0003-2312-5589; Chernikova, Alena/0000-0002-4878-6909; Simanenkova, Anna/0000-0003-3300-1280; Alferova, Lyubov/0000-0002-0052-0896 FU Ministry of Science and Higher Education of the Russian Federation [075-15-2020-902] FX The work was supported by the Ministry of Science and Higher Education of the Russian Federation 075-15-2020-902 Federal State Budgetary Scientific Institution "Institute of Experimental Medicine" (FSBSI "IEM") Scientific and Educational Center "Molecular bases of interaction of microorganisms and human" of the world-class research center "Center for personalized Medicine" FSBSI "IEM". 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J. Mol. Sci. PD JUN PY 2022 VL 23 IS 12 AR 6837 DI 10.3390/ijms23126837 PG 20 WC Biochemistry & Molecular Biology; Chemistry, Multidisciplinary WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Chemistry GA 2K8CY UT WOS:000816558300001 PM 35743280 OA Green Published, gold DA 2023-06-08 ER PT J AU Kang, J Li, CQ Gao, XH Liu, ZQ Chen, CA Luo, DQ AF Kang, Jie Li, Chunqing Gao, Xuehui Liu, Zhiqin Chen, Chuan Luo, Duqiang TI Metformin inhibits tumor growth and affects intestinal flora in diabetic tumor-bearing mice SO EUROPEAN JOURNAL OF PHARMACOLOGY LA English DT Article DE Diabetes; Hepatocellular carcinoma; Intestinal flora; Metformin ID GUT MICROBIOTA; CANCER AB Many studies have found that diabetes increases the risk of some cancers such as hepatocellular carcinoma. However, there are few studies on the relationship between the two diseases and their effects on intestinal flora. Therefore, we used streptozotocin and high-fat diet to establish a mouse model of type 2 diabetes, and then inoculated the Huh-7 hepatocellular carcinoma cells to obtain mouse diabetic tumor model. Mice inoculated with Huh-7 cells alone served as control. The tumor size in the diabetic tumor group was significantly higher than that in the tumor group. Our study also showed that the expression levels of inflammation-related factors (TNF alpha, IL1 beta, IL-6, TLR4 and MCP1) in the diabetic tumor group were significantly higher than that in the tumor group. We found that metformin alleviated blood glucose level, reduced the expressions of inflammation-related factors and retarded xenograft tumor growth in the diabetic tumor group, but it couldn't reduce the tumor growth in the tumor group. Subsequent studies found that the content of some short chain fatty acids (SCFAs) including acetic acid, propionic acid and isobutyric acid decreased significantly in diabetic tumor group. Metformin increased short chain fatty acid levels (acetic acid, butyic acid and valeric acid) and enriched the abundance of SCFAproducing bacterial genera such as Ruminococcaceae, Clostridiales, Anaerovorax, Odoribacter and Marvinbryantia. In conclusion, type 2 diabetes could promote the growth of hepatoma cells in mice. Metformin could inhibit the growth of tumor under the condition of diabetes and play a role in the intestinal homeostasis in mice. C1 [Kang, Jie; Li, Chunqing; Gao, Xuehui; Liu, Zhiqin; Chen, Chuan; Luo, Duqiang] Hebei Univ, Inst Life Sci & Green Dev, Coll Life Sci, Key Lab Microbial Div Res & Applicat Hebei Prov, Baoding 071002, Hebei, Peoples R China. C3 Hebei University RP Chen, CA; Luo, DQ (通讯作者),Hebei Univ, Inst Life Sci & Green Dev, Coll Life Sci, Baoding 071002, Hebei, Peoples R China. EM hyperchuan@163.com; duqiangluo@163.com FU National Natural Science Foundation of China [31672070, 30901755]; Changjiang Scholars and Innovative Research Team in University [IRT_15R16] FX This work was funded by National Natural Science Foundation of China [31672070, 30901755], and Changjiang Scholars and Innovative Research Team in University [grant number IRT_15R16]. 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J. Pharmacol. PD DEC 5 PY 2021 VL 912 AR 174605 DI 10.1016/j.ejphar.2021.174605 EA NOV 2021 PG 10 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA XQ7OH UT WOS:000731733400003 PM 34757071 DA 2023-06-08 ER PT J AU He, DQ Han, H Fu, XD Liu, AB Zhan, YH Qiu, HY Md, LM Zhang, XF Wang, XJ AF He, Daqiang Han, Hui Fu, Xiaodan Liu, Anbing Zhan, Yuhong Qiu, Haiyan Md, Lizhen Ma Zhang, Xianfeng Wang, Xianjun TI Metformin Reduces Blood Glucose in Treatment-Naive Type 2 Diabetes by Altering the Gut Microbiome SO CANADIAN JOURNAL OF DIABETES LA English DT Article DE gut microbiome; metformin; T2D ID INSULIN-RESISTANCE AB Background: Our aim in this study was to better understand the causality of metformin and gut microbiome in the treatment of type 2 diabetes (T2D). Methods: This study was conducted on individuals with newly diagnosed and treatment-naive T2D. We used 16S rRNA sequencing to assess the effect of metformin on composition and diversity of the gut microbiota. We also compared the differences in relative abundance of gut microbiome at the genus level in patients with treatment-naive T2D before and after 2 months of metformin treatment. Spearman's rank correlation coefficient analysis was used to identify genus abundance in relation to blood glucose and related factors. Results: Metformin significantly reduced blood glucose and levels of the related factors in treatment naive individuals with T2D after 2 months of treatment. The 16S rRNA sequencing showed that metformin treatment altered composition and diversity of gut microbiome. Megamonas and Klebsiella in the T2D groups were significantly higher compared with the control group. Metformin treatment caused a significant reduction in Megamonas and Klebsiella. Spearman's rank correlation coefficient analysis showed a significant positive correlation between Megamonas and blood glucose, glycated hemoglobin (A1C), serum fructosamine and alanine aminotranferase (ALT). Klebsiella showed a significant positive correlation between A1C and ALT. Conclusion: Metformin reduces blood glucose in T2D by interacting with different gut bacteria, possibly Megamonas and Klebsiella pneumoniae.(c) 2021 Canadian Diabetes Association. C1 [He, Daqiang; Liu, Anbing; Wang, Xianjun] Zhejiang Univ, Affiliated Hangzhou Peoples Hosp 1, Dept Lab Med, Sch Med, Hangzhou, Zhejiang, Peoples R China. [Han, Hui; Fu, Xiaodan; Zhan, Yuhong; Qiu, Haiyan] Zhejiang Univ, Affiliated Hangzhou Peoples Hosp 1, Dept Endocrinol, Sch Med, Hangzhou, Zhejiang, Peoples R China. [Md, Lizhen Ma; Zhang, Xianfeng] Zhejiang Univ, Affiliated Hangzhou Peoples Hosp 1, Dept Rheumatol, Sch Med, Hangzhou, Zhejiang, Peoples R China. [Wang, Xianjun] Zhejiang Univ Sch Med, Affiliated Hangzhou Peoples Hosp 1, Dept Lab Med, Sch Med, Hangzhou 310006, Zhejiang, Peoples R China. C3 Zhejiang University; Zhejiang University; Zhejiang University RP Wang, XJ (通讯作者),Zhejiang Univ Sch Med, Affiliated Hangzhou Peoples Hosp 1, Dept Lab Med, Sch Med, Hangzhou 310006, Zhejiang, Peoples R China. EM wangxianjun0525@163.com RI Zhang, XZ/HJA-4189-2022; He, Daqiang/C-8264-2012; zhang, xian/GYA-0290-2022 FU Zhejiang Province Health Technology [2019RC235, 2019ZD014, 2020KY209]; Hangzhou Health Science and Technology [A2020125]; Hangzhou Science and Technology [20150733Q10] FX Acknowledgments This study was supported by Zhejiang Province Health Technology (Grant Nos. 2019RC235, 2019ZD014 and 2020KY209) , Hangzhou Health Science and Technology (Grant No. A2020125) and Hangzhou Science and Technology (Grant No. 20150733Q10) . 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J. Diabetes PD MAR PY 2022 VL 46 IS 2 BP 150 EP 156 DI 10.1016/j.jcjd.2021.08.001 PG 7 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA 0Z8MZ UT WOS:000791326900008 PM 35148952 DA 2023-06-08 ER PT J AU Forslund, K Hildebrand, F Nielsen, T Falony, G Le Chatelier, E Sunagawa, S Prifti, E Vieira-Silva, S Gudmundsdottir, V Pedersen, HK Arumugam, M Kristiansen, K Voigt, AY Vestergaard, H Hercog, R Costea, PI Kultima, JR Li, JH Jorgensen, T Levenez, F Dore, J Nielsen, HB Brunak, S Raes, J Hansen, T Wang, J Ehrlich, SD Bork, P Pedersen, O AF Forslund, Kristoffer Hildebrand, Falk Nielsen, Trine Falony, Gwen Le Chatelier, Emmanuelle Sunagawa, Shinichi Prifti, Edi Vieira-Silva, Sara Gudmundsdottir, Valborg Pedersen, Helle Krogh Arumugam, Manimozhiyan Kristiansen, Karsten Voigt, Anita Yvonne Vestergaard, Henrik Hercog, Rajna Costea, Paul Igor Kultima, Jens Roat Li, Junhua Jorgensen, Torben Levenez, Florence Dore, Joel Nielsen, H. Bjorn Brunak, Soren Raes, Jeroen Hansen, Torben Wang, Jun Ehrlich, S. Dusko Bork, Peer Pedersen, Oluf CA MetaHIT Consortium TI Disentangling type 2 diabetes and metformin treatment signatures in the human gut microbiota SO NATURE LA English DT Article ID SP-NOV.; IDENTIFICATION; CLOSTRIDIUM; METAGENOME; GENOMES; HEALTH; COLI; LIFE; RAT AB In recent years, several associations between common chronic human disorders and altered gut microbiome composition and function have been reported(1,2). In most of these reports, treatment regimens were not controlled for and conclusions could thus be confounded by the effects of various drugs on the microbiota, which may obscure microbial causes, protective factors or diagnostically relevant signals. Our study addresses disease and drug signatures in the human gut microbiome of type 2 diabetes mellitus (T2D). Two previous quantitative gut metagenomics studies of T2D patients that were unstratified for treatment yielded divergent conclusions regarding its associated gut microbial dysbiosis(3,4). Here we show, using 784 available human gut metagenomes, how antidiabetic medication confounds these results, and analyse in detail the effects of the most widely used antidiabetic drug metformin. We provide support for microbial mediation of the therapeutic effects of metformin through short-chain fatty acid production, as well as for potential microbiota-mediated mechanisms behind known intestinal adverse effects in the form of a relative increase in abundance of Escherichia species. Controlling for metformin treatment, we report a unified signature of gut microbiome shifts in T2D with a depletion of butyrate-producing taxa(3,4). These in turn cause functional microbiome shifts, in part alleviated by metformin-induced changes. Overall, the present study emphasizes the need to disentangle gut microbiota signatures of specific human diseases from those of medication. C1 [Forslund, Kristoffer; Hildebrand, Falk; Sunagawa, Shinichi; Voigt, Anita Yvonne; Hercog, Rajna; Costea, Paul Igor; Kultima, Jens Roat; Bork, Peer] European Mol Biol Lab, Struct & Computat Biol Unit, D-69117 Heidelberg, Germany. [Hildebrand, Falk; Falony, Gwen; Vieira-Silva, Sara; Raes, Jeroen] Katholieke Univ Leuven, VIB Ctr Biol Dis, B-3000 Leuven, Belgium. [Hildebrand, Falk; Raes, Jeroen] Vrije Univ Brussel, Dept Biosci Engn, B-1040 Brussels, Belgium. [Nielsen, Trine; Arumugam, Manimozhiyan; Vestergaard, Henrik; Hansen, Torben; Pedersen, Oluf] Univ Copenhagen, Fac Hlth & Med Sci, Novo Nordisk Fdn, Ctr Basic Metab Res, DK-2200 Copenhagen, Denmark. [Falony, Gwen; Vieira-Silva, Sara; Raes, Jeroen] Katholieke Univ Leuven, Rega Inst Med Res, Dept Microbiol & Immunol, Lab Mol Bacteriol, B-3000 Leuven, Belgium. [Le Chatelier, Emmanuelle; Prifti, Edi; Levenez, Florence; Dore, Joel; Ehrlich, S. Dusko] INRA, MICALIS, F-78352 Jouy En Josas, France. [Le Chatelier, Emmanuelle; Prifti, Edi; Levenez, Florence; Dore, Joel; Ehrlich, S. Dusko] INRA, Metagenopolis, F-78352 Jouy En Josas, France. [Prifti, Edi] Inst Cardiometab & Nutr, F-75013 Paris, France. [Gudmundsdottir, Valborg; Pedersen, Helle Krogh; Nielsen, H. Bjorn; Brunak, Soren] Tech Univ Denmark, Ctr Biol Sequence Anal, Dept Syst Biol, DK-2800 Lyngby, Denmark. [Kristiansen, Karsten; Wang, Jun] Univ Copenhagen, Dept Biol, DK-2100 Copenhagen, Denmark. [Voigt, Anita Yvonne] Univ Heidelberg Hosp, Inst Pathol, Dept Appl Tumor Biol, D-69120 Heidelberg, Germany. [Voigt, Anita Yvonne; Bork, Peer] Heidelberg Univ, Mol Med Partnership Unit, D-69120 Heidelberg, Germany. [Voigt, Anita Yvonne; Bork, Peer] European Mol Biol Lab, D-69120 Heidelberg, Germany. [Li, Junhua; Wang, Jun] Bejing Genom Inst BGI Shenzhen, Shenzhen 518083, Peoples R China. [Jorgensen, Torben] Capital Reg Denmark, Res Ctr Prevent & Hlth, DK-2600 Glostrup, Denmark. [Jorgensen, Torben] Univ Copenhagen, Fac Hlth & Med Sci, Dept Publ Hlth, DK-2600 Copenhagen, Denmark. [Jorgensen, Torben] Aalborg Univ, Fac Med, DK-9100 Aalborg, Denmark. [Brunak, Soren] Univ Copenhagen, Fac Hlth & Med Sci, Novo Nordisk Fdn, Ctr Prot Res,Dis Syst Biol, DK-2200 Copenhagen, Denmark. [Hansen, Torben] Univ Southern Denmark, Fac Hlth Sci, DK-5000 Odense, Denmark. [Wang, Jun] King Abdulaziz Univ, Princess Al Jawhara Albrahim Ctr Excellence Res H, Jeddah 80205, Saudi Arabia. [Wang, Jun] Macau Univ Sci & Technol, Taipa, Macau, Peoples R China. [Wang, Jun] Univ Hong Kong, Dept Med, Hong Kong, Hong Kong, Peoples R China. [Wang, Jun] Univ Hong Kong, State Key Lab Pharmaceut Biotechnol, Hong Kong, Hong Kong, Peoples R China. [Ehrlich, S. Dusko] Kings Coll London, Guys Hosp, Dent Inst Cent Off, Ctr Host Microbiome Interact, London SE1 9RT, England. [Bork, Peer] Max Delbruck Ctr Mol Med, D-13125 Berlin, Germany. [Bork, Peer] Univ Wurzburg, Dept Bioinformat, D-97074 Wurzburg, Germany. C3 European Molecular Biology Laboratory (EMBL); Flanders Institute for Biotechnology (VIB); KU Leuven; Vrije Universiteit Brussel; Novo Nordisk Foundation; University of Copenhagen; KU Leuven; AgroParisTech; INRAE; UDICE-French Research Universities; Universite Paris Saclay; INRAE; UDICE-French Research Universities; Universite Paris Saclay; UDICE-French Research Universities; Sorbonne Universite; Technical University of Denmark; University of Copenhagen; Ruprecht Karls University Heidelberg; Ruprecht Karls University Heidelberg; European Molecular Biology Laboratory (EMBL); Beijing Genomics Institute (BGI); University of Copenhagen; Aalborg University; Novo Nordisk Foundation; University of Copenhagen; University of Southern Denmark; King Abdulaziz University; Macau University of Science & Technology; University of Hong Kong; University of Hong Kong; Guy's & St Thomas' NHS Foundation Trust; University of London; King's College London; Helmholtz Association; Max Delbruck Center for Molecular Medicine; University of Wurzburg RP Ehrlich, SD (通讯作者),INRA, MICALIS, F-78352 Jouy En Josas, France. EM dusko.ehrlich@jouy.inra.fr; bork@embl.de; oluf@sund.ku.dk RI Knol, Jan/A-2178-2010; Guarner, Francisco/ABF-1192-2020; Tap, Julien/E-5760-2010; Forslund, Sofia K/Y-2393-2019; LE CHATELIER, Emmanuelle/O-1243-2017; Pedersen, Oluf/Z-1731-2019; Falony, Gwen/AAN-5011-2020; Nielsen, Henrik Bjørn/B-8961-2019; Bork, Peer/F-1813-2013; Arumugam, Manimozhiyan/AAJ-2394-2020; LI, Junhua/AAG-3919-2019; Borruel, Natalia/AFO-6891-2022; raes, jeroen/D-7835-2018; Dore, Joel/ABA-8921-2020; Prifti, Edi/F-3967-2019; GUEDON, Eric/N-8624-2019; Arumugam, Manimozhiyan/E-1211-2011; Guedon, Eric/S-5635-2016; Vieira-Silva, Sara/ABE-1247-2021; Sunagawa, Shinichi/Q-5950-2019; Vieira-Silva, Sara/HLH-1768-2023; Ehrlich, S./Y-2423-2019; Kristiansen, Karsten/J-5148-2014; Ho, Igor Osorio/AAG-8616-2020; Knol, Jan/AAL-6487-2020; Nielsen, trine/HJZ-4867-2023; Hildebrand, Falk/K-1914-2014; Jørgensen, Torben/Z-1335-2018; Pedersen, Oluf/AAG-8015-2020; BLOTTIERE, Hervé M/C-6120-2011; Sicheritz-Ponten, Thomas/A-4325-2017; Brunak, Soren/O-6621-2016; Dore, Joel/I-1799-2014 OI Knol, Jan/0000-0002-2103-5961; Guarner, Francisco/0000-0002-4051-0836; Tap, Julien/0000-0001-8998-5413; LE CHATELIER, Emmanuelle/0000-0002-2724-0536; Pedersen, Oluf/0000-0002-3321-3972; Falony, Gwen/0000-0003-2450-0782; Nielsen, Henrik Bjørn/0000-0003-2281-5713; Bork, Peer/0000-0002-2627-833X; Arumugam, Manimozhiyan/0000-0002-0886-9101; LI, Junhua/0000-0001-6784-1873; Borruel, Natalia/0000-0002-4449-2292; raes, jeroen/0000-0002-1337-041X; Prifti, Edi/0000-0001-8861-1305; GUEDON, Eric/0000-0002-0901-4447; Arumugam, Manimozhiyan/0000-0002-0886-9101; Guedon, Eric/0000-0002-0901-4447; Vieira-Silva, Sara/0000-0002-4616-7602; Sunagawa, Shinichi/0000-0003-3065-0314; Vieira-Silva, Sara/0000-0002-4616-7602; Ehrlich, S./0000-0002-7563-4046; Kristiansen, Karsten/0000-0002-6024-0917; Knol, Jan/0000-0002-2103-5961; Nielsen, trine/0000-0002-2066-7895; Hildebrand, Falk/0000-0002-0078-8948; BLOTTIERE, Hervé M/0000-0002-8390-0607; Chaysavanh, Manichanh/0000-0002-2287-4003; Hansen, Torben/0000-0001-8748-3831; Pelletier, Eric/0000-0003-4228-1712; Forslund, Sofia K/0000-0003-4285-6993; Varela Castro, Encarna/0000-0001-6334-9320; Costea, Paul Igor/0000-0003-1645-3947; Voigt, Anita Yvonne/0000-0002-6794-0385; Sicheritz-Ponten, Thomas/0000-0001-6615-1141; Gudmundsdottir, Valborg/0000-0002-7459-1603; Brunak, Soren/0000-0003-0316-5866; Burgdorf, Kristoffer/0000-0001-5814-6844; Vestergaard, Henrik/0000-0003-3090-269X; Jorgensen, Torben/0000-0001-9453-2830; Pedersen, Helle Krogh/0000-0001-9609-7377; Derrien, Muriel/0000-0001-8841-9153; Dore, Joel/0000-0002-8756-0718 FU European Community [HEALTH-F4-2007-201052, HEALTH-2012-305312, HEALTH-2010-261376]; Metagenopolis grant [ANR-11-DPBS-0001]; European Research Council [268985]; European Union [600375]; Lundbeck Foundation Centre for Applied Medical Genomics in Personalized Disease Prediction, Prevention and Care (LuCamp); Novo Nordisk Foundation [NNF14CC0001]; European Molecular Biology Laboratory (EMBL); Novo Nordisk Foundation; Innovation Fund Denmark through the MicrobDiab project FX The authors wish to thank A. Forman, T. Lorentzen, B. Andreasen, G. J. Klavsen and M. J. Nielsen for technical assistance, and T. F. Toldsted and G. Lademann for management assistance. J. Nielsen and F. Backhed are thanked for providing access to T2D metagenome data and metformin treatment status before publication4. V. Benes and the GeneCore facility of EMBL Heidelberg are thanked for their assistance with the metformin signature validation experiments, as is Y. Yuan for assistance with computer infrastructure. This research has received funding from European Community's Seventh Framework Program (FP7/2007-2013): MetaHIT, grant agreement HEALTH-F4-2007-201052, MetaCardis, grant agreement HEALTH-2012-305312, International Human Microbiome Standards, grant agreement HEALTH-2010-261376, as well as from the Metagenopolis grant ANR-11-DPBS-0001, from the European Research Council CancerBiome project, contract number 268985, and from the European Union HORIZON 2020 programme, under Marie Sklodowska-Curie grant agreement 600375. Additional funding came from The Lundbeck Foundation Centre for Applied Medical Genomics in Personalized Disease Prediction, Prevention and Care (LuCamp, http://www.lucamp.org), the Novo Nordisk Foundation (grant NNF14CC0001), and the European Molecular Biology Laboratory (EMBL). The Novo Nordisk Foundation Center for Basic Metabolic Research is an independent Research Center at the University of Copenhagen partially funded by an unrestricted donation from the Novo Nordisk Foundation (http://www.metabol.ku.dk). Additional funding for the validation experiments was provided by the Innovation Fund Denmark through the MicrobDiab project. 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Gut microbiota affect the development and progression of T2DM. In recent years, an increasing number of studies has focused on the relationship between metformin and gut microbiota, suggesting that metformin might exert part of its hypoglycemic effect through these microbes. However, most of these results were not consistent due to the complex composition of the microbiota, the differences between species, the large variation between individuals, and the differences in experimental design, bringing great obstacle for our better understanding of the effects of metformin on the gut microbiota. Here, we reviewed the published papers concerning about the impacts of metformin on the gut microbiota of mice, rats, and humans with obesity or T2DM, and summarized the changes of gut microbiota composition caused by metformin and the possible underlying hypoglycemic mechanism which is related to gut microbiota. It was found that the proportions of some microbiota, such as phyla Bacteroidetes and Verrucomicrobia and genera Akketmansia, Bacteroides and Escherichia, were significantly affected by metformin in several studies. Metformin may exert part of hypoglycemic effects by altering the gut microbiota in ways that maintain the integrity of the intestinal barrier, promote the production of short-chain fatty acids (SCFAs), regulate bile acid metabolism, and improve glucose homeostasis. C1 [Zhang, Qi] Changzhou 7 Peoples Hosp, Dept Pharm, Changzhou 213000, Jiangsu, Peoples R China. [Hu, Nan] Soochow Univ, Affiliated Hosp 3, Dept Pharm, Changzhou 213000, Jiangsu, Peoples R China. C3 Soochow University - China RP Hu, N (通讯作者),Soochow Univ, Affiliated Hosp 3, Dept Pharm, Changzhou 213000, Jiangsu, Peoples R China. EM hn_324@163.com FU National Science Foundation of China [81503136]; Changzhou High-Level Medical Talents Training Project [2016CZBJ010] FX This study was funded by the National Science Foundation of China (No: 81503136) and the Changzhou High-Level Medical Talents Training Project (No: 2016CZBJ010). 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10.1371/journal.pone.0071108 Zhang XQ, 2015, SCI REP-UK, V5, DOI 10.1038/srep10737 Zheng JL, 2018, J AGR FOOD CHEM, V66, P5821, DOI [10.1021/acsjafc.8b00829, 10.1021/acs.jafc.8b00829] Zhou ZY, 2016, ACTA PHARMACOL SIN, V37, P1063, DOI 10.1038/aps.2016.21 NR 75 TC 56 Z9 56 U1 7 U2 35 PU DOVE MEDICAL PRESS LTD PI ALBANY PA PO BOX 300-008, ALBANY, AUCKLAND 0752, NEW ZEALAND SN 1178-7007 J9 DIABET METAB SYND OB JI Diabetes Metab. 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PY 2020 VL 13 BP 5003 EP 5014 DI 10.2147/DMSO.S286430 PG 12 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA PH8LU UT WOS:000600657700007 PM 33364804 OA gold, Green Published DA 2023-06-08 ER PT J AU Zhang, FH Wang, M Yang, JJ Xu, Q Liang, C Chen, B Zhang, JM Yang, Y Wang, HL Shang, YF Wang, Y Mu, XF Zhu, DQ Zhang, CL Yao, MX Zhang, L AF Zhang, Fanghua Wang, Meng Yang, Junjie Xu, Qian Liang, Cheng Chen, Bin Zhang, Jiaming Yang, Ying Wang, Huiling Shang, Yongfang Wang, Ye Mu, Xiaofeng Zhu, Dequan Zhang, Chunling Yao, Minxiu Zhang, Lei TI Response of gut microbiota in type 2 diabetes to hypoglycemic agents SO ENDOCRINE LA English DT Article DE Microbiota; Type 2 diabetes; Metformin; Insulin; alpha-Glucosidase inhibitors ID INFLAMMATION; PREVALENCE; IMPACT; DIET AB Purpose Accumulated evidence has indicated that the gut microbiome affected the pharmacology of anti-diabetic agents, and their metabolic products induced by the agents transformed the structure of gastrointestinal microbiota in return. However, the studies around heredity, ethnicity, or living condition, referring to human microbiome were mostly represented by an occidental pattern partial and rare studies that focused on the effect of several first-line hypoglycemic agents on the gut flora in a single medical center. Therefore, we aimed to explore the interaction between gut microbiome and type 2 diabetes (T2D) or hypoglycemics in Chinese population. Methods A total of 130 T2D patients with a specific hypoglycemic treatment and 50 healthy volunteers were enrolled in this study. Gut microbiome compositons were analyzed by 16S ribosomal RNA gene-based sequencing protocol. Results Hypoglycemic agents contributed to the alteration of specific species in gut bacteria rather than its total diversity. Metformin increased the abundance of Spirochaete, Turicibacter, and Fusobacterium. Insulin also increased Fusobacterium, and alpha-glucosidase inhibitors (alpha-GIs) contributed to the plentitude of Bifidobacterium and Lactobacillus. Both metformin and insulin improved taurine and hypotaurine metabolism, and alpha-GI promoted several amino acid pathways. Although the community of gut microbiota with metformin and insulin showed similarity, significant differences were available in each diabetic group with hypoglycemia. Conclusions Gut microbiota is significantly associated with anti-diabetic agents. The gut microbiome and metabolism have shown respective characteristics in different T2D groups, which were also significantly different from the healthy group. This study provides some new insights for identification and exploration of the pathogenesis of T2D. C1 [Zhang, Fanghua; Xu, Qian; Yang, Ying; Wang, Huiling; Shang, Yongfang; Yao, Minxiu] Qingdao Univ, Affiliated Cent Hosp, Dept Endocrinol, Qingdao, Shandong, Peoples R China. [Zhang, Fanghua; Wang, Ye; Mu, Xiaofeng; Zhang, Chunling; Yao, Minxiu] Qingdao Univ, Affiliated Cent Hosp, Qingdao Human Microbiome Ctr, Qingdao, Shandong, Peoples R China. [Wang, Meng] Ocean Univ China, Coll Marine Life Sci, Qingdao, Shandong, Peoples R China. [Yang, Junjie] Qilu Normal Univ, Coll Life Sci, Jinan, Shandong, Peoples R China. [Yang, Junjie] Shandong Univ, Shandong Childrens Microbiome Ctr, Qilu Childrens Hosp, Jinan 250022, Shandong, Peoples R China. [Liang, Cheng] Shandong Normal Univ, Sch Informat Sci & Engn, Jinan, Shandong, Peoples R China. [Chen, Bin; Zhang, Lei] Beihang Univ, Beijing Adv Innovat Ctr Big Data Based Precis Med, Beijing, Peoples R China. [Zhang, Jiaming] Shandong Inst Food & Drug Control, Jinan, Shandong, Peoples R China. [Wang, Ye; Mu, Xiaofeng] Qingdao Univ, Cent Hosp, Clin Lab & Core Res Lab, Qingdao, Shandong, Peoples R China. [Zhu, Dequan] Lin Yi Peoples Hosp, Microbiol Lab, Linyi, Shandong, Peoples R China. C3 Qingdao University; Qingdao University; Ocean University of China; Qilu Normal University; Shandong University; Shandong Normal University; Beihang University; Qingdao University RP Yao, MX (通讯作者),Qingdao Univ, Affiliated Cent Hosp, Dept Endocrinol, Qingdao, Shandong, Peoples R China.; Yao, MX (通讯作者),Qingdao Univ, Affiliated Cent Hosp, Qingdao Human Microbiome Ctr, Qingdao, Shandong, Peoples R China.; Zhang, L (通讯作者),Beihang Univ, Beijing Adv Innovat Ctr Big Data Based Precis Med, Beijing, Peoples R China. EM yaominxiu@medmail.com.cn; microbiome@foxmail.com RI junjie, Yang/AAD-6699-2019; Zhang, Fang/HHN-2153-2022 FU National Natural Science Foundation of China [31471202, 81670822]; Shandong Provincial Key Research and Development Program [2016YYSP009]; Weihai Technique Extension Project [2016GNS023]; Qingdao Key Research Project [17-3-3-10nsh]; Taishan Scholars Program of Shandong Province [tshw20120206] FX This project has been supported by the National Natural Science Foundation of China under contract no. 31471202 (to L.Z.) and no. 81670822 (to Y.W.); the Shandong Provincial Key Research and Development Program under contract no. 2016YYSP009 (to L. Z.); Weihai Technique Extension Project under contract no. 2016GNS023 (to L.Z.); Qingdao Key Research Project No. 17-3-3-10nsh (to C.Z.). L.Z. is also supported by the Taishan Scholars Program of Shandong Province (no. tshw20120206). 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However, it remains unexplored whether the metaproteomics profile of in vitro gut microbiota responds differently to a same stimulus added at different growth phases. In this study, we cultured a human gut microbiota in 96-deep well plates using a previously validated model. Metformin was added during the lag, log, and stationary phases. Microbiome samples, collected at different time points, were analyzed by optical density and function by metaproteomic. The in vitro gut microbiota growth curves, taxonomy, and functional responses were different depending whether metformin was added during the lag, log, or stationary phases. The addition of drugs at the log phase may lead to the greatest decline of bacterial growth. Metaproteomic analysis suggests that the strength of the metformin effect on the gut microbiome functional profile may be ranked as lag phase > log phase > stationary phase. Metformin added at the lag phase may result in a significantly reduced level of the Clostridiales order and an increased level of the Bacteroides genus, which is different from stimulations during the rest of the growth phases. Metformin may also result in alterations of several pathways, including energy production and conversion, lipid transport and metabolism, translation, ribosomal structure, and biogenesis. Our results indicate that the timing for drug stimulation should be considered when studying drug-microbiome interactions in vitro. C1 [Hao, Zikai; Liu, Hong; Figeys, Daniel] Beihang Univ, Beijing Adv Innovat Ctr Biomed Engn, Beijing 100083, Peoples R China. [Hao, Zikai; Liu, Hong] Beihang Univ, Sch Biol Sci & Med Engn, Beijing 100083, Peoples R China. [Hao, Zikai; Li, Leyuan; Ning, Zhibin; Zhang, Xu; Mayne, Janice; Cheng, Kai; Walker, Krystal; Figeys, Daniel] Univ Ottawa, Fac Med, Ottawa Inst Syst Biol, Dept Biochem Microbiol & Immunol, Ottawa, ON K1H 8M5, Canada. C3 Beihang University; Beihang University; University of Ottawa RP Liu, H; Figeys, D (通讯作者),Beihang Univ, Beijing Adv Innovat Ctr Biomed Engn, Beijing 100083, Peoples R China.; Liu, H (通讯作者),Beihang Univ, Sch Biol Sci & Med Engn, Beijing 100083, Peoples R China.; Figeys, D (通讯作者),Univ Ottawa, Fac Med, Ottawa Inst Syst Biol, Dept Biochem Microbiol & Immunol, Ottawa, ON K1H 8M5, Canada. EM lh64@buaa.edu.cn; dfigeys@uottawa.ca RI Hao, Zikai/CAG-2251-2022 OI Figeys, Daniel/0000-0002-5373-7546; Zhang, Xu/0000-0003-2406-9478 FU Government of Canada through Genome Canada; Ontario Genomics Institute [OGI-156]; Natural Sciences and Engineering Research Council of Canada (NSERC) [210034]; Ontario Ministry of Economic Development and Innovation [ORF-DIG-14405]; National Natural Science Foundation of China [81871520]; China Scholarship Council (CSC) FX This work was supported by the Government of Canada through Genome Canada and the Ontario Genomics Institute (OGI-156), the Natural Sciences and Engineering Research Council of Canada (NSERC, Grant No. 210034), the Ontario Ministry of Economic Development and Innovation (ORF-DIG-14405), and the National Natural Science Foundation of China (81871520). Z.H. was funded by a scholarship from the China Scholarship Council (CSC). 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Am. Soc. Mass Spectrom. PD JUL 1 PY 2020 VL 31 IS 7 BP 1448 EP 1458 DI 10.1021/jasms.0c00054 PG 11 WC Biochemical Research Methods; Chemistry, Analytical; Chemistry, Physical; Spectroscopy WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Chemistry; Spectroscopy GA MI3TO UT WOS:000547333700016 PM 32320607 DA 2023-06-08 ER PT J AU Jia, X Zhai, TY Qu, CJ Ye, JJ Zhao, J Liu, XR Zhang, JA Qian, QH AF Jia, Xi Zhai, Tianyu Qu, Chunjie Ye, Jianjun Zhao, Jing Liu, Xuerong Zhang, Jin-an Qian, Qiaohui TI Metformin Reverses Hashimoto's Thyroiditis by Regulating Key Immune Events SO FRONTIERS IN CELL AND DEVELOPMENTAL BIOLOGY LA English DT Article DE Hashimoto's thyroiditis; metformin; Th17 cells; intestinal flora; immune ID AUTOIMMUNE; DIFFERENTIATION; MICROBIOTA; CELLS; TH17 AB Background Hashimoto's thyroiditis (HT) is a common autoimmune disease characterized by high levels of thyroid peroxidase antibody (TPOAb) and thyroid globulin antibody (TgAb) as well as infiltration of lymphocytes in thyroid. In recent years, metformin has been proven to be effective in a variety of autoimmune diseases, such as systemic lupus erythematosus, rheumatoid arthritis and multiple sclerosis. Methods This study systematically explored the therapeutic effect of metformin on HT and its underlying mechanism by comprehensively utilizing methods including animal model, in vitro cell culture and differentiation, mRNA sequencing and 16S rRNA sequencing. Findings We found that metformin indeed had a therapeutic effect on mice with HT mainly by reducing TgAb and lymphocyte infiltration in thyroid tissue. In addition, metformin also significantly suppressed the number and function of Th17 cells and M1 macrophages polarization in HT mice. Furthermore, metformin can inhibit the differentiation and function of Th17 in vitro. The results of mRNA sequencing of thyroid tissue illustrated that the therapeutic effect of metformin on HT was mainly achieved by regulating immune pathways. 16S RNA sequencing of the intestinal flora found that the intestinal flora of HT mice differs significantly from that of the normal mice and also were altered by metformin treatment. Interpretation These experiments provided a preliminary theoretical basis for the clinical application of metformin in the treatment of HT. C1 [Jia, Xi; Zhai, Tianyu; Zhao, Jing; Liu, Xuerong; Zhang, Jin-an; Qian, Qiaohui] Shanghai Univ Med & Hlth Sci, Affiliated Zhoupu Hosp, Dept Endocrinol, Shanghai, Peoples R China. [Qu, Chunjie] Shanghai Pudong New Area Ctr Dis Control, Shanghai, Peoples R China. [Ye, Jianjun] Shanghai Kangqiao Community Hlth Serv Ctr, Shanghai, Peoples R China. C3 Shanghai University of Medicine & Health Sciences RP Zhang, JA; Qian, QH (通讯作者),Shanghai Univ Med & Hlth Sci, Affiliated Zhoupu Hosp, Dept Endocrinol, Shanghai, Peoples R China. EM zhangjinan@hotmail.com; 18917684029@189.com RI ye, jian/GQH-3702-2022 FU National Natural Science Foundation of China [81873636, 81900710]; Pudong New Area Health Commission key subspecialty [PWZy2020-12]; Clinical Research Center of thyroid diseases of Shanghai Health Medical College [20MC20200002]; Project of Shanghai Medical Key Specialty [ZK2019C09] FX The present work was supported by Grants from the National Natural Science Foundation of China (Nos. 81873636 and 81900710), Pudong New Area Health Commission key subspecialty (No. PWZy2020-12), Clinical Research Center of thyroid diseases of Shanghai Health Medical College (No. 20MC20200002) and The Project of Shanghai Medical Key Specialty (No. ZK2019C09). 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Gems, David TI Metformin Retards Aging in C. elegans by Altering Microbial Folate and Methionine Metabolism SO CELL LA English DT Article ID LIFE-SPAN EXTENSION; CAENORHABDITIS-ELEGANS; DIETARY RESTRICTION; GUT MICROBIOTA; DIABETES-MELLITUS; ESCHERICHIA-COLI; HOST; GENETICS; MODEL; HOMEOSTASIS AB The biguanide drug metformin is widely prescribed to treat type 2 diabetes and metabolic syndrome, but its mode of action remains uncertain. Metformin also increases lifespan in Caenorhabditis elegans co-cultured with Escherichia coli. This bacterium exerts complex nutritional and pathogenic effects on its nematode predator/host that impact health and aging. We report that metformin increases lifespan by altering microbial folate and methionine metabolism. Alterations in metformin-induced longevity by mutation of worm methionine synthase (metr-1) and S-adenosylmethionine synthase (sams-1) imply metformin-induced methionine restriction in the host, consistent with action of this drug as a dietary restriction mimetic. Metformin increases or decreases worm lifespan, depending on E. coli strain metformin sensitivity and glucose concentration. In mammals, the intestinal microbiome influences host metabolism, including development of metabolic disease. Thus, metformin-induced alteration of microbial metabolism could contribute to therapeutic efficacy-and also to its side effects, which include folate deficiency and gastrointestinal upset. C1 [Cabreiro, Filipe; Au, Catherine; Vergara-Irigaray, Nuria; Cocheme, Helena M.; Noori, Tahereh; Schuster, Eugene; Gems, David] UCL, Inst Hlth Ageing, London WC1E 6BT, England. [Cabreiro, Filipe; Au, Catherine; Vergara-Irigaray, Nuria; Cocheme, Helena M.; Noori, Tahereh; Schuster, Eugene; Gems, David] UCL, GEE, London WC1E 6BT, England. [Leung, Kit-Yi; Greene, Nicholas D. E.] UCL, Neural Dev Unit, Inst Child Hlth, London WC1N 1EH, England. [Weinkove, David] Univ Durham, Sch Biol & Biomed Sci, Durham DH1 3LE, England. C3 University of London; University College London; University of London; University College London; University of London; University College London; N8 Research Partnership; Durham University RP Gems, D (通讯作者),UCL, Inst Hlth Ageing, Mortimer St, London WC1E 6BT, England. EM david.gems@ucl.ac.uk RI Weinkove, David/B-4470-2010 OI Gems, David/0000-0002-6653-4676; Greene, Nicholas D.E./0000-0002-4170-5248; Weinkove, David/0000-0001-7399-1202; Au, Catherine/0000-0002-1923-9121; Schuster, Eugene/0000-0001-5076-2810; Cocheme, Helena/0000-0001-8637-0042; Cabreiro, Filipe/0000-0002-3696-4843 FU Wellcome Trust (Strategic Award); European Union (LifeSpan); MRC [J003794]; BBSRC [BB/H01974X/1] Funding Source: UKRI; MRC [G0800339, MR/J003794/1] Funding Source: UKRI; Biotechnology and Biological Sciences Research Council [BB/H01974X/1] Funding Source: researchfish; Medical Research Council [G0800339, MR/J003794/1] Funding Source: researchfish FX We thank Dan Ackerman, Joy Alcedo, Nazif Alic, Caroline Araiz, Alex Benedetto, Steve Clarke, Goncalo Correia, Monica Driscoll, Michael Murphy, Brian Onken, Matthew Piper, Bhupinder Virk, and Matthias Ziehm for useful discussion and other help. Strains were provided by the CGC and CGSC (DBI-0742708). We acknowledge funding from the Wellcome Trust (Strategic Award), the European Union (LifeSpan) and the MRC (J003794). 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Despite its advantages, metformin has variable therapeutic effects, contraindications, and side effects. Here, for the very first time, we investigate the short-term effect of metformin on the composition of healthy human gut microbiota. Methods We used an exploratory longitudinal study design in which the first sample from an individual was the control for further samples. Eighteen healthy individuals were treated with metformin (2 x 850 mg) for 7 days. Stool samples were collected at three time points: prior to administration, 24 hours and 7 days after metformin administration. Taxonomic composition of the gut microbiome was analyzed by massive parallel sequencing of 16S rRNA gene (V3 region). Results There was a significant reduction of inner diversity of gut microbiota observed already 24 hours after metformin administration. We observed an association between the severity of gastrointestinal side effects and the increase in relative abundance of common gut opportunistic pathogen Escherichia-Shigella spp. One week long treatment with metformin was associated with a significant decrease in the families Peptostreptococcaceae and Clostridiaceae_ 1 and four genera within these families. Conclusions Our results are in line with previous findings on the capability of metformin to influence gut microbiota. However, for the first time we provide evidence that metformin has an immediate effect on the gut microbiome in humans. It is likely that this effect results from the increase in abundance of opportunistic pathogens and further triggers the occurrence of side effects associated with the observed dysbiosis. An additional randomized controlled trial would be required in order to reach definitive conclusions, as this is an exploratory study without a placebo control arm. Our findings may be further used to create approaches that improve the tolerability of metformin. C1 [Elbere, Ilze; Kalnina, Ineta; Silamikelis, Ivars; Zaharenko, Linda; Sekace, Kristine; Radovica-Spalvina, Ilze; Fridmanis, Davids; Gudra, Dita; Pirags, Valdis; Klovins, Janis] Latvian Biomed Res & Study Ctr, Riga, Latvia. [Konrade, Ilze] Riga East Clin Univ Hosp, Riga, Latvia. [Pirags, Valdis] Pauls Stradins Clin Univ Hosp, Dept Endocrinol, Riga, Latvia. [Klovins, Janis] Univ Latvia, Fac Biol, Riga, Latvia. C3 Latvian Biomedical Research & Study Centre; Riga East University Hospital; Pauls Stradins Clinical University Hospital; University of Latvia RP Klovins, J (通讯作者),Latvian Biomed Res & Study Ctr, Riga, Latvia.; Klovins, J (通讯作者),Univ Latvia, Fac Biol, Riga, Latvia. EM klovins@biomed.lu.lv RI Fridmanis, Davids/I-3292-2017; Pirags, Valdis/AAQ-5492-2020; Kalnina, Ineta/AAY-9281-2020; Klovins, Janis/C-5695-2011 OI Fridmanis, Davids/0000-0003-0310-0448; Pirags, Valdis/0000-0002-3650-7394; Gudra, Dita/0000-0002-9446-4521; Elbere, Ilze/0000-0003-4381-885X; Klovins, Janis/0000-0001-8362-5505; Kalnina, Ineta/0000-0003-3462-3196; Silamikelis, Ivars/0000-0002-7932-1047 FU National Research programme "Biomedicine for Public Health" (BIOMEDICINE) [2] FX The study was funded by The National Research programme "Biomedicine for Public Health" (BIOMEDICINE). Project No 2 "Molecular Mechanisms, Pharmacogenetics and New Medicines for Treatment of Diabetes and Cardiovascular Complications". The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. 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Because the first line clinical medicine of metformin has several intestinal drawbacks, combination usage of metformin with a prebiotic of konjac mannan-oligosaccharides (MOS) was conceived and implemented aiming to investigate whether there were some intestinal synergetic effects and how MOS would function. Composite treatment of metformin and MOS demonstrated synergistic effects on ameliorating insulin resistance and glucose tolerance, also on repairing islet and hepatic histology. In addition, MF+MOS altered the gut community composition and structure by decreasing the relative abundances of family Rikenellaceae and order Clostridiales while increasing an unnamed OTU05945 of family S24-7, Akkermansia muciniphila, and Bifidobacterium pseudolongum. The present study suggested that usage of MOS could augment the hypoglycemic effects of metformin in association with gut microbiota modulation, which could provide references for further medication. C1 [Zheng, Jialin; Li, Heng; Jiang, Min; Shi, Jinsong] Jiangnan Univ, Minist Educ, Sch Pharmaceut Sci, Key Lab Carbohydrate Chem & Biotechnol, 1800 Lihu Ave, Wuxi 214122, Peoples R China. [Zhang, Xiaojuan; Lu, Zhenming; Xu, Zhenghong] Jiangnan Univ, Natl Engn Lab Cereal Fermentat Technol, 1800 Lihu Ave, Wuxi 214122, Peoples R China. [Xu, Zhenghong] Jiangnan Univ, Sch Biotechnol, 1800 Lihu Ave, Wuxi 214122, Peoples R China. [Luo, Chunqin] Chengdu Yongan Yuanhe Biotechnol Co, Fifth Tianfu St, Chengdu 611630, Sichuan, Peoples R China. C3 Jiangnan University; Jiangnan University; Jiangnan University RP Li, H; Shi, JS (通讯作者),Jiangnan Univ, Minist Educ, Sch Pharmaceut Sci, Key Lab Carbohydrate Chem & Biotechnol, 1800 Lihu Ave, Wuxi 214122, Peoples R China. EM liheng@jiangnan.edu.cn; shijs@163.com RI Jiang, Min/AAJ-9579-2020 OI Jiang, Min/0000-0003-3826-6405; Xu, Zheng-Hong/0000-0003-1340-6838 FU National First-Class Discipline Program of Light Industry Technology and Engineering [LITE2018-18, LITE2018-11]; Transformation Project for Major Scientific and Technological Achievements in Jiangsu Province [BA2015006]; Industry-Academia Cooperation Innovation Fund Project of Jiangsu Province [BY2016022-19]; National Key Technology R&D Program of China for the 12th Five-year Plan [2012BAD33B06] FX This work was financially supported by the National First-Class Discipline Program of Light Industry Technology and Engineering (LITE2018-18, LITE2018-11), Transformation Project for Major Scientific and Technological Achievements in Jiangsu Province (No. BA2015006), Industry-Academia Cooperation Innovation Fund Project of Jiangsu Province (No. BY2016022-19) and the National Key Technology R&D Program of China for the 12th Five-year Plan (No. 2012BAD33B06). Authors also thank professor Jun Liu from University of Toronto for manuscript preparation. 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In this study, we administered either berberine or metformin to db/db mice and investigated changes in body weight, food intake, and blood glucose levels. Fresh stool samples were analyzed using 16 s rDNA high-throughput sequencing to evaluate the gut microbiome. Short-chain fatty acids (SCFA) in the stool were quantified using gas chromatography. The expression of NF-kappa B signaling pathway and tight junction (ZO1 and occludin) proteins in the intestinal epithelium was determined using qPCR and western blotting. The intestinal barrier structure was examined using transmission electron microscopy and serum lipopolysaccharide (LPS) was measured using a commercial kit. Both berberine and metformin reduced food intake, body weight, and blood glucose and HbA1c levels. Both treatments effectively restored the intestinal SCFA content, reduced the level of serum LPS, relieved intestinal inflammation, and repaired intestinal barrier structure. Intervention with metformin or berberine modified the gut microbiome in db/db mice, increasing the number of SCFA-producing bacteria (e.g., Butyricimonas, Coprococcus, Ruminococcus) and reducing opportunistic pathogens (e.g., Prevotella, Proteus). An increased abundance of other probiotics including Lactobacillus and Akkermansia was also observed. Berberine and metformin can modulate the composition of the gut microbiome and reduce body weight, blood glucose levels, and intestinal inflammation in db/db mice, which demonstrates their effectiveness in the reduction of diabetic complications in this model. C1 [Zhang, Wang; Xu, Ji-Hao; Yu, Tao; Chen, Qi-Kui] Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Gastroenterol, 107 Yan Jiang Xi Rd, Guangzhou 510120, Guangdong, Peoples R China. [Zhang, Wang] Guangzhou Univ Chinese Med, Dept Gastroenterol, Affiliated Hosp 2, 111 Da De Rd, Guangzhou 510120, Guangdong, Peoples R China. C3 Sun Yat Sen University; Guangzhou University of Chinese Medicine RP Chen, QK (通讯作者),Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Gastroenterol, 107 Yan Jiang Xi Rd, Guangzhou 510120, Guangdong, Peoples R China. EM qkchen2018@163.com FU National Natural Science Foundation of China [81703995, 81270442, 81370475] FX This study was supported by National Natural Science Foundation of China (grant nos. 81703995, 81270442, and 81370475). 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Pharmacother. PD OCT PY 2019 VL 118 AR 109131 DI 10.1016/j.biopha.2019.109131 PG 10 WC Medicine, Research & Experimental; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine; Pharmacology & Pharmacy GA IY4WZ UT WOS:000486395000152 PM 31545226 OA gold HC Y HP N DA 2023-06-08 ER PT J AU Lee, CB Chae, SU Jo, SJ Jerng, UM Bae, SK AF Lee, Chae Bin Chae, Soon Uk Jo, Seong Jun Jerng, Ui Min Bae, Soo Kyung TI The Relationship between the Gut Microbiome and Metformin as a Key for Treating Type 2 Diabetes Mellitus SO INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES LA English DT Review DE gut microbiome; type 2 diabetes mellitus; metformin; dysbiosis AB Metformin is the first-line pharmacotherapy for treating type 2 diabetes mellitus (T2DM); however, its mechanism of modulating glucose metabolism is elusive. Recent advances have identified the gut as a potential target of metformin. As patients with metabolic disorders exhibit dysbiosis, the gut microbiome has garnered interest as a potential target for metabolic disease. Henceforth, studies have focused on unraveling the relationship of metabolic disorders with the human gut microbiome. According to various metagenome studies, gut dysbiosis is evident in T2DM patients. Besides this, alterations in the gut microbiome were also observed in the metformin-treated T2DM patients compared to the non-treated T2DM patients. Thus, several studies on rodents have suggested potential mechanisms interacting with the gut microbiome, including regulation of glucose metabolism, an increase in short-chain fatty acids, strengthening intestinal permeability against lipopolysaccharides, modulating the immune response, and interaction with bile acids. Furthermore, human studies have demonstrated evidence substantiating the hypotheses based on rodent studies. This review discusses the current knowledge of how metformin modulates T2DM with respect to the gut microbiome and discusses the prospect of harnessing this mechanism in treating T2DM. C1 [Lee, Chae Bin; Chae, Soon Uk; Jo, Seong Jun; Bae, Soo Kyung] Catholic Univ Korea, Coll Pharm, Bucheon 14662, South Korea. [Lee, Chae Bin; Chae, Soon Uk; Jo, Seong Jun; Bae, Soo Kyung] Catholic Univ Korea, Integrated Res Inst Pharmaceut Sci, Bucheon 14662, South Korea. [Jerng, Ui Min] Sangji Univ, Coll Korean Med, Dept Internal Med, Wonju 26339, South Korea. C3 Catholic University of Korea; Catholic University of Korea; Sangji University RP Bae, SK (通讯作者),Catholic Univ Korea, Coll Pharm, Bucheon 14662, South Korea.; Bae, SK (通讯作者),Catholic Univ Korea, Integrated Res Inst Pharmaceut Sci, Bucheon 14662, South Korea. EM aribri727@catholic.ac.kr; zldtnseo@catholic.ac.kr; seongjun6734@catholic.ac.kr; healmind@paran.com; baesk@catholic.ac.kr RI Jerng, Ui Min/G-1377-2014 OI Jerng, Ui Min/0000-0002-1996-3793 FU Basic Science Research Program through the National Research Foundation of Korea - Ministry of Education [2018R1A6A1A03025108]; Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI) - Ministry of Health Welfare [HF20C0002]; Catholic University of Korea FX This study was supported by a grant of Basic Science Research Program through the National Research Foundation of Korea, funded by the Ministry of Education (2018R1A6A1A03025108), Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare (HF20C0002), and Research Fund of The Catholic University of Korea (2020). 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J. Mol. Sci. PD APR PY 2021 VL 22 IS 7 AR 3566 DI 10.3390/ijms22073566 PG 26 WC Biochemistry & Molecular Biology; Chemistry, Multidisciplinary WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Chemistry GA RL0LA UT WOS:000638674700001 PM 33808194 OA gold, Green Published DA 2023-06-08 ER PT J AU Lee, H Kim, J An, JH Lee, S Choi, D Kong, H Song, Y Park, I Lee, CK Kim, K AF Lee, Heetae Kim, Jiyeon An, Jinho Lee, Sungwon Choi, Dohyun Kong, Hyunseok Song, Youngcheon Park, Il Ho Lee, Chong-Kil Kim, Kyungjae TI Downregulation of IL-18 Expression in the Gut by Metformin-induced Gut Microbiota Modulation SO IMMUNE NETWORK LA English DT Article DE IL-18; Metformin; Gut microbiota; Fecal microbiota transplantation; Toll-like receptors; GLP-1 ID IMPROVES METABOLIC PROFILES; AKKERMANSIA-MUCINIPHILA; INFLAMMATION; RESISTANCE AB IL-18 is a crucial pro-inflammatory cytokine that mediates chronic intestinal inflammation. Metformin, an anti-diabetic drug, was reported to have ameliorative effects on inflammatory bowel disease. Recently, the mechanism of action of metformin was explained as a modulation of gut microbiota. In this study, fecal microbiota transplantation (FMT) using fecal material from metformin-treated mice was found to upregulate the expression of GLP-1 and pattern-recognition receptors TLR1 and TLR4 for the improvement in hyperglycemia caused by a high-fat diet. Further, FMT downregulated the expression of the inflammatory cytokine IL-18. Within the genera Akkermansia, Bacteroides, and Butyricimonas, which were promoted by metformin therapy, Butyricimonas was found to be consistently abundant following FMT. Our findings suggest that modulation of gut microbiota is a key factor for the anti-inflammatory effects of metformin which is used for the treatment of hyperglycemia. C1 [Lee, Heetae; Kim, Jiyeon; An, Jinho; Lee, Sungwon; Choi, Dohyun; Kong, Hyunseok; Song, Youngcheon; Park, Il Ho; Kim, Kyungjae] Sahmyook Univ, Coll Pharm, 815 Hwarang Ro, Seoul 01795, South Korea. [Lee, Chong-Kil] Chungbuk Natl Univ, Coll Pharm, Cheongju 28644, South Korea. C3 Sahmyook University; Chungbuk National University RP Kim, K (通讯作者),Sahmyook Univ, Coll Pharm, 815 Hwarang Ro, Seoul 01795, South Korea. EM kimkj@syu.ac.kr OI lee, heetae/0000-0001-5105-8841; Song, Youngcheon/0000-0002-4350-6330; Lee, Chong-Kil/0000-0001-9070-341X FU Sahmyook University Research Fund [RI12019069 [2019]] FX This study was supported by the Sahmyook University Research Fund (RI12019069 [2019]). 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They undergo extensive microbial metabolism inside the gastrointestinal tract. Here, we present a method of ultra-high pressure liquid chromatography coupled to ion trap mass spectrometry for quantification of 45 BAs in mouse cecum. The system was validated in regard to sensitivity with limits of detection and quantification (0.6-24.9 nM), interday accuracy (102.4%), interday precision (15.2%), recovery rate (74.7%), matrix effect (98.2%) and carry-over effect ( < 1.1%). Afterwards, we applied our method to investigate the effect of metformin on BA profiles. Diabetic mice were treated with metformin for 1 day or 14 days. One day of treatment resulted in a significant increase of total BA concentration (2.7-fold increase; db/db metformin 5.32 mu mol/g, db/db control mice 1.95 mu mol/g), most notable in levels of 7oxodeoxycholic, 3-dehydrocholic and cholic acid. We observed only minor impact on BA metabolism after 14 days of metformin treatment, compared to the single treatment. Furthermore, healthy wild type mice had elevated concentrations of allocholic and omega-muricholic acid compared to diabetic mice. Our method proved the applicability of profiling BAs in cecum to investigate intestinal BA metabolism in diabetes and pharmacological applications. C1 [Sillner, Nina; Schmitt-Kopplin, Philippe] Tech Univ Munich, ZIEL Inst Food & Hlth, Freising Weihenstephan, Germany. [Sillner, Nina; Walker, Alesia; Koch, Wendelin; Witting, Michael; Schmitt-Kopplin, Philippe] Helmholtz Zentrum Munchen, Res Unit Analyt BioGeoChem, Neuherberg, Germany. [Witting, Michael; Schmitt-Kopplin, Philippe] Tech Univ Munich, Chair Analyt Food Chem, Freising Weihenstephan, Germany. C3 Technical University of Munich; Helmholtz Association; Helmholtz-Center Munich - German Research Center for Environmental Health; Technical University of Munich RP Walker, A (通讯作者),HelmholtzZentrum Munchen, Deutsch Forschungszentrum Gesundheit & Umwelt, Dept Environm Sci, Analyt BioGeoChem, Ingolstaedter Landstr 1, D-85764 Neuherberg, Germany. EM alesia.walker@helmholtz-muenchen.de RI Schmitt-Kopplin, Philippe/H-6271-2011; Witting, Michael/AAI-1338-2019 OI Schmitt-Kopplin, Philippe/0000-0003-0824-2664; Witting, Michael/0000-0002-1462-4426; Walker, Alesia/0000-0002-1477-2023 FU Deutsche Forschungsgemeinschaft (SPP1656); ZIEL Institute for Food AMP; Health, Technical University of Munich; German Center for Diabetes Research (DZD); Ministry of Education and Research of the Federal Republic of Germany (BMBF) [0315494A] FX The authors thank Deutsche Forschungsgemeinschaft (SPP1656) and ZIEL Institute for Food & Health, Technical University of Munich for the financial support of the work. The project was funded by the German Center for Diabetes Research (DZD) and the Ministry of Education and Research of the Federal Republic of Germany (BMBF) under project no. 0315494A (SysMBo - Systems Biology of Metabotypes). 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Chromatogr. B PD APR 15 PY 2018 VL 1083 BP 35 EP 43 DI 10.1016/j.jchromb.2018.02.029 PG 9 WC Biochemical Research Methods; Chemistry, Analytical WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Chemistry GA GD8ME UT WOS:000430765700005 PM 29522956 DA 2023-06-08 ER PT J AU Luo, C Wang, X Huang, HX Mao, XY Zhou, HH Liu, ZQ AF Luo, Chao Wang, Xu Huang, Han-Xue Mao, Xiao-Yuan Zhou, Hong-Hao Liu, Zhao-Qian TI Coadministration of metformin prevents olanzapine-induced metabolic dysfunction and regulates the gut-liver axis in rats SO PSYCHOPHARMACOLOGY LA English DT Article DE Metformin; Olanzapine; Metabolic dysfunction; Gut-liver axis; Gut microbiota ID INDUCED WEIGHT-GAIN; POTENTIAL ROLE; SCHIZOPHRENIA; OBESITY; SENSITIVITY; MICROBIOME; ALTERS; SAFETY; DRUGS AB Objective Olanzapine is widely prescribed for patients with mental disorders; however, it may induce metabolic dysfunction. Metformin is an efficient adjuvant for preventing olanzapine-induced metabolic dysfunction in clinical practice. Although the mechanism of how metformin prevents this metabolic dysfunction remains unknown, changes in the gut-liver axis are considered a potential explanation. Methods Forty-eight male rats were gavaged with olanzapine and/or metformin for 35 consecutive days. Body weight, food intake, and water intake were measured daily. Histopathological and biochemical tests were performed to evaluate the metabolic dysfunction. The 16S rRNA obtained from fecal bacterial DNA was assessed. Results Olanzapine treatment increased the body weight, blood glucose and triglyceride levels, and the number of adipocytes in the liver. While coadministration of metformin, there was a dose-dependent reverse of the abnormal changes induced by olanzapine treatment. Both olanzapine and metformin treatments altered the composition of the gut microbiota. Bacteroides acidifaciens and Lactobacillus gasseri were possibly played a positive role in metformin-mediated olanzapine-induced metabolic dysfunction prevention. Conclusion Metformin prevented olanzapine-induced metabolic dysfunction and regulated the gut microbiota in a dose-dependent manner. C1 [Luo, Chao; Wang, Xu; Huang, Han-Xue; Mao, Xiao-Yuan; Zhou, Hong-Hao; Liu, Zhao-Qian] Cent South Univ, Xiangya Hosp, Dept Clin Pharmacol, Changsha 410008, Peoples R China. [Luo, Chao; Wang, Xu; Huang, Han-Xue; Mao, Xiao-Yuan; Zhou, Hong-Hao; Liu, Zhao-Qian] Cent South Univ, Hunan Key Lab Pharmacogenet, Inst Clin Pharmacol, Changsha 410078, Peoples R China. [Luo, Chao] Cent South Univ, Sch Life Sci, Changsha 410078, Hunan, Peoples R China. C3 Central South University; Central South University; Central South University RP Liu, ZQ (通讯作者),Cent South Univ, Xiangya Hosp, Dept Clin Pharmacol, Changsha 410008, Peoples R China.; Liu, ZQ (通讯作者),Cent South Univ, Hunan Key Lab Pharmacogenet, Inst Clin Pharmacol, Changsha 410078, Peoples R China. EM zqliu@csu.edu.cn RI Luo, Chao/GQH-1910-2022 OI Luo, Chao/0000-0002-7007-1440; Liu, Zhaoqian/0000-0003-0428-3928 FU National Key Research and Development Program of China [2016YFC1306900]; National Natural Science Foundation of China [81573508, 81874327]; Strategy-Oriented Special Project of Central South University in China [ZLXD2017003] FX This work was supported by the National Key Research and Development Program of China (2016YFC1306900), National Natural Science Foundation of China (81573508, 81874327), and The Strategy-Oriented Special Project of Central South University in China (ZLXD2017003). 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This research has revealed complexity not previously appreciated, and opened new research directions. The extent to which immunomodulatory effects and actions on the microbiota are related to each other and account for effects on host energy metabolism remains to be determined. These sites of action may be relevant not only to the efficacy of metformin for its established use in type 2 diabetes, but also to proposed novel indications in oncology and other diseases. C1 [Pollak, Michael] McGill Univ, Dept Oncol, Div Canc Prevent, Montreal, PQ H3T 1E2, Canada. C3 McGill University RP Pollak, M (通讯作者),McGill Univ, Dept Oncol, Div Canc Prevent, Montreal, PQ H3T 1E2, Canada. 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Shata, Ahmed Hassan, Hanan M. El-Sokkary, Mohamed M. A. Khodir, Ahmed E. TI The therapeutic role of lactobacillus and montelukast in combination with metformin in diabetes mellitus complications through modulation of gut microbiota and suppression of oxidative stress SO INTERNATIONAL IMMUNOPHARMACOLOGY LA English DT Article DE Metformin; Montelukast; Lactobacillus; Diabetes mellitus; Testes; Gut microbiota ID ANTIOXIDANT ENZYMES; RENAL DAMAGE; INJURY; GLUTATHIONE; PROTECTS; DISEASE; CELLS; LIVER; MICE; AXIS AB Male reproductive dysfunction is one of the overlooked findings of diabetes mellitus (DM) that deserves greater scientific attention. This study is designed to explore the therapeutic potential of metformin and montelukast, in combination with Lactobacillus, for modulation of intestinal flora and suppression of oxidative stress in testicular and liver damage in diabetic male rats. A DM model was induced by streptozotocin (STZ)which caused functional, biochemical, and inflammatory injuries to the testicular and liver tissues. The experimental panel included nine rat groups: normal control, normal control plus metformin, normal control plus montelukast, DM control, DM plus montelukast, DM plus a combination of metformin and Lactobacillus, DM plus a combination of montelukast and Lactobacillus, and DM plus a combination of metformin and montelukast. In parallel, clinical evaluation of microscopic examination scoring, and hepatic and testicular injuries, were evaluated. Biochemical markers including glucose level, lipid profile, inflammatory markers (tumor necrosis factor- (TNF-alpha) and interleukin-17 (IL-17), Caspase-3, and Bax proteins expressions were measured. The change in the microbiota abundance was investigated using conventional and real-time PCR. The current study revealed a significant difference in the relative abundance of microbiota, where DM is associated with an enormous increase of Bacteroides spp., Clostridium spp., E. coli, and Fusobacterium spp., and a significant decrease in Bifidobacteria spp., and Lactobacillus spp., in contrast with normal control. Metformin and montelukast, in combination with Lactobacillus, significantly reversed the testicular and liver damage caused by STZ. Moreover, the drugs significantly reduced the oxidative, inflammatory, and apoptotic activities induced by STZ. C1 [El-Baz, Ahmed M.] Delta Univ Sci & Technol, Microbiol & Biotechnol Dept, Fac Pharm, Gamasa 11152, Egypt. [Shata, Ahmed] Mansoura Univ, Dept Clin Pharmacol, Fac Med, Mansoura 35516, Egypt. [Shata, Ahmed] Delta Univ Sci & Technol, Dept Clin Pharm, Fac Pharm, Gamasa 11152, Egypt. [Hassan, Hanan M.] Delta Univ Sci & Technol, Pharmacol & Biochem Dept, Fac Pharm, Gamasa 11152, Egypt. [El-Sokkary, Mohamed M. 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Immunopharmacol. PD JUL PY 2021 VL 96 AR 107757 DI 10.1016/j.intimp.2021.107757 EA MAY 2021 PG 22 WC Immunology; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Immunology; Pharmacology & Pharmacy GA SW0FH UT WOS:000664191800001 PM 33991997 DA 2023-06-08 ER PT J AU Cheung, KS Chung, KL Leung, WK AF Cheung, Ka Shing Chung, Kit Lam Leung, Wai K. TI Chemopreventive Effect of Metformin on Gastric Cancer Development SO GUT AND LIVER LA English DT Review DE Helicobacter pylori; Chemoprevention; Diabetes mellitus; Metformin; Gut microbiota ID HELICOBACTER-PYLORI ERADICATION; PUMP INHIBITOR USE; DIABETES-MELLITUS; INTESTINAL METAPLASIA; REFLUX ESOPHAGITIS; ATROPHIC GASTRITIS; INDUCED APOPTOSIS; SERUM GASTRIN; GROWTH-FACTOR; RISK AB Although Helicobacter pylori infection is the most important causative factor for gastric cancer (GC), H. pylori eradication alone does not completely eliminate the GC risk. In addition to H. pylori eradication, other risk factors for GC should be identified and targeted. Diabetes mellitus (DM) confers a 20% increased risk of GC, which could be mediated via several biological mechanisms including the stimulation of cell proliferation via hyperinsulinemia and increased insulingrowth factor production, the promotion of angiogenesis, and DNA damage. With a current global prevalence of 9.3% and a predicted rise to 10.2% by 2030, DM could contribute substantially to the burden of GC cases worldwide. Emerging evidence showed that metformin possesses chemopreventive effects via both direct (e.g., adenosine monophosphate-activated protein kinase activation and subsequent inhibition of the mammalian target of rapamycin pathway) and indirect (e.g., modulation of the interaction between tumor cells and their microenvironment and gut microbiota) pathways. A recent meta-analysis of observational studies showed that metformin use was associated with 24% lower GC risk. However, many available observational studies related to metformin effects suffered from biases including the failure to adjust for the H. pylori infection status and serial glycemic control and time-related biases. Future prospective studies addressing these pitfalls are needed. (Gut Liver, Published online June 25, 2021) C1 [Cheung, Ka Shing; Leung, Wai K.] Univ Hong Kong, Queen Mary Hosp, Dept Med, Hong Kong, Peoples R China. [Cheung, Ka Shing] Univ Hong Kong, Dept Med, Shenzhen Hosp, Shenzhen, Peoples R China. [Chung, Kit Lam] Univ Hong Kong, Li Ka Shing Fac Med, Hong Kong, Peoples R China. C3 University of Hong Kong; University of Hong Kong; University of Hong Kong RP Leung, WK (通讯作者),Univ Hong Kong, Queen Mary Hosp, Dept Med, Hong Kong, Peoples R China. 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Y Cheng, Y Liu, J Zuo, JH Yan, LP Thring, RW Ba, XQ Qi, DK Wu, MJ Gao, YT Tong, HB AF Zhang, Ya Cheng, Yang Liu, Jian Zuo, Jihui Yan, Liping Thring, Ronald W. Ba, Xueqing Qi, Dake Wu, Mingjiang Gao, Yitian Tong, Haibin TI Tauroursodeoxycholic acid functions as a critical effector mediating insulin sensitization of metformin in obese mice SO REDOX BIOLOGY LA English DT Article DE Metformin; Insulin resistance; Tauroursodeoxycholic acid; Nrf2; Bile salt hydrolase ID INDUCED APOPTOSIS; RESISTANCE; MECHANISMS; CELLS; LIVER; NRF2 AB Metformin is widely used to surmount insulin resistance (IR) and type 2 diabetes. Accumulating evidence sug-gests that metformin may improve IR through regulating gut microbiota and bile acids. However, the underlying mechanisms remain unclear. Our metabolomic analysis showed that metformin significantly increased the accumulation of tauroursodeoxycholic acid (TUDCA) in intestine and liver from high-fat diet (HFD)-induced IR mice. TUDCA also alleviated IR, and reduced oxidative stress and intestinal inflammation in ob/ob mice. TUDCA blocked KEAP1 to bind with Nrf2, resulting in Nrf2 translocation into nuclear and initiating the transcription of antioxidant genes, which eventually reduced intracellular ROS accumulation and improved insulin signaling. Analysis of gut microbiota further revealed that metformin reduced the relative abundance of Bifidobacterium, which produces bile salt hydrolase (BSH). The reduction in BSH was probably crucial for the accumulation of TUDCA. Metformin also increased the proportion of Akkermanisia muciniphlia in gut microbiota of ob/ob mice via TUDCA. These beneficial effects of metformin in remodeling gut microbiota, reducing oxidative stress and improving insulin sensitivity were partly due to the accumulation of TUDCA, suggesting that TUDCA may be a potential therapy for metabolic syndrome. C1 [Zhang, Ya; Cheng, Yang; Liu, Jian; Zuo, Jihui; Yan, Liping; Thring, Ronald W.; Wu, Mingjiang; Gao, Yitian; Tong, Haibin] Wenzhou Univ, Coll Life & Environm Sci, Zhejiang Prov Key Lab Water Environm & Marine Biol, Wenzhou, Peoples R China. [Zhang, Ya] Wenzhou Med Univ, Sch Lab Med & Life Sci, Key Lab Med Genet, Wenzhou, Peoples R China. [Ba, Xueqing] Northeast Normal Univ, Minist Educ, Key Lab Mol Epigenet, Changchun, Jilin, Peoples R China. [Qi, Dake] Univ Manitoba, Coll Pharm, Winnipeg, MB, Canada. C3 Wenzhou University; Wenzhou Medical University; Northeast Normal University - China; University of Manitoba RP Gao, YT; Tong, HB (通讯作者),Wenzhou Univ, Coll Life & Environm Sci, Zhejiang Prov Key Lab Water Environm & Marine Biol, Wenzhou, Peoples R China. EM gyt@wzu.edu.cn; tonghaibin@gmail.com FU National Natural Science Foundation of China; Science and Technology Program of Wenzhou; [81872952]; [41876197]; [ZY2019013] FX Acknowledgements We gratefully thank Qiaojuan Li and Lingfeng Hou (Wenzhou Uni-versity) for their assistance in animal experiments. We gratefully thank Alan K Chang (Wenzhou University) for helpful discussion and for revising the language of the manuscript. We gratefully thank Jingling Shen (Wenzhou University) and Weitao Cong (Wenzhou Medical Uni-versity) for helpful discussion for revising the manuscript. 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C1 [Sansome, Daniel J.; Xie, Cong; Veedfald, Simon; Horowitz, Michael; Rayner, Christopher K.; Wu, Tongzhi] Univ Adelaide, Adelaide Med Sch, Adelaide, SA, Australia. [Sansome, Daniel J.; Xie, Cong; Veedfald, Simon; Horowitz, Michael; Rayner, Christopher K.; Wu, Tongzhi] Univ Adelaide, Ctr Res Excellence Translating Nutr Sci Good Hlth, Adelaide, SA, Australia. [Veedfald, Simon] Univ Copenhagen, Dept Biomed Sci, Copenhagen, Denmark. [Wu, Tongzhi] Southeast Univ, Sch Med, Zhongda Hosp, Dept Endocrinol,Inst Diabet, Nanjing, Jiangsu, Peoples R China. C3 University of Adelaide; University of Adelaide; University of Copenhagen; Southeast University - China RP Wu, TZ (通讯作者),Level 6,AHMS Bldg,North Terrace, Adelaide, SA 5000, Australia. 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Metab. PD FEB PY 2020 VL 22 IS 2 BP 141 EP 148 DI 10.1111/dom.13869 PG 8 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA KA3YF UT WOS:000505733500001 PM 31468642 DA 2023-06-08 ER PT J AU Robeson, MS Manna, K Randolph, C Byrum, S Hakkak, R AF Robeson, Michael S., II Manna, Kanishka Randolph, Christopher Byrum, Stephanie Hakkak, Reza TI Short-Term Metformin Treatment Enriches Bacteroides dorei in an Obese Liver Steatosis Zucker Rat Model SO FRONTIERS IN MICROBIOLOGY LA English DT Article DE obesity; metformin; Bacteroides dorei; Zucker rat; gut microbiota ID HUMAN GUT MICROBIOME; UNITED-STATES; INSULIN-RESISTANCE; DIABETES-MELLITUS; DOUBLE-BLIND; ADOLESCENTS; DISEASE; CHILDREN; PREVALENCE; VULGATUS AB Obesity is the leading cause of health-related diseases in the United States and World. Previously, we reported that obesity can change gut microbiota using the Zucker rat model. Metformin is an oral anti-hyperglycemic agent approved by the FDA to treat type 2 diabetes (T2D) in adults and children older than 10 years of age. The correlation of short-term metformin treatment and specific alterations to the gut microbiota in obese models is less known. Short-term metformin has been shown to reduce liver steatosis. Here we investigate the effects of short-term metformin treatment on population of gut microbiota profile in an obese rat model. Five week old obese (n = 12) female Zucker rats after 1 week of acclimation, received AIN-93 G diet for 8 weeks and then rats were randomly assigned into two groups (6 rats/group): (1) obese without metformin (ObC), or (2) obese with metformin (ObMet). Metformin was mixed with AIN-93G diet at 1,000 mg/kg of diet. Rats were weighed twice per week. All rats were sacrificed at the end of metformin treatment at 10 weeks and fecal samples were collected and kept at -80 degrees C. Total microbial DNA was collected directly from the fecal samples used for shotgun-metagenomics sequencing and subsequently analyzed using MetaPlAn and HUMAnN. After stringent data filtering and quality control we found significant differences (p = 0.0007) in beta diversity (Aitchison distances) between the ObC vs. ObMet groups. Supervised and unsupervised analysis of the log-ratios Bacteroides dorei and B. massiliensis vs. all other Bacteroides spp., revealed that B. dorei and B. massiliensis were enriched in the ObMet group, while the remaining Bacteroides spp. where enriched in the ObC group (p = 0.002). The contributional diversity of pathways is also significantly associated by treatment group (p = 0.008). In summary, in the obese Zucker rat model, short-term metformin treatment changes the gut microbiota profile, particularly altering the composition Bacteroides spp. between ObC and ObMet. C1 [Robeson, Michael S., II] Univ Arkansas Med Sci, Dept Biomed Informat, Little Rock, AR 72205 USA. [Manna, Kanishka; Byrum, Stephanie] Univ Arkansas Med Sci, Dept Biochem & Mol Biol, Little Rock, AR 72205 USA. [Randolph, Christopher; Hakkak, Reza] Arkansas Childrens Res Inst, Little Rock, AR 72202 USA. [Hakkak, Reza] Univ Arkansas Med Sci, Dept Dietet & Nutr, Little Rock, AR 72205 USA. [Hakkak, Reza] Univ Arkansas Med Sci, Dept Pediat, Little Rock, AR 72205 USA. C3 University of Arkansas System; University of Arkansas Medical Sciences; University of Arkansas System; University of Arkansas Medical Sciences; University of Arkansas System; University of Arkansas Medical Sciences; University of Arkansas System; University of Arkansas Medical Sciences RP Hakkak, R (通讯作者),Arkansas Childrens Res Inst, Little Rock, AR 72202 USA.; Hakkak, R (通讯作者),Univ Arkansas Med Sci, Dept Dietet & Nutr, Little Rock, AR 72205 USA.; Hakkak, R (通讯作者),Univ Arkansas Med Sci, Dept Pediat, Little Rock, AR 72205 USA. EM Hakkakreza@uams.edu RI Robeson, Michael Scott/J-5211-2019 OI Robeson, Michael Scott/0000-0001-7119-6301; Manna, Kanishka/0000-0003-3927-5004 FU Arkansas Children's Research Institute; Arkansas Biosciences Institute FX This research was supported, in part, by the Arkansas Children's Research Institute and the Arkansas Biosciences Institute to RH. 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Horowitz, Michael Xie, Cong Wu, Tongzhi TI Gastrointestinal Mechanisms Underlying the Cardiovascular Effect of Metformin SO PHARMACEUTICALS LA English DT Review DE metformin; cardiovascular; gastrointestinal; mechanisms; bile acids; gut microbiota; glucagon-like-peptide-1; gastric emptying; postprandial hypotension; type 2 diabetes ID GLUCAGON-LIKE PEPTIDE-1; TYPE-2 DIABETES-MELLITUS; MESENTERIC BLOOD-FLOW; FARNESOID-X RECEPTOR; POSTPRANDIAL HYPOTENSION; HEART-RATE; MYOCARDIAL-INFARCTION; GLYCEMIC RESPONSES; GLUCOSE-TOLERANCE; ORAL GLUCOSE AB Metformin, the most widely prescribed drug therapy for type 2 diabetes, has pleiotropic benefits, in addition to its capacity to lower elevated blood glucose levels, including mitigation of cardiovascular risk. The mechanisms underlying the latter remain unclear. Mechanistic studies have, hitherto, focused on the direct effects of metformin on the heart and vasculature. It is now appreciated that effects in the gastrointestinal tract are important to glucose-lowering by metformin. Gastrointestinal actions of metformin also have major implications for cardiovascular function. This review summarizes the gastrointestinal mechanisms underlying the action of metformin and their potential relevance to cardiovascular benefits. C1 [Borg, Malcolm J.; Rayner, Christopher K.; Jones, Karen L.; Horowitz, Michael; Xie, Cong; Wu, Tongzhi] Univ Adelaide, Adelaide Med Sch, Adelaide, SA 5000, Australia. [Borg, Malcolm J.; Rayner, Christopher K.; Jones, Karen L.; Horowitz, Michael; Xie, Cong; Wu, Tongzhi] Univ Adelaide, Ctr Res Excellence Translating Nutr Sci Good Hlth, Adelaide, SA 5000, Australia. [Borg, Malcolm J.; Jones, Karen L.; Horowitz, Michael; Wu, Tongzhi] Royal Adelaide Hosp, Endocrine & Metab Unit, Adelaide, SA 5000, Australia. [Wu, Tongzhi] Southeast Univ, Inst Diabet, Sch Med, Nanjing 210096, Peoples R China. C3 University of Adelaide; University of Adelaide; Royal Adelaide Hospital; Southeast University - China RP Wu, TZ (通讯作者),Univ Adelaide, Adelaide Med Sch, Adelaide, SA 5000, Australia.; Wu, TZ (通讯作者),Univ Adelaide, Ctr Res Excellence Translating Nutr Sci Good Hlth, Adelaide, SA 5000, Australia.; Wu, TZ (通讯作者),Royal Adelaide Hosp, Endocrine & Metab Unit, Adelaide, SA 5000, Australia.; Wu, TZ (通讯作者),Southeast Univ, Inst Diabet, Sch Med, Nanjing 210096, Peoples R China. EM malcolm.borg@sa.gov.au; chris.rayner@adelaide.edu.au; karen.jones@adelaide.edu.au; michael.horowitz@adelaide.edu.au; c.xie@adelaide.edu.au; tongzhi.wu@adelaide.edu.au RI horowitz, michael/HJY-3337-2023; Wu, Tongzhi/AAB-7343-2021; Horowitz, Michael/AAY-3397-2021 OI Horowitz, Michael/0000-0002-0942-0306; Jones, Karen/0000-0002-1155-5816; Rayner, Christopher/0000-0002-5527-256X; Wu, Tongzhi/0000-0003-1656-9210; Xie, Cong/0000-0002-0054-9269 FU Australia National Health and Medical Research Council (NHMRC); Diabetes Australia; Royal Adelaide Hospital Research Committee; China Scholarship Council; University of Adelaide William T Southcott Research Fellowship; Mid-Career Fellowship from The Hospital Research Foundation FX The authors' work in this area is supported by the Australia National Health and Medical Research Council (NHMRC), Diabetes Australia and Royal Adelaide Hospital Research Committee. C.X. is supported by a postgraduate scholarship from the China Scholarship Council. K.L.J. is supported by a University of Adelaide William T Southcott Research Fellowship. T.W. is supported by a Mid-Career Fellowship from The Hospital Research Foundation. 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gold, Green Accepted, Green Published DA 2023-06-08 ER PT J AU Adeshirlarijaney, A Zou, J Tran, HQ Chassaing, B Gewirtz, AT AF Adeshirlarijaney, Aneseh Zou, Jun Tran, Hao Q. Chassaing, Benoit Gewirtz, Andrew T. TI Amelioration of metabolic syndrome by metformin associates with reduced indices of low-grade inflammation independently of the gut microbiota SO AMERICAN JOURNAL OF PHYSIOLOGY-ENDOCRINOLOGY AND METABOLISM LA English DT Review DE antibiotics; germ free; high-fat diet; metabolic syndrome; metformin; microbiota; steatosis ID DIET-INDUCED OBESITY; ACTIVATED PROTEIN-KINASE; INTESTINAL MICROBIOTA; INSULIN-RESISTANCE; ALTERS; IMPACT AB Metformin beneficially impacts several aspects of metabolic syndrome including dysglycemia, obesity, and liver dysfunction, thus making it a widely used frontline treatment for early-stage type 2 diabetes, which is associated with these disorders. Several mechanisms of action for metformin have been proposed, including that it acts as an anti-inflammatory agent, possibly as a result of its impact on intestinal microbiota. In accord with this possibility, we observed herein that, in mice with diet-induced metabolic syndrome, metformin impacts the gut microbiota by preventing its encroachment upon the host, a feature of metabolic syndrome in mice and humans. However, the ability of metformin to beneficially impact metabolic syndrome in mice was not markedly altered by reduction or elimination of gut microbiota, achieved by the use of antibiotics or germfree mice. Although reducing or eliminating microbiota by itself suppressed diet-induced dysglycemia, other features of metabolic syndrome including obesity, hepatic steatosis, and low-grade inflammation remained suppressed by metformin in the presence or absence of gut microbiota. These results support a role for anti-inflammatory activity of metformin, irrespective of gut microbiota, in driving some of the beneficial impacts of this drug on metabolic syndrome. C1 [Adeshirlarijaney, Aneseh; Zou, Jun; Tran, Hao Q.; Chassaing, Benoit; Gewirtz, Andrew T.] Georgia State Univ, Inst Biomed Sci, Atlanta, GA 30303 USA. [Chassaing, Benoit] Georgia State Univ, Inst Neurosci, Atlanta, GA 30303 USA. C3 University System of Georgia; Georgia State University; University System of Georgia; Georgia State University RP Gewirtz, AT (通讯作者),Georgia State Univ, Inst Biomed Sci, Atlanta, GA 30303 USA. EM agewirtz@gsu.edu RI ZOU, JUN/AAD-3904-2019; Chassaing, Benoit/R-3819-2017 OI Chassaing, Benoit/0000-0002-4285-769X FU National Institute of Diabetes and Digestive and Kidney Diseases [DK-099071, DK-083890]; Career Development Award from the Crohn's and Colitis Foundation of America FX This work was supported by National Institute of Diabetes and Digestive and Kidney Diseases Grants DK-099071 (to A. T. Gewirtz) and DK-083890 (to A. T. Gewirtz). B. Chassaing is supported by a Career Development Award from the Crohn's and Colitis Foundation of America. 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J. Physiol.-Endocrinol. Metab. PD DEC PY 2019 VL 317 IS 6 BP E1121 EP E1130 DI 10.1152/ajpendo.00245.2019 PG 10 WC Endocrinology & Metabolism; Physiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism; Physiology GA KC7QK UT WOS:000507367600005 PM 31573841 OA Bronze, Green Published DA 2023-06-08 ER PT J AU Huang, QY Yao, F Zhou, CAR Huang, XY Wang, Q Long, H Wu, QM AF Huang, Qi-You Yao, Fei Zhou, Chuan-Ren Huang, Xiao-Ying Wang, Qiang Long, Hui Wu, Qing-Ming TI Role of gut microbiome in regulating the effectiveness of metformin in reducing colorectal cancer in type 2 diabetes SO WORLD JOURNAL OF CLINICAL CASES LA English DT Review DE Metformin; Colorectal cancer; Gut microbiota; Type 2 diabetes mellitus ID ABERRANT CRYPT FOCI; IMMUNE; PROLIFERATION; AGMATINE; ADENOMA; TUMOR; RISK; 5-FLUOROURACIL; MODULATION; RECURRENCE AB The prevalence of colorectal cancer (CRC) and type 2 diabetes mellitus (T2DM) is increasing globally. It is rarely noticed that the incidence of CRC is higher in patients with T2DM. What needs to be mentioned is that metformin, a commonly used clinical drug for T2DM, attracts scholars' attention because of its benefits in lowering the risk of developing CRC. Hence, we try to find the common grounds of initiation of T2DM and CRC and the reason why metformin reduces the risk of CRC in patients with T2DM. We noticed consistent changes of gut microbiota, such as elevated Bacteroides, Prevotella and Bifidobacterium and depressed Firmicutes and Lactobacillus. Furthermore, many studies in recent years have proved that the efficacy of metformin, such as improving blood glucose, depends on the gut microbiota. Coincidentally, the progression of CRC is inseparable from the contributions of gut microbiota. Therefore, we first proposed the concept of the metformin-gut microbiota-CRC (in T2DM) axis to explain the effect of metformin in reducing CRC in patients with T2DM. In this review, we elaborated the new concept and its potential clinical application value. C1 [Huang, Qi-You; Yao, Fei; Zhou, Chuan-Ren; Huang, Xiao-Ying; Wang, Qiang; Wu, Qing-Ming] Wuhan Univ Sci & Technol, Med Coll, Inst Infect Immunol & Tumor Microenvironm, 2 Huangjiahu West Rd,Baishazhou Ave, Wuhan 430065, Hubei, Peoples R China. [Long, Hui] Wuhan Univ Sci & Technol, Tianyou Affiliated Hosp, Dept Gastroenterol, Wuhan 430064, Hubei, Peoples R China. C3 Wuhan University of Science & Technology; Wuhan University of Science & Technology RP Wu, QM (通讯作者),Wuhan Univ Sci & Technol, Med Coll, Inst Infect Immunol & Tumor Microenvironm, 2 Huangjiahu West Rd,Baishazhou Ave, Wuhan 430065, Hubei, Peoples R China. EM wuhe9224@sina.com FU National Natural Science Foundation of China [81573239] FX Supported by National Natural Science Foundation of China, No. 81573239. 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Clin. Cases PD DEC 26 PY 2020 VL 8 IS 24 DI 10.12998/wjcc.v8.i24.6213 PG 17 WC Medicine, General & Internal WE Science Citation Index Expanded (SCI-EXPANDED) SC General & Internal Medicine GA PM2PB UT WOS:000603646900001 PM 33392303 OA Green Published, gold DA 2023-06-08 ER PT J AU Palacios, T Vitetta, L Coulson, S Madigan, CD Lam, YY Manuel, R Briskey, D Hendy, C Kim, JN Ishoey, T Soto-Giron, MJ Schott, EM Toledo, G Caterson, ID AF Palacios, Talia Vitetta, Luis Coulson, Samantha Madigan, Claire D. Lam, Yan Y. Manuel, Rachel Briskey, David Hendy, Chelsea Kim, Ji-Nu Ishoey, Thomas Soto-Giron, Maria J. Schott, Eric M. Toledo, Gerardo Caterson, Ian D. TI Targeting the Intestinal Microbiota to Prevent Type 2 Diabetes and Enhance the Effect of Metformin on Glycaemia: A Randomised Controlled Pilot Study SO NUTRIENTS LA English DT Article DE prediabetes; type 2 diabetes mellitus; metformin; intestinal microbiota; probiotics; short-chain fatty acids ID GUT MICROBIOTA; INSULIN-RESISTANCE; GLUCOSE-TOLERANCE; WEIGHT-LOSS; FERMENTATION; PREVALENCE; OVERWEIGHT; PROBIOTICS; BUTYRATE; MELLITUS AB Early treatment may prevent or delay the onset of type 2 diabetes mellitus (T2DM) in individuals who are at high risk. Lifestyle interventions and the hypoglycemic drug metformin have been shown to reduce T2DM incidence. The effectiveness of such interventions may be enhanced by targeting environmental factors such as the intestinal microbiota, which has been proven to predict the response to lifestyle interventions and play a part in mediating the glucose-lowering effects of metformin. Shifts in the intestinal microbiota "towards a more balanced state" may promote glucose homeostasis by regulating short-chain fatty acids' production. This study aimed to investigate the safety and effect of a multi-strain probiotic on glycemic, inflammatory, and permeability markers in adults with prediabetes and early T2DM and to assess whether the probiotic can enhance metformin's effect on glycaemia. A randomised controlled pilot study was conducted in 60 adults with a BMI >= 25 kg/m(2)and with prediabetes or T2DM (within the previous 12 months). The participants were randomised to a multi-strain probiotic (L. plantarum,L. bulgaricus,L. gasseri,B. breve,B. animalis sbsp. lactis,B. bifidum,S. thermophilus, andS. boulardii) or placebo for 12 weeks. Analyses of the primary outcome (fasting plasma glucose) and secondary outcomes, including, but not limited to, circulating lipopolysaccharide, zonulin, and short chain fatty acids and a metagenomic analysis of the fecal microbiome were performed at baseline and 12 weeks post-intervention. The results showed no significant differences in the primary and secondary outcome measures between the probiotic and placebo group. An analysis of a subgroup of participants taking metformin showed a decrease in fasting plasma glucose, HbA1c, insulin resistance, and zonulin; an increase in plasma butyrate concentrations; and an enrichment of microbial butyrate-producing pathways in the probiotic group but not in the placebo group. Probiotics may act as an adjunctive to metformin by increasing the production of butyrate, which may consequently enhance glucose management. C1 [Palacios, Talia; Madigan, Claire D.; Hendy, Chelsea; Caterson, Ian D.] Univ Sydney, Boden Collaborat Obes Nutr Exercise & Eating Diso, Charles Perkins Ctr, Sydney, NSW 2006, Australia. [Palacios, Talia; Vitetta, Luis; Coulson, Samantha] Univ Sydney, Fac Med & Hlth, Sydney, NSW 2006, Australia. [Vitetta, Luis] Medlab Clin, Sydney, NSW 2015, Australia. [Coulson, Samantha] Univ Sunshine Coast, Fac Sci Hlth Educ & Engn, Sippy Downs, Qld 4556, Australia. [Lam, Yan Y.] Rutgers State Univ, Dept Biochem & Microbiol, New Brunswick, NJ 08901 USA. [Lam, Yan Y.] Rutgers State Univ, New Jersey Inst Food Nutr & Hlth, Sch Environm & Biol Sci, New Brunswick, NJ 08901 USA. [Manuel, Rachel] Univ New South Wales, Sch Med Sci, Sydney, NSW 2052, Australia. [Briskey, David] Univ Queensland, Sch Human Movement & Nutr Sci, Fac Hlth & Behav Sci, Brisbane, Qld 4072, Australia. [Kim, Ji-Nu; Ishoey, Thomas; Soto-Giron, Maria J.; Schott, Eric M.; Toledo, Gerardo] Solarea Bio Inc, Cambridge, MA 02142 USA. C3 University of Sydney; University of Sydney; University of the Sunshine Coast; Rutgers State University New Brunswick; Rutgers State University New Brunswick; University of New South Wales Sydney; University of Queensland RP Palacios, T (通讯作者),Univ Sydney, Boden Collaborat Obes Nutr Exercise & Eating Diso, Charles Perkins Ctr, Sydney, NSW 2006, Australia.; Palacios, T (通讯作者),Univ Sydney, Fac Med & Hlth, Sydney, NSW 2006, Australia. EM talia.palacios@sydney.edu.au; luis.vitetta@sydney.edu.au; samantha.coulson@sydney.edu.au; claire.madigan@hotmail.com; yan.y.lam@rutgers.edu; r.manuel@unsw.edu.au; d.briskey@uq.edu.au; chelsea.hendy@sydney.edu.au; realkjw@gmail.com; tishoey@solareabio.com; jsoto@solareabio.com; eschott@solareabio.com; gtoledo@solareabio.com; ian.caterson@sydney.edu.au RI Vitetta, Luis/F-4206-2010; Briskey, David R/J-7111-2016 OI Vitetta, Luis/0000-0002-7490-9298; Briskey, David R/0000-0001-9867-6700; Lam, Yan/0000-0002-5724-1142; Caterson, Ian/0000-0002-6139-3632; Soto-Giron, Maria/0000-0002-8033-8962 FU Senescyt Scholarship Program from the Ecuadorian Government; Medlab Clinical Ltd. FX TP was supported by the Senescyt Scholarship Program from the Ecuadorian Government and the Boden Institute's NHMRC of Australia Program Grant. Medlab Clinical Ltd. provided the funding to develop the probiotic formulation and to perform the sample analysis. 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Richard, Corentin Marette, Andre Ramendra, Rayoun Planas, Delphine Marchand, Laurence Raymond Messaoudene, Meriem Van der Ley, Claude P. Kema, Ido P. Ahmed, Darakhshan Sohail Zhang, Yonglong Finkelman, Malcolm Routy, Bertrand Angel, Jonathan Ancuta, Petronela Routy, Jean-Pierre TI Repurposing Metformin in Nondiabetic People With HIV: Influence on Weight and Gut Microbiota SO OPEN FORUM INFECTIOUS DISEASES LA English DT Article DE HIV; metformin; microbiota; nondiabetic; weight ID SYSTEMIC IMMUNE ACTIVATION; AKKERMANSIA-MUCINIPHILA; INFLAMMATORY RESPONSE; INFECTION; RISK; GAIN; TRANSLOCATION; BUTYRATE; DISEASE; CANCER AB Background. People with HIV (PWH) taking antiretroviral therapy (ART) may experience weight gain, dyslipidemia, increased risk of non-AIDS comorbidities, and long-term alteration of the gut microbiota. Both low CD4/CD8 ratio and chronic inflammation have been associated with changes in the gut microbiota of PWH. The antidiabetic drug metformin has been shown to improve gut microbiota composition while decreasing weight and inflammation in diabetes and polycystic ovary syndrome. Nevertheless, it remains unknown whether metformin may benefit PWH receiving ART, especially those with a low CD4/CD8 ratio. Methods. In the Lilac pilot trial, we recruited 23 nondiabetic PWI I receiving ART for more than 2 years with a low CD4/CD8 ratio (<0.7). Blood and stool samples were collected during study visits at baseline, after a 12-week metformin treatment, and 12 weeks after discontinuation. Microbiota composition was analyzed by 16S rDNA gene sequencing, and markers of inflammation were assessed in plasma. Results. Metformin decreased weight in PWH, and weight loss was inversely correlated with plasma levels of the satiety factor GDF-15. Furthermore, metformin changed the gut microbiota composition by increasing the abundance of anti-inflammatory bacteria such as butyrate-producing species and the protective Akkermansia muciniphila. Conclusions. Our study provides the first evidence that a 12-week metformin treatment decreased weight and favored anti-inflammatory bacteria abundance in the microbiota of nondiabetic ART-treated PWH. Larger randomized placebo-controlled clinical trials with longer metformin treatment will be needed to further investigate the role of metformin in reducing inflammation and the risk of non-AIDS comorbidities in ART-treated PWH. C1 [Isnard, Stephane; Lin, John; Fombuena, Brandon; Ouyang, Jing; Ramendra, Rayoun; Ahmed, Darakhshan Sohail; Routy, Jean-Pierre] McGill Univ Hlth Ctr, Res Inst, Infect Dis & Immun Global Hlth Program, Montreal, PQ, Canada. [Isnard, Stephane; Lin, John; Fombuena, Brandon; Ouyang, Jing; Ramendra, Rayoun; Ahmed, Darakhshan Sohail; Routy, Jean-Pierre] McGill Univ Hlth Ctr, Chron Viral Illness Serv, Montreal, PQ, Canada. [Isnard, Stephane] CIHR Canadian HIV Trials Network, Vancouver, BC, Canada. [Ramendra, Rayoun] Univ Toronto, Fac Med, Toronto, ON, Canada. [Ouyang, Jing] Chongqing Publ Hlth Med Ctr, Chongqing, Peoples R China. [Varin, Thibault V.; Marette, Andre] Laval Univ, Inst Nutr & Funct Foods, Quebec City, PQ, Canada. [Richard, Corentin; Planas, Delphine; Marchand, Laurence Raymond; Routy, Bertrand; Ancuta, Petronela] Univ Montreal, Ctr Rech Ctr Hosp, Montreal, PQ, Canada. [Planas, Delphine; Ancuta, Petronela] Univ Montreal, Fac Med, Dept Microbiol Infectiol & Immunol, Montreal, PQ, Canada. [Marette, Andre] Laval Univ, Fac Med, Cardiol Axis Quebec Heart & Lung Inst, Dept Med, Quebec City, PQ, Canada. [Messaoudene, Meriem; Van der Ley, Claude P.; Kema, Ido P.] Univ Groningen, Univ Med Ctr Groningen, Dept Lab Med, Groningen, Netherlands. [Zhang, Yonglong; Finkelman, Malcolm] Associates Cape Cod Inc, Falmouth, MA USA. [Angel, Jonathan] Univ Ottawa, Ottawa Hosp, Ottawa, ON, Canada. [Routy, Jean-Pierre] McGill Univ Hlth Ctr, Div Hematol, Montreal, PQ, Canada. [Routy, Bertrand] Univ Montreal Healthcare Ctr, Dept Hematooncol, Div Med, Montreal, PQ, Canada. C3 McGill University; McGill University; University of Toronto; Laval University; Universite de Montreal; Universite de Montreal; Laval University; Quebec Heart & Lung Institute; University of Groningen; University of Ottawa; Ottawa Hospital Research Institute; McGill University RP Routy, JP (通讯作者),McGill Univ, McGill Univ Hlth Ctr, Res Inst, Glen Site,1001 Blvd Marie,3-3232, Montreal, PQ H4A 3J1, Canada. EM jean-pierre.routy@mcgill.ca RI Marette, Andre/E-9342-2013 OI Planas, Delphine/0000-0002-2509-9954; Ramendra, Rayoun/0000-0002-1452-8231; Lin, John/0000-0002-2596-969X; Marette, Andre/0000-0003-3950-5973 FU Vaccines & Immunotherapies core of the HIV clinical trial network from the Canadian Institute for Health Research (CIHR CTN) [PT07]; CIHR [MOP 103230, PTJ 166049]; CanCURE 2.0 CIHR [HB2-164064]; Fond de Recherche Quebec Sante fellowship; CIHR/CTN Postdoctoral Fellowship Award FX This work was supported by the Vaccines & Immunotherapies core of the HIV clinical trial network from the Canadian Institute for Health Research (CIHR CTN PT07), a CIHR grant (MOP 103230 and PTJ 166049), a CanCURE 2.0 CIHR grant (HB2-164064). Dr Stephane Isnard is supported by a Fond de Recherche Quebec Sante fellowship and a CIHR/CTN Postdoctoral Fellowship Award. 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Dis. PD SEP PY 2020 VL 7 IS 9 AR ofaa338 DI 10.1093/ofid/ofaa338 PG 10 WC Immunology; Infectious Diseases; Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Immunology; Infectious Diseases; Microbiology GA OW8JU UT WOS:000593127000014 PM 32964062 OA gold, Green Published DA 2023-06-08 ER PT J AU Liang, HY Song, H Zhang, XJ Song, GF Wang, YZ Ding, XF Duan, XG Li, LF Sun, TW Kan, QC AF Liang, Huoyan Song, Heng Zhang, Xiaojuan Song, Gaofei Wang, Yuze Ding, Xianfei Duan, Xiaoguang Li, Lifeng Sun, Tongwen Kan, Quancheng TI Metformin attenuated sepsis-related liver injury by modulating gut microbiota SO EMERGING MICROBES & INFECTIONS LA English DT Article DE Sepsis-related liver injury; aged rats; metformin; gut microbiota; CLP ID CHAIN FATTY-ACIDS; AUTOPHAGY; MICE; DIET AB Increased evidence shows that gut microbiota acts as the primary regulator of the liver; however, its role in sepsis-related liver injury (SLI) in the elderly is unclear. This study assessed whether metformin could attenuate SLI by modulating gut microbiota in septic-aged rats. Cecal ligation and puncture (CLP) was used to induce SLI in aged rats. Fecal microbiota transplantation (FMT) was used to validate the roles of gut microbiota in these pathologies. The composition of gut microbiota was analysed by 16S rRNA sequencing. Moreover, the liver and colon tissues were analysed by histopathology, immunofluorescence, immunohistochemistry, and reverse transcription polymerase chain reaction (RT-PCR). Metformin improved liver damage, colon barrier dysfunction in aged SLI rats. Moreover, metformin improved sepsis-induced liver inflammation and damage under gut microbiota. Importantly, FMT assay showed that rats gavaged with faeces from metformin-treated SLI rats displayed less severe liver damage and colon barrier dysfunctions than those gavaged with faeces from SLI rats. The gut microbiota composition among the sham-operated, CLP-operated and metformin-treated SLI rats was different. In particular, the proportion of Klebsiella and Escherichia_Shigella was higher in SLI rats than sham-operated and metformin-treated SLI rats; while metformin could increase the proportion of Bifidobacterium, Muribaculaceae, Parabacteroides_distasonis and Alloprevitella in aged SLI rats. Additionally, Klebsiella and Escherichia_Shigella correlated positively with the inflammatory factors in the liver. Our findings suggest that metformin may improve liver injury by regulating the gut microbiota and alleviating colon barrier dysfunction in septic-aged rats, which may be an effective therapy for SLI. C1 [Liang, Huoyan; Song, Heng; Zhang, Xiaojuan; Song, Gaofei; Wang, Yuze; Ding, Xianfei; Duan, Xiaoguang; Sun, Tongwen] Zhengzhou Univ, Gen ICU, Affiliated Hosp 1,Henan Engn Res Ctr Crit Care Me, Henan Key Lab Crit Care Med,Zhengzhou Key Lab Sep, Zhengzhou, Peoples R China. [Liang, Huoyan; Song, Heng; Song, Gaofei; Sun, Tongwen] Zhengzhou Univ, Acad Med Sci, Zhengzhou, Peoples R China. [Li, Lifeng] Zhengzhou Univ, Dept Pharm, Internet Med & Syst Applicat Natl Engn Lab, Affiliated Hosp 1, Zhengzhou, Peoples R China. [Kan, Quancheng] Zhengzhou Univ, Dept Pharm, Affiliated Hosp 1, Zhengzhou, Peoples R China. C3 Zhengzhou University; Zhengzhou University; Zhengzhou University; Zhengzhou University RP Sun, TW (通讯作者),Zhengzhou Univ, Gen ICU, Affiliated Hosp 1,Henan Engn Res Ctr Crit Care Me, Henan Key Lab Crit Care Med,Zhengzhou Key Lab Sep, Zhengzhou, Peoples R China.; Kan, QC (通讯作者),Zhengzhou Univ, Dept Pharm, Affiliated Hosp 1, Zhengzhou, Peoples R China. EM suntongwen@163.com; kanqc@zzu.edu.cn RI Sun, Tongwen/AAQ-7741-2020; Duan, Xiaoguang/O-2980-2017 OI Duan, Xiaoguang/0000-0001-9635-5807; Li, Lifeng/0000-0002-7492-4017 FU United Fund of National Natural Science Foundation of China [U2004110]; National Natural Science Foundation of China [82172129]; 2021 Youth Talent Promotion Project in Henan Province [2021HYTP053]; 2021 joint construction project of Henan Medical Science and Technology Breakthrough Plan [LHGJ20210299] FX This study was supported by the United Fund of National Natural Science Foundation of China (grant number U2004110), the National Natural Science Foundation of China (grant number 82172129), the 2021 Youth Talent Promotion Project in Henan Province (grant number 2021HYTP053), the 2021 joint construction project of Henan Medical Science and Technology Breakthrough Plan (grant number LHGJ20210299). 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Microbes Infect. PD DEC 31 PY 2022 VL 11 IS 1 BP 815 EP 828 DI 10.1080/22221751.2022.2045876 PG 14 WC Immunology; Infectious Diseases; Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Immunology; Infectious Diseases; Microbiology GA ZT7GG UT WOS:000769319600001 PM 35191819 OA Green Published, Green Submitted, gold DA 2023-06-08 ER PT J AU Van Syoc, E Weaver, E Rogers, CJ Silverman, JD Ramachandran, R Ganda, E AF Van Syoc, Emily Weaver, Evelyn Rogers, Connie J. Silverman, Justin D. Ramachandran, Ramesh Ganda, Erika TI Metformin modulates the gut microbiome in broiler breeder hens SO FRONTIERS IN PHYSIOLOGY LA English DT Article DE broiler breeder hens; gut microbiome; metformin; polycystic ovary syndrome (PCOS); poultry ID POLYCYSTIC-OVARY-SYNDROME; DOUBLE-BLIND; ENDOCRINE; WOMEN; THERAPY AB Broiler breeder hens, the parent stock of commercial broiler chickens, are genetically selected for rapid growth. Due to a longer production period and the focus of genetic selection on superior carcass traits in their progeny, these hens have the propensity to gain excess adipose tissue and exhibit severe ovarian dysfunction, a phenotype that is similar to human polycystic ovary syndrome (PCOS). Metformin is an antihyperglycemic drug approved for type 2 diabetes that is prescribed off-label for PCOS with benefits on metabolic and reproductive health. An additional effect of metformin treatments in humans is modulation of gut microbiome composition, hypothesized to benefit glucose sensitivity and systemic inflammation. The effects of dietary metformin supplementation in broiler breeder hens have not been investigated, thus we hypothesized that dietary metformin supplementation would alter the gut microbiome of broiler breeder hens. Broiler breeder hens were supplemented with metformin at four different levels (0, 25, 50, and 75 mg/kg body weight) from 25 to 65 weeks of age, and a subset of hens (n = 8-10 per treatment group) was randomly selected to undergo longitudinal microbiome profiling with 16S rRNA sequencing. Metformin impacted the microbial community composition in 75 mg/kg metformin compared to controls (adjusted PERMANOVA p = 0.0006) and an additional dose-dependent difference was observed between 25 mg/kg and 75 mg/kg (adjusted PERMANOVA p = 0.001) and between 50 mg/kg and 75 mg/kg (adjusted PERMANOVA p = 0.001) but not between 25 mg/kg and 50 mg/kg (adjusted PERMANOVA p = 0.863). There were few differences in the microbiome attributed to hen age, and metformin supplementation did not alter alpha diversity. Bacteria that were identified as differentially relatively abundant between 75 mg/kg metformin treatment and the control, and between metformin doses, included Ruminococcus and members of the Clostridia family that have been previously identified in human trials of PCOS. These results demonstrate that metformin impacts the microbiome of broiler breeder hens in a dose-dependent manner and several findings were consistent with PCOS in humans and with metformin treatment in type 2 diabetes. Metformin supplementation is a potentially promising option to improve gut health and reproductive efficiency in broiler breeder hens. C1 [Van Syoc, Emily] Penn State Univ, Integrat & Biomed Physiol & Clin & Translat Sci Du, University Pk, PA USA. [Van Syoc, Emily; Weaver, Evelyn; Ganda, Erika] Penn State Univ, Dept Anim Sci, University Pk, PA 16801 USA. [Van Syoc, Emily; Ganda, Erika] Penn State Univ, Microbiome Ctr, University Pk, PA 16801 USA. [Weaver, Evelyn; Ramachandran, Ramesh] Penn State Univ, Ctr Reprod Biol & Hlth, University Pk, PA USA. [Rogers, Connie J.] Penn State Univ, Dept Nutr Sci, University Pk, PA USA. [Rogers, Connie J.] Penn State Canc Inst, Hershey, PA USA. [Silverman, Justin D.] Penn State Univ, Dept Stat, University Pk, PA USA. [Silverman, Justin D.] Penn State Univ, Dept Med, University Pk, PA USA. [Silverman, Justin D.] Penn State Univ, Inst Computat & Data Sci, University Pk, PA USA. [Silverman, Justin D.] Penn State Univ, Coll Informat Sci & Technol, University Pk, PA USA. C3 Pennsylvania Commonwealth System of Higher Education (PCSHE); Pennsylvania State University; Pennsylvania State University - University Park; Pennsylvania Commonwealth System of Higher Education (PCSHE); Pennsylvania State University; Pennsylvania State University - University Park; Pennsylvania Commonwealth System of Higher Education (PCSHE); Pennsylvania State University; Pennsylvania State University - University Park; Pennsylvania Commonwealth System of Higher Education (PCSHE); Pennsylvania State University; Pennsylvania State University - University Park; Pennsylvania Commonwealth System of Higher Education (PCSHE); Pennsylvania State University; Pennsylvania State University - University Park; Pennsylvania Commonwealth System of Higher Education (PCSHE); Pennsylvania State University; Penn State Health; Pennsylvania Commonwealth System of Higher Education (PCSHE); Pennsylvania State University; Pennsylvania State University - University Park; Pennsylvania Commonwealth System of Higher Education (PCSHE); Pennsylvania State University; Pennsylvania State University - University Park; Pennsylvania Commonwealth System of Higher Education (PCSHE); Pennsylvania State University; Pennsylvania State University - University Park; Pennsylvania Commonwealth System of Higher Education (PCSHE); Pennsylvania State University; Pennsylvania State University - University Park RP Ganda, E (通讯作者),Penn State Univ, Dept Anim Sci, University Pk, PA 16801 USA.; Ganda, E (通讯作者),Penn State Univ, Microbiome Ctr, University Pk, PA 16801 USA. EM ganda@psu.edu OI Rogers, Connie J/0000-0003-4072-2721; Van Syoc, Emily/0000-0002-9984-534X; Ganda, Erika/0000-0002-8735-0753 FU PSU/NIDDK; USDA National Institute of Food and Agriculture and Hatch Appropriations [T32DK120509]; USDA National Institute of Food and Agriculture [PEN04752, 1023328]; NIH [T32DK120509]; [2017-67015-26506]; [T32GM108563] FX EVS was supported on the PSU/NIDDK funded "Integrative Analysis of Metabolic Phenotypes (IAMP) Predoctoral Training Program (T32DK120509)." This work was supported by the USDA National Institute of Food and Agriculture and Hatch Appropriations under Project #PEN04752 Accession #1023328 and by startup funds from EG. A part of this project was supported by Agriculture and Food Research Initiative Competitive Grant No. 2017-67015-26506 from the USDA National Institute of Food and Agriculture funded to RR and in part, by NIH Grant T32GM108563. 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Physiol. PD SEP 14 PY 2022 VL 13 AR 1000144 DI 10.3389/fphys.2022.1000144 PG 10 WC Physiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Physiology GA 5C1BQ UT WOS:000864001900001 PM 36203937 OA gold, Green Published DA 2023-06-08 ER PT J AU Li, RF Yao, YR Gao, PF Bu, SR AF Li, Ruifang Yao, Yurong Gao, Pengfei Bu, Shurui TI The Therapeutic Efficacy of Curcumin vs. Metformin in Modulating the Gut Microbiota in NAFLD Rats: A Comparative Study SO FRONTIERS IN MICROBIOLOGY LA English DT Article DE non-alcoholic fatty liver disease; curcumin; metformin; gut microbiota; short-chain fatty acids ID FATTY LIVER-DISEASE; OBESITY; MECHANISMS; STEATOSIS; ACIDS; DIET AB Structural disruption of gut microbiota is closely related to the occurrence of non-alcoholic fatty liver disease (NAFLD). Previous research has demonstrated that both curcumin (CUR) and metformin (MET) have a therapeutic effect against NAFLD and play a role in modulating the gut microbiota. However, there is a lack of direct comparison between the two medications in terms of the therapeutic efficacy and the regulatory effect on gut microbiota. In this study, we administered either CUR or MET to rats with high-fat diet (HFD)-induced obesity to observe changes in body parameters, biochemical parameters, liver, and ileum pathology and gut microbiota, and used next generation sequencing and multivariate analysis to evaluate the structural changes of gut microbiota in a NAFLD rat model before and after CUR and MET intervention. It was found that both CUR and MET attenuated hepatic ectopic fat deposition, alleviated inflammatory factors, and improved intestinal barrier integrity in HFD-fed rats. More importantly, CUR and MET reduced the Firmicutes/Bacteroidetes ratio and reverted the composition of the HFD-disrupted gut microbiota. Both CUR and MET treatments effectively modified the gut microbiome, enriched the abundance of beneficial bacteria and reduced opportunistic pathogens in obese rats. The abundance of Butyricicoccus was increased while the abundance of Dorea was decreased in HFD + CUR group. Besides, some beneficial bacteria such as Prevotella were increased in MET-treated animals. Spearman's correlation analysis showed that Helicobacter, Akkermansia, Desulfovibrio, Romboutsia, Corynebacterium, Lactobacillus, Ruminococcaceae_unclassified, Lachnospiraceae_unclassified, and Clostridiales_unclassified showed significantly positive correlations with TG, TC, LDL-C, GLU, IL-6, IL-1 beta, and TNF-alpha, and negative correlations with HDL-C (both p < 0.05). However, Prevotella and Stomatobaculum showed an opposite trend. In summary, CUR and MET showed similar effects in alleviating hepatic steatosis, improving intestinal barrier integrity and modulating gut microbiota in HFD-induced obesity rats, and therefore may prove to be a novel adjunctive therapy for NAFLD. C1 [Li, Ruifang; Bu, Shurui] Fudan Univ, Jinshan Hosp, Dept Gastroenterol, Shanghai, Peoples R China. [Yao, Yurong; Bu, Shurui] Fudan Univ, Jinshan Hosp, Dept Infect, Shanghai, Peoples R China. [Gao, Pengfei] Fudan Univ, Jinshan Hosp, Dept Tradit Chinese Med, Shanghai, Peoples R China. C3 Fudan University; Fudan University; Fudan University RP Bu, SR (通讯作者),Fudan Univ, Jinshan Hosp, Dept Gastroenterol, Shanghai, Peoples R China.; Bu, SR (通讯作者),Fudan Univ, Jinshan Hosp, Dept Infect, Shanghai, Peoples R China.; Gao, PF (通讯作者),Fudan Univ, Jinshan Hosp, Dept Tradit Chinese Med, Shanghai, Peoples R China. EM gaopengfeibm@163.com; bushurui@fudan.edu.cn FU National Natural Science Foundation of China [81473610, 81973785] FX This work was supported by grants from the National Natural Science Foundation of China (Grant Nos. 81473610 and 81973785). 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Microbiol. PD JAN 14 PY 2021 VL 11 AR 555293 DI 10.3389/fmicb.2020.555293 PG 15 WC Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Microbiology GA PY9EO UT WOS:000612343500001 PM 33584555 OA gold, Green Published DA 2023-06-08 ER PT J AU Zhao, HY Lyu, YJ Zhai, RQ Sun, GY Ding, XF AF Zhao, Huayan Lyu, Yuanjun Zhai, Ruiqing Sun, Guiying Ding, Xianfei TI Metformin Mitigates Sepsis-Related Neuroinflammation via Modulating Gut Microbiota and Metabolites SO FRONTIERS IN IMMUNOLOGY LA English DT Article DE sepsis-related neurodamage; metformin; gut microbiota; metabolites; CLP ID CHAIN FATTY-ACIDS; ENCEPHALOPATHY; MICROGLIA; MICE AB Gut microbiota affects the functions of brains. However, its mechanism in sepsis remains unclear. This study evaluated the effect of metformin on ameliorating sepsis-related neurodamage by regulating gut microbiota and metabolites in septic rats. Cecal ligation and puncture (CLP) was used to establish the sepsis-related neurodamage animal models. Metformin therapy by gavage at 1 h after CLP administration was followed by fecal microbiota transplantation (FMT) to ensure the efficacy and safety of metformin on the sepsis-related neurodamage by regulating gut microbiota. The gut microbiota and metabolites were conducted by 16S rRNA sequencing and liquid chromatography-tandem mass spectrometry metabolomic analysis. The brain tissue inflammation response was analyzed by histopathology and reverse transcription-polymerase chain reaction (RT-PCR). This study reported brain inflammatory response, hemorrhage in sepsis-related neurodamage rats compared with the control group (C group). Surprisingly, the abundance of gut microbiota slightly increased in sepsis-related neurodamage rats than C group. The ratio of Firmicutes/Bacteroidetes was significantly increased in the CLP group than the C group. However, no difference was observed between the CLP and the metformin-treated rats (MET group). Interestingly, the abundance of Escherichia_Shigella increased in the MET group than the C and CLP groups, while Lactobacillaceae abundance decreased. Furthermore, Prevotella_9, Muribaculaceae, and Alloprevotella related to short-chain fatty acids production increased in the sepsis-related neurodamage of metformin-treated rats. Additionally, Prevotella_9 and Muribaculaceae correlated positively to 29 metabolites that might affect the inflammatory factors in the brain. The FMT assay showed that metformin improved sepsis-related neurodamage by regulating the gut microbiota and metabolites in septic rats. The findings suggest that metformin improves the sepsis-related neurodamage through modulating the gut microbiota and metabolites in septic rats, which may be an effective therapy for patients with sepsis-related neurodamage. C1 [Zhao, Huayan] First Affiliated Hosp Zhengzhou Univ, Dept Crit Care Med, Affiliated Hosp 1, Zhengzhou, Peoples R China. [Lyu, Yuanjun] Zhengzhou Univ, Dept Resp, Affiliated Hosp 1, Zhengzhou, Peoples R China. [Zhai, Ruiqing] Harbin Med Univ, Coll Bioinformat Sci & Technol, Harbin, Peoples R China. [Sun, Guiying] Zhengzhou Univ, Coll Publ Hlth, Epidemiol & Stat, Zhengzhou, Peoples R China. [Ding, Xianfei] Zhengzhou Univ, Gen Intens Care Unit, Affiliated Hosp 1, Zhengzhou, Peoples R China. C3 Zhengzhou University; Harbin Medical University; Zhengzhou University; Zhengzhou University RP Ding, XF (通讯作者),Zhengzhou Univ, Gen Intens Care Unit, Affiliated Hosp 1, Zhengzhou, Peoples R China. EM dingxianfei2009@163.com FU youth talent promotion project in Henan Province [2021HYTP053]; Henan Medical Science and Technology Breakthrough Plan [LHGJ20210299] FX This study was supported by the 2021 youth talent promotion project in Henan Province (Grant No. 2021HYTP053), the 2021 joint construction project of Henan Medical Science and Technology Breakthrough Plan (Grant No. LHGJ20210299). 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Zhang, Limin TI Impaired Intestinal Akkermansia muciniphila and Aryl Hydrocarbon Receptor Ligands Contribute to Nonalcoholic Fatty Liver Disease in Mice SO MSYSTEMS LA English DT Article DE microbiome; gut-liver axis; Akkermansia muciniphila; AHR ligands ID HUMAN GUT MICROBIOME; NEOHESPERIDIN DIHYDROCHALCONE; ARTIFICIAL SWEETENERS; GLUCOSE-INTOLERANCE; METABOLISM; TRYPTOPHAN; INFLAMMATION; ACTIVATION; METFORMIN; ASSOCIATION AB Noncaloric artificial sweeteners (NAS) are extensively introduced into commonly consumed drinks and foods worldwide. However, data on the health effects of NAS consumption remain elusive. Saccharin and sucralose have been shown to pass through the human gastrointestinal tract without undergoing absorption and metabolism and directly encounter the gut microbiota community. Here, we aimed to identify a novel mechanism linking intestinal Akkermansia muciniphila and the aryl hydrocarbon receptor (AHR) to saccharin/sucralose-induced nonalcoholic fatty liver disease (NAFLD) in mice. Saccharin/sucralose consumption altered the gut microbial community structure, with significant depletion of A. muciniphila abundance in the cecal contents of mice, resulting in disruption of intestinal permeability and a high level of serum lipopolysaccharide, which likely contributed to systemic inflammation and caused NAFLD in mice. Saccharin/sucralose also markedly decreased microbiota-derived AHR ligands and colonic AHR expression, which are closely associated with many metabolic syndromes. Metformin or fructo-oligosaccharide supplementation significantly restored A. muciniphila and AHR ligands in sucralose-consuming mice, consequently ameliorating NAFLD. IMPORTANCE Our findings indicate that the gut-liver signaling axis contributes to saccharin/sucralose consumption-induced NAFLD. Supplementation with metformin or fructo-oligosaccharide is a potential therapeutic strategy for NAFLD treatment. In addition, we also developed a new nutritional strategy by using a natural sweetener (neohesperidin dihydrochalcone (NHDC)) as a substitute for NAS and free sugars. C1 [Shi, Zunji; Lei, Hehua; Chen, Gui; Yuan, Peihong; Cao, Zheng; Zhu, Xuehang; Wu, Fang; Liu, Caixiang; Dong, Manyuan; Song, Yuchen; Guo, Yangyang; Chen, Chuan; Hu, Kexin; Zhu, Yifan; Zhang, Limin] Chinese Acad Sci, Key Lab Magnet Resonance Biol Syst, State Key Lab Magnet Resonance & Atom & Mol Phys, Natl Ctr Magnet Resonance Wuhan,Innovat Acad Prec, Wuhan, Peoples R China. [Shi, Zunji; Zeng, Xin-an] South China Univ Technol, Sch Food Sci & Engn, Guangzhou, Peoples R China. [Ser, Hooi-Leng; Zhou, Jinlin] Guangdong Univ Technol, Sch Biomed & Pharmaceut Sci, Guangzhou, Peoples R China. [Chen, Gui; Cao, Zheng; Zhu, Xuehang; Wu, Fang; Dong, Manyuan; Song, Yuchen; Guo, Yangyang; Chen, Chuan; Hu, Kexin] Univ Chinese Acad Sci, Beijing, Peoples R China. [Zhou, Jinlin; Lu, Yujing; Zhang, Limin] Engn Res Acad High Value Utilizat Green Plants, Meizhou, Peoples R China. [Patterson, Andrew D.] Penn State Univ, Dept Vet & Biomed Sci, Ctr Mol Toxicol & Carcinogenesis, University Pk, PA 16802 USA. [Zhang, Limin] Wuhan Natl Lab Optoelect, Wuhan, Peoples R China. C3 Chinese Academy of Sciences; South China University of Technology; Guangdong University of Technology; Chinese Academy of Sciences; University of Chinese Academy of Sciences, CAS; Pennsylvania Commonwealth System of Higher Education (PCSHE); Pennsylvania State University; Pennsylvania State University - University Park; Huazhong University of Science & Technology RP Zhang, LM (通讯作者),Chinese Acad Sci, Key Lab Magnet Resonance Biol Syst, State Key Lab Magnet Resonance & Atom & Mol Phys, Natl Ctr Magnet Resonance Wuhan,Innovat Acad Prec, Wuhan, Peoples R China.; Zhang, LM (通讯作者),Engn Res Acad High Value Utilizat Green Plants, Meizhou, Peoples R China.; Zhang, LM (通讯作者),Wuhan Natl Lab Optoelect, Wuhan, Peoples R China. EM zhanglm@wipm.ac.cn RI Ser, Hooi-Leng/AGE-1386-2022 OI Ser, Hooi-Leng/0000-0003-3815-7436; Cao, Zheng/0000-0002-0670-0484; Shi, Zunji/0000-0002-1276-6762 FU National Key Research and Development Project [2018YFE0110800]; Foshan Core Technology Tackling Key Project [1920001000262]; China Postdoctoral Science Foundation [2019M662893]; National Natural Science Foundation of China [21635006] FX This work was financially supported by the National Key Research and Development Project (grant 2018YFE0110800), the Foshan Core Technology Tackling Key Project (grant 1920001000262), the China Postdoctoral Science Foundation (grant 2019M662893), and the National Natural Science Foundation of China (grant 21635006). 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microbiome; metagenome; high-fat diet; C57BL; 6N AB Effects of metformin, the first-line drug for type 2 diabetes therapy, on gut microbiome composition in type 2 diabetes have been described in various studies both in human subjects and animals. However, the details of the molecular mechanisms of metformin action have not been fully understood. Moreover, there is a significant lack of information on how metformin affects gut microbiome composition in female mouse models, depending on sex and metabolic status in well controlled experimental setting. Our study aimed to examine metformin-induced alterations in gut microbiome diversity, composition, and functional implications of high-fat diet-induced type 2 diabetes mouse model, using, for the first time in mice study, the shotgun metagenomic sequencing that allows estimation of microorganisms at species level. We also employed a randomized block, factorial study design, and including 24 experimental units allocated to 8 treatment groups to systematically evaluate the effect of sex and metabolic status on metformin interaction with microbiome. We used DNA obtained from fecal samples representing gut microbiome before and after ten weeks-long metformin treatment. We identified 100 metformin-related differentially abundant species in high-fat diet-fed mice before and after the treatment, with most of the species relative abundances increased. In contrast, no significant changes were observed in control diet-fed mice. Functional analysis targeted to carbohydrate, lipid, and amino acid metabolism pathways revealed 14 significantly altered hierarchies. We also observed sex-specific differences in response to metformin treatment. Males experienced more pronounced changes in metabolic markers, while in females the extent of changes in gut microbiome representatives was more marked, indicated by 53 differentially abundant species with more remarkable Log fold changes compared to the combined-sex analysis. The same pattern manifested regarding the functional analysis, where we discovered 5 significantly affected hierarchies in female groups but not in males. Our results suggest that both sexes of animals should be included in future studies focusing on metformin effects on the gut microbiome. C1 [Silamikele, Laila; Silamikelis, Ivars; Ustinova, Monta; Kalnina, Zane; Elbere, Ilze; Petrovska, Ramona; Kalnina, Ineta; Klovins, Janis] Latvian Biomed Res & Study Ctr, Riga, Latvia. C3 Latvian Biomedical Research & Study Centre RP Klovins, J (通讯作者),Latvian Biomed Res & Study Ctr, Riga, Latvia. EM klovins@biomed.lu.lv RI Kalnina, Zane/AAH-9884-2021 OI Kalnina, Zane/0000-0001-9002-3131; Klovins, Janis/0000-0001-8362-5505; Elbere, Ilze/0000-0003-4381-885X; Silamikelis, Ivars/0000-0002-7932-1047; Silamikele, Laila/0000-0003-2550-0434 FU European Regional Development Fund (ERDF) [1.1.1.1/16/A/091] FX This work was supported by European Regional Development Fund (ERDF), Measure 1.1.1.1 "Support for applied research" project "Investigation of interplay between multiple determinants influencing response to metformin: search for reliable predictors for efficacy of type 2diabetes therapy"(GrantNo. 1.1.1.1/16/A/091). 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Endocrinol. PD MAR 19 PY 2021 VL 12 AR 626359 DI 10.3389/fendo.2021.626359 PG 16 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA RH1KY UT WOS:000635987700001 PM 33815284 OA Green Published, Green Submitted, gold DA 2023-06-08 ER PT J AU Le Bastard, Q Berthelot, L Soulillou, JP Montassier, E AF Le Bastard, Quentin Berthelot, Laureline Soulillou, Jean-Paul Montassier, Emmanuel TI Impact of non-antibiotic drugs on the human intestinal microbiome SO EXPERT REVIEW OF MOLECULAR DIAGNOSTICS LA English DT Review DE PPI; metformin; statin; nsaid; gut microbiota; microbiome ID PROTON-PUMP INHIBITORS; NONSTEROIDAL ANTIINFLAMMATORY DRUG; GUT MICROBIOTA; RISK-FACTORS; BILE-ACID; METFORMIN; OMEPRAZOLE; ROSUVASTATIN; ATORVASTATIN; THERAPY AB Introduction The gut microbiota is composed of trillions of microbial cells and viruses that interact with hosts. The composition of the gut microbiota is influenced by several factors including age, diet, diseases, or medications. The impact of drugs on the microbiota is not limited to antibiotics and many non-antibiotic molecules significantly alter the composition of the intestinal microbiota. Areas covered This review focuses on the impact of four of the most widely prescribed non-antibiotic drugs in the world: Proton-pump inhibitors, metformin, statins, and non-steroidal anti-inflammatory. We conducted a systematic review by searching online databases including Medline, Web of science, and Scopus for indexed articles published in English until February 2021. We included studies assessing the intestinal microbiome alterations associated with proton pump inhibitors (PPIs), metformin, statins, and nonsteroidal anti-inflammatory drugs (NSAIDs). Only studies using culture-independent molecular techniques were included. Expert opinion The taxonomical signature associated with non-antibiotic drugs are not yet fully described, especially in the field of metabolomic. The identification of taxonomic profiles associated a specific molecule provides information on its mechanism of action through interaction with the intestinal microbiota. Many side effects could be related to the dysbiosis induced by these molecules. C1 [Le Bastard, Quentin; Montassier, Emmanuel] Univ Nantes, Microbiota Hosts Antibiot & Bacterial Resistances, Nantes, France. [Le Bastard, Quentin; Montassier, Emmanuel] CHU Nantes, Serv Urgences, Nantes, France. [Berthelot, Laureline; Soulillou, Jean-Paul] Univ Nantes, Ctr Rech Transplantat & Immunol UMR 1064, INSERM, Nantes, France. [Berthelot, Laureline; Soulillou, Jean-Paul] CHU Nantes, Inst Transplantat Urol Nephrol ITUN, Nantes, France. C3 Nantes Universite; Nantes Universite; CHU de Nantes; Institut National de la Sante et de la Recherche Medicale (Inserm); Nantes Universite; Nantes Universite; CHU de Nantes RP Montassier, E (通讯作者),Univ Nantes, Microbiota Hosts Antibiot & Bacterial Resistances, Nantes, France.; Montassier, E (通讯作者),CHU Nantes, Serv Urgences, Nantes, France. 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PD SEP 2 PY 2021 VL 21 IS 9 BP 911 EP 924 DI 10.1080/14737159.2021.1952075 EA JUL 2021 PG 14 WC Pathology WE Science Citation Index Expanded (SCI-EXPANDED) SC Pathology GA WA1VJ UT WOS:000673324600001 PM 34225544 DA 2023-06-08 ER PT J AU Elbere, I Silamikelis, I Dindune, II Kalnina, I Ustinova, M Zaharenko, L Silamikele, L Rovite, V Gudra, D Konrade, I Sokolovska, J Pirags, V Klovins, J AF Elbere, Ilze Silamikelis, Ivars Dindune, Ilze Izabella Kalnina, Ineta Ustinova, Monta Zaharenko, Linda Silamikele, Laila Rovite, Vita Gudra, Dita Konrade, Ilze Sokolovska, Jelizaveta Pirags, Valdis Klovins, Janis TI Baseline gut microbiome composition predicts metformin therapy short-term efficacy in newly diagnosed type 2 diabetes patients SO PLOS ONE LA English DT Article ID GASTROINTESTINAL-TRACT; SUCCINATE AB Background The study was conducted to investigate the effects of metformin treatment on the human gut microbiome's taxonomic and functional profile in the Latvian population, and to evaluate the correlation of these changes with therapeutic efficacy and tolerance. Methods In this longitudinal observational study, stool samples for shotgun metagenomic sequencing-based analysis were collected in two cohorts. The first cohort included 35 healthy nondiabetic individuals (metformin dose 2x850mg/day) at three time-points during metformin administration. The second cohort was composed of 50 newly-diagnosed type 2 diabetes patients (metformin dose-determined by an endocrinologist) at two concordant times. Patients were defined as Responders if their HbA1c levels during three months of metformin therapy had decreased by >= 12.6 mmol/mol (1%), while in Non-responders HbA1c were decreased by <12.6 mmol/mol (1%). Results Metformin reduced the alpha diversity of microbiota in healthy controls (p = 0.02) but not in T2D patients. At the species level, reduction in the abundance of Clostridium bartlettii and Barnesiella intestinihominis, as well as an increase in the abundance of Parabacteroides distasonis and Oscillibacter unclassified overlapped between both study groups. A large number of group-specific changes in taxonomic and functional profiles was observed. We identified an increased abundance of Prevotella copri (FDR = 0.01) in the Non-Responders subgroup, and enrichment of Enterococcus faecium, Lactococcus lactis, Odoribacter, and Dialister at baseline in the Responders group. Various taxonomic units were associated with the observed incidence of side effects in both cohorts. Conclusions Metformin effects are different in T2D patients and healthy individuals. Therapy induced changes in the composition of gut microbiome revealed possible mediators of observed short-term therapeutic effects. The baseline composition of the gut microbiome may influence metformin therapy efficacy and tolerance in T2D patients and could be used as a powerful prediction tool. C1 [Elbere, Ilze; Silamikelis, Ivars; Dindune, Ilze Izabella; Kalnina, Ineta; Ustinova, Monta; Zaharenko, Linda; Silamikele, Laila; Rovite, Vita; Gudra, Dita; Konrade, Ilze; Pirags, Valdis; Klovins, Janis] Latvian Biomed Res & Study Ctr, Riga, Latvia. [Konrade, Ilze] Riga Stradins Univ, Riga, Latvia. [Sokolovska, Jelizaveta; Pirags, Valdis] Univ Latvia, Fac Med, Riga, Latvia. C3 Latvian Biomedical Research & Study Centre; Riga Stradins University; University of Latvia RP Klovins, J (通讯作者),Latvian Biomed Res & Study Ctr, Riga, Latvia. EM klovins@biomed.lu.lv RI Klovins, Janis/C-5695-2011 OI Klovins, Janis/0000-0001-8362-5505; Sokolovska, Jelizaveta/0000-0003-0448-8229; Elbere, Ilze/0000-0003-4381-885X; Silamikelis, Ivars/0000-0002-7932-1047 FU European Regional Development Fund [1.1.1.1/16/A/091] FX The work was supported by the European Regional Development Fund under the project "Investigation of interplay between multiple determinants influencing response to metformin: search for reliable predictors for efficacy of type 2 diabetes therapy" (Project No. 1.1.1.1/16/A/091, https://ec.europa.eu/regional_policy/en/funding/erdf).The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. 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Other Topics GA OP8VN UT WOS:000588368900025 PM 33125401 OA Green Published, gold DA 2023-06-08 ER PT J AU Lee, H Lee, Y Kim, J An, J Lee, S Kong, H Song, Y Lee, CK Kim, K AF Lee, Heetae Lee, Youngjoo Kim, Jiyeon An, Jinho Lee, Sungwon Kong, Hyunseok Song, Youngcheon Lee, Chong-Kil Kim, Kyungjae TI Modulation of the gut microbiota by metformin improves metabolic profiles in aged obese mice SO GUT MICROBES LA English DT Article DE aged mice; Akkermansia muciniphila; extracellular vesicles; gut microbiota; metformin ID CHAIN FATTY-ACID; AKKERMANSIA-MUCINIPHILA; INSULIN-RESISTANCE; DIET; IL-6; INDIVIDUALS; POPULATION; DIVERSITY; BUTYRATE; ADULTS AB The gut microbiota is a contributing factor in obesity-related metabolic disorders. The effect of metformin on the gut microbiota has been reported; however, the relationship between the gut microbiota and the mechanism of action of metformin in elderly individuals is unclear. In this study, the effect of metformin on the gut microbiota was investigated in aged obese mice. The abundance of the genera Akkermansia, Bacteroides, Butyricimonas, and Parabacteroides was significantly increased by metformin in mice fed a high-fat diet. Metformin treatment decreased the expression of IL-1 beta and IL-6 in epididymal fat, which was correlated with the abundance of various bacterial genera. In addition, both fecal microbiota transplantation from metformin-treated mice and extracellular vesicles of Akkermansia muciniphila improved the body weight and lipid profiles of the mice. Our findings suggest that modulation of the gut microbiota by metformin results in metabolic improvements in aged mice, and that these effects are associated with inflammatory immune responses. C1 [Lee, Heetae; Lee, Youngjoo; Kim, Jiyeon; An, Jinho; Lee, Sungwon; Kong, Hyunseok; Song, Youngcheon; Kim, Kyungjae] Sahmyook Univ, Coll Pharm, 815 Hwarang Ro, Seoul 01795, South Korea. [Lee, Chong-Kil] Chungbuk Natl Univ, Coll Pharm, Cheongju, South Korea. C3 Sahmyook University; Chungbuk National University RP Kim, K (通讯作者),Sahmyook Univ, Coll Pharm, 815 Hwarang Ro, Seoul 01795, South Korea. EM kimkj@syu.ac.kr FU Korea Institute of Planning & Evaluation for Technology in Food, Agriculture, Forestry and Fisheries (iPET) [314044-3] FX This work was supported by Korea Institute of Planning & Evaluation for Technology in Food, Agriculture, Forestry and Fisheries (iPET) (314044-3). 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Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Gastroenterology & Hepatology; Microbiology GA GJ9ID UT WOS:000435713000007 PM 29157127 OA Green Published, gold DA 2023-06-08 ER PT J AU Kimber-Trojnar, Z Dluski, DF Wierzchowska-Opoka, M Ruszala, M Leszczynska-Gorzelak, B AF Kimber-Trojnar, Zaneta Dluski, Dominik Franciszek Wierzchowska-Opoka, Magdalena Ruszala, Monika Leszczynska-Gorzelak, Bozena TI Metformin as a Potential Treatment Option for Endometriosis SO CANCERS LA English DT Review DE endometriosis; medical therapy; metformin; inflammation ID ACTIVATED PROTEIN-KINASE; FACTOR-KAPPA-B; MATRIX-METALLOPROTEINASE INHIBITOR; ENDOTHELIAL GROWTH-FACTOR; ACUTE REGULATORY PROTEIN; NECROSIS-FACTOR-ALPHA; STROMAL CELLS; AROMATASE EXPRESSION; GUT MICROBIOME; PERITONEAL-FLUID AB Simple Summary The aim of this article is to present current knowledge regarding the possibilities of using metformin in the pharmacological treatment of endometriosis. Metformin is an insulin sensitizer widely used for the treatment of type 2 diabetes mellitus. The pleiotropic effects of metformin are mainly exerted through the activation of AMP-activated protein kinase, which is the key cellular energy homeostasis regulator that inhibits mTOR, a major autophagy suppressor. Metformin regresses endometriotic implants by increasing the activity of superoxide dismutase. It is also an inhibitor of metalloproteinase-2, decreasing the levels of the vascular endothelial growth factor and matrix metalloproteinase-9 in animal studies. With its unique therapeutic mechanisms and no serious side effects, metformin seems to be a helpful anti-inflammatory and anti-proliferative agent in the treatment of endometriosis. It could be a missing link for the successful treatment of this chronic disease. Endometriosis is a common disease in women of reproductive age, and its pathogenesis seems to be largely affected by hormone imbalance, inflammation, oxidative stress, and autophagy dysregulation. These pathophysiological disturbances interact with one another through mechanisms that are still awaiting elucidation. The aim of this article is to present current knowledge regarding the possibilities of using metformin in the pharmacological treatment of endometriosis. Metformin is an insulin sensitizer widely used for the treatment of type 2 diabetes mellitus. The pleiotropic effects of metformin are mainly exerted through the activation of AMP-activated protein kinase, which is the key cellular energy homeostasis regulator that inhibits mTOR, a major autophagy suppressor. Metformin regresses endometriotic implants by increasing the activity of superoxide dismutase. It is also an inhibitor of metalloproteinase-2, decreasing the levels of the vascular endothelial growth factor and matrix metalloproteinase-9 in animal studies. In endometriosis, metformin might modify the stroma-epithelium communication via Wnt2/beta-catenin. With its unique therapeutic mechanisms and no serious side effects, metformin seems to be a helpful anti-inflammatory and anti-proliferative agent in the treatment of endometriosis. It could be a missing link for the successful treatment of this chronic disease. C1 [Kimber-Trojnar, Zaneta; Dluski, Dominik Franciszek; Wierzchowska-Opoka, Magdalena; Ruszala, Monika; Leszczynska-Gorzelak, Bozena] Med Univ Lublin, Chair & Dept Obstet & Perinatol, PL-20090 Lublin, Poland. C3 Medical University of Lublin RP Dluski, DF (通讯作者),Med Univ Lublin, Chair & Dept Obstet & Perinatol, PL-20090 Lublin, Poland. EM zkimber@poczta.onet.pl; p.l.casiraghi@wp.pl; magdaopoka11@gmail.com; monika.ruszala@wp.pl; b.leszczynska@umlub.pl OI Dluski, Dominik/0000-0001-5886-2664; Kimber-Trojnar, Zaneta/0000-0001-7295-0409; Leszczynska-Gorzelak, Bozena/0000-0002-0221-1982 FU Medical University of Lublin [332,336] FX FundingThis research was funded by the Medical University of Lublin, grant number 332,336. 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2022 VL 14 IS 3 AR 577 DI 10.3390/cancers14030577 PG 19 WC Oncology WE Science Citation Index Expanded (SCI-EXPANDED) SC Oncology GA ZA2CN UT WOS:000755974800001 PM 35158846 OA Green Published, gold DA 2023-06-08 ER PT J AU Wu, B Chen, MY Gao, YC Hu, JL Liu, MZ Zhang, W Huang, WH AF Wu, Bin Chen, ManYun Gao, YongChao Hu, JingLei Liu, MouZe Zhang, Wei Huang, WeiHua TI In vivo pharmacodynamic and pharmacokinetic effects of metformin mediated by the gut microbiota in rats SO LIFE SCIENCES LA English DT Article DE Metformin; Gut microbiota; Pharmacokinetics; Pharmacodynamics; Oct1 ID GERM-FREE; RESISTANCE; OBESITY; MODEL AB Aims: The gut microbiota plays a crucial role in the efficacy of metformin in T2DM treatment. We evaluated whether the pharmacodynamics and pharmacokinetics of metformin are mediated by gut microbiota. Main methods: We used conventional diabetic and pseudo-germ-free rats. After 6 weeks of metformin treatment, pharmacodynamic indexes were determined. Metformin concentrations were measured with a validated HPLC-MS/MS method after the first oral administration. Key findings: Most endpoints were similar between vehicle-treated diabetic and vehicle-treated pseudo-germfree diabetic rats. However, after 6 weeks of metformin treatment, compared with conventional diabetic rats, pseudo-germ-free diabetic rats exhibited significantly increased FBG, decreased oral glucose, reduced GSP, worsened insulin resistance, increased hyperlipidemia, and increased hepatic steatosis severity. Moreover, the Cmax of pseudo-germ-free rats increased significantly, while the t1/2 alpha decreased significantly. These pharmacodynamic and pharmacokinetic changes were probably due to a decrease in Oct1 expression in the liver, resulting in altered hepatic uptake of metformin in vivo. Significance: These results implied that the gut microbiota may play an important role in the pharmacodynamics and pharmacokinetics of metformin and that the changes in these properties are probably due to Oct1 down-regulation in the livers of pseudo-germ-free rats. C1 [Wu, Bin; Chen, ManYun; Gao, YongChao; Hu, JingLei; Liu, MouZe; Zhang, Wei; Huang, WeiHua] Cent South Univ, Xiangya Hosp, Dept Clin Pharmacol, 110 Xiangya St, Changsha 410078, Hunan, Peoples R China. [Wu, Bin; Chen, ManYun; Gao, YongChao; Hu, JingLei; Liu, MouZe; Zhang, Wei; Huang, WeiHua] Cent South Univ, Hunan Key Lab Pharmacogenet, Inst Clin Pharmacol, Changsha, Hunan, Peoples R China. [Wu, Bin; Chen, ManYun; Gao, YongChao; Hu, JingLei; Liu, MouZe; Zhang, Wei; Huang, WeiHua] Cent South Univ, Xiangya Hosp, Natl Clin Res Ctr Geriatr, Changsha 410008, Hunan, Peoples R China. C3 Central South University; Central South University; Central South University RP Zhang, W; Huang, WH (通讯作者),Cent South Univ, Xiangya Hosp, Dept Clin Pharmacol, 110 Xiangya St, Changsha 410078, Hunan, Peoples R China. EM yjsd2003@163.com; endeavor34852@aliyun.com RI Yongchao, Gao/HJI-3081-2023; Gao, Yongchao/HJI-3117-2023 OI Yongchao, Gao/0000-0002-1631-7390; Huang, Wei-Hua/0000-0003-4167-8304 FU National Key Research and Development Program [2016YFC0905000, 2016YFC0905001]; Central South University Innovation Foundation for Postgraduates [2015zzts117] FX This research was supported by grants from the National Key Research and Development Program (Nos. 2016YFC0905000 and 2016YFC0905001) and the Central South University Innovation Foundation for Postgraduates (2015zzts117). 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PD JUN 1 PY 2019 VL 226 BP 185 EP 192 DI 10.1016/j.lfs.2019.04.009 PG 8 WC Medicine, Research & Experimental; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine; Pharmacology & Pharmacy GA HU8TS UT WOS:000465564200019 PM 30953641 DA 2023-06-08 ER PT J AU Lyu, YF Li, D Li, ZW Zhang, J Ming, X Shaw, PC Zhang, CB Kong, APS Zuo, Z AF Lyu, Yuanfeng Li, Dan Li, Ziwei Zhang, Jun Ming, Xing Shaw, Pang Chui Zhang, Chunbo Kong, Alice Pik Shan Zuo, Zhong TI Effects of combination treatment with metformin and berberine on hypoglycemic activity and gut microbiota modulation in db/db mice SO PHYTOMEDICINE LA English DT Article DE Metformin; Berberine; Gut microbiota; db/db mice; Treatment; In vivo AB Background: Gut microbiota alterations could influence the metabolism of administered drugs, leading to their altered pharmacokinetics and pharmacodynamics. Despite that metformin and berberine has individually demonstrated their impacts on hypoglycemic activities and gut microbiota alterations in diabetic mice, investigation regarding the impact of their combination treatment in diabetic treatment has never been conducted. Purpose: Our current study was proposed aiming to investigate the effect of combination use of metformin with berberine on hypoglycemic activity and identify the possible intestinal bacteria involved in their microbiotamedicated drug-drug interactions in db/db mice. Study Design: Pharmacodynamics interactions between metformin and berberine were evaluated in six groups of db/db mice (db, M250, B250, B125, B250+M250, and B125+M250) with its wild type (WT) as control to receive 14 days treatment of vehicle, metformin at 250 mg/kg, berberine at 250/125 mg/kg, and metformin (250 mg/ kg) 2 h after dosing berberine (250/125 mg/kg). Methods: On day 13, insulin tolerance test (ITT) was conducted. On day 15, fasting serum samples were obtained for insulin concentration determination followed by intraperitoneal glucose tolerance test (ipGTT), homeostatic model assessment for insulin resistance (HOMA-IR) calculation, and feces collection for microbial 16S rRNA sequencing analyses. In addition, metformin steady state plasma concentrations on day 15 were measured by validated LC-MS/MS method. Results: Combination treatment of metformin with berberine could further reduce in blood glucose in comparison to that of db/db diabetic control. Further microbial 16S rRNA sequencing analyses revealed that gut microbiota compositions were significantly changed with the abundance of Proteobacteria and Verrucomicrobia altered the most after metformin and berberine co-treatment compared to their monotherapy. In addition, steady state metformin concentrations in their combination treatment were significantly higher than that from metformin monotherapy. Conclusion: Co-administration of metformin (250 mg/kg) with berberine (125 mg/kg) could not only further improve insulin sensitivity, but also demonstrate different alterations on gut microbial communities than that of their individual treatment in db/db mice. C1 [Lyu, Yuanfeng; Li, Dan; Li, Ziwei; Zhang, Jun; Zuo, Zhong] Chinese Univ Hong Kong, Fac Med, Sch Pharm, Shatin, Hong Kong, Peoples R China. [Ming, Xing; Kong, Alice Pik Shan] Chinese Univ Hong Kong, Fac Med, Dept Med & Therapeut, Div Endocrinol,Shatin, Hong Kong, Peoples R China. [Shaw, Pang Chui] Chinese Univ Hong Kong, Sch Life Sci, Shatin, Hong Kong, Peoples R China. [Shaw, Pang Chui; Zhang, Chunbo] Nanchang Univ, Sch Pharm, Nanchang, Jiangxi Provinc, Peoples R China. [Zhang, Chunbo] Chinese Univ Hong Kong, Li Dak Sum Yip Yio Chin R&D Ctr Chinese Med, Shatin, Hong Kong, Peoples R China. C3 Chinese University of Hong Kong; Chinese University of Hong Kong; Chinese University of Hong Kong; Nanchang University; Chinese University of Hong Kong RP Zuo, Z (通讯作者),Chinese Univ Hong Kong, Fac Med, Sch Pharm, Shatin, Hong Kong, Peoples R China. EM joanzuo@cuhk.edu.hk RI Ming, Xing/GQZ-6385-2022 OI Zhang, Chunbo/0000-0001-9618-9415 FU Li Dak Sum Yip Yio Chin R&D centre for Chinese Medicine at The Chinese University of Hong Kong FX This work was partially supported by Li Dak Sum Yip Yio Chin R&D centre for Chinese Medicine at The Chinese University of Hong Kong. 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However, the mechanisms underlying the development of diarrhea and bloating, which are adverse effects of metformin, are unclear, and these effects decrease the quality of life of metformin-receiving patients with diabetes. In this study, we focused on the effects of metformin on gut microbiota. Namely, we examined the effects of Bifidobacterium bifidum G9-1 (BBG9-1), which has the ability to improve dysbiosis, on the changes in gut microbiota and occurrence of soft feces (increased fecal water content) during the administration of metformin. The results showed that coadministration of BBG9-1 and metformin suppressed metformin-mediated changes in the gut microbiota and, thus, soft feces. Meanwhile, BBG9-1 did not influence the antihyperglycemic effect of metformin. Based on these results, we believe that BBG9-1, which could improve gut microbiota, suppresses metformin-induced soft feces without influencing the drug's antihyperglycemic effect. 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Microbiota Food Health PY 2020 VL 39 IS 3 BP 145 EP 151 DI 10.12938/bmfh.2019-022 PG 7 WC Microbiology; Nutrition & Dietetics WE Science Citation Index Expanded (SCI-EXPANDED) SC Microbiology; Nutrition & Dietetics GA MU4CG UT WOS:000555617500011 PM 32775133 OA gold, Green Published DA 2023-06-08 ER PT J AU Cuyas, E Verdura, S Martin-Castillo, B Menendez, JA AF Cuyas, Elisabet Verdura, Sara Martin-Castillo, Begona Menendez, Javier A. TI Metformin: Targeting the Metabolo-Epigenetic Link in Cancer Biology SO FRONTIERS IN ONCOLOGY LA English DT Review DE metformin; metabolism; epigenetics; chromatin; cancer; diet; microbiota AB Metabolism can directly drive or indirectly enable an aberrant chromatin state of cancer cells. The physiological and molecular principles of the metabolic link to epigenetics provide a basis for pharmacological modulation with the anti-diabetic biguanide metformin. Here, we briefly review how metabolite-derived chromatin modifications and the metabolo-epigenetic machinery itself are both amenable to modification by metformin in a local and a systemic manner. First, we consider the capacity of metformin to target global metabolic pathways or specific metabolic enzymes producing chromatin-modifying metabolites. Second, we examine its ability to directly or indirectly fine-tune the activation status of chromatin-modifying enzymes. Third, we envision how the interaction between metformin, diet and gut microbiota might systemically regulate the metabolic inputs to chromatin. Experimental and clinical validation of metformin's capacity to change the functional outcomes of the metabolo-epigenetic link could offer a proof-of-concept to therapeutically test the metabolic adjustability of the epigenomic landscape of cancer. C1 [Cuyas, Elisabet; Verdura, Sara; Menendez, Javier A.] Girona Biomed Res Inst, Girona, Spain. [Cuyas, Elisabet; Verdura, Sara; Martin-Castillo, Begona; Menendez, Javier A.] Catalan Inst Oncol, Program Canc Therapeut Resistance ProCURE, Metab & Canc Grp, Girona, Spain. [Martin-Castillo, Begona] Catalan Inst Oncol, Unit Clin Res, Girona, Spain. C3 Universitat de Girona; Girona University Hospital Dr. Josep Trueta; Institut d'Investigacio Biomedica de Girona (IDIBGI); Institut Catala d'Oncologia; Institut Catala d'Oncologia RP Menendez, JA (通讯作者),Girona Biomed Res Inst, Girona, Spain.; Menendez, JA (通讯作者),Catalan Inst Oncol, Program Canc Therapeut Resistance ProCURE, Metab & Canc Grp, Girona, Spain. EM jmenendez@idibgi.org RI MENENDEZ, JAVIER A/C-6148-2016; Cuyas, Elisabet/G-8582-2018; verdura, Sara/AAC-3696-2022 OI MENENDEZ, JAVIER A/0000-0001-8733-4561; verdura, Sara/0000-0001-8980-0423; Martin-Castillo, Begona/0000-0001-8344-8174 FU Spanish Ministry of Science and Innovation [SAF2016-80639-P, PID2019-10455GB-I00]; Instituto de Salud Carlos III, Spanish Ministry of Science and Innovation (Spain) [CP20/00003]; Fundacio Oncolliga Girona (Lliga catalana d'ajuda al malalt de cancer, Girona) FX Work in the Menendez laboratory is supported by the Spanish Ministry of Science and Innovation (grants SAF2016-80639-P and PID2019-10455GB-I00, Plan Nacional de l+D+I, founded by the European Regional Development Fund, Spain) and by an unrestricted research grant from the Fundacio Oncolliga Girona (Lliga catalana d'ajuda al malalt de cancer, Girona). EC is a recipient of a research contract "Miguel Servet" (CP20/00003) from the Instituto de Salud Carlos III, Spanish Ministry of Science and Innovation (Spain). 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Oncol. PD FEB 2 PY 2021 VL 10 AR 620641 DI 10.3389/fonc.2020.620641 PG 8 WC Oncology WE Science Citation Index Expanded (SCI-EXPANDED) SC Oncology GA QH4BA UT WOS:000618219400001 PM 33604300 OA gold, Green Published DA 2023-06-08 ER PT J AU Shin, NR Gu, N Choi, HS Kim, H AF Shin, Na Rae Gu, Namyi Choi, Han Seok Kim, Hojun TI Combined effects of Scutellaria baicalensis with metformin on glucose tolerance of patients with type 2 diabetes via gut microbiota modulation SO AMERICAN JOURNAL OF PHYSIOLOGY-ENDOCRINOLOGY AND METABOLISM LA English DT Article DE combination effect; gut microbiota; metformin; Scutellaria baicalensis; type 2 diabetes ID SELENO-L-METHIONINE; COMBINATION THERAPY; OXIDATIVE STRESS; COMMUNITY; EXTRACT; RADIX; ACID AB Metformin is a widely prescribed antidiabetic agent, whereas Scutellaria baicalensis (SB) is a commonly used medicinal herb for treatment of type 2 diabetes (T2D). Gut microbiota is involved in pathophysiology of metabolic diseases including T2D, and intestinal microbiota may be one of the important therapeutic targets for the ailment. This study was conducted to investigate the effects of SB combined with metformin on treatment of T2D while evaluating changes in the gut microbiota composition. Patients with T2D were randomized into control and treatment groups. Subjects who had already been prescribed metformin were allotted to additional SB (3.52 g/day) group or placebo group. The initial treatment session was 8 wk, and after washout period for 4 wk they were crossed over to the opposite treatment for another 8 wk. The influence of SB and placebo on the intestinal microbiota was analyzed by MiSeq system based on 16S rRNA gene. Glucose tolerance was lower in the SB group than the placebo group. Similarly, the relative RNA expression of TNF-alpha was significantly reduced after SB treatment. SB treatment influenced the gut microbiota, especially Lactobacillus and Akkermansia, which showed remarkable increases after SB treatment. Some subjects showed high liver enzyme levels after SB treatment, and their microbiota composition at baseline differed with subjects whose liver enzymes were not affected. We also predicted that selenocompound metabolism was increased and naphthalene degradation was decreased after SB treatment. These results suggest that SB with metformin treatment may improve the glucose tolerance and inflammation and influence the gut microbiota community in T2D. C1 [Shin, Na Rae; Kim, Hojun] Dongguk Univ, Dept Rehabil Med Korean Med, 814 Siksa, Goyang, Gyeonggi Do, South Korea. [Gu, Namyi] Dongguk Univ, Clin Trial Ctr, Dept Clin Pharmacol & Therapeut, Coll Med, Goyang, Gyeonggi Do, South Korea. [Gu, Namyi] Ilsan Hosp, Goyang, Gyeonggi Do, South Korea. [Choi, Han Seok] Dongguk Univ, Dept Endocrinol, Goyang, Gyeonggi Do, South Korea. C3 Dongguk University; Dongguk University; NHIS Ilsan Hospital; Dongguk University RP Kim, H (通讯作者),Dongguk Univ, Dept Rehabil Med Korean Med, 814 Siksa, Goyang, Gyeonggi Do, South Korea. EM kimklar@gmail.com OI Kim, Hojun/0000-0003-1038-0142 FU Convergence of Conventional Medicine and Traditional Korean Medicine Research and Development Program - Ministry of Health and Welfare through the Korea Health Industry Development Institute [HI14C0558] FX This work was supported by a grant from the Convergence of Conventional Medicine and Traditional Korean Medicine Research and Development Program funded by the Ministry of Health and Welfare through the Korea Health Industry Development Institute (HI14C0558). 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C1 [Li, Leyuan; Abou-Samra, Elias; Ning, Zhibin; Zhang, Xu; Mayne, Janice; Cheng, Kai; Walker, Krystal; Stintzi, Alain; Figeys, Daniel] Univ Ottawa, Fac Med, Ottawa Inst Syst Biol, Dept Biochem Microbiol & Immunol, Ottawa, ON, Canada. [Wang, Janet] Univ Toronto, Fac Arts & Sci, Dept Stat Sci, Toronto, ON, Canada. [Figeys, Daniel] Canadian Inst Adv Res, Toronto, ON, Canada. C3 University of Ottawa; University of Toronto; Canadian Institute for Advanced Research (CIFAR) RP Figeys, D (通讯作者),Univ Ottawa, Fac Med, Ottawa Inst Syst Biol, Dept Biochem Microbiol & Immunol, Ottawa, ON, Canada.; Figeys, D (通讯作者),Canadian Inst Adv Res, Toronto, ON, Canada. EM dfigeys@uottawa.ca RI Leyuan, Li/AAJ-4305-2020 OI Leyuan, Li/0000-0003-2063-4441; Zhang, Xu/0000-0003-2406-9478 FU Government of Canada through Genome Canada; Ontario Genomics Institute [OGI-156, OGI-114]; CIHR [ECD-144627]; Natural Sciences and Engineering Research Council of Canada (NSERC) [210034]; Ontario Ministry of Economic Development and Innovation [REG1-4450]; Province of Ontario through the Ontario Research Fund [DIG-14405] FX This work was supported by the Government of Canada through Genome Canada and the Ontario Genomics Institute (OGI-114), CIHR grant (ECD-144627), the Natural Sciences and Engineering Research Council of Canada (NSERC, grant no. 210034), and the Ontario Ministry of Economic Development and Innovation (REG1-4450). This work was also funded by the Government of Canada through Genome Canada and the Ontario Genomics Institute (OGI-156), as well as funding from the Province of Ontario through the Ontario Research Fund (DIG-14405). The authors thank Dr. James Butcher and Jennifer Li for the 16S rDNA sequencing contributing to the reviewing process, and thank Dr. Kendra Hodgkinson for proofreading. 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Commun. PD SEP 12 PY 2019 VL 10 AR 4146 DI 10.1038/s41467-019-12087-8 PG 11 WC Multidisciplinary Sciences WE Science Citation Index Expanded (SCI-EXPANDED) SC Science & Technology - Other Topics GA IW8BF UT WOS:000485217200014 PM 31515476 OA Green Published, Green Submitted, gold DA 2023-06-08 ER PT J AU Maniar, K Moideen, A Bhattacharyya, R Banerjee, D AF Maniar, Kunal Moideen, Amal Bhattacharyya, Rajasri Banerjee, Dibyajyoti TI Metformin exerts anti-obesity effect via gut microbiome modulation in prediabetics: A hypothesis SO MEDICAL HYPOTHESES LA English DT Article DE Prediabetes; Insulin; Metformin; Microbiome; Obesity; Butyrate-producing taxa ID INSULIN CONCENTRATIONS; OBESE CHILDREN; WEIGHT; OVERWEIGHT; ADULTS; MAINTENANCE; PREVALENCE; SECRETION AB Prediabetic individuals are characterized by high levels of insulin, an anabolic hormone having an important role in the maintenance of glucose homeostasis. However, insulin has also been found to increase the growth of certain bacteria which form the non-butyrate producing part of the gut microbiome. The gut microbiome is recently in focus for its strong association with many chronic diseases such as type 2 diabetes mellitus and obesity. Metformin, a widely popular anti-diabetic medication has been shown to prevent weight gain in many trials. There are many studies postulating the mechanisms of the anti-obesity effect of metformin including improvement in insulin sensitivity (and consequently a reduction in insulin levels). Recently, however, it is becoming evident that metformin's action is likely to be primarily mediated by the gut. Further, metformin has also shown to affect the growth characteristics of certain bacteria which form the part of the human gut microbiome. With this frame of reference in mind, we hypothesize that metformin is likely to exert its anti-obesity effect by altering the composition of the gut microbiome. If proved, this has the potential to contribute to the management of obesity and pave the way for the development of novel anti-obesity drugs. (C) 2017 Elsevier Ltd. All rights reserved. C1 [Maniar, Kunal; Moideen, Amal] Post Grad Inst Med Educ & Res, Dept Pharmacol, Chandigarh, India. [Bhattacharyya, Rajasri; Banerjee, Dibyajyoti] Post Grad Inst Med Educ & Res, Dept Expt Med & Biotechnol, Res Block B,Sect 12, Chandigarh, India. C3 Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh; Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh RP Banerjee, D (通讯作者),Post Grad Inst Med Educ & Res, Dept Expt Med & Biotechnol, Res Block B,Sect 12, Chandigarh, India. 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Elucidation of the mechanisms underlying the anti-diabetic action of metformin may have the potential to optimise its glucose-lowering efficacy and lead to the development of agents acting on novel targets for the management of type 2 diabetes.Areas covered: This review highlights key pharmacokinetic features of metformin, summarises recent insights into its hepatic and gastrointestinal actions relevant to blood glucose homeostasis, and discusses the common gastrointestinal side effects of metformin. Literature concerning these areas was reviewed on PubMed.Expert commentary: The mechanisms by which metformin improves glycaemic control in type 2 diabetes are complex. Although novel hepatic pathways continue to be reported in preclinical studies, there is a lack of human evidence for most of these. 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PD FEB PY 2017 VL 11 IS 2 BP 157 EP 166 DI 10.1080/17474124.2017.1273769 PG 10 WC Gastroenterology & Hepatology WE Science Citation Index Expanded (SCI-EXPANDED) SC Gastroenterology & Hepatology GA EK2SM UT WOS:000393777000008 PM 27983877 DA 2023-06-08 ER PT J AU Pircalabioru, GG Liaw, J Gundogdu, O Corcionivoschi, N Ilie, I Oprea, L Musat, M Chifiriuc, MC AF Gradisteanu Pircalabioru, Gratiela Liaw, Janie Gundogdu, Ozan Corcionivoschi, Nicolae Ilie, Iuliana Oprea, Luciana Musat, Madalina Chifiriuc, Mariana-Carmen TI Effects of the Lipid Profile, Type 2 Diabetes and Medication on the Metabolic Syndrome-Associated Gut Microbiome SO INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES LA English DT Article DE metabolic syndrome; diabetes; microbiome; dysbiosis; metformin ID AKKERMANSIA-MUCINIPHILA; INTESTINAL MICROBIOTA; INSULIN SENSITIVITY; GLUCOSE-METABOLISM; METFORMIN; OBESITY; DIVERSITY; DYSBIOSIS; INDIVIDUALS; IMPROVEMENT AB Metabolic syndrome (MetSyn) is a major health problem affecting approximately 25% of the worldwide population. Since the gut microbiota is highly connected to the host metabolism, several recent studies have emerged to characterize the role of the microbiome in MetSyn development and progression. To this end, our study aimed to identify the microbiome patterns which distinguish MetSyn from type 2 diabetes mellitus (T2DM). We performed 16S rRNA amplicon sequencing on a cohort of 70 individuals among which 40 were MetSyn patients. The microbiome of MetSyn patients was characterised by reduced diversity, loss of butyrate producers (Subdoligranulum, Butyricicoccus, Faecalibacterium prausnitzii) and enrichment in the relative abundance of fungal populations. We also show a link between the gut microbiome and lipid metabolism in MetSyn. Specifically, low-density lipoproteins (LDL) and high-density lipoproteins (HDL) display a positive effect on gut microbial diversity. When interrogating the signature of gut microbiota in a subgroup of patients harbouring both MetSyn and T2DM conditions, we observed a significant increase in taxa such as Bacteroides, Clostridiales, and Erysipelotrichaceae. This preliminary study shows for the first time that T2DM brings unique signatures of gut microbiota in MetSyn patients. We also highlight the impact of metformin treatment on the gut microbiota. Metformin administration was linked to changes in Prevotellaceae, Rickenellaceae, and Clostridiales. Further research focusing on the microbiome-metabolome patterns is needed to clarify the exact association of various gut microbial communities with the progression of T2DM and the occurrence of various complications in MetSyn patients. C1 [Gradisteanu Pircalabioru, Gratiela; Chifiriuc, Mariana-Carmen] Univ Bucharest ICUB, Res Inst, Bucharest 300645, Romania. [Liaw, Janie; Gundogdu, Ozan] London Sch Hyg & Trop Med, Fac Infect & Trop Dis, Keppel St, London WC1E 7HT, England. [Corcionivoschi, Nicolae] Agri Food & Biosci Inst, Bacteriol Branch, Vet Sci Div, Belfast BT9 5PX, Antrim, North Ireland. [Corcionivoschi, Nicolae] Banat Univ Agr Sci & Vet Med King Michael I Roman, Fac Bioengn Anim Resources, Timisoara 300645, Romania. [Ilie, Iuliana] Gral Med Clin, Bucharest 031424, Romania. [Oprea, Luciana; Musat, Madalina] Natl Inst Endocrinol CI Parhon, Bucharest 011863, Romania. [Musat, Madalina] Carol Davila Univ Med & Pharm, Dept Endocrinol, Bucharest 020021, Romania. [Chifiriuc, Mariana-Carmen] Romanian Acad, Bucharest 010071, Romania. C3 University of London; London School of Hygiene & Tropical Medicine; Agri-Food & Biosciences Institute; Banat University of Agricultural Sciences & Veterinary Medicine; National Institute of Endocrinology C.I. Parhon; Carol Davila University of Medicine & Pharmacy; Romanian Academy of Sciences RP Pircalabioru, GG (通讯作者),Univ Bucharest ICUB, Res Inst, Bucharest 300645, Romania.; Gundogdu, O (通讯作者),London Sch Hyg & Trop Med, Fac Infect & Trop Dis, Keppel St, London WC1E 7HT, England. EM gratiela.gradisteanu@icub.unibuc.ro; janie.liaw@lshtm.ac.uk; ozan.gundogdu@lshtm.ac.uk; nicolae.corcionivoschi@afbini.gov.uk; ilieiu@yahoo.com; lucianaoprea92@yahoo.com; mdmusat@yahoo.com; carmen.chifiriuc@bio.unibuc.ro RI Chifiriuc, Mariana Carmen/AFP-0825-2022; Gradisteanu, Gratiela/GYJ-6972-2022 OI Chifiriuc, Mariana Carmen/0000-0001-6098-1857; Gundogdu, Ozan/0000-0002-3550-0545; Oprea, Luciana/0000-0002-1200-9518; Corcionivoschi, Nicolae/0000-0002-3011-3108; Ilie, Iuliana/0000-0001-6659-3417 FU UEFISCDI [PN-III-P1-1.1-36PD-2019-0499, 224/2021, C1.2.PFE-CDI.2021-587] FX This research was funded by UEFISCDI, project ID PN-III-P1-1.1-36PD-2019-0499, Grant number 224/2021 and C1.2.PFE-CDI.2021-587. 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J. Mol. Sci. PD JUL PY 2022 VL 23 IS 14 AR 7509 DI 10.3390/ijms23147509 PG 21 WC Biochemistry & Molecular Biology; Chemistry, Multidisciplinary WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Chemistry GA 3H2LQ UT WOS:000831872000001 PM 35886861 OA gold, Green Accepted, Green Published DA 2023-06-08 ER PT J AU Malik, F Mehdi, SF Ali, H Patel, P Basharat, A Kumar, A Ashok, F Stein, J Brima, W Malhotra, P Roth, J AF Malik, Faiza Mehdi, Syed Faizan Ali, Haroon Patel, Priya Basharat, Anam Kumar, Amrat Ashok, Fnu Stein, Joanna Brima, Wunnie Malhotra, Prashant Roth, Jesse TI Is metformin poised for a second career as an antimicrobial? SO DIABETES-METABOLISM RESEARCH AND REVIEWS LA English DT Review DE antimicrobial; hepatitis B; metformin; sepsis; Trypanosomiasis cruzi; tuberculosis ID CHAIN FATTY-ACIDS; HIV-INFECTED PATIENTS; LACTIC-ACIDOSIS; DIABETIC-PATIENTS; HEPATITIS-C; AKKERMANSIA-MUCINIPHILA; CARDIOVASCULAR-DISEASE; MYOCARDIAL-INFARCTION; PROGNOSTIC VALUE; GUT MICROBIOTA AB Metformin, a widely used antihyperglycaemic, has a good safety profile, reasonably manageable side-effects, is inexpensive, and causes a desirable amount of weight loss. In 4 studies of patients with tuberculosis (1 prospective and 3 retrospective), metformin administration resulted in better outcomes. In mice with several models of endotoxemia, metformin diminished levels of proinflammatory cytokines and improved survival. Laboratory studies showed effectiveness of the drug on multiple pathogens, including Trichinella spiralis, Staphylococcus aureus, Pseudomonas aeruginosa, hepatitis B virus, hepatitis C virus, and human immunodeficiency virus. Metformin administration in humans and mice produced major changes in the composition of the gut microbiota. These recently discovered microbe-modulating properties of the drug have led investigators to predict wide therapeutic utility for metformin. The recent easing in United States Food and Drug Administration (FDA) guidelines regarding administration of metformin to patients with kidney disease, and reduced anxiety about patient safety in terms of lactic acidosis, increase the probability of broadening of metformin's usage as a treatment of infectious agents. In this text we review articles pertinent to metformin's effects on microorganisms, both pathogens and commensals. We highlight the possible role of metformin in a wide range of infectious diseases and a possible expansion of its therapeutic profile in this field. A systematic review was done of PubMed indexed articles that examined the effects of metformin on a wide range of pathogens. Metformin was found to have efficacy as an antimicrobial agent in patients with tuberculosis. Mice infected with Trypanosomiasis cruzi had higher survival when also treated with metformin. The drug in vitro was active against T.spiralis, S.aureus, P.aeruginosa, and hepatitis B virus. In addition there is emerging literature on its role in sepsis. We conclude that metformin may have a potential role in the therapy for multiple infectious diseases. Metformin, in addition to its traditional effects on glucose metabolism, provides anti-microbial benefits in patients with tuberculosis and in a very wide range of other infections encounters in vitro and in vivo. C1 [Malik, Faiza; Mehdi, Syed Faizan; Ali, Haroon; Patel, Priya; Basharat, Anam; Kumar, Amrat; Ashok, Fnu; Stein, Joanna; Brima, Wunnie; Roth, Jesse] Northwell Hlth, Feinstein Inst Med Res, Lab Diabet & Diabet Related Res, Manhasset, NY USA. [Malhotra, Prashant] Hofstra Northwell, Donald & Barbara Zucker Sch Med, Div Infect Dis, Manhasset, NY USA. [Stein, Joanna; Malhotra, Prashant; Roth, Jesse] Hofstra Northwell, Donald & Barbara Zucker Sch Med, Manhasset, NY USA. C3 Northwell Health; Northwell Health; Northwell Health RP Malik, F; Roth, J (通讯作者),Feinstein Inst Med Res, Lab Diabet & Diabet Related Disorders, 350 Community Dr, Manhasset, NY 11030 USA. 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PD MAY PY 2018 VL 34 IS 4 AR e2975 DI 10.1002/dmrr.2975 PG 10 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA GF5DA UT WOS:000431984700001 PM 29271563 OA Bronze DA 2023-06-08 ER PT J AU Yang, JQ Zhang, ZY Xie, ZR Bai, L Xiong, P Chen, FR Zhu, TL Peng, QY Wu, HJ Zhou, Y Ma, YR Zhang, YJ Chen, MH Gao, JY Tian, WW Shi, K Du, Y Duan, Y Wang, HW Xu, Y Kuang, YQ Zhu, M Yu, JH Wang, KH AF Yang, Jiqing Zhang, Zunyue Xie, Zhenrong Bai, Ling Xiong, Pu Chen, Fengrong Zhu, Tailin Peng, Qingyan Wu, Hongjin Zhou, Yong Ma, Yuru Zhang, Yongjin Chen, Minghui Gao, Jianyuan Tian, Weiwei Shi, Kai Du, Yan Duan, Yong Wang, Huawei Xu, Yu Kuang, Yi-Qun Zhu, Mei Yu, Juehua Wang, Kunhua TI Metformin modulates microbiota-derived inosine and ameliorates methamphetamine-induced anxiety and depression-like withdrawal symptoms in mice SO BIOMEDICINE & PHARMACOTHERAPY LA English DT Article DE Methamphetamine; Withdrawal; Gut microbiota; Metformin; Inosine ID GUT MICROBIOTA; MODEL; DISORDERS; RESPONSES; PATHWAY; HARMS; SEX AB Background: Metformin exhibits therapeutic potential in behavioural deficits induced by methamphetamine (METH) in rats. Emerging studies suggest gut microbiota may impact psychiatric symptoms, but there is no direct evidence supporting metformin's participation in the pathophysiology of withdrawal symptoms via modulation of gut microbiota. Methods: In order to define the functional impacts of gut microbiota and metformin to the behavioural deficits during METH withdrawal, we utilized a combination of fecal microbiota transplantation (FMT), high-throughput sequencing, and untargeted metabolomics technologies. Results: First, METH addicts exhibited higher alpha diversity and distinct microbial structures compared to healthy controls. In particular, the relative abundance of Rikenellaceae was positively correlated with the severity of anxiety and depression. Second, both human-to-mouse and mouse-to-mouse FMTs confirmed that METH-alteredmicrobiota transplantation is sufficient to promote anxiety and depression-like behaviours in recipient germ-free mice, and these behavioural disturbances could be ameliorated by metformin. In-depth analysis revealed that METH significantly altered the bacterial composition and structure as well as relative abundance of several bacterial taxa and metabolites, including Rikenellaceae and inosine, respectively, whereas add-on metformin could remodel these alterations. Finally, the inosine complementation successfully restored METH-induced anxiety and depression-like behaviours in mice. Conclusion: This study demonstrates that METH withdrawal-induced anxiety and depression-like behaviours are reversible and transmissible via gut microbiota in a mouse model. The therapeutic effects of metformin on psychiatric manifestations are associated with microbiota-derived metabolites, highlighting the role of the gut microbiota in substance use disorders and the pathophysiology of withdrawal symptoms. C1 [Yang, Jiqing; Zhang, Zunyue; Xie, Zhenrong; Xiong, Pu; Chen, Fengrong; Peng, Qingyan; Wu, Hongjin; Zhou, Yong; Ma, Yuru; Zhang, Yongjin; Chen, Minghui; Gao, Jianyuan; Tian, Weiwei; Wang, Huawei; Xu, Yu; Kuang, Yi-Qun; Zhu, Mei; Yu, Juehua; Wang, Kunhua] Kunming Med Univ, NHC Key Lab Drug Addict Med, Affiliated Hosp 1, Kunming 650032, Peoples R China. [Yang, Jiqing; Du, Yan; Duan, Yong] Kunming Med Univ, Dept Clin Lab, Affiliated Hosp 1, Kunming 650032, Peoples R China. [Yang, Jiqing; Bai, Ling; Wang, Kunhua] Kunming Univ Sci & Technol, Fac Life Sci & Technol, Kunming 650500, Peoples R China. [Yang, Jiqing; Xie, Zhenrong; Xiong, Pu; Chen, Fengrong; Peng, Qingyan; Wu, Hongjin; Zhou, Yong; Ma, Yuru; Zhang, Yongjin; Chen, Minghui; Gao, Jianyuan; Kuang, Yi-Qun; Zhu, Mei; Yu, Juehua] Kunming Med Univ, Ctr Expt Studies & Res, Affiliated Hosp 1, Kunming 650032, Peoples R China. [Zhu, Tailin] Xinhua Hosp Affiliated Shanghai Jiao Tong Univ, Shanghai Key Lab Childrens Environm Hlth, Minist Educ, Sch Med, Shanghai 200092, Peoples R China. [Shi, Kai] Guilin Univ Technol, Coll Sci, Guilin 541004, Peoples R China. [Xu, Yu] Kunming Med Univ, Dept Gastrointestinal Surg, Affiliated Hosp 1, Kunming 650032, Peoples R China. [Wang, Kunhua] Yunnan Univ, Sch Med, Kunming 650091, Peoples R China. C3 Kunming Medical University; Kunming Medical University; Kunming University of Science & Technology; Kunming Medical University; Guilin University of Technology; Kunming Medical University; Yunnan University RP Yu, JH; Wang, KH (通讯作者),Kunming Med Univ, NHC Key Lab Drug Addict Med, Affiliated Hosp 1, Kunming 650032, Peoples R China. EM juehuayu@gmail.com; wangkunhua1@163.com RI Wu, Hongjin/AAF-6122-2019 OI Wu, Hongjin/0000-0002-2053-7441 FU National Natural Science Founda-tion of China, China [3171101074, 81870458, 31860306]; Science and Technology Department of Yunnan Province, China [2018NS0086, 2019FE001, 202001AS070004, 202001AV070010]; Major project of Yunnan Provincial Bureau of Education, China [2020J0161, 2021J0234] FX Acknowledgements This study was supported by the National Natural Science Founda-tion of China, China, (No. 3171101074, No. 81870458, No. 31860306) ; Science and Technology Department of Yunnan Province, China (Grant No. 2018NS0086, 2019FE001, 202001AS070004, 202001AV070010) ; The Major project of Yunnan Provincial Bureau of Education, China (2020J0161; 2021J0234) . 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Pharmacother. PD MAY PY 2022 VL 149 AR 112837 DI 10.1016/j.biopha.2022.112837 EA MAR 2022 PG 14 WC Medicine, Research & Experimental; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine; Pharmacology & Pharmacy GA 0Z7MH UT WOS:000791257400002 PM 35339829 OA gold, Green Submitted DA 2023-06-08 ER PT J AU Verdura, S Cuyas, E Martin-Castillo, B Menendez, JA AF Verdura, Sara Cuyas, Elisabet Martin-Castillo, Begona Menendez, Javier A. TI Metformin as an archetype immuno-metabolic adjuvant for cancer immunotherapy SO ONCOIMMUNOLOGY LA English DT Article DE Metformin; immunotherapy; T-cells; immune checkpoints ID REGULATORY T-CELLS; GUT MICROBIOTA; BREAST-CANCER; PERSONALIZED IMMUNOTHERAPY; TUMOR MICROENVIRONMENT; INSULIN-RESISTANCE; PANCREATIC-CANCER; PD-L1 EXPRESSION; C. ELEGANS; MEMORY AB The development of a single immuno-metabolic adjuvant capable of modulating, in the appropriate direction and intensity, the complex antagonistic and symbiotic interplays between tumor cells, immune cells, and the gut microbiota may appear pharmacologically implausible. Metformin might help solve this conundrum and beneficially impact the state of cancer-immune system interactions. C1 [Verdura, Sara; Cuyas, Elisabet; Menendez, Javier A.] Catalan Inst Oncol, Metab & Canc Grp, Program Canc Therapeut Resistance ProCURE, Girona, Spain. [Verdura, Sara; Cuyas, Elisabet; Menendez, Javier A.] Girona Biomed Res Inst IDIBGI, Girona, Spain. [Martin-Castillo, Begona] Catalan Inst Oncol, Unit Clin Res, Girona, Spain. C3 Institut Catala d'Oncologia; Universitat de Girona; Girona University Hospital Dr. Josep Trueta; Institut d'Investigacio Biomedica de Girona (IDIBGI); Institut Catala d'Oncologia RP Menendez, JA (通讯作者),Girona Biomed Res Inst IDIBGI, Catalan Inst Oncol ICO, Edifici M2,Parc Hosp Marti & Julia, E-17190 Salt, Girona, Spain. EM jmenendez@iconcologia.net RI Cuyas, Elisabet/G-8582-2018; verdura, Sara/AAC-3696-2022; MENENDEZ, JAVIER A/C-6148-2016 OI verdura, Sara/0000-0001-8980-0423; MENENDEZ, JAVIER A/0000-0001-8733-4561; Martin-Castillo, Begona/0000-0001-8344-8174 FU Spanish Ministry of Science and Innovation [SAF2016-80639-P]; Fundacio Oncolliga Girona (Lliga catalana d'ajuda al malalt de cancer, Girona) FX Work in the Menendez laboratory is supported by the Spanish Ministry of Science and Innovation (Grant SAF2016-80639-P, Plan Nacional de l +D+I, founded by the European Regional Development Fund, Spain) and by an unrestricted research grant from the Fundacio Oncolliga Girona (Lliga catalana d'ajuda al malalt de cancer, Girona). 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Rats SO AMERICAN JOURNAL OF CHINESE MEDICINE LA English DT Article DE Capsaicin; Gut Microbiota; Metformin; Hypoglycemic Effect; Akkermansia ID INTESTINAL MICROBIOTA; INFLAMMATION; METABOLISM; RESPONSES; ALTERS; IMPACT; ONSET AB Dietary capsaicin (CAP), the main irritant component in pepper, can reduce the incidence of diabetes, while metformin (MET) is a first-line oral hypoglycemic drug. The purpose of this study was to investigate whether CAP on the hypoglycemic effect of MET is pertinent to gut microbiota. The glucose and insulin tolerance of diabetic rats were monitored. The glycolipid metabolism was analyzed by detecting blood biochemical parameters. Liver pathological changes were observed by Hematoxylin eosin (HE) staining. The inflammatory cytokines and intestinal tight junction proteins were detected by RT-qPCR and Western blot. 16S rRNA sequencing was employed to analyze gut microbiota profiles. The results showed that CAP and MET co-treatment could significantly reduce fasting blood glucose, improve glucose tolerance, lessen liver injury and inflammatory infiltration, down-regulate inflammatory cytokines and up-regulate intestinal tight junction proteins in diabetic rats by comparing it with MET monotherapy. Moreover, CAP and MET co-treatment altered gut microbiota profiles by regulating microbials' abundances such as Akkermansia. In conclusion, CAP showed the significant hypoglycemic effect of MET and remodulated gut microbiota profiles in diabetic rats. C1 [Kang, Zhi-Qiang; Mao, Yu; Xie, Li-Fang] Zhengzhou Univ, Dept Endocrinol, Zhengzhou Cent Hosp, Zhengzhou 450007, Henan, Peoples R China. [Hu, Jing-Lei; Chen, Man-Yun; Yang, Nian; Zhang, Wei; Huang, Wei-Hua] Cent South Univ, Xiangya Hosp, Dept Clin Pharmacol, Changsha 410008, Peoples R China. [Hu, Jing-Lei; Chen, Man-Yun; Yang, Nian; Zhang, Wei; Huang, Wei-Hua] Cent South Univ, Inst Clin Pharmacol, Hunan Key Lab Pharmacogenet, Changsha 410078, Peoples R China. [Hu, Jing-Lei; Chen, Man-Yun; Yang, Nian; Zhang, Wei; Huang, Wei-Hua] Cent South Univ, Xiangya Hosp, Natl Clin Res Ctr Geriatr Disorders, Xiangya Rd 110, Changsha 410008, Peoples R China. [Liu, Tao] Shenzhen Ctr Chron Dis Control, Shenzhen 518020, Peoples R China. [Huang, Wei-Hua] Hunan Prov Maternal & Child Hlth Care Hosp, NHC Key Lab Birth Defect Res & Prevent, Changsha 410008, Hunan, Peoples R China. C3 Zhengzhou University; Central South University; Central South University; Central South University RP Zhang, W; Huang, WH (通讯作者),Cent South Univ, Xiangya Hosp, Dept Clin Pharmacol, Changsha 410008, Peoples R China.; Zhang, W; Huang, WH (通讯作者),Cent South Univ, Inst Clin Pharmacol, Hunan Key Lab Pharmacogenet, Changsha 410078, Peoples R China.; Zhang, W; Huang, WH (通讯作者),Cent South Univ, Xiangya Hosp, Natl Clin Res Ctr Geriatr Disorders, Xiangya Rd 110, Changsha 410008, Peoples R China.; Liu, T (通讯作者),Shenzhen Ctr Chron Dis Control, Shenzhen 518020, Peoples R China.; Huang, WH (通讯作者),Hunan Prov Maternal & Child Hlth Care Hosp, NHC Key Lab Birth Defect Res & Prevent, Changsha 410008, Hunan, Peoples R China. EM liutao319@163.com; csuzhangwei@csu.edu.cn; endeavor34852@csu.edu.cn OI Huang, Wei-Hua/0000-0003-4167-8304 FU National Natural Scientific Foundation of China [82074000, 81874329, 82073945]; National Key Research and DevelopmentProgram of China [2021YFA1301200]; Hunan Provincial Natural Science Foundation of China [2020JJ4878]; Science and Technology Benefiting People Plan of Zhengzhou [2020KJHM0028]; Medical Science and Technology Research Plan of Henan Province [2018020762]; Scientific Research Project of Department of Education of Hunan Province [20K136]; Sanming Project of Medicine in Shenzhen [SZSM201811057]; NHC Key Laboratory of Birth Defect for Research and Prevention (Hunan Provincial Maternal and Child Health Care Hospital) [KF2020002] FX This work was supported by the National Natural Scienti~c Foundation of China (82074000, 81874329 and 82073945) the National Key Research and DevelopmentProgram of China (No. 2021YFA1301200), the Hunan Provincial Natural Science Foundation of China (2020JJ4878), Science and Technology Bene~ting People Plan of Zhengzhou (2020KJHM0028), Medical Science and Technology Research Plan of Henan Province (2018020762), the Scienti~c Research Project of Department of Education of Hunan Province (20K136), Sanming Project of Medicine in Shenzhen (SZSM201811057) and NHC Key Laboratory of Birth Defect for Research and Prevention (Hunan Provincial Maternal and Child Health Care Hospital, No. KF2020002). 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J. Chin. Med. PY 2022 VL 50 IS 03 BP 839 EP 861 DI 10.1142/S0192415X22500355 PG 23 WC Integrative & Complementary Medicine; Medicine, General & Internal WE Science Citation Index Expanded (SCI-EXPANDED) SC Integrative & Complementary Medicine; General & Internal Medicine GA 0U7US UT WOS:000787854100011 PM 35300567 DA 2023-06-08 ER PT J AU Yerevanian, A Soukas, AA AF Yerevanian, Armen Soukas, Alexander A. TI Metformin: Mechanisms in Human Obesity and Weight Loss SO CURRENT OBESITY REPORTS LA English DT Article DE Metformin; Obesity; Weight loss; Appetite regulation; Type 2 diabetes; Aging ID TYPE-2 DIABETES-MELLITUS; CATION TRANSPORTER 1; GLUCOSE-PRODUCTION; FOOD-INTAKE; AMERICAN ASSOCIATION; INSULIN THERAPY; AMPK; METABOLISM; ACTIVATION; KINASE AB Purpose of ReviewMetformin has multiple benefits for health beyond its anti-hyperglycemic properties. The purpose of this manuscript is to review the mechanisms that underlie metformin's effects on obesity.Recent FindingsMetformin is a first-line therapy for type 2 diabetes. Large cohort studies have shown weight loss benefits associated with metformin therapy. Metabolic consequences were traditionally thought to underlie this effect, including reduction in hepatic gluconeogenesis and reduction in insulin production. Emerging evidence suggests that metformin-associated weight loss is due to modulation of hypothalamic appetite regulatory centers, alteration in the gut microbiome, and reversal of consequences of aging. Metformin is also being explored in the management of obesity's sequelae such as hepatic steatosis, obstructive sleep apnea, and osteoarthritis.SummaryMultiple mechanisms underlie the weight loss-inducing and health-promoting effects of metformin. Further exploration of these pathways may be important in identifying new pharmacologic targets for obesity and other aging-associated metabolic diseases. C1 [Yerevanian, Armen; Soukas, Alexander A.] Massachusetts Gen Hosp, Endocrine Div, Diabet Unit, Dept Med, 185 Cambridge St,CPZN6224, Boston, MA 02114 USA. [Yerevanian, Armen; Soukas, Alexander A.] Massachusetts Gen Hosp, Ctr Genom Med, 185 Cambridge St,CPZN6224, Boston, MA 02114 USA. [Yerevanian, Armen; Soukas, Alexander A.] Harvard Med Sch, Dept Med, Boston, MA 02114 USA. [Yerevanian, Armen; Soukas, Alexander A.] Broad Inst Harvard & MIT, Cambridge, MA 02142 USA. C3 Harvard University; Massachusetts General Hospital; Harvard University; Massachusetts General Hospital; Harvard University; Harvard Medical School; Harvard University; Massachusetts Institute of Technology (MIT); Broad Institute RP Soukas, AA (通讯作者),Massachusetts Gen Hosp, Endocrine Div, Diabet Unit, Dept Med, 185 Cambridge St,CPZN6224, Boston, MA 02114 USA.; Soukas, AA (通讯作者),Massachusetts Gen Hosp, Ctr Genom Med, 185 Cambridge St,CPZN6224, Boston, MA 02114 USA.; Soukas, AA (通讯作者),Harvard Med Sch, Dept Med, Boston, MA 02114 USA.; Soukas, AA (通讯作者),Broad Inst Harvard & MIT, Cambridge, MA 02142 USA. EM asoukas@mgh.harvard.edu FU NIH [R01AG058256, R01DK101522, R01DK072041]; Weissman Family MGH Research Scholar Award; Glenn Award for Research in the Biological Mechanisms of Aging; NIH-NIDDK [T32DK007028] FX This work was supported by NIH R01AG058256, R01DK101522, and R01DK072041, the Weissman Family MGH Research Scholar Award, and a Glenn Award for Research in the Biological Mechanisms of Aging (to AS). AY is supported by the NIH-NIDDK funded MGH Endocrinology training grant T32DK007028. 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PD JUN PY 2019 VL 8 IS 2 BP 156 EP 164 DI 10.1007/s13679-019-00335-3 PG 9 WC Endocrinology & Metabolism; Nutrition & Dietetics WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism; Nutrition & Dietetics GA HY5ED UT WOS:000468149200010 PM 30874963 OA Green Accepted HC Y HP N DA 2023-06-08 ER PT J AU Zhang, C Ma, SS Wu, JH Luo, LL Qiao, SY Li, RX Xu, WJ Wang, N Zhao, BS Wang, X Zhang, Y Wang, XY AF Zhang, Chi Ma, Shuangshuang Wu, Jiahui Luo, Linglong Qiao, Sanyang Li, Ruxin Xu, Wenjuan Wang, Nan Zhao, Baosheng Wang, Xiao Zhang, Yuan Wang, Xueyong TI A specific gut microbiota and metabolomic profiles shifts related to antidiabetic action: The similar and complementary antidiabetic properties of type 3 resistant starch from Canna edulis and metformin SO PHARMACOLOGICAL RESEARCH LA English DT Article DE Microbiome; Metabolomics; T2DM; Metformin; Ce-RS3 ID DIABETES-MELLITUS; INSULIN-RESISTANCE; LINOLEIC-ACID; FATTY-ACIDS; OBESITY; WEIGHT; HYPERGLYCEMIA; INFLAMMATION; INDIVIDUALS; ASSOCIATION AB The relationship between gut microbiota and type 2 diabetes mellitus (T2DM) has drawn increasing attention, and the benefits of various treatment strategies, including nutrition, medication and physical exercise, maybe microbially-mediated. Metformin is a widely used hypoglycemic agent, while resistant starch (RS) is a novel dietary fiber that emerges as a nutritional strategy for metabolic disease. However, it remains unclear as to the potential degree and interactions among gut microbial communities, metabolic landscape, and the anti-diabetic effects of metformin and RS, especially for a novel type 3 resistant starch from Canna edulis (Ce-RS3). In the present study, T2DM rats were administered metformin or Ce-RS3, and the changes in gut microbiota and serum metabolic profiles were characterized using 16S-rRNA gene sequencing and metabolomics, respectively. After 11 weeks of treatment, Ce-RS3 exhibited similar anti-diabetic effects to those of metformin, including dramatically reducing blood glucose, ameliorating the response to insulin resistance and glucose tolerance test, and relieving the pathological damage in T2DM rats. Interestingly, the microbial and systemic metabolic dysbiosis in T2DM rats was effectively modulated by both Ce-RS3 and, to a lesser extent, metformin. The two treatments increased the gut bacterial diversity, and supported the restoration of SCFA-producing bacteria, thereby significantly increasing SCFAs levels. Both treatments simultaneously corrected 16 abnormal metabolites in the metabolism of lipids and amino acids, many of which are microbiome-related. PICRUSt analysis and correlation of SCFAs levels with metabolomics data revealed a strong association between gut microbial and host metabolic changes. Strikingly, Ce-RS3 exhibited better efficacy in increasing gut microbiota diversity with a peculiar enrichment of Prevotella genera. The gut microbial properties of Ce-RS3 were tightly associated with the T2DM-related indexes, showing the potential to alleviate diabetic phenotype dysbioses, and possibly explaining the greater efficiency in improving metabolic control. C1 [Zhang, Chi; Ma, Shuangshuang; Wu, Jiahui; Luo, Linglong; Qiao, Sanyang; Li, Ruxin; Xu, Wenjuan; Wang, Nan; Wang, Xueyong] Beijing Univ Chinese Med, Sch Chinese Meteria Med, Northeast Corner Intersect Sunshine South St & Ba, Beijing 102488, Peoples R China. [Zhao, Baosheng] Beijing Univ Chinese Med, Beijing Res Inst Chinese Med, Beijing 100029, Peoples R China. [Wang, Xiao] Qilu Univ Technol, Coll Pharm, Shandong Acad Sci, Jinan 250014, Shandong, Peoples R China. [Zhang, Yuan] Beijing Union Univ, Coll Biochem Engn, 18 Fatou Xifi Dist, Beijing 100023, Peoples R China. C3 Beijing University of Chinese Medicine; Beijing University of Chinese Medicine; Qilu University of Technology; Beijing Union University RP Wang, XY (通讯作者),Beijing Univ Chinese Med, Sch Chinese Meteria Med, Northeast Corner Intersect Sunshine South St & Ba, Beijing 102488, Peoples R China. EM wxyph.d@163.com RI wang, xiao/HZI-9156-2023 FU National Science & Technology Fundamental Resources Investigation Program of China [2018FY100700]; National Natural Science Foundation of China [81773841]; Science & Technology Support Plan of Guizhou Province [2017MA6DRXM2320354] FX This work was supported by grants from the National Science & Technology Fundamental Resources Investigation Program of China (2018FY100700), the National Natural Science Foundation of China (81773841) and the Science & Technology Support Plan of Guizhou Province (2017MA6DRXM2320354). 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Res. PD SEP PY 2020 VL 159 AR 104985 DI 10.1016/j.phrs.2020.104985 PG 13 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA NK0NE UT WOS:000566437600020 PM 32504839 DA 2023-06-08 ER PT J AU Wang, DM Liu, JY Zhou, LY Zhang, Q Li, M Xiao, XH AF Wang, Dongmei Liu, Jieying Zhou, Liyuan Zhang, Qian Li, Ming Xiao, Xinhua TI Effects of Oral Glucose-Lowering Agents on Gut Microbiota and Microbial Metabolites SO FRONTIERS IN ENDOCRINOLOGY LA English DT Review DE gut microbiota; microbial metabolites; T2DM; antidiabetic drugs; SCFA ID DIABETES-MELLITUS; INTESTINAL MICROBIOTA; DOUBLE-BLIND; BODY-WEIGHT; METFORMIN; OBESITY; MODULATION; BACTERIA; INFLAMMATION; DYSLIPIDEMIA AB The current research and existing facts indicate that type 2 diabetes mellitus (T2DM) is characterized by gut microbiota dysbiosis and disturbed microbial metabolites. Oral glucose-lowering drugs are reported with pleiotropic beneficial effects, including not only a decrease in glucose level but also weight loss, antihypertension, anti-inflammation, and cardiovascular protection, but the underlying mechanisms are still not clear. Evidence can be found showing that oral glucose-lowering drugs might modify the gut microbiome and thereby alter gastrointestinal metabolites to improve host health. Although the connections among gut microbial communities, microbial metabolites, and T2DM are complex, figuring out how antidiabetic agents shape the gut microbiome is vital for optimizing the treatment, meaningful for the instruction for probiotic therapy and gut microbiota transplantation in T2DM. In this review, we focused on the literatures in gut microbiota and its metabolite profile alterations beneficial from oral antidiabetic drugs, trying to provide implications for future study in the developing field of these drugs, such as combination therapies, pre- and probiotics intervention in T2DM, and subjects with pregestational diabetes and gestational diabetes mellitus. C1 [Wang, Dongmei; Liu, Jieying; Zhou, Liyuan; Zhang, Qian; Li, Ming; Xiao, Xinhua] Chinese Acad Med Sci, Peking Union Med Coll Hosp, Peking Union Med Coll, Dept Endocrinol, Beijing, Peoples R China. [Liu, Jieying] Chinese Acad Med Sci, Peking Union Med Coll Hosp, Peking Union Med Coll, Dept Med Res Ctr, Beijing, Peoples R China. C3 Chinese Academy of Medical Sciences - Peking Union Medical College; Peking Union Medical College; Peking Union Medical College Hospital; Chinese Academy of Medical Sciences - Peking Union Medical College; Peking Union Medical College; Peking Union Medical College Hospital RP Xiao, XH (通讯作者),Chinese Acad Med Sci, Peking Union Med Coll Hosp, Peking Union Med Coll, Dept Endocrinol, Beijing, Peoples R China. EM xiaoxh2014@vip.163.com RI Liu, Jieying/ADZ-7556-2022; Li, Ming/I-1323-2018 OI Li, Ming/0000-0002-8427-605X FU National Natural Science Foundation of China [82170854, 81870579, 81870545, 81570715, 81170736]; Beijing Natural Science Foundation [7202163]; Beijing Municipal Science & Technology Commission [Z201100005520011]; CAMS Innovation Fund for Medical Sciences [CIFMS2021-1-I2M-002] FX Funding This work was supported by the grants from the National Natural Science Foundation of China (No. 82170854, 81870579, 81870545, 81570715, 81170736), Beijing Natural Science Foundation (7202163), Beijing Municipal Science & Technology Commission (Z201100005520011), CAMS Innovation Fund for Medical Sciences (CIFMS2021-1-I2M-002). 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Endocrinol. PD JUL 13 PY 2022 VL 13 AR 905171 DI 10.3389/fendo.2022.905171 PG 16 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA 6I2QI UT WOS:000885974600001 PM 35909556 OA gold, Green Published DA 2023-06-08 ER PT J AU Deehan, EC Colin-Ramirez, E Triador, L Madsen, KL Prado, CM Field, CJ Ball, GDC Tan, QM Orsso, C Dinu, I Pakseresht, M Rubin, D Sharma, AM Tun, H Walter, J Newgard, CB Freemark, M Wine, E Haqq, AM AF Deehan, Edward C. Colin-Ramirez, Eloisa Triador, Lucila Madsen, Karen L. Prado, Carla M. Field, Catherine J. Ball, Geoff D. C. Tan, Qiming Orsso, Camila Dinu, Irina Pakseresht, Mohammadreza Rubin, Daniela Sharma, Arya M. Tun, Hein Walter, Jens Newgard, Christopher B. Freemark, Michael Wine, Eytan Haqq, Andrea M. TI Efficacy of metformin and fermentable fiber combination therapy in adolescents with severe obesity and insulin resistance: study protocol for a double-blind randomized controlled trial SO TRIALS LA English DT Article DE Adolescents; Insulin resistance; Diabetes; Obesity; Metformin; Dietary fiber; Gut microbiome ID PHYSICAL-ACTIVITY QUESTIONNAIRE; HOMEOSTASIS MODEL ASSESSMENT; ORAL GLUCOSE-TOLERANCE; INFANT GUT MICROBIOTA; DIETARY FIBER; WAIST-CIRCUMFERENCE; SENSITIVITY; CHILDREN; VALIDITY; VALIDATION AB BackgroundAccumulating evidence suggests that the metabolic effects of metformin and fermentable fibers are mediated, in part, through diverging or overlapping effects on the composition and metabolic functions of the gut microbiome. Pre-clinical animal models have established that the addition of fiber to metformin monotherapy improves glucose tolerance. However, possible synergistic effects of combination therapy (metformin plus fiber) have not been investigated in humans. Moreover, the underlying mechanisms of synergy have yet to be elucidated. The aim of this study is to compare in adolescents with obesity the metabolic effects of metformin and fermentable fibers in combination with those of metformin or fiber alone. We will also determine if therapeutic responses correlate with compositional and functional features of the gut microbiome.MethodsThis is a parallel three-armed, double-blinded, randomized controlled trial. Adolescents (aged 12-18years) with obesity, insulin resistance (IR), and a family history of type 2 diabetes mellitus (T2DM) will receive either metformin (850mg p.o. twice/day), fermentable fibers (35g/day), or a combination of metformin plus fiber for 12months. Participants will be seen at baseline, 3, 6, and 12months, with a phone follow-up at 1 and 9months. Primary and secondary outcomes will be assessed at baseline, 6, and 12months. The primary outcome is change in IR estimated by homeostatic model assessment of IR; key secondary outcomes include changes in the Matsuda index, oral disposition index, body mass index z-score, and fat mass to fat-free mass ratio. To gain mechanistic insight, endpoints that reflect host-microbiota interactions will also be assessed: obesity-related immune, metabolic, and satiety markers; humoral metabolites; and fecal microbiota composition, short-chain fatty acids, and bile acids.DiscussionThis study will compare the potential metabolic benefits of fiber with those of metformin in adolescents with obesity, determine if metformin and fiber act synergistically to improve IR, and elucidate whether the metabolic benefits of metformin and fiber associate with changes in fecal microbiota composition and the output of health-related metabolites. This study will provide insight into the potential role of the gut microbiome as a target for enhancing the therapeutic efficacy of emerging treatments for T2DM prevention.Trial registrationClinicalTrials.gov NCT04578652. Registered on 8 October 2020. C1 [Deehan, Edward C.; Prado, Carla M.; Field, Catherine J.; Orsso, Camila; Pakseresht, Mohammadreza] Univ Alberta, Dept Agr Food & Nutr Sci, Edmonton, AB T6G 2E1, Canada. [Colin-Ramirez, Eloisa; Triador, Lucila; Ball, Geoff D. C.; Tan, Qiming; Haqq, Andrea M.] Univ Alberta, Dept Pediat, Edmonton, AB T6G 2E1, Canada. [Madsen, Karen L.; Sharma, Arya M.] Univ Alberta, Dept Med, Edmonton, AB T6G 2C2, Canada. [Dinu, Irina] Univ Alberta, Sch Publ Hlth, Edmonton, AB T6G 1C9, Canada. [Rubin, Daniela] Calif State Univ Fullerton, Fullerton, CA 92634 USA. [Tun, Hein] Univ Hong Kong, Sch Publ Hlth, Hong Kong, Peoples R China. [Walter, Jens] Univ Coll Cork, DNatl Univ Ireland Univ Coll Cork, Cork, Ireland. [Newgard, Christopher B.; Freemark, Michael] Duke Univ, Med Ctr, Duke Univ Hosp, Durham, NC USA. [Wine, Eytan] Univ Alberta, Dept Pediat & Physiol, Edmonton, AB T6G 1C9, Canada. C3 University of Alberta; University of Alberta; University of Alberta; University of Alberta; California State University System; California State University Fullerton; University of Hong Kong; University College Cork; Duke University; University of Alberta RP Haqq, AM (通讯作者),Univ Alberta, Dept Pediat, Edmonton, AB T6G 2E1, Canada. EM haqq@ualberta.ca RI Madsen, Karen L/H-5898-2011; Walter, Jens/AAA-7636-2020; Deehan, Edward C./ABF-6669-2020; RUBIN, DANIELA/AAC-4206-2022; Tun, Hein/ACR-0815-2022 OI Walter, Jens/0000-0003-1754-172X; Deehan, Edward C./0000-0001-7697-1418; Tun, Hein/0000-0001-7597-5062; Tan, Qiming/0000-0001-9014-6246; Colin-Ramirez, Eloisa/0000-0003-2998-1239 FU The W. Garfield Weston Foundation FX This work is funded by The W. Garfield Weston Foundation (without project number). The UofA and The W. Garfield Weston Foundation will not intervene in any aspect of the trial, including its design, data collection, analysis, or presentation. 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AGR FOOD CHEM, V66, P5821, DOI [10.1021/acsjafc.8b00829, 10.1021/acs.jafc.8b00829] NR 87 TC 3 Z9 3 U1 0 U2 12 PU BMC PI LONDON PA CAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND EI 1745-6215 J9 TRIALS JI Trials PD FEB 17 PY 2021 VL 22 IS 1 AR 148 DI 10.1186/s13063-021-05060-8 PG 16 WC Medicine, Research & Experimental WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine GA QL4XS UT WOS:000621082300002 PM 33596993 OA Green Published, gold DA 2023-06-08 ER PT J AU Yang, L Yang, JX Liang, X Huang, WJ Zhang, XX Li, R AF Yang, Lu Yang, Jianxin Liang, Xiao Huang, Wenjun Zhang, Xiaoxi Li, Rong TI Uncovering antiobesity-related hypertension targets and mechanisms of metformin, an antidiabetic medication SO BIOENGINEERED LA English DT Article DE Metformin; obesity; hypertension; bioinformatics findings ID MOTIF LIGAND 2; PULMONARY-HYPERTENSION; GUT MICROBIOTA; PROTEIN-KINASE; VITAMIN-C; OBESITY; INFLAMMATION; ACTIVATION; STRESS AB Metformin, a common clinical drug used to treat diabetes mellitus, is found with potential antiobese actions as reported in increasing evidences. However, the detailed mechanisms of metformin-antiobesity-related hypertension remain unrevealed. We have utilized the bioinformatics strategy, including network pharmacology and molecular docking analyses, to uncover pharmacological targets and molecular pathways of bioactive compounds against clinical disorders, such as cancers, coronavirus disease 2019. In this report, the in-silico approaches using network pharmacology and molecular docking was utilized to identify the core targets, pharmacological functions and mechanisms of metformin against obesity-related hypertension. The networking analysis identified 154 differentially expressed genes of obesity and hypertension, and 21 interaction genes, 6 core genes of metformin treating obesity-related hypertension. As results, molecular docking findings indicated the binding capability of metformin with key proteins, including interleukin 6 (IL-6) and chemokine (C-C motif) Ligand 2 (CCL2) expressed in obesity- and hypertension-dependent tissues. Metformin-exerted antihypertension/obesity actions involved in metabolic regulation, inflammatory suppression. And antihypertension/obesity mechanisms of metformin were revealed, including regulation of inflammatory and immunological signaling pathways for ameliorating microenvironmental homeostasis in targeting tissues. In conclusion, our current bioinformatics findings have uncovered all pharmacological targets, biological functions and signaling pathways of metformin treating obesity-related hypertension, thus promoting its clinical application in future. C1 [Yang, Lu; Liang, Xiao; Zhang, Xiaoxi] Guilin Med Univ, Fac Basic Med, Huan Cheng North 2nd Rd 109, Guilin 541004, Peoples R China. [Yang, Jianxin] Guangxi Med Univ, Cardiol Dept Area 1, Guigang City Peoples Hosp, Affiliated Hosp 8, Guigang, Guangxi, Peoples R China. [Huang, Wenjun; Li, Rong] Guilin Med Univ, Lab Environm Pollutants & Integrat Omics, Huan Cheng North 2nd Rd 109, Guilin 541042, Peoples R China. C3 Guilin Medical University; Guangxi Medical University; Guilin Medical University RP Zhang, XX (通讯作者),Guilin Med Univ, Fac Basic Med, Huan Cheng North 2nd Rd 109, Guilin 541004, Peoples R China.; Li, R (通讯作者),Guilin Med Univ, Lab Environm Pollutants & Integrat Omics, Huan Cheng North 2nd Rd 109, Guilin 541042, Peoples R China. EM mike_527@163.com; lirong1278@163.com RI HUANG, WENJUN/GXM-9167-2022 FU National Natural Science Foundation of China [81860155]; National Natural Science Foundation of Guangxi [2019GXNSFBA185015, 2018GXNSFAA281160] FX This work has been supported by the National Natural Science Foundation of China (No. 81860155) and National Natural Science Foundation of Guangxi (No. 2019GXNSFBA185015, 2018GXNSFAA281160). 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Chattipakorn, Nipon Shinlapawittayatorn, Krekwit TI Repurposing metformin as a potential treatment for inflammatory bowel disease: Evidence from cell to the clinic SO INTERNATIONAL IMMUNOPHARMACOLOGY LA English DT Article DE Inflammatory bowel disease; Ulcerative colitis; Crohn?s disease; Metformin; AMPK ID NF-KAPPA-B; INTESTINAL BARRIER DYSFUNCTION; CROHNS-DISEASE; ANTIOXIDANT DEFENSES; DOSE INTENSIFICATION; OXIDATIVE STRESS; TIGHT JUNCTIONS; COLITIS; PERMEABILITY; REQUIREMENT AB Inflammatory bowel disease (IBD) comprises a group of intestinal disorders, including ulcerative colitis and Crohn's disease. Currently, the incidence and prevalence of IBD are increasing globally. Although both biologic agents and small molecule drugs have been available for treatment of IBD patients, approximately one third of treated patients do not respond to these treatments. Therefore, novel therapy or repurposing of drugs have been extensively studied to obtain an effective therapy for IBD patients. Among these drugs, metformin has been reported to exert beneficial effects in many organs via its anti-inflammatory effect. Additionally, evidence from cellular to clinical models of IBD demonstrated significant positive effects of metformin on inflammatory pathways, oxidative stress, gut barrier integrity, and gut microbiota. In this review, the beneficial effects of metformin on IBD are comprehensively summarized and discussed using the results of in vitro, in vivo, and clinical studies. Increased understanding of these protective effects and the underlying mechanisms may pave the way for effective use of metformin in IBD patients. C1 [Wanchaitanawong, Wasuwit; Thinrungroj, Nithi] Chiang Mai Univ, Fac Med, Dept Internal Med, Div Gastroenterol & Hepatol, Chiang Mai 50200, Thailand. [Chattipakorn, Siriporn C.; Chattipakorn, Nipon; Shinlapawittayatorn, Krekwit] Chiang Mai Univ, Fac Med, Cardiac Electrophysiol Res & Training Ctr, Chiang Mai 50200, Thailand. [Chattipakorn, Siriporn C.; Chattipakorn, Nipon; Shinlapawittayatorn, Krekwit] Chiang Mai Univ, Ctr Excellence Cardiac Electrophysiol Res, Chiang Mai 50200, Thailand. [Chattipakorn, Nipon; Shinlapawittayatorn, Krekwit] Chiang Mai Univ, Fac Med, Dept Physiol, Cardiac Electrophysiol Unit, Chiang Mai 50200, Thailand. C3 Chiang Mai University; Chiang Mai University; Chiang Mai University; Chiang Mai University RP Shinlapawittayatorn, K (通讯作者),Chiang Mai Univ, Fac Med, Cardiac Electrophysiol Res & Training Ctr, Chiang Mai 50200, Thailand. EM kshinlap@gmail.com RI Thinrungroj, Nithi/HKD-8938-2023 OI Wanchaitanawong, Wasuwit/0000-0001-7221-4196 FU National Research Council of Thailand; National Science and Technology Development Agency Thailand; Chiang Mai University Center of Excellence Award FX This work was supported by the Senior Reserach Scholar Award from the National Research Council of Thailand (S.C.C.) , the NSTDA Research Chair grant from the National Science and Technology Development Agency Thailand (N.C.) , and the Chiang Mai University Center of Excellence Award (N.C.) . 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Immunopharmacol. PD NOV PY 2022 VL 112 AR 109230 DI 10.1016/j.intimp.2022.109230 EA SEP 2022 PG 17 WC Immunology; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Immunology; Pharmacology & Pharmacy GA 5C0UH UT WOS:000863982700007 PM 36099786 DA 2023-06-08 ER PT J AU Maniar, K Singh, V Moideen, A Bhattacharyya, R Chakrabarti, A Banerjee, D AF Maniar, Kunal Singh, Vandana Moideen, Amal Bhattacharyya, Rajasri Chakrabarti, Amitava Banerjee, Dibyajyoti TI Inhalational supplementation of metformin butyrate: A strategy for prevention and cure of various pulmonary disorders SO BIOMEDICINE & PHARMACOTHERAPY LA English DT Review DE Metformin; Fibrosis; Inflammation; Stem cell; Cancer; Drug delivery ID CELL LUNG-CANCER; ACTIVATED PROTEIN-KINASE; ENDOPLASMIC-RETICULUM STRESS; ANTIDIABETIC DRUG METFORMIN; PROGRESSION-FREE SURVIVAL; CHAIN FATTY-ACIDS; SODIUM-BUTYRATE; IN-VIVO; NLRP3 INFLAMMASOME; ENDOTHELIAL-CELLS AB The management of chronic lung diseases such as cancer, asthma, COPD and pulmonary hypertension remains unsatisfactory till date, and several strategies are being tried to control the same. Metformin, a popular antidiabetic drug has shown promising effects in pre-clinical studies and has been subject to several trials in patients with debilitating pulmonary diseases. However, the clinical evidence for the use of metformin in these conditions is disappointing. Recent observations suggest that metformin use in diabetic patients is associated with an increase in butyrate-producing bacteria in the gut microbiome. Butyrate, similar to metformin, shows beneficial effects in pathological conditions found in pulmonary diseases. Further, the pharmacokinetic data of metformin suggests that metformin is predominantly concentrated in the gut, even after absorption. Butyrate, on the other hand, has a short half-life and thus oral supplementation of butyrate and metformin is unlikely to result in high concentrations of these drugs in the lung. In this paper, we review the pre-clinical studies of metformin and butyrate pertaining to pathologies commonly encountered in chronic lung diseases and underscore the need to administer these drugs directly to the lung via the inhalational route. C1 [Maniar, Kunal; Moideen, Amal; Chakrabarti, Amitava; Banerjee, Dibyajyoti] Postgrad Inst Med Educ & Res, Dept Pharmacol, Chandigarh, India. [Singh, Vandana; Bhattacharyya, Rajasri] Postgrad Inst Med Educ & Res, Dept Expt Med & Biotechnol, Chandigarh, India. C3 Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh; Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh RP Banerjee, D (通讯作者),PGIMER, Dept Expt Med & Biotechnol, Res Block B,Sect 12, Chandigarh, India. 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Pharmacother. PD NOV PY 2018 VL 107 BP 495 EP 506 DI 10.1016/j.biopha.2018.08.021 PG 12 WC Medicine, Research & Experimental; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine; Pharmacology & Pharmacy GA GU1PC UT WOS:000445036200053 PM 30114633 DA 2023-06-08 ER PT J AU Yu, XB Fu, XJ Wu, XY Tang, WW Xu, L Hu, LB Xu, CR Zhou, H Zhou, GY Li, JR Cao, SL Liu, J Yan, F Wang, L Liu, FY Chen, G AF Yu, Xiaobo Fu, Xiongjie Wu, Xinyan Tang, Wenwen Xu, Lei Hu, Libin Xu, Chaoran Zhou, Hang Zhou, Guoyang Li, Jianru Cao, Shenglong Liu, Jiang Yan, Feng Wang, Lin Liu, Fuyi Chen, Gao TI Metformin Alleviates Neuroinflammation Following Intracerebral Hemorrhage in Mice by Regulating Microglia/Macrophage Phenotype in a Gut Microbiota-Dependent Manner SO FRONTIERS IN CELLULAR NEUROSCIENCE LA English DT Article DE intracerebral hemorrhage; metformin; neuroinflammation; gut microbiota; microglia; macrophage ID BRAIN-INJURY; NEUROGENESIS; INHIBITION; MICROGLIA; RECOVERY; MEMORY AB The gut microbiota plays a key role in regulating intracerebral hemorrhage (ICH)-induced neuroinflammation. The anti-neuroinflammatory effects of metformin (Met) have been reported in many central nervous system (CNS) diseases. However, whether Met regulates neuroinflammation through the gut microbiota in ICH-induced brain injury remains unknown. We found that Met treatment substantially alleviated neurological dysfunction and reduced neuroinflammation by inhibiting pro-inflammatory polarization of microglia/macrophages in mice with ICH. Moreover, Met treatment altered the microbiota composition and improved intestinal barrier function. The expression of lipopolysaccharide-binding protein (LBP), a biomarker of intestinal barrier damage, was also significantly reduced by Met treatment. Neuroinflammation was also potently ameliorated after the transplantation of fecal microbiota from Met-treated ICH mice. The neuroprotective effects of fecal microbiota transplantation (FMT) were similar to those of oral Met treatment. However, suppression of the gut microbiota negated the neuroprotective effects of Met in ICH mice. Therefore, Met is a promising therapeutic agent for neuroinflammation owing to ICH-induced imbalance of the gut microbiota. C1 [Yu, Xiaobo; Fu, Xiongjie; Wu, Xinyan; Hu, Libin; Xu, Chaoran; Zhou, Hang; Zhou, Guoyang; Li, Jianru; Cao, Shenglong; Yan, Feng; Wang, Lin; Liu, Fuyi; Chen, Gao] Zhejiang Univ, Affiliated Hosp 2, Sch Med, Dept Neurosurg, Hangzhou, Peoples R China. [Tang, Wenwen; Xu, Lei] Zhejiang Univ, Sch Med, Hangzhou, Peoples R China. [Liu, Jiang] China Japan Friendship Hosp, Dept Neurosurg, Beijing, Peoples R China. C3 Zhejiang University; Zhejiang University; China-Japan Friendship Hospital RP Liu, FY; Chen, G (通讯作者),Zhejiang Univ, Affiliated Hosp 2, Sch Med, Dept Neurosurg, Hangzhou, Peoples R China. EM liufuyi@zju.edu.cn; d-chengao@zju.edu.cn RI Wang, Xinhua/ISR-8520-2023; Tang, Wenwen/J-2011-2012 CR Agirman G, 2021, CELL, V184, P2524, DOI 10.1016/j.cell.2021.03.022 Ahmadi S, 2020, J GERONTOL A-BIOL, V75, pE9, DOI 10.1093/gerona/glaa056 Bai Q, 2020, BRAIN, V143, P1297, DOI 10.1093/brain/awz393 Benakis C, 2020, STROKE, V51, P1844, DOI 10.1161/STROKEAHA.120.029262 Benakis C, 2016, NAT MED, V22, P516, DOI 10.1038/nm.4068 Celorrio M, 2021, ACTA NEUROPATHOL COM, V9, DOI 10.1186/s40478-021-01137-2 Chang CF, 2020, STROKE, V51, P612, DOI 10.1161/STROKEAHA.119.027037 Chang CF, 2018, J CLIN INVEST, V128, P607, DOI 10.1172/JCI95612 Chang CY, 2021, ANTIOXIDANTS-BASEL, V10, DOI 10.3390/antiox10040623 Chen WX, 2020, PHARMACOL RES, V161, DOI 10.1016/j.phrs.2020.105122 Cheng YJ, 2018, INT J MOL MED, V42, P2120, DOI 10.3892/ijmm.2018.3755 Clarke G, 2021, BRAIN BEHAV IMMUN, V95, P25, DOI 10.1016/j.bbi.2021.04.012 Duan XC, 2016, OXID MED CELL LONGEV, V2016, DOI 10.1155/2016/1203285 Fu XJ, 2021, J NEUROINFLAMM, V18, DOI 10.1186/s12974-021-02239-3 Fu XJ, 2021, FRONT NEUROL, V12, DOI 10.3389/fneur.2021.562090 Fu XJ, 2021, TRANSL STROKE RES, V12, P1018, DOI 10.1007/s12975-021-00889-2 He L, 2015, CELL METAB, V21, P159, DOI 10.1016/j.cmet.2015.01.003 Hill JL, 2016, J NEUROCHEM, V139, P106, DOI 10.1111/jnc.13726 Hou YF, 2021, MICROBIOME, V9, DOI 10.1186/s40168-020-00988-6 Jing YL, 2021, MICROBIOME, V9, DOI 10.1186/s40168-021-01007-y Kigerl KA, 2016, J EXP MED, V213, P2603, DOI 10.1084/jem.20151345 Kim MS, 2020, GUT, V69, P283, DOI 10.1136/gutjnl-2018-317431 Lan X, 2017, NAT REV NEUROL, V13, P420, DOI 10.1038/nrneurol.2017.69 Lee J, 2020, CIRC RES, V127, P453, DOI 10.1161/CIRCRESAHA.119.316448 Li MX, 2020, TRANSL RES, V217, P61, DOI 10.1016/j.trsl.2019.12.006 Li Q, 2017, JCI INSIGHT, V2, DOI 10.1172/jci.insight.90777 Li ZG, 2020, J EXP MED, V217, DOI 10.1084/jem.20200213 Liu YQ, 2014, J NEUROINFLAMM, V11, DOI 10.1186/s12974-014-0177-4 Lu Q, 2021, STROKE, V52, P2162, DOI 10.1161/STROKEAHA.120.032736 Ma XY, 2021, BRAIN BEHAV IMMUN, V95, P68, DOI 10.1016/j.bbi.2021.02.011 Mendelow AD, 2013, LANCET, V382, P397, DOI 10.1016/S0140-6736(13)60986-1 Mor DE, 2020, P NATL ACAD SCI USA, V117, P26438, DOI 10.1073/pnas.2009838117 Mueller NT, 2021, DIABETES CARE, V44, P1462, DOI 10.2337/dc20-2257 Olsen AB, 2013, NEUROGASTROENT MOTIL, V25, DOI 10.1111/nmo.12121 Ou ZR, 2018, BRAIN BEHAV IMMUN, V69, P351, DOI 10.1016/j.bbi.2017.12.009 Qi BX, 2017, NEUROCHEM RES, V42, P2912, DOI 10.1007/s11064-017-2322-9 Ryu YK, 2020, NEUROPHARMACOLOGY, V175, DOI 10.1016/j.neuropharm.2020.108173 Sadler R, 2020, J NEUROSCI, V40, P1162, DOI 10.1523/JNEUROSCI.1359-19.2019 Shi SX, 2021, SCI TRANSL MED, V13, DOI 10.1126/scitranslmed.abc7029 Singh V, 2016, J NEUROSCI, V36, P7428, DOI 10.1523/JNEUROSCI.1114-16.2016 Spychala MS, 2018, ANN NEUROL, V84, P23, DOI 10.1002/ana.25250 Taylor RA, 2017, J CLIN INVEST, V127, P280, DOI 10.1172/JCI88647 Xu KY, 2021, GUT, V70, P1486, DOI 10.1136/gutjnl-2020-323263 Yang H, 2021, J CEREBR BLOOD F MET, V41, P958, DOI 10.1177/0271678X20942613 Yu XB, 2021, FRONT MICROBIOL, V12, DOI 10.3389/fmicb.2021.647304 Zemgulyte G, 2021, PHARMACEUTICALS-BASE, V14, DOI 10.3390/ph14040312 Zhang PP, 2021, FREE RADICAL BIO MED, V162, P104, DOI 10.1016/j.freeradbiomed.2020.11.032 Zhao XR, 2014, TRANSL STROKE RES, V5, P554, DOI 10.1007/s12975-014-0341-2 Zhu HM, 2019, PROG NEUROBIOL, V178, P6, DOI 10.1016/j.pneurobio.2019.03.003 Zhuang JF, 2021, TRANSL STROKE RES, V12, P660, DOI 10.1007/s12975-020-00842-9 NR 50 TC 4 Z9 4 U1 5 U2 21 PU FRONTIERS MEDIA SA PI LAUSANNE PA AVENUE DU TRIBUNAL FEDERAL 34, LAUSANNE, CH-1015, SWITZERLAND EI 1662-5102 J9 FRONT CELL NEUROSCI JI Front. Cell. Neurosci. PD JAN 18 PY 2022 VL 15 AR 789471 DI 10.3389/fncel.2021.789471 PG 15 WC Neurosciences WE Science Citation Index Expanded (SCI-EXPANDED) SC Neurosciences & Neurology GA YR5LR UT WOS:000750034200001 PM 35115909 OA gold, Green Published DA 2023-06-08 ER PT J AU Huang, SW Ou, YC Tang, KS Yu, HR Huang, LT Tain, YL Lin, IC Sheen, JM Hou, CY Tsai, CC Tiao, MM AF Huang, Szu-Wei Ou, Yu-Che Tang, Kuo-Shu Yu, Hong-Ren Huang, Li-Tung Tain, You-Lin Lin, I-Chun Sheen, Jiunn-Ming Hou, Chih-Yao Tsai, Ching-Chou Tiao, Mao-Meng TI Metformin ameliorates maternal high-fat diet-induced maternal dysbiosis and fetal liver apoptosis SO LIPIDS IN HEALTH AND DISEASE LA English DT Article DE Fatty liver; High-fat diet; Pregnancy; Metformin; Microbiota; Apoptosis ID RAT MODEL; PREGNANCY; INFLAMMATION; EXPRESSION; EXPOSURE; WEIGHT; HEALTH AB Background The deleterious effect of maternal high-fat diet (HFD) on the fetal rat liver may cause later development of non-alcoholic fatty liver disease (NAFLD). The aim of this study was to evaluate the effect of maternal HFD-induced maternal hepatic steatosis and dysbiosis on the fetal liver and intestines, and the effect of prenatal metformin in a rat model. Methods Sprague-Dawley rats were assigned to three groups (N = 6 in each group). Before mating, the rats were randomly assigned to HFD or normal-chow diet (NCD) group for 7 weeks. After mating, the HFD group rats were continued with high-fat diet during pregnancy and some of the HFD group rats were co-treated with metformin (HFMf) via drinking water during pregnancy. All maternal rats and their fetuses were sacrificed on gestational day 21. The liver and intestinal tissues of both maternal and fetal rats were analyzed. In addition, microbial deoxyribonucleic acid extracted from the maternal fecal samples was analyzed. Results HFD resulted in maternal weight gain during pregnancy, intrahepatic lipid accumulation, and change in the serum short-chain fatty acid profile, intestinal tight junctions, and dysbiosis in maternal rats. The effect of HFD on maternal rats was alleviated by prenatal metformin, which also ameliorated inflammation and apoptosis in the fetal liver and intestines. Conclusions This study demonstrated the beneficial effects of prenatal metformin on maternal liver steatosis, focusing on the gut-liver axis. In addition, the present study indicates that prenatal metformin could ameliorate maternal HFD-induced inflammation and apoptosis in the fetal liver and intestines. This beneficial effect of in-utero exposure of metformin on fetal liver and intestines has not been reported. This study supports the use of prenatal metformin for pregnant obese women. C1 [Huang, Szu-Wei; Tsai, Ching-Chou] Chang Gung Univ, Kaohsiung Chang Gung Mem Hosp, Dept Obstet & Gynecol, Coll Med, Kaohsiung, Taiwan. [Ou, Yu-Che] Chiayi Chang Gung Mem Hosp, Dept Obstet & Gynecol, Chiayi, Taiwan. [Tang, Kuo-Shu; Yu, Hong-Ren; Huang, Li-Tung; Tain, You-Lin; Lin, I-Chun; Tiao, Mao-Meng] Chang Gung Univ, Kaohsiung Chang Gung Mem Hosp, Dept Pediat, Coll Med, Kaohsiung, Taiwan. [Sheen, Jiunn-Ming] Chiayi Chang Gung Mem Hosp, Dept Pediat, Chiayi, Taiwan. [Hou, Chih-Yao] Natl Kaohsiung Univ Sci & Technol, Dept Seafood Sci, Kaohsiung, Taiwan. [Tsai, Ching-Chou] Kaohsiung Med Univ, Grad Inst Clin Med, Kaohsiung, Taiwan. C3 Chang Gung Memorial Hospital; Chang Gung University; Chang Gung Memorial Hospital; Chang Gung Memorial Hospital; Chang Gung University; Chang Gung Memorial Hospital; National Kaohsiung University of Science & Technology; Kaohsiung Medical University RP Tiao, MM (通讯作者),Chang Gung Univ, Kaohsiung Chang Gung Mem Hosp, Dept Pediat, Coll Med, Kaohsiung, Taiwan. EM tmm@cgmh.org.tw RI HOU, CHIH YAO/S-4983-2018; Tain, You-Lin/H-2827-2019 OI Tain, You-Lin/0000-0002-7059-6407; Hou, Chih-Yao/0000-0002-8007-6077 FU Chang Gung Memorial Hospital, Taiwan [CMRPG8H1301, CMRPG8J0881, CMRP G8J0882, CMRPG8J0661] FX This research was funded by grants (CMRPG8H1301, CMRPG8J0881, CMRP G8J0882 and CMRPG8J0661) from the Chang Gung Memorial Hospital, Taiwan. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. 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PD SEP 8 PY 2021 VL 20 IS 1 AR 100 DI 10.1186/s12944-021-01521-w PG 16 WC Biochemistry & Molecular Biology; Nutrition & Dietetics WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Nutrition & Dietetics GA UQ0ED UT WOS:000695744700001 PM 34496884 OA gold, Green Published DA 2023-06-08 ER PT J AU Olgun, A AF Olgun, Abdullah TI "Metformin-resistant" folic acid producing probiotics or folic acid against metformin's adverse effects like diarrhea SO MEDICAL HYPOTHESES LA English DT Article ID FOLATE AB Metformin, first line medication in the treatment of type2 diabetes by millions of patients worldwide, causes gastrointestinal adverse effects (i.e. diarrhea) in approximately 30% of patients, frequently leading to discontinuation. Interestingly, metformin was reported to increase life span in a microscopic worm, Caenorhabditis elegans, by decreasing folate and methionine production of bacteria that this worm uses as a food source. Metformin can be expected to have a similar effect on some microorganisms of human gut microbiota. This can disturb the balance of gut microbiota and cause gastrointestinal adverse effects by altering folate production of some types of bacteria and suppress their growth. Metformin resistant probiotics can be discovered or generated by artificial evolution/selection, and used to prevent these adverse effects. These patients can also be managed with folate supplementation. (C) 2017 Elsevier Ltd. All rights reserved. C1 [Olgun, Abdullah] Istanbul Kemerburgaz Univ, Fac Pharm, Dept Biochem, Kartaltepe Mah Incirli Cad 11, TR-34144 Istanbul, Turkey. C3 Altinbas University RP Olgun, A (通讯作者),Istanbul Kemerburgaz Univ, Fac Pharm, Dept Biochem, Kartaltepe Mah Incirli Cad 11, TR-34144 Istanbul, Turkey. 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Hypotheses PD SEP PY 2017 VL 106 BP 33 EP 34 DI 10.1016/j.mehy.2017.07.009 PG 2 WC Medicine, Research & Experimental WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine GA FF8TL UT WOS:000409290600008 PM 28818268 DA 2023-06-08 ER PT J AU Wang, DM Liu, JY Zhong, L Ding, L Zhang, Q Yu, M Li, M Xiao, XH AF Wang, Dongmei Liu, Jieying Zhong, Ling Ding, Lu Zhang, Qian Yu, Miao Li, Ming Xiao, Xinhua TI Potential benefits of metformin and pioglitazone combination therapy via gut microbiota and metabolites in high-fat diet-fed mice SO FRONTIERS IN PHARMACOLOGY LA English DT Article DE pioglitazone; metformin; combination therapy; gut microbiota; metabolites ID INFLAMMATION AB Metformin and pioglitazone monotherapy have been proven to alter gut microbiota in diabetes and obesity. The present study aimed to investigated whether the combined administration of pioglitazone and metformin achieved superior protective effects on high-fat diet (HFD)-fed obese mice and elucidated its molecular mechanism via the gut microbiota and its metabolites. C57BL/6 males were randomly divided into five groups: the control group, fed a normal control diet; the HFD group, fed an HFD; the metformin monotherapy group, fed an HFD and treated with metformin; the pioglitazone monotherapy group, fed an HFD and treated with pioglitazone; and the combination therapy group, fed an HFD and treated with metformin and pioglitazone combination therapy. The cecal contents were collected for 16S rDNA amplicon sequencing and untargeted metabolomics analysis. The results showed that the combination therapy of metformin and pioglitazone significantly improved insulin sensitivity and glucolipid metabolism in HFD-fed mice. Combination therapy markedly altered gut microbiota by increasing beneficial bacteria, such as Bifidobacterium, Christensenellaceae_R-7_group, Faecalibacterium and Roseburia, and decreasing harmful bacteria, such as Oscillibacter and Eubacterium_xylanophilum_group. Fecal metabolites were significantly changed in the combination therapy group, including a reduction in amino acid metabolism and augmentation of lipid metabolism, such as citrulline, sarcosine, D-glutamine, lipoxin A4, prostaglandin E2, stearidonic acid and lucidenic acid A. These results revealed that combined metformin and pioglitazone therapy had synergistic effects or at least have an additive effect on modifying gut microbiota and metabolites, closely associated with improved glucolipid metabolic parameters in HFD-fed mice, which provides novel evidence and promising targets for metformin and pioglitazone combination therapy in type 2 diabetes. C1 [Wang, Dongmei; Liu, Jieying; Zhong, Ling; Ding, Lu; Zhang, Qian; Yu, Miao; Li, Ming; Xiao, Xinhua] Peking Union Med Coll & Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Endocrinol, NHC Key Lab Endocrinol, Beijing, Peoples R China. [Liu, Jieying] Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Med Res Ctr, Beijing, Peoples R China. C3 Chinese Academy of Medical Sciences - Peking Union Medical College; Peking Union Medical College; Peking Union Medical College Hospital; Chinese Academy of Medical Sciences - Peking Union Medical College; Peking Union Medical College; Peking Union Medical College Hospital RP Xiao, XH (通讯作者),Peking Union Med Coll & Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Endocrinol, NHC Key Lab Endocrinol, Beijing, Peoples R China. EM xiaoxh2014@vip.163.com RI Liu, Jieying/ADZ-7556-2022; Li, Ming/I-1323-2018 OI Li, Ming/0000-0002-8427-605X FU National Natural Science Foundation of China; Beijing Natural Science Foundation [82170854, 81870579, 81900723, 81870545, 81570715]; Fundamental Research Funds for the Central Universities [7202163]; Beijing Municipal Science and Technology Commission [3332021094]; [Z201100005520011] FX This work was supported by the grants from National Natural Science Foundation of China (No. 82170854, 81870579, 81900723, 81870545, 81570715), Beijing Natural Science Foundation (7202163), Fundamental Research Funds for the Central Universities (3332021094), and Beijing Municipal Science and Technology Commission (Z201100005520011). 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Pharmacol. PD OCT 11 PY 2022 VL 13 AR 1004617 DI 10.3389/fphar.2022.1004617 PG 15 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA 5T7BC UT WOS:000876016000001 PM 36304148 OA Green Published, gold DA 2023-06-08 ER PT J AU Chen, S Gan, DH Lin, SX Zhong, YM Chen, MJ Zou, XN Shao, ZW Xiao, GZ AF Chen, Sheng Gan, Donghao Lin, Sixiong Zhong, Yiming Chen, Mingjue Zou, Xuenong Shao, Zengwu Xiao, Guozhi TI Metformin in aging and aging-related diseases: clinical applications and relevant mechanisms SO THERANOSTICS LA English DT Review DE Metformin; aging; aging-related diseases; clinical application; molecular mechanism ID LONG-TERM METFORMIN; DNA-DAMAGE; KINASE ACTIVATION; GUT MICROBIOTA; PROTEIN-KINASE; DOUBLE-BLIND; AMINO-ACIDS; RISK; CANCER; INSULIN AB Aging is a natural process, which plays a critical role in the pathogenesis of a variety of diseases, i.e., aging-related diseases, such as diabetes, osteoarthritis, Alzheimer disease, cardiovascular diseases, cancers, obesity and other metabolic abnormalities. Metformin, the most widely used antidiabetic drug, has been reported to delay aging and display protective effect on attenuating progression of various aging-related diseases by impacting key hallmark events of aging, including dysregulated nutrient sensing, loss of proteostasis, mitochondrial dysfunction, altered intercellular communication, telomere attrition, genomic instability, epigenetic alterations, stem cell exhaustion and cellular senescence. In this review, we provide updated information and knowledge on applications of metformin in prevention and treatment of aging and aging-related diseases. We focus our discussions on the roles and underlying mechanisms of metformin in modulating aging and treating aging-related diseases. C1 [Chen, Sheng; Shao, Zengwu] Huazhong Univ Sci & Technol, Union Hosp, Dept Orthopaed, Tongji Med Coll, Wuhan 430022, Peoples R China. [Chen, Sheng; Gan, Donghao; Lin, Sixiong; Zhong, Yiming; Chen, Mingjue; Xiao, Guozhi] Southern Univ Sci & Technol, Dept Biochem, Sch Med, Shenzhen Key Lab Cell Microenvironm,Guangdong Pro, Shenzhen 518055, Peoples R China. [Lin, Sixiong; Zou, Xuenong] Sun Yat Sen Univ, Guangdong Prov Key Lab Orthopaed & Traumatol, Dept Spine Surg, Affiliated Hosp 1, Guangzhou 510080, Peoples R China. C3 Huazhong University of Science & Technology; Southern University of Science & Technology; Sun Yat Sen University RP Shao, ZW (通讯作者),Huazhong Univ Sci & Technol, Union Hosp, Dept Orthopaed, Tongji Med Coll, Wuhan 430022, Peoples R China.; Xiao, GZ (通讯作者),Southern Univ Sci & Technol, Dept Biochem, Sch Med, Shenzhen Key Lab Cell Microenvironm,Guangdong Pro, Shenzhen 518055, Peoples R China. EM szwpro@163.com; xiaogz@sustech.edu.cn RI Lin, Sixiong/HNC-3076-2023 OI Lin, Sixiong/0000-0001-7155-5044 FU National Key Research and Development Program of China [2019YFA0906004]; National Natural Science Foundation of China [81991513, 81870532]; Guangdong Provincial Science and Technology Innovation Council [2017B030301018] FX We apologize to the authors whose studies may have been overlooked in this review article. This work was supported, in part, by the National Key Research and Development Program of China Grants (2019YFA0906004) , the National Natural Science Foundation of China Grants (81991513 and 81870532) and the Guangdong Provincial Science and Technology Innovation Council Grant (2017B030301018) . 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HAVEN PA PO BOX 4546, LAKE HAVEN, NSW 2263, AUSTRALIA SN 1838-7640 J9 THERANOSTICS JI Theranostics PY 2022 VL 12 IS 6 BP 2722 EP 2740 DI 10.7150/thno.71360 PG 19 WC Medicine, Research & Experimental WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine GA 0F8SW UT WOS:000777626900017 PM 35401820 OA gold, Green Published DA 2023-06-08 ER PT J AU Gutierrez-Repiso, C Moreno-Indias, I Martin-Nunez, GM Ho-Plagaro, A Rodriguez-Canete, A Gonzalo, M Garcia-Fuentes, E Tinahones, FJ AF Gutierrez-Repiso, Carolina Moreno-Indias, Isabel Martin-Nunez, Gracia M. Ho-Plagaro, Ailec Rodriguez-Canete, Alberto Gonzalo, Monserrat Garcia-Fuentes, Eduardo Tinahones, Francisco J. TI Mucosa-associated microbiota in the jejunum of patients with morbid obesity: alterations in states of insulin resistance and metformin treatment SO SURGERY FOR OBESITY AND RELATED DISEASES LA English DT Article DE Jejunum; Microbiota; Morbid obesity; HOMA-IR; Metformin ID GUT MICROBIOTA; OVERWEIGHT; DIVERSITY; SEQUENCE; HEALTHY; SAMPLES; BOWEL AB Background: Stool samples have been widely used to evaluate gut microbiota; however, little is known about the composition of human small intestinal microbiota and the alterations provoked by insulin resistance. Objective: To describe the composition of jejunal microbiota in morbidly obese patients, as well as its link with insulin resistance and metformin treatment. Setting: Virgen de la Victoria University Hospital and Regional University Hospital, Malaga, Spain. Methods: Jejunal biopsies from 46 morbidly obese patients were analyzed by next-generation sequencing method. Patients were classified in the following 3 groups: low homeostasis model assessment of insulin resistance index (HOMA-IR) value, high HOMA-IR value, and metformin-treated type 2 diabetes patients (T2D-metf). Results: Richness (q = .011) together with Proteobacteria (W = 2), Fusobacteria (W 5 2), and Bacteroidetes (W = 1) phyla were significantly higher in high HOMA-IR compared with low HOMA-IR group. At family level, several differences were found between low HOMA-IR and T2D-metf group, being the most important the higher abundance of Halomonadacea in T2D-metf group (W = 22). PICRUSt analysis showed that predicted genes involved in trimethylamine-N-oxide biosynthesis pathway could be increased in jejunal microbiota of T2D-metf group compared with the low HOMA-IR group, while indole biosynthesis pathway could be increased in the low HOMA-IR group compared with the high HOMA-IR group. Conclusion: An increase in richness and an enrichment in Proteobacteria, Fusobacteria, and Bacteroidetes was observed in jejunal from morbidly obese patients with high insulin resistance. Halomonadaceae family was significantly increased in metformin-treated patients. Functional analysis of predicted metagenome suggests that trimethylamine-N-oxide biosynthesis pathway could be increased in the jejunal microbiota of T2D-meft group, while indole biosynthesis pathway could be increased in low HOMA-IR group. These results contribute to the increase in the scarce knowledge about the mucosal microbiota of the hardly accessible small intestine. (C) 2020 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved. C1 [Gutierrez-Repiso, Carolina; Moreno-Indias, Isabel; Martin-Nunez, Gracia M.; Tinahones, Francisco J.] Univ Malaga, Unidad Gest Clin Endocrinol & Nutr, Hosp Virgen Victoria, Inst Invest Biomed Malaga, Madrid, Spain. [Gutierrez-Repiso, Carolina; Moreno-Indias, Isabel; Martin-Nunez, Gracia M.; Garcia-Fuentes, Eduardo; Tinahones, Francisco J.] CIBERobn, Ctr Invest Biomed Red Fisiopatol Obesidad & Nutr, Madrid, Spain. [Ho-Plagaro, Ailec] Univ Malaga, Unidad Gest Clin Aparato Digest, Inst Invest Biomed Malaga, Hosp Virgen Victoria, Malaga, Spain. [Rodriguez-Canete, Alberto] Hosp Reg Univ Malaga, Unidad Gest Clin Cirugia Gen Digest & Trasplantes, Malaga, Spain. [Rodriguez-Canete, Alberto] Univ Malaga, Dept Especialidades Quirurg Bioquim & Inmunol, Malaga, Spain. [Gonzalo, Monserrat] Hosp Reg Univ Malaga, Inst Invest Biomed Malaga, Unidad Gest Clin Endocrinol & Nutr, Malaga, Spain. [Garcia-Fuentes, Eduardo] Hosp Virgen Victoria, Inst Invest Biomed Malaga, Unidad Gest Clin Aparato Digest, Malaga, Spain. C3 Universidad de Malaga; CIBER - Centro de Investigacion Biomedica en Red; CIBEROBN; Universidad de Malaga; Universidad de Malaga RP Garcia-Fuentes, E (通讯作者),Hosp Civil, Lab Invest, Plaza Hosp Civil S-N, Malaga 29010, Spain.; Tinahones, FJ (通讯作者),Hosp Clin Univ Virgen Victoria, Unidad Gest Clin Endocrinol & Nutr, Campus Teatinos S-N, Malaga 29010, Spain. EM edugf1@gmail.com; fjtina-hones@uma.es RI Gutiérrez-Repiso, Carolina/F-8125-2010; Moreno-Indias, Isabel/B-6595-2017 OI Gutiérrez-Repiso, Carolina/0000-0002-5842-8873; Moreno-Indias, Isabel/0000-0002-6121-151X; Ho-Plagaro, Ailec/0000-0003-0135-2852; Tinahones, Francisco J/0000-0001-6871-4403 FU Ministerio de Economia, Industria y Competitividad ("Juan de la Cierva-Incorporacion") [IJCI-2017-33065]; "Miguel Servet type I" program [CP16/00163]; Ministerio de Economia, Industria y Competitividad (Juan de la Cierva-Formacion) [FJCI-2017-34349]; Ministerio de Educacion y Formacion Profesional [FPU14/01972]; Consejeria de Salud de la Junta de Andalucia [C-0031-2016, PI-0334-2016]; Instituto de Salud Carlos III [PI12/00338]; FEDER funds ("A way to make Europe") FX CGR is supported by a grant from Ministerio de Economia, Industria y Competitividad ("Juan de la Cierva-Incorporacion" contract [IJCI-2017-33065]), IMI is supported by "Miguel Servet type I" program (CP16/00163), GMN is supported by a grant from Ministerio de Economia, Industria y Competitividad ("Juan de la Cierva-Formacion" contract [FJCI-2017-34349]), AHP is supported by a grant from the Ministerio de Educacion y Formacion Profesional (FPU14/01972), and EGF is supported by "Nicolas Monardes" program from the Consejeria de Salud de la Junta de Andalucia (C-0031-2016). This work was supported in part by a grant from Consejeria de Salud de la Junta de Andalucia (PI-0334-2016) and a grant from Instituto de Salud Carlos III (PI12/00338). This study has been co-funded by FEDER funds ("A way to make Europe"). 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Main methods: Sprague-Dawley rats were divided into five groups as per what was orally administered to them: MET (G1)/BBR (G2) at 200 mg/kg, BBR 2-hour (h) after dosing MET (G3), MET 2-h after dosing BBR (G4) or MET with BBR at the same time (G5) followed by monitoring their pharmacokinetic profiles. Further in vitro incubations mimicking the above five treatments in rat intestinal content (G1R-G5R), human fecalase (G1H-G5H) and selected bacteria (G1B-G5B) were conducted for both MET and BBR (10 mu g/ml for G1R/H-G5R/H and 50 mu M for G1B-G5B) up to 24-h. Concentrations of MET and BBR were analyzed by LC/MS/MS. Key findings: Although BBR was barely measurable in vivo, it significantly increased systemic exposure of MET in G3/G4. Consistent with pharmacokinetic findings, sequential in vitro incubations of MET and BBR in both rat intestinal content and human fecalase demonstrated significant increase on MET persisted after 24-h incubation in G3R/H & G4R/H. Moreover, post-dose (G3B) and pre-dose (G4B) of BBR decreased the MET degradation significantly in most selected bacteria. Significance: Our finding for the first time demonstrated the significant effect of sequential co-administration of BBR and MET on their pharmacokinetic interactions, which could be related to their microbiota mediated metabolisms in gastrointestinal tract (GI). C1 [Lyu, Yuanfeng; Zhang, Yufeng; Yang, Mengbi; Zuo, Zhong] Chinese Univ Hong Kong, Fac Med, Sch Pharm, Shatin, Hong Kong, Peoples R China. [Lin, Lin; Yang, Xiao; Chan, Paul Kay Sheung] Chinese Univ Hong Kong, Fac Med, Dept Microbiol, Shatin, Hong Kong, Peoples R China. [Cheung, Stanley Chun Kai; Shaw, Pang Chui] Chinese Univ Hong Kong, Sch Life Sci, Shatin, Hong Kong, Peoples R China. [Cheung, Stanley Chun Kai; Shaw, Pang Chui] Chinese Univ Hong Kong, Li Dak Sum Yip Yio Chin R&D Ctr Chinese Med, Shatin, Hong Kong, Peoples R China. [Kong, Alice Pik Shan] Chinese Univ Hong Kong, Dept Med & Therapeut, Div Endocrinol, Shatin, Hong Kong, Peoples R China. C3 Chinese University of Hong Kong; Chinese University of Hong Kong; Chinese University of Hong Kong; Chinese University of Hong Kong; Chinese University of Hong Kong RP Zuo, Z (通讯作者),Chinese Univ Hong Kong, Fac Med, Sch Pharm, Shatin, Hong Kong, Peoples R China. EM joanzuo@cuhk.edu.hk RI Zuo, Zhong/B-6884-2008; Chan, Paul KS/J-9360-2013; Zhang, Yufeng/GZL-1973-2022; Cheung, Stanley Chun Kai CK/A-9302-2015; Yang, Xiao/P-8380-2016; zhang, yu/HNS-5948-2023; Kong, Alice/P-3703-2015 OI Chan, Paul KS/0000-0002-6360-4608; Kong, Alice/0000-0001-8927-6764; Yang, Xiao/0000-0002-3071-6531; Zuo, Zhong/0000-0002-6976-6157 FU Li Dak Sum Yip Yio Chin R&D Centre for Chinese Medicine at The Chinese University of Hong Kong FX This work was partially supported by the Li Dak Sum Yip Yio Chin R&D Centre for Chinese Medicine at The Chinese University of Hong Kong. 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PD OCT 15 PY 2019 VL 235 AR 116818 DI 10.1016/j.lfs.2019.116818 PG 9 WC Medicine, Research & Experimental; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine; Pharmacology & Pharmacy GA JG8RS UT WOS:000492345900015 PM 31473193 DA 2023-06-08 ER PT J AU Li, M Li, XY Zhang, HJ Lu, Y AF Li, Min Li, Xiaoying Zhang, Huijie Lu, Yan TI Molecular Mechanisms of Metformin for Diabetes and Cancer Treatment SO FRONTIERS IN PHYSIOLOGY LA English DT Review DE metformin; type 2 diabetes; gluconeogenesis; hepatic glucose production; cancer; cell proliferation; AMPK; mTOR ID ACTIVATED PROTEIN-KINASE; INHIBITS HEPATIC GLUCONEOGENESIS; GLUCOSE-PRODUCTION; AMPK; GROWTH; LIVER; PHOSPHORYLATION; METABOLISM; DICER; CHEMOTHERAPY AB Metformin has been the first-line drug treatment for hyperglycemia and insulin resistance for over 50 years. However, the molecular basis of its therapeutic role remained incompletely understood. Recent advances demonstrate that metformin could exert its glucose-lowering effect by multiple mechanisms, including activation of 5 0-AMP-activated protein kinase, decreasing production of cyclic AMP, suppressing mitochondrial complex I of the electron transport chain, targeting glycerophosphate dehydrogenase, and altering the gut microbiome. In addition, epidemiological and clinical observation studies suggest that metformin reduced cancer risk in patients with type 2 diabetes and improved survival outcome of human cancers. Experimental studies have shown that this drug can inhibit cancer cell viability, growth, and proliferation through inhibiting mTORC1 signaling and mitochondrial complex I, suggesting that it may be a promising drug candidate for malignancy. Here, we summarize recent progress in studies of metformin in type 2 diabetes and tumorigenesis, which provides novel insight on the therapeutic development of human diseases. C1 [Li, Min; Li, Xiaoying; Zhang, Huijie; Lu, Yan] Fudan Univ, Zhongshan Hosp, Dept Endocrinol & Metab, Shanghai, Peoples R China. [Zhang, Huijie] Southern Med Univ, Nanfang Hosp, Dept Endocrinol & Metab, Guangzhou, Guangdong, Peoples R China. C3 Fudan University; Southern Medical University - China RP Zhang, HJ; Lu, Y (通讯作者),Fudan Univ, Zhongshan Hosp, Dept Endocrinol & Metab, Shanghai, Peoples R China.; Zhang, HJ (通讯作者),Southern Med Univ, Nanfang Hosp, Dept Endocrinol & Metab, Guangzhou, Guangdong, Peoples R China. EM huijiezhang2005@126.com; rjluyan@126.com RI ZHANG, hui jie/HTN-1690-2023; liang, liang/IAO-8518-2023; Zhang, Hw/HPD-4999-2023; Zhang, Hui/HHN-8494-2022; zhang, hui/GXH-6098-2022 OI Li, Xiaoying/0000-0002-9383-5757 FU Natural Science Foundation of China [81570769, 81570785]; Shanghai Rising-Star Program by Science and Technology Commission of Shanghai Municipality [17QA1400800]; Shanghai Education Development Foundation [15CG11]; Shanghai Municipal Education Commission [15CG11] FX This study was supported by grants from Natural Science Foundation of China (Nos. 81570769 and 81570785), Shanghai Rising-Star Program by Science and Technology Commission of Shanghai Municipality (17QA1400800), and Chenguang Program supported by Shanghai Education Development Foundation and Shanghai Municipal Education Commission (15CG11). 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Physiol. PD JUL 31 PY 2018 VL 9 AR 1039 DI 10.3389/fphys.2018.01039 PG 7 WC Physiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Physiology GA GO8QV UT WOS:000440358800002 PM 30108523 OA gold, Green Published DA 2023-06-08 ER PT J AU Pastor-Villaescusa, B Plaza-Diaz, J Egea-Zorrilla, A Leis, R Bueno, G Hoyos, R Vazquez-Cobela, R Latorre, M Canete, MD Caballero-Villarraso, J Gil, A Canete, R Aguilera, CM AF Pastor-Villaescusa, Belen Plaza-Diaz, Julio Egea-Zorrilla, Alejandro Leis, Rosaura Bueno, Gloria Hoyos, Raul Vazquez-Cobela, Rocio Latorre, Miriam Dolores Canete, Maria Caballero-Villarraso, Javier Gil, Angel Canete, Ramon Maria Aguilera, Concepcion TI Evaluation of the gut microbiota after metformin intervention in children with obesity: A metagenomic study of a randomized controlled trial SO BIOMEDICINE & PHARMACOTHERAPY LA English DT Article DE Metformin; Microbiota; Children population; Pubertal stage; Obesity ID DIABETES-MELLITUS; OVERWEIGHT; CHILDHOOD; AGE AB Background: Metformin, a first-line oral antidiabetic agent that has shown promising results in terms of treating childhood and adolescent obesity, might influence the composition of the gut microbiota. We aimed to evaluate whether the gut microbiota of non-diabetic children with obesity changes after a metformin intervention. Methods: The study was a multicenter and double-blind randomized controlled trial in 160 children with obesity. Children were randomly assigned to receive either metformin (1 g/day) or placebo for 6 months in combination with healthy lifestyle recommendations in both groups. Then, we conducted a metagenomic analysis in a sub-sample obtained from 33 children (15 metformin, 18 placebo). A linear mixed-effects model (LMM) was used to determine the abundance changes from baseline to six months according to treatment. To analyze the data by clusters, a principal component analysis was performed to understand whether lifestyle habits have a different influence on the microbiota depending on the treatment group. Results: Actinobacteria abundance was higher after placebo treatment compared with metformin. However, the interaction time x treatment just showed a trend to be significant (4.6% to 8.1% after placebo vs. 3.8 % to 2.6 % after metformin treatment, p = 0.055). At genus level, only the abundance of Bacillus was significantly higher after the placebo intervention compared with metformin (2.5% to 5.7% after placebo vs. 1.5 % to 0.8 % after metformin treatment, p = 0.044). Furthermore, different ensembles formed by Firmicutes, Bacteroidetes, and Verrucomicrobia were found according to the interventions under a similar food consumption. Conclusion: Further studies with a large sample size controlled by lifestyle patterns are required in obese children and adolescents to clarify whether metformin might trigger gut microbiota alterations. C1 [Pastor-Villaescusa, Belen] Tech Univ Munich, Else Kroner Fresenius Ctr Nutr Med, Sch Life Sci, Inst Nutr Med, D-85354 Freising Weihenstephan, Germany. [Pastor-Villaescusa, Belen; Plaza-Diaz, Julio; Gil, Angel; Maria Aguilera, Concepcion] Univ Granada, Sch Pharm, Dept Biochem & Mol Biol 2, Granada 18071, Spain. [Pastor-Villaescusa, Belen; Plaza-Diaz, Julio; Egea-Zorrilla, Alejandro; Gil, Angel; Maria Aguilera, Concepcion] Univ Granada, Ctr Biomed Res, Inst Nutr & Food Technol Jose Mataix, Avda Conocimiento S-N, Granada 18016, Spain. [Plaza-Diaz, Julio; Gil, Angel; Maria Aguilera, Concepcion] Complejo Hosp Univ Granada, Inst Invest Biosanitaria IBS GRANADA, Granada 18014, Spain. [Leis, Rosaura; Bueno, Gloria; Gil, Angel; Maria Aguilera, Concepcion] Inst Salud Carlos III, CIBEROBN CIBER Physiopathol Obes & Nutr, Madrid 28029, Spain. [Leis, Rosaura; Vazquez-Cobela, Rocio] Univ Santiago de Compostela, Clin Univ Hosp Santiago, Paediat Dept, Unit Invest Nutr Growth & Human Dev Galicia, Santiago De Compostela 15706, Spain. [Bueno, Gloria; Latorre, Miriam] Univ Zaragoza, Lozano Blesa Univ Clin Hosp, Pediat Dept, Zaragoza 50009, Spain. [Hoyos, Raul] Virgen de Las Nieves Univ Hosp, Pediat Dept, Andalusian Hlth Serv, Granada 18014, Spain. [Latorre, Miriam] Pediat Dept, Zaragoza 50009, Spain. [Latorre, Miriam] Hlth Sci Inst Aragon, Zaragoza 50009, Spain. [Dolores Canete, Maria; Canete, Ramon] Maimonides Inst Biomed Res Cordoba IMIBIC, PAIDI CTS 329, Cordoba 14004, Spain. [Caballero-Villarraso, Javier] Cordoba Univ, IMIBIC Reina Sofia Hosp, Clin Anal Serv, Cordoba 14004, Spain. [Canete, Ramon] Reina Sofia Univ Hosp, Unit Paediat Endocrinol, Cordoba 14004, Spain. C3 Technical University of Munich; University of Granada; University of Granada; Instituto de Investigacion Biosanitaria IBS Granada; University of Granada; Instituto de Salud Carlos III; Complexo Hospitalario Universitario de Santiago de Compostela; Universidade de Santiago de Compostela; Lozano Blesa University Clinical Hospital; University of Zaragoza; Hospital Universitario Virgen de las Nieves; Hospital Universitario Reina Sofia - Cordoba RP Pastor-Villaescusa, B; Plaza-Diaz, J (通讯作者),Univ Granada, Sch Pharm, Dept Biochem & Mol Biol 2, Granada 18071, Spain. EM belen.pastor@tum.de; jrplaza@ugr.es RI Pastor-Villaescusa, Belén/GRF-0832-2022; Plaza-Diaz, Julio/C-8094-2016; Bueno-Lozano, Gloria/AAK-7748-2021; Caballero-Villarraso, Javier/AAC-3434-2019; Villaescusa, Maria Belen Pastor/ABA-2162-2021; Aguilera, Concepcion/M-1663-2014 OI Plaza-Diaz, Julio/0000-0002-5171-9408; Caballero-Villarraso, Javier/0000-0003-0571-5147; Villaescusa, Maria Belen Pastor/0000-0003-0817-6804; Egea Zorrilla, Alejandro/0000-0002-5522-8227; CANETE, MD/0000-0002-8296-1846; Latorre-Millan, Miriam/0000-0001-9932-0124; Aguilera, Concepcion/0000-0002-1451-4788 FU Spanish Ministry of Health, Social and Equality, General Department for Pharmacy and Health Products; Instituto de Salud Carlos III-Fondo de Investigacion Sanitaria (FONDOS FEDER), Redes tematicas de investigacion cooperativa RETIC [Red SAMID RD12/0026/0015] FX In Acknowledgments, the authors have mentioned the public funding that this project received: The authors acknowledge the Spanish Ministry of Health, Social and Equality, General Department for Pharmacy and Health Products for financing this study and the Instituto de Salud Carlos III-Fondo de Investigacion Sanitaria (FONDOS FEDER), Redes tematicas de investigacion cooperativa RETIC (Red SAMID RD12/0026/0015). 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Pharmacother. PD FEB PY 2021 VL 134 AR 111117 DI 10.1016/j.biopha.2020.111117 PG 8 WC Medicine, Research & Experimental; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine; Pharmacology & Pharmacy GA PY7MI UT WOS:000612225800006 PM 33360047 OA gold, Green Published DA 2023-06-08 ER PT J AU Ursini, F Russo, E Pellino, G D'Angelo, S Chiaravalloti, A De Sarro, G Manfredini, R De Giorgio, R AF Ursini, Francesco Russo, Emilio Pellino, Gianluca D'Angelo, Salvatore Chiaravalloti, Agostino De Sarro, Giovambattista Manfredini, Roberto De Giorgio, Roberto TI Metformin and Autoimmunity: A "New Deal" of an Old Drug SO FRONTIERS IN IMMUNOLOGY LA English DT Review DE metformin; autoimmunity; autoimmune diseases; T cell; B cell; macrophage; neutrophil; fibroblast ID MIGRATION INHIBITORY FACTOR; TO-LYMPHOCYTE RATIO; B-CELL SUBSETS; MAMMALIAN TARGET; TREATED PATIENTS; DISEASE-ACTIVITY; GUT MICROBIOTA; C. ELEGANS; TH17 CELLS; FACTOR MIF AB Metformin (dimethyl biguanide) is a synthetic derivative of guanidine, isolated from the extracts of Galega officinalis, a plant with a prominent antidiabetic effect. Since its discovery more than 50 years ago, metformin represents a worldwide milestone in treatment of patients with type 2 diabetes (T2D). Recent evidence in humans indicates novel pleiotropic actions of metformin which span from its consolidated role in T2D management up to various regulatory properties, including cardio-and nephro-protection, as well as antiproliferative, antifibrotic, and antioxidant effects. These findings, together with ground-breaking studies demonstrating its ability to prolong healthspan and lifespan in mice, provided the basis for defining metformin as a potential antiaging molecule. Moreover, emerging in vivo and in vitro evidence support the novel hypothesis that metformin can exhibit immune-modulatory features. Studies suggest that metformin interferes with key immunopathological mechanisms involved in systemic autoimmune diseases, such as the T helper 17/regulatory T cell balance, germinal centers formation, autoantibodies production, macrophage polarization, cytokine synthesis, neutrophil extracellular traps release, and bone or extracellular matrix remodeling. These effects may represent a powerful contributor to antiaging and anticancer properties exerted by metformin and, from another standpoint, may open the way to assess whether metformin can be a candidate molecule for clinical trials involving patients with immune-mediated diseases. In this article, we will review the available preclinical and clinical evidence regarding the effect of metformin on individual cells of the immune system, with emphasis on immunological mechanisms related to the development and maintenance of autoimmunity and its potential relevance in treatment of autoimmune diseases. C1 [Ursini, Francesco; Russo, Emilio; De Sarro, Giovambattista] Univ Catanzaro Magna Graecia, Dept Hlth Sci, Catanzaro, Italy. [Pellino, Gianluca] Hosp Univ & Politecn La Fe, Colorectal Unit, Valencia, Spain. [Pellino, Gianluca] Univ Campania Luigi Vanvitelli, Dept Med Surg Neurol Metab & Ageing Sci, Naples, Italy. [D'Angelo, Salvatore] San Carlo Hosp Potenza, Rheumatol Dept Lucania, Rheumatol Inst Lucania IReL, Potenza, Italy. [D'Angelo, Salvatore] Madonna Grazie Hosp Matera, Potenza, Italy. [D'Angelo, Salvatore] Basilicata Ric Biomed BRB Fdn, Potenza, Italy. [Chiaravalloti, Agostino] Univ Tor Vergata, Dept Biomed & Prevent, Rome, Italy. [Chiaravalloti, Agostino] IRCCS Neuromed, Dept Nucl Med, Pozzilli, Italy. [Manfredini, Roberto; De Giorgio, Roberto] Univ Ferrara, Dept Med Sci, Clin Med Unit, Ferrara, Italy. C3 Magna Graecia University of Catanzaro; Hospital Universitari i Politecnic La Fe; Universita della Campania Vanvitelli; University of Rome Tor Vergata; IRCCS Neuromed; University of Ferrara RP Ursini, F (通讯作者),Univ Catanzaro Magna Graecia, Dept Hlth Sci, Catanzaro, Italy. EM francesco.ursini@yahoo.it RI Manfredini, Roberto/AAJ-5442-2020; Manfredini, Roberto/N-3859-2019; Chiaravalloti, Agostino/AAA-3342-2021; Russo, Emilio/G-5241-2010; Chiaravalloti, Agostino/HLW-1661-2023; De Giorgio, Roberto/GSD-7139-2022; Manfredini, Roberto/A-3471-2008; D'Angelo, Salvatore/H-9010-2012; Ursini, Francesco/AAC-5725-2022; Ursini, Francesco/K-5632-2016 OI Manfredini, Roberto/0000-0002-8364-2601; Chiaravalloti, Agostino/0000-0002-8017-8858; Russo, Emilio/0000-0002-1279-8123; De Giorgio, Roberto/0000-0003-0867-5873; Manfredini, Roberto/0000-0002-8364-2601; D'Angelo, Salvatore/0000-0002-7442-1110; Ursini, Francesco/0000-0001-8194-8642; Pellino, Gianluca/0000-0002-8322-6421 FU Fondi Ateneo Ricerca (FAR) FX This work was supported by Fondi Ateneo Ricerca (FAR) 2014-Prof. R. Manfredini. 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Immunol. PD JUN 4 PY 2018 VL 9 AR 1236 DI 10.3389/fimmu.2018.01236 PG 12 WC Immunology WE Science Citation Index Expanded (SCI-EXPANDED) SC Immunology GA GI0FE UT WOS:000434044000001 PM 29915588 OA Green Published, gold DA 2023-06-08 ER PT J AU Prattichizzo, F Giuliani, A Mensa, E Sabbatinelli, J De Nigris, V Rippo, MR La Sala, L Procopio, AD Olivieri, F Ceriello, A AF Prattichizzo, Francesco Giuliani, Angelica Mensa, Emanuela Sabbatinelli, Jacopo De Nigris, Valeria Rippo, Maria Rita La Sala, Lucia Procopio, Antonio Domenico Olivieri, Fabiola Ceriello, Antonio TI Pleiotropic effects of metformin: Shaping the microbiome to manage type 2 diabetes and postpone ageing SO AGEING RESEARCH REVIEWS LA English DT Article DE Microbiota; Gut flora; Short-chain fatty acids; Gluconeogenesis; Insulin sensitivity; Complex I; AMPK; mTOR; Inflammaging; Senescence ID GLUCAGON-LIKE PEPTIDE-1; DIET-INDUCED OBESITY; CATION TRANSPORTER 1; HEPATIC GLUCOSE-PRODUCTION; LOW-GRADE INFLAMMATION; INCREASES LIFE-SPAN; GUT MICROBIOTA; INSULIN SENSITIVITY; AKKERMANSIA-MUCINIPHILA; SECRETORY PHENOTYPE AB Metformin is the first-choice therapy to lower glycaemia and manage type 2 diabetes. Continuously emerging epidemiological data and experimental models are showing additional protective effects of metformin against a number of age-related diseases (ARDs), e.g., cardiovascular diseases and cancer. This evidence has prompted the design of a specific trial, i.e., the Targeting Aging with Metformin (TAME) trial, to test metformin as an anti ageing molecule. However, a unifying or prevailing mechanism of action of metformin is still debated. Here, we summarize the epidemiological data linking metformin to ARD prevention. Then, we dissect the deeply studied mechanisms of action explaining its antihyperglycemic effect and the putative mechanisms supporting its anti ageing properties, focusing on studies using clinically pertinent doses. We hypothesize that the molecular observations obtained in different models with metformin could be indirectly mediated by its effect on gut flora. Novel evidence suggests that metformin reshapes the human microbiota, promoting the growth of beneficial bacterial species and counteracting the expansion of detrimental bacterial species. In turn, this action would influence the balance between pro- and anti-inflammatory circulating factors, thereby promoting glycaemic control and healthy ageing. This framework may reconcile diverse observations, providing information for designing further studies to elucidate the complex interplay between metformin and the metabiome harboured in mammalian body compartments, thereby paving the way for innovative, bacterial-based therapeutics to manage type 2 diabetes and foster a longer healthspan. C1 [Prattichizzo, Francesco; La Sala, Lucia; Ceriello, Antonio] IRCCS MultiMed, Via Fantoli 16-15, Milan, Italy. [Giuliani, Angelica; Mensa, Emanuela; Sabbatinelli, Jacopo; Rippo, Maria Rita; Procopio, Antonio Domenico; Olivieri, Fabiola] Univ Politecn Marche, Dept Clin & Mol Sci, DISCLIMO, Ancona, Italy. [De Nigris, Valeria; Ceriello, Antonio] Inst Invest Biomed August Pi & Sunyer IDIBAPS, Barcelona, Spain. [Procopio, Antonio Domenico; Olivieri, Fabiola] IRCCS INRCA, Ctr Clin Pathol & Innovat Therapy, Italian Natl Res Ctr Aging, Ancona, Italy. [Ceriello, Antonio] Ctr Invest Biomed Red Diabet & Enfermedades Metab, Madrid, Spain. C3 IRCCS Multimedica; Marche Polytechnic University; University of Barcelona; Hospital Clinic de Barcelona; IDIBAPS; IRCCS INRCA; CIBER - Centro de Investigacion Biomedica en Red; CIBERDEM RP Prattichizzo, F (通讯作者),IRCCS MultiMed, Via Fantoli 16-15, Milan, Italy. EM francesco.prattichizzo@multimedica.it RI Prattichizzo, Francesco/J-3046-2018; Sabbatinelli, Jacopo/U-1851-2018; Giuliani, Angelica/AAB-9024-2019; Olivieri, Fabiola/K-6465-2016; La Sala, Lucia/AAC-3458-2022; La Sala, Lucia/A-4467-2019; Procopio, Antonio Domenico/AAB-2451-2021 OI Prattichizzo, Francesco/0000-0002-2959-2658; Sabbatinelli, Jacopo/0000-0001-9947-6778; Olivieri, Fabiola/0000-0002-9606-1144; La Sala, Lucia/0000-0002-7580-1377; La Sala, Lucia/0000-0002-7580-1377; Procopio, Antonio Domenico/0000-0001-6897-8724; RIPPO, Maria Rita/0000-0003-3024-3495; Giuliani, Angelica/0000-0002-8477-8519 FU La Marato de TV3; IDIBAPS FX This work was supported in part by grants from La Marato de TV3 and IDIBAPS to A.C. 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Rev. PD DEC PY 2018 VL 48 BP 87 EP 98 DI 10.1016/j.arr.2018.10.003 PG 12 WC Cell Biology; Geriatrics & Gerontology WE Science Citation Index Expanded (SCI-EXPANDED); Social Science Citation Index (SSCI) SC Cell Biology; Geriatrics & Gerontology GA HC4RI UT WOS:000451791500008 PM 30336272 DA 2023-06-08 ER PT J AU Trujillo-Del Rio, C Tortajada-Perez, J Gomez-Escribano, AP Castera, F Peiro, C Millan, JM Herrero, MJ Vazquez-Manrique, RP AF Trujillo-Del Rio, C. Tortajada-Perez, J. Gomez-Escribano, A. P. Castera, F. Peiro, C. Millan, J. M. Herrero, M. J. Vazquez-Manrique, R. P. TI Metformin to treat Huntington disease: A pleiotropic drug against a multi-system disorder SO MECHANISMS OF AGEING AND DEVELOPMENT LA English DT Article DE Huntington disease; Metformin; AMPK; Pleiotropic effects; Gut microbiome; Pharmacogenetics ID ACTIVATED PROTEIN-KINASE; GUT MICROBIOME; GENETIC-VARIATION; SLC47A1 GENE; MONOAMINE TRANSPORTER; TRINUCLEOTIDE REPEAT; DIABETES-MELLITUS; SIGNALING PATHWAY; MESSENGER-RNA; WILD-TYPE AB Huntington disease (HD) is a neurodegenerative disorder produced by an expansion of CAG repeats in the HTT gene. Patients of HD show involuntary movements, cognitive decline and psychiatric impairment. People carrying abnormally long expansions of CAGs (more than 35 CAG repeats) produce mutant huntingtin (mHtt), which encodes tracks of polyglutamines (polyQs). These polyQs make the protein prone to aggregate and cause it to acquire a toxic gain of function. Principally affecting the frontal cortex and the striatum, mHtt disrupts many cellular functions. In addition, this protein is expressed ubiquitously, and some reports show that many other cell types are affected by the toxicity of mHtt. Several studies reported that metformin, a widely-used anti-diabetic drug, is neuroprotective in models of HD. Here, we provide a review of the benefits of this substance to treat HD. Metformin is a pleiotropic drug, modulating different targets such as AMPK, insulin signalling and many others. These molecules regulate autophagy, chaperone expression, and more, which in turn reduce mHtt toxicity. Moreover, metformin alters gut microbiome and its metabolic processes. The study of potential targets, interactions between the drug, host and microbiome, or genomic and pharmacogenomic approaches may allow us to design personalised medicine to treat HD. C1 [Trujillo-Del Rio, C.; Tortajada-Perez, J.; Gomez-Escribano, A. P.; Millan, J. M.; Vazquez-Manrique, R. P.] Inst Invest Sanitaria La Fe, Lab Mol Cellular & Genom Biomed, Valencia, Spain. [Tortajada-Perez, J.; Gomez-Escribano, A. P.; Millan, J. M.; Vazquez-Manrique, R. P.] Joint Unit Rare Dis IIS La Fe CIPF, Valencia, Spain. [Gomez-Escribano, A. P.; Millan, J. M.; Vazquez-Manrique, R. P.] Ctr Invest Biomed Red Enfermedades Raras CIBERER, Madrid, Spain. [Castera, F.; Peiro, C.] Hosp Univ & Politecn La Fe, Serv Neurol, Valencia, Spain. [Herrero, M. J.] Univ Valencia, Fac Med, Pharmacol Dept, Av Blasco Ibanez 15, Valencia 46010, Spain. [Herrero, M. J.] Inst Invest Sanitaria La Fe, Pharmacogenet Unit, Av Fernando Abril Martorell 106, Valencia 46026, Spain. C3 CIBER - Centro de Investigacion Biomedica en Red; CIBERER; Hospital Universitari i Politecnic La Fe; University of Valencia RP Vazquez-Manrique, RP (通讯作者),Inst Invest Sanitaria La Fe, Lab Mol Cellular & Genom Biomed, Valencia, Spain. EM Rafael_vazquez@iislafe.es FU Instituto de Salud Carlos III (ISCIII, Madrid, Spain) [PI17/00011, PI20/00114]; European Development Regional Fund ''A way to achieve Europe'' (ERDF) [PI17/00011, PI20/00114]; Fundacion Ramon Areces [CIVP19S8119]; CIBERER [ACCI-2019-22]; Generalitat Valenciana; European Social Fund [ACIF/2020/366]; Ayuda Miguel Gil grant (VII Convocatoria Ayudas a la Investigacion MEUHER, 2019 - Colegio Oficial de Farmaceuticos de Sevilla and Fundacion Cajasol); Asociacion Valenciana de Enfermedad de Huntington (AVAEH) FX RPVM used grants (PI17/00011 and PI20/00114) funded by the Instituto de Salud Carlos III (ISCIII, Madrid, Spain). These grants are cofinanced by the European Development Regional Fund ''A way to achieve Europe'' (ERDF). Funds from the Fundacion Ramon Areces (CIVP19S8119) and from CIBERER (ACCI-2019-22) were also used. CTR holds a grant by the Generalitat Valenciana and the European Social Fund (ACIF/2020/366). CIBERER is an initiative developed by the Instituto de Salud Carlos III in cooperative and translational research on rare diseases. RVM received an Ayuda Miguel Gil grant (VII Convocatoria Ayudas a la Investigacion MEUHER, 2019, cofinanced by Colegio Oficial de Farmaceuticos de Sevilla and Fundacion Cajasol). RVM has also received funds from the Asociacion Valenciana de Enfermedad de Huntington (AVAEH). 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Ageing Dev. PD JUN PY 2022 VL 204 AR 111670 DI 10.1016/j.mad.2022.111670 EA APR 2022 PG 13 WC Cell Biology; Geriatrics & Gerontology WE Science Citation Index Expanded (SCI-EXPANDED) SC Cell Biology; Geriatrics & Gerontology GA 1C1RG UT WOS:000792904400007 PM 35367225 DA 2023-06-08 ER PT J AU Tian, JL Si, X Shu, C Wang, YH Tan, H Zang, ZH Zhang, WJ Xie, X Chen, Y Li, B AF Tian, Jin-Long Si, Xu Shu, Chi Wang, Yue-Hua Tan, Hui Zang, Zhi-Huan Zhang, Wei-Jia Xie, Xu Chen, Yi Li, Bin TI Synergistic Effects of Combined Anthocyanin and Metformin Treatment for Hyperglycemia In Vitro and In Vivo SO JOURNAL OF AGRICULTURAL AND FOOD CHEMISTRY LA English DT Article DE anthocyanins; insulin resistance; gut microbiota; metformin; hypoglycemic effect ID EXTRACT AB The mechanism underlying the hypoglycemic effect of the simultaneous use of metformin and anthocyanin-rich foods is not yet clear. Hence, the effects and possible mechanisms of action of these substances, alone and in combination, were evaluated in insulin-resistant HepG2 cells and a diabetic mouse model. The results indicated that anthocyanin and metformin had a significant synergistic effect on glucose consumption (CI < 0.9) compared with metformin alone in HepG2 cells. In the mouse model, combined treatment (50 and 100 mg/kg metformin + anthocyanin groups) demonstrated synergistic restorative effects on the blood glucose level, insulin resistance, and organ damage in the liver, pancreas, and ileum. Additionally, combined metformin and anthocyanin treatment suppressed protein tyrosine phosphatase 1B expression and regulated the PI3K/AKT/GSK3 beta pathway. Combined treatment also altered the gut microbial composition and structure by increasing the relative abundance of beneficial bacteria and the short-chain fatty acid content. These results suggest that the use of anthocyanins can enhance the efficacy of metformin treatment for hyperglycemia and provide a reference for further clinical research regarding nutrition and supplementary treatment. C1 [Tian, Jin-Long; Si, Xu; Shu, Chi; Wang, Yue-Hua; Tan, Hui; Zang, Zhi-Huan; Zhang, Wei-Jia; Xie, Xu; Li, Bin] Shenyang Agr Univ, Coll Food Sci, Shenyang 110866, Liaoning, Peoples R China. [Tian, Jin-Long; Si, Xu; Shu, Chi; Wang, Yue-Hua; Tan, Hui; Zang, Zhi-Huan; Zhang, Wei-Jia; Xie, Xu; Li, Bin] Shenyang Agr Univ, Key Lab Hlth Food Nutr & Innovat Mfg Liaoning Pro, Shenyang 110866, Liaoning, Peoples R China. [Chen, Yi] Nanchang Univ, State Key Lab Food Sci & Technol, Nanchang 330047, Jiangxi, Peoples R China. C3 Shenyang Agricultural University; Shenyang Agricultural University; Nanchang University RP Li, B (通讯作者),Shenyang Agr Univ, Coll Food Sci, Shenyang 110866, Liaoning, Peoples R China.; Li, B (通讯作者),Shenyang Agr Univ, Key Lab Hlth Food Nutr & Innovat Mfg Liaoning Pro, Shenyang 110866, Liaoning, Peoples R China. EM libinsyau@163.com RI Tian, Jin-Long/AAI-2300-2020 OI Tian, Jin-Long/0000-0001-7149-9441; , BIN/0000-0002-7393-2111 FU National Natural Science Foundation of China [U21A20273]; First Batch of Liaoning "Unveiling Leader" Scientific and Technological Projects [2021JH1/10400036]; China Agriculture Research System of MOF [CARS-29]; Liaoning Province Doctoral Research Startup Fund Project [2019-BS-205]; Scientific research fund project of Liaoning Provincial Department of Education [LSNQN201915]; Scientific Research Foundation of Shenyang Agricultural University [880418027]; China Agriculture Research System of MARA [CARS-29] FX This work was supported by the National Natural Science Foundation of China (U21A20273), the First Batch of Liaoning "Unveiling Leader" Scientific and Technological Projects (2021JH1/10400036), China Agriculture Research System of MOF and MARA(CARS-29), Liaoning Province Doctoral Research Startup Fund Project (2019-BS-205), Scientific research fund project of Liaoning Provincial Department of Education (LSNQN201915) and Scientific Research Foundation of Shenyang Agricultural University (880418027). 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Agric. Food Chem. PD FEB 2 PY 2022 VL 70 IS 4 BP 1182 EP 1195 DI 10.1021/acs.jafc.1c07799 EA JAN 2022 PG 14 WC Agriculture, Multidisciplinary; Chemistry, Applied; Food Science & Technology WE Science Citation Index Expanded (SCI-EXPANDED) SC Agriculture; Chemistry; Food Science & Technology GA ZL3PW UT WOS:000750667800001 PM 35044756 DA 2023-06-08 ER PT J AU Hung, WW Peng, P Tsai, YC Jhou, PS Chang, CC Hsieh, CC Su, YC Dai, CY Hung, WC AF Hung, Wei-Wen Peng, Po Tsai, Yi-Chun Jhou, Pei-Syuan Chang, Chen-Chia Hsieh, Ching-Chun Su, Yong-Chao Dai, Chia-Yen Hung, Wei-Chun TI Gut microbiota compositions and metabolic functions in type 2 diabetes differ with glycemic durability to metformin monotherapy SO DIABETES RESEARCH AND CLINICAL PRACTICE LA English DT Article DE Gut microbiota; Type 2 diabetes; Metformin; Glycemic durability; Thiamine; Lipopolysaccharide ID CHAIN FATTY-ACIDS; STATISTICAL-ANALYSIS; MASS-SPECTROMETRY; QUANTIFICATION; HYPERGLYCEMIA; ASSOCIATION; MECHANISMS; METAGENOME AB Aims: The metabolic derangements in type 2 diabetes have been attributed to composi-tional changes in the gut microbiota. Metformin, the first-line treatment for type 2 diabetes, has been found to modulate the gut microbiota. However, no literature has reported the associations between the composition of the gut microbiota and glycemic durability to metformin monotherapy. Methods: A total of 375 patients with type 2 diabetes were recruited, among which 14 and 11 patients were eligible as the metformin durable group and nondurable group, respectively. Fecal samples were collected to analyze the gut microbiota by Illumina sequencing of the 16S rRNA gene, and PICRUSt2 was adopted to infer microbial functional differences. Results: Although the two groups had similar biochemical profiles and microbial metabo-lites, the pattern of microbiota clustering was different. The intra-group diversity was sig-nificantly reduced in the durable group. For the microbial metabolic pathways, the biosynthesis of thiamine and lipopolysaccharide was dominant in the durable group. Conclusions: There were different compositions of gut microbiota with unique microbial metabolic pathways between type 2 diabetes with and without glycemic durability to met-formin monotherapy. Microbial salvage by increasing thiamine biosynthesis might be ben-eficial for the metformin durable group to maintain optimal glycemic control. (c) 2021 Elsevier B.V. All rights reserved. C1 [Hung, Wei-Wen; Hsieh, Ching-Chun] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Endocrinol & Metab, Kaohsiung, Taiwan. [Peng, Po; Su, Yong-Chao] Kaohsiung Med Univ, Dept Biomed Sci & Environm Biol, Kaohsiung, Taiwan. [Tsai, Yi-Chun; Hsieh, Ching-Chun] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Nephrol, Kaohsiung, Taiwan. [Tsai, Yi-Chun; Hsieh, Ching-Chun] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Gen Med, Kaohsiung, Taiwan. [Jhou, Pei-Syuan; Chang, Chen-Chia; Hung, Wei-Chun] Kaohsiung Med Univ, Coll Med, Dept Microbiol & Immunol, Kaohsiung, Taiwan. [Jhou, Pei-Syuan; Dai, Chia-Yen] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Hepatobiliary, Kaohsiung, Taiwan. C3 Kaohsiung Medical University; Kaohsiung Medical University Hospital; Kaohsiung Medical University; Kaohsiung Medical University; Kaohsiung Medical University Hospital; Kaohsiung Medical University; Kaohsiung Medical University Hospital; Kaohsiung Medical University; Kaohsiung Medical University; Kaohsiung Medical University Hospital RP Hung, WC (通讯作者),Kaohsiung Med Univ, Coll Med, Dept Microbiol & Immunol, Kaohsiung, Taiwan. EM wchung@kmu.edu.tw FU Kaohsiung Medical University Hospital [KMUH106-6M11, KMUH1077M10, KMUH108-8R20]; Ministry of Science and Technology of Taiwan [MOST 108-2635-B-037004] FX This work was supported by the Kaohsiung Medical University Hospital (grant numbers KMUH106-6M11, KMUH1077M10 and KMUH108-8R20) and the Ministry of Science and Technology of Taiwan (grant number MOST 108-2635-B-037004). 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Clin. Pract. PD APR PY 2021 VL 174 AR 108731 DI 10.1016/j.diabres.2021.108731 EA MAR 2021 PG 11 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA RY1LK UT WOS:000647677900004 PM 33676995 DA 2023-06-08 ER PT J AU Liu, WH Wang, Y Luo, JQ Liu, MZ Luo, ZY AF Liu, Wenhui Wang, Ying Luo, Jianquan Liu, Mouze Luo, Zhiying TI Pleiotropic Effects of Metformin on the Antitumor Efficiency of Immune Checkpoint Inhibitors SO FRONTIERS IN IMMUNOLOGY LA English DT Review DE metformin; immune check inhibitors; PD-1; PD-L1; pleiotropic; gut microbiome AB Cancer is an important threat to public health because of its high morbidity and mortality. In recent decades, immune checkpoint inhibitors (ICIs) have ushered a new therapeutic era in clinical oncology. The rapid development of immune checkpoint therapy is due to its inspiring clinical efficacy in a group of cancer types. Metformin, an effective agent for the management of type 2 diabetes mellitus (T2DM), has shown beneficial effects on cancer prevention and cancer treatment. Emerging studies have suggested that metformin in combination with ICI treatment could improve the anticancer effects of ICIs. Hence, we conducted a review to summarize the effects of metformin on ICI therapy. We also review the pleiotropic mechanisms of metformin combined with ICIs in cancer therapy, including its direct and indirect effects on the host immune system. C1 [Liu, Wenhui; Wang, Ying; Luo, Jianquan; Liu, Mouze; Luo, Zhiying] Cent South Univ, Dept Pharm, Xiangya Hosp 2, Changsha, Peoples R China. [Liu, Wenhui; Wang, Ying; Luo, Jianquan; Liu, Mouze; Luo, Zhiying] Cent South Univ, Inst Clin Pharm, Changsha, Peoples R China. C3 Central South University; Central South University RP Luo, ZY (通讯作者),Cent South Univ, Dept Pharm, Xiangya Hosp 2, Changsha, Peoples R China.; Luo, ZY (通讯作者),Cent South Univ, Inst Clin Pharm, Changsha, Peoples R China. EM lzhy199089@csu.edu.cn RI Luo, Jianquan/D-3515-2014 FU Natural Science Foundation of Hunan Province China [2017JJ3462, 2020JJ5822]; National Natural Scientific Foundation of China [82003883] FX This work was supported by the Natural Science Foundation of Hunan Province China (Grant No: 2017JJ3462, 2020JJ5822) and National Natural Scientific Foundation of China (82003883). 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P599, DOI 10.1007/s00280-018-03763-5 NR 86 TC 17 Z9 17 U1 3 U2 16 PU FRONTIERS MEDIA SA PI LAUSANNE PA AVENUE DU TRIBUNAL FEDERAL 34, LAUSANNE, CH-1015, SWITZERLAND SN 1664-3224 J9 FRONT IMMUNOL JI Front. Immunol. PD FEB 2 PY 2021 VL 11 AR 586760 DI 10.3389/fimmu.2020.586760 PG 10 WC Immunology WE Science Citation Index Expanded (SCI-EXPANDED) SC Immunology GA QH4BZ UT WOS:000618222000001 PM 33603734 OA gold, Green Published DA 2023-06-08 ER PT J AU Lee, Y Kim, AH Kim, E Lee, S Yu, KS Jang, IJ Chung, JY Cho, JY AF Lee, Yujin Kim, Andrew HyoungJin Kim, Eunwoo Lee, SeungHwan Yu, Kyung-Sang Jang, In-Jin Chung, Jae-Yong Cho, Joo-Youn TI Changes in the gut microbiome influence the hypoglycemic effect of metformin through the altered metabolism of branched-chain and nonessential amino acids SO DIABETES RESEARCH AND CLINICAL PRACTICE LA English DT Article DE Metformin; Gut microbiome; Metabolomics; Hypoglycemic effect ID ACTIVATED PROTEIN-KINASE; PPAR-GAMMA; INSULIN; OBESITY; GLUCOSE; URINARY; MECHANISM; PLASMA; MUSCLE; SERUM AB Aims: Although metformin has been reported to affect the gut microbiome, the mechanism has not been fully determined. We explained the potential underlying mechanisms of metformin through a multiomics approach. Methods: An open-label and single-arm clinical trial involving 20 healthy Korean was conducted. Serum glucose and insulin concentrations were measured, and stool samples were collected to analyze the microbiome. Untargeted metabolomic profiling of plasma, urine, and stool samples was performed by GC-TOF-MS. Network analysis was applied to infer the mechanism of the hypoglycemic effect of metformin. Results: The relative abundances of Escherichia, Romboutsia, Intestinibacter, and Clostridium were changed by metformin treatment. Additionally, the relative abundances of metabolites, including carbohydrates, amino acids, and fatty acids, were changed. These changes were correlated with energy metabolism, gluconeogenesis, and branched-chain amino acid metabolism, which are major metabolic pathways related to the hypoglycemic effect. Conclusions: We observed that specific changes in metabolites may affect hypoglycemic effects through both pathways related to AMPK activation and microbial changes. Energy metabolism was mainly related to hypoglycemic effects. In particular, branched-chain amino acid metabolism and gluconeogenesis were related to microbial metabolites. Our results will help uncover the potential underlying mechanisms of metformin through AMPK and the microbiome. (C) 2021 The Author(s). Published by Elsevier B.V. C1 [Lee, Yujin; Kim, Eunwoo; Lee, SeungHwan; Yu, Kyung-Sang; Jang, In-Jin; Chung, Jae-Yong; Cho, Joo-Youn] Seoul Natl Univ, Dept Clin Pharmacol & Therapeut, Coll Med & Hosp, Seoul 03080, South Korea. [Kim, Andrew HyoungJin] Washington Univ, Sch Med, Dept Med, Div Infect Dis, St Louis, MO 63110 USA. [Chung, Jae-Yong] Seoul Natl Univ, Clin Trials Ctr, Bundang Hosp, Seongnam, South Korea. [Yu, Kyung-Sang; Cho, Joo-Youn] Seoul Natl Univ, Dept Biomed Sci, Coll Med, Seoul 03080, South Korea. C3 Seoul National University (SNU); Washington University (WUSTL); Seoul National University (SNU); Seoul National University (SNU) RP Chung, JY; Cho, JY (通讯作者),Seoul Natl Univ, Dept Clin Pharmacol & Therapeut, Coll Med, 101 Daehak Ro, Seoul 03080, South Korea.; Chung, JY (通讯作者),Bundang Hosp, Seoul 03080, South Korea. EM yoojinlee@snu.ac.kr; andrewhyoungjinkim@wustl.edu; eunoo1212@snu.ac.kr; leejh413@snu.ac.kr; ksyu@snu.ac.kr; ijjang@snu.ac.kr; jychung@snubh.org; joocho@snu.ac.kr RI Jang, In-Jin/J-2786-2012; Cho, Joo-Youn/ABC-2044-2021; Chung, Jae Yong/J-5646-2012; Cho, Joo-Youn/J-5672-2012 OI Cho, Joo-Youn/0000-0001-9270-8273; Cho, Joo-Youn/0000-0001-9270-8273; Chung, Jae Yong/0000-0003-4188-2786 FU National Research Foundation of Korea (NRF) - Korean government (MSIT) [NRF-2016M3A9B6902851, NRF-2018R1D1A1B07044406] FX This work was supported by the National Research Foundation of Korea (NRF) funded by the Korean government (MSIT) [grant numbers NRF-2016M3A9B6902851 and NRF-2018R1D1A1B07044406]. 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PD AUG PY 2021 VL 178 AR 108985 DI 10.1016/j.diabres.2021.108985 EA AUG 2021 PG 11 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA UM3PQ UT WOS:000693246300032 PM 34329692 OA hybrid DA 2023-06-08 ER PT J AU Tong, XL Xu, J Lian, FM Yu, XT Zhao, YF Xu, LP Zhang, MH Zhao, XY Shen, J Wu, SP Pang, XY Tian, JX Zhang, CH Zhou, Q Wang, LH Pang, B Chen, F Peng, ZP Wang, J Zhen, Z Fang, C Li, M Chen, LM Zhao, LP AF Tong, Xiaolin Xu, Jia Lian, Fengmei Yu, Xiaotong Zhao, Yufeng Xu, Lipeng Zhang, Menghui Zhao, Xiyan Shen, Jian Wu, Shengping Pang, Xiaoyan Tian, Jiaxing Zhang, Chenhong Zhou, Qiang Wang, Linhua Pang, Bing Chen, Feng Peng, Zhiping Wang, Jing Zhen, Zhong Fang, Chao Li, Min Chen, Limei Zhao, Liping TI Structural Alteration of Gut Microbiota during the Amelioration of Human Type 2 Diabetes with Hyperlipidemia by Metformin and a Traditional Chinese Herbal Formula: a Multicenter, Randomized, Open Label Clinical Trial SO MBIO LA English DT Article DE clinical trial; gut microbiota; hyperlipidemia; metformin; traditional Chinese medicine; type 2 diabetes ID ACTIVATED PROTEIN-KINASE; RED YEAST RICE; HIGH-FAT DIET; HUMAN FECES; METABOLIC SYNDROME; SP NOV.; DOUBLE-BLIND; OBESITY; INFLAMMATION; DYSLIPIDEMIA AB Accumulating evidence implicates gut microbiota as promising targets for the treatment of type 2 diabetes mellitus (T2DM). With a randomized clinical trial, we tested the hypothesis that alteration of gut microbiota may be involved in the alleviation of T2DM with hyperlipidemia by metformin and a specifically designed herbal formula (AMC). Four hundred fifty patients with T2DM and hyperlipidemia were randomly assigned to either the metformin- or AMC-treated group. After 12 weeks of treatment, 100 patients were randomly selected from each group and assessed for clinical improvement. The effects of the two drugs on the intestinal microbiota were evaluated by analyzing the V3 and V4 regions of the 16S rRNA gene by Illumina sequencing and multivariate statistical methods. Both metformin and AMC significantly alleviated hyperglycemia and hyperlipidemia and shifted gut microbiota structure in diabetic patients. They significantly increased a coabundant group represented by Blautia spp., which significantly correlated with the improvements in glucose and lipid homeostasis. However, AMC showed better efficacies in improving homeostasis model assessment of insulin resistance (HOMA-IR) and plasma triglyceride and also exerted a larger effect on gut microbiota. Furthermore, only AMC increased the coabundant group represented by Faecalibacterium spp., which was previously reported to be associated with the alleviation of T2DM in a randomized clinical trial. Metformin and the Chinese herbal formula may ameliorate type 2 diabetes with hyperlipidemia via enriching beneficial bacteria, such as Blautia and Faecalibacterium spp. IMPORTANCE Metabolic diseases such as T2DM and obesity have become a worldwide public health threat. Accumulating evidence indicates that gut microbiota can causatively arouse metabolic diseases, and thus the gut microbiota serves as a promising target for disease control. In this study, we evaluated the role of gut microbiota during improvements in hyperglycemia and hyperlipidemia by two drugs: metformin and a specifically designed Chinese herbal formula ( AMC) for diabetic patients with hyperlipidemia. Both drugs significantly ameliorated blood glucose and lipid levels and shifted the gut microbiota. Blautia spp. were identified as being associated with improvements in glucose and lipid homeostasis for both drugs. AMC exerted larger effects on the gut microbiota together with better efficacies in improving HOMA-IR and plasma triglyceride levels, which were associated with the enrichment of Faecalibacterium spp. In brief, these data suggest that gut microbiota might be involved in the alleviation of diabetes with hyperlipidemia by metformin and the AMC herbal formula. C1 [Tong, Xiaolin; Lian, Fengmei; Yu, Xiaotong; Xu, Lipeng; Zhao, Xiyan; Wu, Shengping; Tian, Jiaxing; Zhou, Qiang; Pang, Bing; Peng, Zhiping; Zhen, Zhong; Li, Min] China Acad Chinese Med Sci, Guanganmen Hosp, Beijing, Peoples R China. [Xu, Jia; Zhang, Menghui; Pang, Xiaoyan; Zhang, Chenhong; Wang, Linhua; Chen, Feng; Wang, Jing; Fang, Chao; Chen, Limei; Zhao, Liping] Shanghai Jiao Tong Univ, Sch Life Sci & Biotechnol, State Key Lab Microbial Metab, Shanghai, Peoples R China. [Yu, Xiaotong; Zhao, Xiyan; Wu, Shengping; Tian, Jiaxing] Beijing Univ Chinese Med, Grad Sch, Beijing, Peoples R China. [Zhao, Yufeng; Shen, Jian; Zhao, Liping] Shanghai Jiao Tong Univ, Shanghai Ctr Syst Biomed, Shanghai, Peoples R China. C3 China Academy of Chinese Medical Sciences; Guang'anmen Hospital, CACMS; Shanghai Jiao Tong University; Beijing University of Chinese Medicine; Shanghai Jiao Tong University RP Tong, XL (通讯作者),China Acad Chinese Med Sci, Guanganmen Hosp, Beijing, Peoples R China.; Zhao, LP (通讯作者),Shanghai Jiao Tong Univ, Sch Life Sci & Biotechnol, State Key Lab Microbial Metab, Shanghai, Peoples R China.; Zhao, LP (通讯作者),Shanghai Jiao Tong Univ, Shanghai Ctr Syst Biomed, Shanghai, Peoples R China. EM xiaolintong66@sina.com; lpzhao@sjtu.edu.cn RI WANG, JINGYI/GSJ-1241-2022; Xu, Jia/GSD-6115-2022; zhang, menghui/Q-3752-2016; zhang, chenhong/HCH-9822-2022; wang, jing/GVT-8700-2022 OI Xu, Jia/0000-0002-3341-7668; Wang, Jing/0000-0003-0547-6780; Yu, Xiaotong/0000-0002-8184-5181 FU National Natural Science Foundation of China [81273720, 31330005, 81401141]; Scientific Specialized Program of Traditional Chinese Medicine of China [201007004] FX This work was supported by the National Natural Science Foundation of China (no. 81273720, 31330005, and 81401141) and the Scientific Specialized Program of Traditional Chinese Medicine of China (no. 201007004). 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Inulin, a kind of probiotics, has been proven to alleviate gut microbiota dysbiosis. Metformin, a biguanide agent, shows beneficial effects on chronic metabolic diseases. Our objective was to assess the effects and associated mechanisms of inulin and metforin on attenuation of PCOS in mice. Mice were divided into 4 groups: control group (CON), model group (MOD), inulin group (INU), metformin group (MET). The last three groups were fed 6 mg of dehydmepiandmsterone (DHEA) per 100 g body weight and 60% high-fat diet to generate mice model. After 21 days of intervention, mice were euthanized and associated indications were investigated. Body weight (BW) and testosterone (T) levels were significantly decreased, but estradiol (E2) levels were increased in INU or MET group, respectively. Ovary LIE staining demonstrated that inulin or metformin ameliorated PCOS morphology. inflammatory indicators from plasma and ovary including TNF-alpha, IL-6, and IL-17A were decreased in INU or MET group. Moreover, IL-10 in ovary of INU or MET group was increased. Sequencing and analysis of gut microbiota showed that compared to MOD group, Bifidobacterium was increased, but Proteobacteria, Helicobacter and Parasutterella were decreased in INU group. Helicobacter was decreased in MET group. Correlation analysis showed that gut microbiota was correlated with inflammatory factors. Our results revealed that inulin and metformin alleviated PCOS via anti-inflammation and modulating gut microbiota, which may contribute to potential clinical therapy for the disease. C1 [Xue, Jing; Zhu, Lili; Wang, Hao] Ningxia Med Univ, Sch Basic Med Sci, Dept Pathogen Biol & Med Immunol, Shengli St 1160, Yinchuan 750004, Ningxia, Peoples R China. [Li, Xiaorong] Ningxia Med Univ, Ctr Reprod Med, Gen Hosp, Yinchuan 750004, Ningxia, Peoples R China. [Liu, Ping; Sha, Liping; Dong, Youping; Zhang, Li; Lei, Hong; Dong, Xiaoying] Ningxia Med Univ, Endocrinol Dept, Gen Hosp, Shengli St 1160, Yinchuan 750004, Ningxia, Peoples R China. [Li, Ke; Yang, Xiaoli; Wang, Zhen] Ningxia Med Univ, Clin Med Coll, Yinchuan 750004, Ningxia, Peoples R China. [Li, Ke] Ningxia Peoples Hosp, Endocrinol Dept, Yinchuan 750002, Ningxia, Peoples R China. [Zhang, Xiaoxia] Ningxia Med Univ, Coll Tradit Chinese Med, Yinchuan 750004, Ningxia, Peoples R China. C3 Ningxia Medical University; Ningxia Medical University; Ningxia Medical University; Ningxia Medical University; Ningxia Medical University RP Wang, H (通讯作者),Ningxia Med Univ, Sch Basic Med Sci, Dept Pathogen Biol & Med Immunol, Shengli St 1160, Yinchuan 750004, Ningxia, Peoples R China.; Dong, XY (通讯作者),Ningxia Med Univ, Endocrinol Dept, Gen Hosp, Shengli St 1160, Yinchuan 750004, Ningxia, Peoples R China. EM dongxy1998@163.com; wanghaograduate@nxmu.edu.cn FU Research and Development Plan of the 13th Fiveyear Plan of Ningxia Autonomous Region (the major S&T projects), China [2016BZ02]; First Class Discipline Construction Project in Colleges and Universities of Ningxia, China [NXYLXK2017A05]; Ningxia High School First-class Disciplines (West China first-class Disciplines Basic Medical Sciences at Ningxia Medical University), China [NXYLXK 2017B07]; National Key Research and Development Program of China, China [2016YFD0400605] FX This work was supported by the following funds:; 1. The Research and Development Plan of the 13th Fiveyear Plan of Ningxia Autonomous Region (the major S&T projects) (Grant No. 2016BZ02), China.; 2. The First Class Discipline Construction Project in Colleges and Universities of Ningxia (Grant No. NXYLXK2017A05), China.; 3. Ningxia High School First-class Disciplines (West China first-class Disciplines Basic Medical Sciences at Ningxia Medical University) (Grant No. NXYLXK 2017B07), China.; 4. The National Key Research and Development Program of China (No. 2016YFD0400605), China. 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Eibl, Guido TI Metformin alters the duodenal microbiome and decreases the incidence of pancreatic ductal adenocarcinoma promoted by diet-induced obesity SO AMERICAN JOURNAL OF PHYSIOLOGY-GASTROINTESTINAL AND LIVER PHYSIOLOGY LA English DT Article DE clostridium; metformin; microbiome; obesity; pancreatic ductal adenocarcinoma; type 2 diabetes mellitus ID INTRAEPITHELIAL NEOPLASIA; GUT MICROBIOME; REDUCED RISK; CANCER; IMPACT; LIVER AB Pancreatic ductal adenocarcinoma (PDAC)'s growing incidence has been linked to the rise in obesity and type 2 diabetes mellitus. In previous work, we have shown that metformin can prevent the increased incidence of PDAC in a Kras(G12D) mouse model subjected to a diet high in fat and calories (HFCD). One potential way that metformin can affect the host is through alterations in the gut microbiome. Therefore, we investigated microbial associations with PDAC development and metformin use in the same mouse model. Lox-Stop-Lox Kras G12D/+ (LSL-Kras G12D/+); p48-Cre (KC) mice were given control diet, HFCD, or HFCD with 5 mg/mL metformin in drinking water for 3 mo. At the end of the 3 mo, 16S rRNA sequencing was performed to characterize microbiome composition of duodenal mucosal, duodenal luminal, and cecal luminal samples. KC mice on an HFCD demonstrated depletion of intact acini and formation of advanced pancreatic intraepithelial neoplasia. This effect was completely abrogated by metformin treatment. HFCD was associated with significant changes in microbial composition and diversity in the duodenal mucosa and lumen, much of which was prevented by metformin. In particular, Clostridium sensu stricto was negatively correlated with percent intact acini and seemed to be inhibited by the addition of metformin while on an HFCD. Administration of metformin eliminated PDAC formation in KC mice. This change was associated with significant microbial changes in both the mucosal and luminal microbiome of the duodenum. This suggests that the microbiome may be a potential mediator of the chemopreventive effects of metformin. NEW & NOTEWORTHY Pancreatic ductal adenocarcinoma (PDAC)'s growing incidence has been linked to the rise in obesity and type 2 diabetes mellitus. Administration of metformin eliminated PDAC formation in KC mice with diet-induced obesity. This change was associated with significant microbial changes in both the mucosal and luminal microbiome of the duodenum. This suggests that the microbiome may be a potential mediator of the chemopreventive effects of metformin. C1 [Dong, Tien S.; Hauer, Meg; Lagishetty, Venu; Katzka, William; Rozengurt, Enrique; Jacobs, Jonathan P.] Univ Calif Los Angeles, Dept Med, Vatche & Tamar Manoukian Div Digest Dis, David Geffen Sch Med, Los Angeles, CA 90095 USA. [Chang, Hui-Hua; Hauer, Meg; Lagishetty, Venu; Katzka, William; Rozengurt, Enrique; Jacobs, Jonathan P.; Eibl, Guido] Univ Calif Los Angeles, CURE Digest Dis Res Ctr, David Geffen Sch Med, Los Angeles, CA 90095 USA. [Chang, Hui-Hua; Eibl, Guido] Univ Calif Los Angeles, Dept Surg, David Geffen Sch Med, Los Angeles, CA 90095 USA. [Hauer, Meg; Lagishetty, Venu; Katzka, William; Jacobs, Jonathan P.] Univ Calif Los Angeles, Microbiome Ctr, David Geffen Sch Med, Los Angeles, CA 90095 USA. [Rozengurt, Enrique; Jacobs, Jonathan P.] Vet Affairs Greater Los Angeles Healthcare Syst, Div Gastroenterol Hepatol & Parenteral Nutr, Los Angeles, CA USA. C3 University of California System; University of California Los Angeles; University of California Los Angeles Medical Center; David Geffen School of Medicine at UCLA; University of California System; University of California Los Angeles; University of California Los Angeles Medical Center; David Geffen School of Medicine at UCLA; University of California System; University of California Los Angeles; University of California Los Angeles Medical Center; David Geffen School of Medicine at UCLA; University of California System; University of California Los Angeles; University of California Los Angeles Medical Center; David Geffen School of Medicine at UCLA; US Department of Veterans Affairs; Veterans Health Administration (VHA); VA Greater Los Angeles Healthcare System RP Eibl, G (通讯作者),Univ Calif Los Angeles, Dept Surg, David Geffen Sch Med, Los Angeles, CA 90095 USA. EM GEibl@mednet.ucla.edu RI Lagishetty, Venu/C-8251-2009 OI Lagishetty, Venu/0000-0001-6500-8255; Jacobs, Jonathan/0000-0003-4698-0254 FU National Institutes of Health (NIH) [P01-CA-163200]; NIH [R01-DK-100405, P30-DK-41301, P01CA-163200]; Department of Veterans Affair Merit Award [1I01BX001473]; Hirshberg Foundation for Pancreatic Cancer Research; NIH/National Institute of Diabetes and Digestive and Kidney Diseases [T32-DK-07180]; VA Career Development Award [IK2CX001717] FX National Institutes of Health (NIH) Grant P01-CA-163200 supported the work of the laboratory of G. Eibl. The work in the laboratory of E. Rozengur was supported by NIH Grants R01-DK-100405, P30-DK-41301, and P01CA-163200 and by the Department of Veterans Affair Merit Award 1I01BX001473. Additional funding for E. Rozengur and G. Eibl's laboratories came from the Hirshberg Foundation for Pancreatic Cancer Research. T. S. Dong was supported by NIH/National Institute of Diabetes and Digestive and Kidney Diseases T32-DK-07180, and J.P.J. was supported by VA Career Development Award IK2CX001717. 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J. Physiol.-Gastroint. Liver Physiol. PD DEC PY 2019 VL 317 IS 6 BP G763 EP G772 DI 10.1152/ajpgi.00170.2019 PG 10 WC Gastroenterology & Hepatology; Physiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Gastroenterology & Hepatology; Physiology GA JQ1BP UT WOS:000498689000002 PM 31545922 OA Green Published DA 2023-06-08 ER PT J AU Ma, XY Xiao, WC Li, H Pang, P Xue, FX Wan, L Pei, L Yan, HH AF Ma, Xiaoyi Xiao, Wenchang Li, Hao Pang, Pei Xue, Feixiao Wan, Lu Pei, Lei Yan, Huanhuan TI Metformin restores hippocampal neurogenesis and learning and memory via regulating gut microbiota in the obese mouse model SO BRAIN BEHAVIOR AND IMMUNITY LA English DT Article DE Obesity; Hippocampal neurogenesis; Learning and memory; Metformin; Gut microbiota ID ADULT NEUROGENESIS; SPATIAL MEMORY; DIET; NEUROINFLAMMATION; MICROGLIA; RISK; CELL AB Numerous studies have shown that over-nutritional obesity may lead to pre-diabetes, type 2 diabetes and cognitive decline. As the degree of metabolic disorders increases, the cognitive decline is getting worse. However, the cellular events that cause this cognitive dysfunction is yet to be clarified. We used a high-fat diet (HFD) consumption-induced obesity mouse model to test the effects of metformin on the hippocampal neurogenesis and learning and memory abilities of obese mice. 5-Bromo-2 '-deoxyuridine (BrdU) labelling and retrovirus labeling were applied to detect hippocampal newborn neurons. Behavioral experiments were used to detect learning and memory abilities of mice. 16S rRNA gene sequencing was performed to detect the composition of gut microbiota. The positron emission tomography (PET) was conducted to detect the energy metabolism activity of different mouse brain regions. Our results reveal that metformin restores the impairment of neurogenesis in the dentate gyrus and finally prevents the cognitive decline of the obese mice. Moreover, the therapeutic effects of metformin are achieved by regulating the composition of gut microbiota of mice, which may inhibit microglia activation and neuroinflammation in the brain of obese mice. This study suggests that metformin may be taken as a promising candidate for the intervention of cognitive decline related to imbalance of gut microbiota caused by obesity. C1 [Ma, Xiaoyi] Sun Yat Sen Univ, Affiliated Hosp 1, Dept Endocrinol, Guangzhou 510080, Peoples R China. [Xiao, Wenchang; Wan, Lu; Yan, Huanhuan] Huazhong Univ Sci & Technol HUST, Coll Life Sci & Technol, Dept Biomed Engn, Wuhan 430074, Peoples R China. [Li, Hao; Pang, Pei; Pei, Lei; Yan, Huanhuan] Huazhong Univ Sci & Technol, Collaborat Innovat Ctr Brain Sci, Inst Brain Res, Wuhan 430030, Peoples R China. [Pang, Pei] Soochow Univ, Affiliated Hosp 1, Dept Pathol, Suzhou 215000, Peoples R China. [Xue, Feixiao] Xian No 3 Hosp, Dept Lab, Xian 710018, Peoples R China. [Pei, Lei] Huazhong Univ Sci & Technol, Sch Basic Med, Dept Neurobiol, Wuhan 430030, Peoples R China. [Pei, Lei] Huazhong Univ Sci & Technol, Tongji Med Coll, Wuhan 430030, Peoples R China. [Pei, Lei] Washington Univ, Sch Med, Dept Anesthesiol, St Louis, MO 63110 USA. C3 Sun Yat Sen University; Huazhong University of Science & Technology; Huazhong University of Science & Technology; Soochow University - China; Huazhong University of Science & Technology; Huazhong University of Science & Technology; Washington University (WUSTL) RP Yan, HH (通讯作者),Huazhong Univ Sci & Technol HUST, Coll Life Sci & Technol, Dept Biomed Engn, Wuhan 430074, Peoples R China.; Pei, L (通讯作者),Huazhong Univ Sci & Technol, Sch Basic Med, Dept Neurobiol, Wuhan 430030, Peoples R China.; Pei, L (通讯作者),Huazhong Univ Sci & Technol, Tongji Med Coll, Wuhan 430030, Peoples R China. EM peilei@hust.edu.cn; yanhh0511@foxmail.com RI Ma, Xiaoyi/HJH-6205-2023 OI Xiao, Wenchang/0000-0002-7256-4871 FU National Natural Science Foundation of China [81901304, 81870932]; China Postdoctoral Science Foundation [2019 T120663, 2018 M640704]; 2018 Key Laboratory Fund of Research Department [02.03.2018102]; Shaanxi Provincial Key research and development Program [2018SF-090] FX The authors greatly thank Prof. Qingguo Xie and Chuying Lei (HUST) for PET technological assistant. This work was supported by the National Natural Science Foundation of China (81901304 HY, 81870932 LP) , China Postdoctoral Science Foundation (2019 T120663 HY, 2018 M640704 HY) , 2018 Key Laboratory Fund of Research Department (02.03.2018102 HY) and the Shaanxi Provincial Key research and development Program (2018SF-090 FX) . 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Immun. PD JUL PY 2021 VL 95 BP 68 EP 83 DI 10.1016/j.bbi.2021.02.011 EA JUN 2021 PG 16 WC Immunology; Neurosciences; Psychiatry WE Science Citation Index Expanded (SCI-EXPANDED); Social Science Citation Index (SSCI) SC Immunology; Neurosciences & Neurology; Psychiatry GA SN8CA UT WOS:000658513000014 PM 33609653 DA 2023-06-08 ER PT J AU Zhang, SY Lam, TKT AF Zhang, Song-Yang Lam, Tony K. T. TI Metabolic regulation by the intestinal metformin-AMPK axis SO NATURE COMMUNICATIONS LA English DT Article ID ACTIVATED PROTEIN-KINASE AB AMP-activated protein kinase (AMPK) mediates the glucose-lowering effect of the antidiabetic agent metformin, but the sites of action remain unclear. In the March issue of Nature Communications, Zhang and colleagues reported that intestinal epithelium-specific AMPK alpha 1 knockout mice fail to respond to metformin and exhibit disruption in metabolic homeostasis secondary to changes in the gut microbiome. This highlights a therapeutic potential of targeting intestinal AMPK for diabetes. C1 [Zhang, Song-Yang; Lam, Tony K. T.] UHN, Toronto Gen Hosp Res Inst, Toronto, ON, Canada. [Lam, Tony K. T.] Univ Toronto, Dept Physiol, Toronto, ON, Canada. [Lam, Tony K. T.] Univ Toronto, Dept Med, Toronto, ON, Canada. [Lam, Tony K. T.] Univ Toronto, Banting & Best Diabet Ctr, Toronto, ON, Canada. C3 University of Toronto; University Health Network Toronto; University of Toronto; University of Toronto; University of Toronto RP Lam, TKT (通讯作者),UHN, Toronto Gen Hosp Res Inst, Toronto, ON, Canada.; Lam, TKT (通讯作者),Univ Toronto, Dept Physiol, Toronto, ON, Canada.; Lam, TKT (通讯作者),Univ Toronto, Dept Med, Toronto, ON, Canada.; Lam, TKT (通讯作者),Univ Toronto, Banting & Best Diabet Ctr, Toronto, ON, Canada. EM tony.lam@uhnresearch.ca OI Lam, Tony/0000-0003-2908-3324 FU Canadian Institutes of Health Research (CIHR); CIHR Foundation [FDN-143204]; Endowed Chair in Diabetes Research & the Tier 1 Canada Research Chair in Diabetes and Obesity at the Toronto General Hospital Research Institute; University of Toronto FX S.-Y. Z. is supported by a Canadian Institutes of Health Research (CIHR) post-doctoral fellowship. T.K.T.L. is supported by a CIHR Foundation Grant (FDN-143204) and holds the John Kitson McIvor (1915-1942) Endowed Chair in Diabetes Research & the Tier 1 Canada Research Chair in Diabetes and Obesity at the Toronto General Hospital Research Institute and the University of Toronto. 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Commun. PD MAY 23 PY 2022 VL 13 IS 1 AR 2851 DI 10.1038/s41467-022-30477-3 PG 3 WC Multidisciplinary Sciences WE Science Citation Index Expanded (SCI-EXPANDED) SC Science & Technology - Other Topics GA 1Q5AE UT WOS:000802699200019 PM 35606343 OA gold, Green Published DA 2023-06-08 ER PT J AU Rosario, D Benfeitas, R Bidkhori, G Zhang, C Uhlen, M Shoaie, S Mardinoglu, A AF Rosario, Dorines Benfeitas, Rui Bidkhori, Gholamreza Zhang, Cheng Uhlen, Mathias Shoaie, Saeed Mardinoglu, Adil TI Understanding the Representative Gut Microbiota Dysbiosis in Metformin-Treated Type 2 Diabetes Patients Using Genome-Scale Metabolic Modeling SO FRONTIERS IN PHYSIOLOGY LA English DT Article DE gut microbiota; dysbiosis; host-microbiome interactions; genome-scale metabolic models; systems biology ID ESCHERICHIA-COLI; AKKERMANSIA-MUCINIPHILA; SYNTHETIC LETHALITY; AROMATIC-COMPOUNDS; NETWORK; RECONSTRUCTION; GENERATION; METAGENOME; REDUCTION; BACTERIA AB Dysbiosis in the gut microbiome composition may be promoted by therapeutic drugs such as metformin, the world's most prescribed antidiabetic drug. Under metformin treatment, disturbances of the intestinal microbes lead to increased abundance of Escherichia spp., Akkermansia muciniphila, Subdoligranulum variabile and decreased abundance of Intestinibacter bartlettii. This alteration may potentially lead to adverse effects on the host metabolism, with the depletion of butyrate producer genus. However, an increased production of butyrate and propionate was verified in metformin-treated Type 2 diabetes (T2D) patients. The mechanisms underlying these nutritional alterations and their relation with gut microbiota dysbiosis remain unclear. Here, we used Genomescale Metabolic Models of the representative gut bacteria Escherichia spp., I. bartlettii, A. muciniphila, and S. variabile to elucidate their bacterial metabolism and its effect on intestinal nutrient pool, including macronutrients (e.g., amino acids and short chain fatty acids), minerals and chemical elements (e.g., iron and oxygen). We applied flux balance analysis (FBA) coupled with synthetic lethality analysis interactions to identify combinations of reactions and extracellular nutrients whose absence prevents growth. Our analyses suggest that Escherichia sp. is the bacteria least vulnerable to nutrient availability. We have also examined bacterial contribution to extracellular nutrients including short chain fatty acids, amino acids, and gasses. For instance, Escherichia sp. and S. variabile may contribute to the production of important short chain fatty acids (e.g., acetate and butyrate, respectively) involved in the host physiology under aerobic and anaerobic conditions. We have also identified pathway susceptibility to nutrient availability and reaction changes among the four bacteria using both FBA and flux variability analysis. For instance, lipopolysaccharide synthesis, nucleotide sugar metabolism, and amino acid metabolism are pathways susceptible to changes in Escherichia sp. and A. muciniphila. Our observations highlight important commensal and competing behavior, and their association with cellular metabolism for prevalent gut microbes. The results of our analysis have potential important implications for development of new therapeutic approaches in T2D patients through the development of prebiotics, probiotics, or postbiotics. C1 [Rosario, Dorines; Benfeitas, Rui; Bidkhori, Gholamreza; Zhang, Cheng; Uhlen, Mathias; Mardinoglu, Adil] Royal Inst Technol, Sci Life Lab, Stockholm, Sweden. [Shoaie, Saeed] Kings Coll London, Ctr Host Microbiome Interact, Dent Inst, London, England. [Shoaie, Saeed] Karolinska Inst, Ctr Translat Microbiome Res, Dept Microbiol Tumor & Cell Biol, Stockholm, Sweden. [Mardinoglu, Adil] Chalmers Univ Technol, Dept Biol & Biol Engn, Gothenburg, Sweden. C3 Royal Institute of Technology; University of London; King's College London; Karolinska Institutet; Chalmers University of Technology RP Mardinoglu, A (通讯作者),Royal Inst Technol, Sci Life Lab, Stockholm, Sweden.; Shoaie, S (通讯作者),Kings Coll London, Ctr Host Microbiome Interact, Dent Inst, London, England.; Shoaie, S (通讯作者),Karolinska Inst, Ctr Translat Microbiome Res, Dept Microbiol Tumor & Cell Biol, Stockholm, Sweden.; Mardinoglu, A (通讯作者),Chalmers Univ Technol, Dept Biol & Biol Engn, Gothenburg, Sweden. EM saeed.shoaie@kcl.ac.uk; adilm@scilifelab.se RI Uhlen, Mathias/AAV-8746-2021; Benfeitas, Rui/G-1251-2016; Uhlen, Mathias/HPB-8445-2023; Uhlen, Mathias/B-3262-2016; Zhang, Cheng/L-7906-2016; Mardinoglu, Adil/AAS-6360-2021 OI Benfeitas, Rui/0000-0001-7972-0083; Uhlen, Mathias/0000-0002-4858-8056; Uhlen, Mathias/0000-0002-4858-8056; Zhang, Cheng/0000-0002-3721-8586; Shoaie, Saeed/0000-0001-5834-4533 FU Knut and Alice Wallenberg Foundation; King's College London FX This work was funded by Knut and Alice Wallenberg Foundation and King's College London. 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PD JUN 25 PY 2018 VL 9 AR 775 DI 10.3389/fphys.2018.00775 PG 14 WC Physiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Physiology GA GK4TU UT WOS:000436159000001 PM 29988585 OA Green Published, gold DA 2023-06-08 ER PT J AU Xiong, Y Song, WT Shen, LM Wang, Y Zhang, J Hu, MY Liu, Y Li, JJ Musetti, S Liu, RH Huang, L AF Xiong, Yang Song, Wantong Shen, Limei Wang, Ying Zhang, Jing Hu, Mengying Liu, Yun Li, Jingjing Musetti, Sara Liu, Rihe Huang, Leaf TI Oral Metformin and Polymetformin Reprogram Immunosuppressive Microenvironment and Boost Immune Checkpoint Inhibitor Therapy in Colorectal Cancer SO ADVANCED THERAPEUTICS LA English DT Article DE cancer immunotherapy; immune checkpoint blockade; metformin; Polymetformin; tumor microenvironments ID LACTIC-ACID BACTERIA; PD-L1 EXPRESSION; TUMOR-GROWTH; LACTOBACILLUS-ACIDOPHILUS; GASTRIC-CARCINOMA; GUT MICROBIOME; OVARIAN-CANCER; BLOCKADE; CELLS; ROLES AB Immune checkpoint inhibitors (ICI), especially PD-1/PD-L1 inhibitors, are emerging as promising therapeutic options for patients with advanced tumors, but the response rate in the majority of colorectal cancer (CRC) patients remains low. Herein, the use of metformin (Met) and its polymeric form (Polymet) to enhance the response rate of immune checkpoint blockade therapy is reported. Oral Met and Polymet significantly enhance the antitumor effect of ICI therapy in a murine orthotopic CRC model. Further analyses reveal that Met and Polymet reprogram the immunosuppressive tumor microenvironment via activation of adenosine 5 '-monophosphate-activated protein kinase and inhibition of the mammalian target of rapamycin signaling pathway, stimulating T cell infiltration into the tumor. Additionally, oral Met and Polymet change the abundance of key microbes in the intestinal environment, including increasing theLactobacilluspopulation, which should exert tumor-suppressing activities in the CRC. These findings highlight the potential of combining Met or Polymet with cancer immunotherapy and provide a strategy for sensitizing CRC patients to immune checkpoint blockade therapy. C1 [Xiong, Yang; Song, Wantong; Shen, Limei; Wang, Ying; Zhang, Jing; Hu, Mengying; Liu, Yun; Li, Jingjing; Musetti, Sara; Liu, Rihe; Huang, Leaf] Univ N Carolina, UNC Eshelman Sch Pharm, Chapel Hill, NC 27559 USA. [Xiong, Yang] Zhejiang Chinese Med Univ, Coll Pharmaceut Sci, Hangzhou 310053, Zhejiang, Peoples R China. [Song, Wantong] Chinese Acad Sci, Changchun Inst Appl Chem, Key Lab Polymer Ecomat, Changchun 130022, Jilin, Peoples R China. C3 University of North Carolina; University of North Carolina Chapel Hill; Zhejiang Chinese Medical University; Chinese Academy of Sciences; Changchun Institute of Applied Chemistry, CAS RP Huang, L (通讯作者),Univ N Carolina, UNC Eshelman Sch Pharm, Chapel Hill, NC 27559 USA. EM leafh@email.unc.edu RI Hu, Mengying/ABB-8549-2020 OI Hu, Mengying/0000-0002-0358-6014 FU Carolina Center for Cancer Nanotechnology Excellence (NIH) [CA198999]; National Natural Science Foundation of China [81774011] FX This work was supported by the Carolina Center for Cancer Nanotechnology Excellence (NIH grant CA198999) and was also supported by project of the National Natural Science Foundation of China (No. 81774011). 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Therap. PD DEC PY 2020 VL 3 IS 12 AR 2000168 DI 10.1002/adtp.202000168 EA OCT 2020 PG 10 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA PI7VT UT WOS:000576367400001 DA 2023-06-08 ER PT J AU Song, L Cui, JQ Hu, SY Wang, R Li, HB Sun, B AF Song, Lin Cui, Jiaqi Hu, Shuyuan Wang, Rui Li, Hongbao Sun, Bo TI Maternal Treatment with Metformin Persistently Ameliorates High-Fat Diet-Induced Metabolic Symptoms and Modulates Gut Microbiota in Rat Offspring SO NUTRIENTS LA English DT Article DE maternal diet; metformin; gut microbiota; bile acids; hypothalamus ID INTESTINAL MICROBIOTA; BILE-ACIDS; FOLLOW-UP; INCREASES; TRANSMISSION; SENSITIVITY; PHYSIOLOGY; AGONIST; HEALTH; MODEL AB A maternal high-fat (HF) diet has long-term deleterious effect on offspring. This study aims to evaluate whether maternal metformin (MT) treatment ameliorates the adverse effects of maternal HF diet on offspring and the role of gut microbiota in it. Pregnant Sprague-Dawley rats were randomly assigned to a HF diet (60% fat) or a standard chow diet (11.8% fat) group, and part of the HF diet group rats were co-treated with MT via drinking water (300 mg/kg/day), resulting in three groups according to maternal diet and MT treatment during gestation and lactation. All offspring were weaned on a chow diet. A maternal HF diet showed a significant deleterious effect on offspring's metabolic phenotype and induced colonic inflammation and gut-barrier disruption through the reshaped gut microbiota. The daily oral administration of MT to HF-fed dams during gestation and lactation reversed the dysbiosis of gut microbiota in both dams and adult offspring. The hypothalamic TGR5 expression and plasma bile acids composition in adult male offspring was restored by maternal MT treatment, which could regulate hypothalamic appetite-related peptides expression and alleviate inflammation, thereby improving male offspring's metabolic phenotype. The present study indicates that targeting the gut-brain axis through the mother may be an effective strategy to control the metabolic phenotype of offspring. C1 [Song, Lin; Hu, Shuyuan; Wang, Rui; Li, Hongbao; Sun, Bo] Xi An Jiao Tong Univ, Sch Basic Med Sci, Dept Physiol & Pathophysiol, Hlth Sci Ctr, Xian 710061, Peoples R China. [Song, Lin; Li, Hongbao; Sun, Bo] Xi An Jiao Tong Univ, Key Lab Environm & Genes Related Dis, Minist Educ China, Xian 710061, Peoples R China. [Song, Lin; Sun, Bo] Xi An Jiao Tong Univ, Inst Neurosci, Translat Med Inst, Hlth Sci Ctr, Xian 710061, Peoples R China. [Cui, Jiaqi] Xi An Jiao Tong Univ, Dept Hlth Management Ctr, Affiliated Hosp 1, Xian 710061, Peoples R China. C3 Xi'an Jiaotong University; Ministry of Education, China; Xi'an Jiaotong University; Xi'an Jiaotong University; Xi'an Jiaotong University RP Li, HB; Sun, B (通讯作者),Xi An Jiao Tong Univ, Sch Basic Med Sci, Dept Physiol & Pathophysiol, Hlth Sci Ctr, Xian 710061, Peoples R China.; Li, HB; Sun, B (通讯作者),Xi An Jiao Tong Univ, Key Lab Environm & Genes Related Dis, Minist Educ China, Xian 710061, Peoples R China.; Sun, B (通讯作者),Xi An Jiao Tong Univ, Inst Neurosci, Translat Med Inst, Hlth Sci Ctr, Xian 710061, Peoples R China. EM hongbaoli1985@163.com; sunbo1217@mail.xjtu.edu.cn RI cui, jiaqi/HLX-3700-2023 OI Song, Lin/0000-0001-9500-8387; Li, Hong-Bao/0000-0002-1600-9590 FU National Natural Science Foundation of China [81801459, 82071732, 82170443]; Key Research and Development Program of Shaanxi Province [2021SF-153] FX This work was supported by the National Natural Science Foundation of China (No. 81801459; 82071732; 82170443), and the Key Research and Development Program of Shaanxi Province (No. 2021SF-153). 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DOI 10.18632/aging.103505 Zheng XJ, 2017, BMC BIOL, V15, DOI 10.1186/s12915-017-0462-7 Zhou LY, 2020, FRONT CELL INFECT MI, V10, DOI 10.3389/fcimb.2020.00292 NR 73 TC 1 Z9 1 U1 2 U2 4 PU MDPI PI BASEL PA ST ALBAN-ANLAGE 66, CH-4052 BASEL, SWITZERLAND EI 2072-6643 J9 NUTRIENTS JI Nutrients PD SEP PY 2022 VL 14 IS 17 AR 3612 DI 10.3390/nu14173612 PG 20 WC Nutrition & Dietetics WE Science Citation Index Expanded (SCI-EXPANDED) SC Nutrition & Dietetics GA 4K1YF UT WOS:000851753700001 PM 36079869 OA gold, Green Published DA 2023-06-08 ER PT J AU Sun, LL Xie, C Wang, G Wu, Y Wu, Q Wang, XM Liu, J Deng, YY Xia, JL Chen, B Zhang, SY Yun, CY Lian, G Zhang, XJ Zhang, H Bisson, WH Shi, JM Gao, XX Ge, PP Liu, CH Krausz, KW Nichols, RG Cai, JW Rimal, B Patterson, AD Wang, X Gonzalez, FJ Jiang, CT AF Sun, Lulu Xie, Cen Wang, Guang Wu, Yue Wu, Qing Wang, Xuemei Liu, Jia Deng, Yangyang Xia, Jialin Chen, Bo Zhang, Songyang Yun, Chuyu Lian, Guan Zhang, Xiujuan Zhang, Heng Bisson, William H. Shi, Jingmin Gao, Xiaoxia Ge, Pupu Liu, Cuihua Krausz, Kristopher W. Nichols, Robert G. Cai, Jingwei Rimal, Bipin Patterson, Andrew D. Wang, Xian Gonzalez, Frank J. Jiang, Changtao TI Gut microbiota and intestinal FXR mediate the clinical benefits of metformin SO NATURE MEDICINE LA English DT Article ID FARNESOID-X-RECEPTOR; BILE-ACID SYNTHESIS; BETA-MURICHOLIC ACID; METABOLISM; LIVER; AXIS; GLUCONEOGENESIS; HOMEOSTASIS; PROBIOTICS; MECHANISM AB The anti-hyperglycemic effect of metformin is believed to be caused by its direct action on signaling processes in hepatocytes, leading to lower hepatic gluconeogenesis. Recently, metformin was reported to alter the gut microbiota community in humans, suggesting that the hyperglycemia-lowering action of the drug could be the result of modulating the population of gut microbiota. However, the critical microbial signaling metabolites and the host targets associated with the metabolic benefits of metformin remained elusive. Here, we performed metagenomic and metabolomic analysis of samples from individuals with newly diagnosed type 2 diabetes (T2D) naively treated with metformin for 3 d, which revealed that Bacteroides fragilis was decreased and the bile acid glycoursodeoxycholic acid (GUDCA) was increased in the gut. These changes were accompanied by inhibition of intestinal farnesoid X receptor (FXR) signaling. We further found that high-fat-diet (HFD)-fed mice colonized with B. fragilis were predisposed to more severe glucose intolerance, and the metabolic benefits of metformin treatment on glucose intolerance were abrogated. GUDCA was further identified as an intestinal FXR antagonist that improved various metabolic endpoints in mice with established obesity. Thus, we conclude that metformin acts in part through a B. fragilis-GUDCA-intestinal FXR axis to improve metabolic dysfunction, including hyperglycemia. C1 [Sun, Lulu; Wu, Qing; Wang, Xuemei; Xia, Jialin; Chen, Bo; Zhang, Songyang; Yun, Chuyu; Lian, Guan; Zhang, Xiujuan; Jiang, Changtao] Peking Univ, Sch Basic Med Sci, Dept Physiol & Pathophysiol, Beijing, Peoples R China. [Sun, Lulu; Wu, Qing; Wang, Xuemei; Xia, Jialin; Chen, Bo; Zhang, Songyang; Yun, Chuyu; Lian, Guan; Zhang, Xiujuan; Jiang, Changtao] Minist Educ, Key Lab Mol Cardiovasc Sci, Beijing, Peoples R China. [Xie, Cen; Shi, Jingmin; Gao, Xiaoxia; Krausz, Kristopher W.; Gonzalez, Frank J.] NCI, Lab Metab, Ctr Canc Res, NIH, Bethesda, MD 20892 USA. [Wang, Guang; Liu, Jia; Zhang, Heng] Capital Med Univ, Beijing Chao Yang Hosp, Dept Endocrinol, Beijing, Peoples R China. [Wu, Yue; Deng, Yangyang] Xi An Jiao Tong Univ, Dept Cardiol, Key Lab Environm & Genes Related Dis, Affiliated Hosp 1, Xian, Shaanxi, Peoples R China. [Bisson, William H.] Oregon State Univ, Dept Environm & Mol Toxicol, Corvallis, OR 97331 USA. [Ge, Pupu; Liu, Cuihua] Chinese Acad Sci, Inst Microbiol, CAS Key Lab Pathogen Microbiol & Immunol, Beijing, Peoples R China. [Nichols, Robert G.; Cai, Jingwei; Rimal, Bipin; Patterson, Andrew D.] Penn State Univ, Dept Mol Toxicol, University Pk, PA 16802 USA. C3 Peking University; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI); Capital Medical University; Xi'an Jiaotong University; Oregon State University; Chinese Academy of Sciences; Institute of Microbiology, CAS; Pennsylvania Commonwealth System of Higher Education (PCSHE); Pennsylvania State University; Pennsylvania State University - University Park RP Jiang, CT (通讯作者),Peking Univ, Sch Basic Med Sci, Dept Physiol & Pathophysiol, Beijing, Peoples R China.; Jiang, CT (通讯作者),Minist Educ, Key Lab Mol Cardiovasc Sci, Beijing, Peoples R China. EM jiangchangtao@bjmu.edu.cn RI Xie, Cen/HKM-6955-2023; Shi, Jing/HHS-6413-2022; Wang, Xuemei/GXF-3702-2022; Patterson, Andrew/ABF-1575-2020; Rimal, Bipin/HHN-1529-2022 OI Xie, Cen/0000-0002-4574-8456; Patterson, Andrew/0000-0003-2073-0070; Song-Yang, Zhang/0000-0002-4356-897X; Cai, Jingwei/0000-0002-3626-3350; Sun, Lulu/0000-0001-8876-5099; Bo, Chen/0000-0003-4346-0755; Gonzalez, Frank/0000-0002-7990-2140; Deng, Yang-Yang/0000-0002-6470-2891; Nichols, Robert/0000-0002-5415-7877; Jiang, Changtao/0000-0002-5206-2372 FU National Key Research and Development Program of China [2016YFC0903100, 2016YFC0903102]; National Natural Science Foundation of China [91439206, 91739303, 81522007, 81470554, 31401011]; National Program for Support of Top-notch Young Professionals [82008Y0005]; Fundamental Research Funds for the Central Universities: Clinical Medicine Plus X-Young Scholars Project of Peking University [PKU2018LCXQ013]; National Cancer Institute Intramural Research Program FX This work was supported by the National Key Research and Development Program of China (2016YFC0903100 and 2016YFC0903102) to C.J., the National Natural Science Foundation of China (91439206 and 91739303 to X.W., and 81522007, 81470554 and 31401011 to C.J.), the National Program for Support of Top-notch Young Professionals (82008Y0005) to C.J., the Fundamental Research Funds for the Central Universities: Clinical Medicine Plus X-Young Scholars Project of Peking University (PKU2018LCXQ013) to C.J., and the National Cancer Institute Intramural Research Program to F.J.G. 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PD DEC PY 2018 VL 24 IS 12 BP 1919 EP + DI 10.1038/s41591-018-0222-4 PG 13 WC Biochemistry & Molecular Biology; Cell Biology; Medicine, Research & Experimental WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Cell Biology; Research & Experimental Medicine GA HD3DA UT WOS:000452392200021 PM 30397356 OA Green Accepted HC Y HP N DA 2023-06-08 ER PT J AU Ji, SQ Wang, LW Li, L AF Ji, Shuqin Wang, Lingwei Li, Lei TI Effect of Metformin on Short-Term High-Fat Diet-Induced Weight Gain and Anxiety-Like Behavior and the Gut Microbiota SO FRONTIERS IN ENDOCRINOLOGY LA English DT Article DE high-fat diet; metformin; anxiety; gut microbiota; obesity ID ACTIVATED PROTEIN-KINASE; INDUCED OBESITY; DEPRESSION; DISORDERS; MICE; PATHWAY; FEAR; ASSOCIATION; ONDANSETRON; POPULATION AB The pathogenic factors of the complex epidemic disorder-obesity, have expanded from genetic background, endocrine factors, abnormal feeding behaviors, and direct neural control of adipose tissue physiology. As a chronic metabolic disease, it is important to find new potential therapeutic targets and locate a sensitive time window for intervention. In this study, we focus on the early stage of a high-fat diet mouse model: a short-term 3-week treatment. Our results showed that this short-term 3-week HFD can already induce significant body weight gain, increased adipocyte size and surprisingly, anxiety-like behavior of the animals. Then we tried the early intervention with metformin, already reported for its effects in long-term HFD induced obesity. For a short-term 3-week co-treatment, metformin alleviated the HFD-induced increase in body weight, the increase in adipocyte size and furthermore, the anxiety-like behavior. Differences were noted among the normal diet (ND), HFD, and HFD with metformin co-treatment groups in gut microbiota, including its composition and diversity. The possible involvement of gut microbiota cannot be ruled out. Intense phospho-AMPK staining was found in the metformin treatment group in the habenular nuclei, hippocampus and basal ganglia of the brain compared with the HFD group, implying that the anxiolytic effect of metformin could be due to the direct activation of the AMPK pathway in the anxiety-related brain nuclei. C1 [Ji, Shuqin; Li, Lei] Chinese Acad Sci, Brain Cognit & Brain Dis Inst, Shenzhen Inst Adv Technol, Guangdong Prov Key Lab Brain Connectome & Behav, Shenzhen, Peoples R China. [Wang, Lingwei] Jinan Univ, Shenzhen Key Lab Resp Dis,Shenzhen Key Lab Pathog, Dept Resp & Crit Care Med,Southern Sci & Technol, Shenzhen Inst Resp Dis,Shenzhen Peoples Hosp,Affi, Shenzhen, Peoples R China. C3 Chinese Academy of Sciences; Shenzhen Institute of Advanced Technology, CAS; Jinan University RP Li, L (通讯作者),Chinese Acad Sci, Brain Cognit & Brain Dis Inst, Shenzhen Inst Adv Technol, Guangdong Prov Key Lab Brain Connectome & Behav, Shenzhen, Peoples R China. EM saralilei@siat.ac.cn OI Li, Lei/0000-0002-4485-1937 FU National Natural Science Foundation of China [NSFC31971072, NSFC81671444, NSFC31471109]; Shenzhen Science Technology, and Innovative Commission Grant [JCYJ20180508152336419, KQJSCX20160301144002]; Guangdong Provincial Key Laboratory of Brain Connectome and Behavior [2017B030301017]; Shenzhen Discipline Construction Project for Neurobiology DRCSM [[2016]1379] FX This work was supported by the National Natural Science Foundation of China NSFC31971072, NSFC81671444, NSFC31471109. Shenzhen Science Technology, and Innovative Commission Grant JCYJ20180508152336419, KQJSCX20160301144002, and Guangdong Provincial Key Laboratory of Brain Connectome and Behavior 2017B030301017 and Shenzhen Discipline Construction Project for Neurobiology DRCSM [2016]1379. 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PD OCT 18 PY 2019 VL 10 AR 704 DI 10.3389/fendo.2019.00704 PG 11 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA JJ7TA UT WOS:000494355300001 PM 31681174 OA Green Published, gold DA 2023-06-08 ER PT J AU Kaneto, H Kimura, T Obata, A Shimoda, M Kaku, K AF Kaneto, Hideaki Kimura, Tomohiko Obata, Atsushi Shimoda, Masashi Kaku, Kohei TI Multifaceted Mechanisms of Action of Metformin Which Have Been Unraveled One after Another in the Long History SO INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES LA English DT Review DE metformin; AMPK; glucagon signaling; autophagy; GDF15; gut microbiome; mTOR; COVID-19 ID PANCREATIC BETA-CELLS; TYPE-2 DIABETES-MELLITUS; ENDOTHELIAL-CELLS; DB/DB MICE; CARDIOVASCULAR OUTCOMES; DOWN-REGULATION; RECEPTOR EXPRESSION; PEPTIDE-1 RECEPTOR; INSULIN-RESISTANCE; MAFA EXPRESSION AB While there are various kinds of drugs for type 2 diabetes mellitus at present, in this review article, we focus on metformin which is an insulin sensitizer and is often used as a first-choice drug worldwide. Metformin mainly activates adenosine monophosphate-activated protein kinase (AMPK) in the liver which leads to suppression of fatty acid synthesis and gluconeogenesis. Metformin activates AMPK in skeletal muscle as well, which increases translocation of glucose transporter 4 to the cell membrane and thereby increases glucose uptake. Further, metformin suppresses glucagon signaling in the liver by suppressing adenylate cyclase which leads to suppression of gluconeogenesis. In addition, metformin reduces autophagy failure observed in pancreatic beta-cells under diabetic conditions. Furthermore, it is known that metformin alters the gut microbiome and facilitates the transport of glucose from the circulation into excrement. It is also known that metformin reduces food intake and lowers body weight by increasing circulating levels of the peptide hormone growth/differentiation factor 15 (GDF15). Furthermore, much attention has been drawn to the fact that the frequency of various cancers is lower in subjects taking metformin. Metformin suppresses the mechanistic target of rapamycin (mTOR) by activating AMPK in pre-neoplastic cells, which leads to suppression of cell growth and an increase in apoptosis in pre-neoplastic cells. It has been shown recently that metformin consumption potentially influences the mortality in patients with type 2 diabetes mellitus and coronavirus infectious disease (COVID-19). Taken together, metformin is an old drug, but multifaceted mechanisms of action of metformin have been unraveled one after another in its long history. C1 [Kaneto, Hideaki; Kimura, Tomohiko; Obata, Atsushi; Shimoda, Masashi; Kaku, Kohei] Kawasaki Med Sch, Dept Diabet Endocrinol & Metab, 577 Matsushima, Kurashiki, Okayama 7010192, Japan. 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J. Mol. Sci. PD MAR PY 2021 VL 22 IS 5 AR 2596 DI 10.3390/ijms22052596 PG 13 WC Biochemistry & Molecular Biology; Chemistry, Multidisciplinary WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Chemistry GA QV9GY UT WOS:000628271900001 PM 33807522 OA gold, Green Published DA 2023-06-08 ER PT J AU Zhou, ZY Ren, LW Zhan, P Yang, HY Chai, DD Yu, ZW AF Zhou, Zi-yu Ren, Li-wei Zhan, Ping Yang, Han-yan Chai, Dan-dan Yu, Zhi-wen TI Metformin exerts glucose-lowering action in high-fat fed mice via attenuating endotoxemia and enhancing insulin signaling SO ACTA PHARMACOLOGICA SINICA LA English DT Article DE metformin; diabetes; high-fat fed mice; gut microbiota; LPS; endotoxemia; AMPK; PTEN; Nrf2 ID GUT MICROBIOTA; INFLAMMATORY RESPONSE; OXIDATIVE STRESS; DOWN-REGULATION; PROTEIN-KINASE; CROSS-TALK; RESISTANCE; DIET; OBESITY; ACTIVATION AB Aim: Accumulating evidence shows that lipopolysaccharides (LPS) derived from gut gram-negative bacteria can be absorbed, leading to endotoxemia that triggers systemic inflammation and insulin resistance. In this study we examined whether metformin attenuated endotoxemia, thus improving insulin signaling in high-fat diet fed mice. Methods: Mice were fed a high-fat diet for 18 weeks to induce insulin resistance. One group of the mice was treated with oral metformin (100 mg.kg(-1).d(-1)) for 4 weeks. Another group was treated with LPS (50 mu g.kg(-1).d(-1), sc) for 5 days followed by the oral metformin for 10 d. Other two groups received a combination of antibiotics for 7 d or a combination of antibiotics for 7 d followed by the oral metformin for 4 weeks, respectively. Glucose metabolism and insulin signaling in liver and muscle were evaluated, the abundance of gut bacteria, gut permeability and serum LPS levels were measured. Results: In high-fat fed mice, metformin restored the tight junction protein occludin-1 levels in gut, reversed the elevated gut permeability and serum LPS levels, and increased the abundance of beneficial bacteria Lactobacillus and Akkermansia muciniphila. Metformin also increased PKB Ser473 and AMPK T172 phosphorylation, decreased MDA contents and redox-sensitive PTEN protein levels, activated the anti-oxidative Nrf2 system, and increased I kappa B alpha in liver and muscle of the mice. Treatment with exogenous LPS abolished the beneficial effects of metformin on glucose metabolism, insulin signaling and oxidative stress in liver and muscle of the mice. Treatment with antibiotics alone produced similar effects as metformin did. Furthermore, the beneficial effects of antibiotics were addictive to those of metformin. Conclusion: Metformin administration attenuates endotoxemia and enhances insulin signaling in high-fat fed mice, which contributes to its anti-diabetic effects. C1 [Zhou, Zi-yu; Ren, Li-wei; Zhan, Ping; Yang, Han-yan; Chai, Dan-dan; Yu, Zhi-wen] Fujian Univ Tradit Chinese Med, Fujian Key Lab Chinese Mat Med, Biomed Drug R&D Ctr, Fuzhou 350122, Peoples R China. C3 Fujian University of Traditional Chinese Medicine RP Yu, ZW (通讯作者),Fujian Univ Tradit Chinese Med, Fujian Key Lab Chinese Mat Med, Biomed Drug R&D Ctr, Fuzhou 350122, Peoples R China. EM yuzhiwen@yahoo.com FU National Natural Science Foundation of China [81270886] FX This work was supported by a National Natural Science Foundation of China (No 81270886 to Zhi-wen YU). 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PD AUG PY 2016 VL 37 IS 8 BP 1063 EP 1075 DI 10.1038/aps.2016.21 PG 13 WC Chemistry, Multidisciplinary; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Chemistry; Pharmacology & Pharmacy GA DS6XR UT WOS:000380927200006 PM 27180982 OA Green Published, Bronze DA 2023-06-08 ER PT J AU Lee, SE Choi, Y Jun, JE Lee, YB Jin, SM Hur, KY Ko, GP Lee, MK AF Lee, Seung-Eun Choi, Yongbin Jun, Ji Eun Lee, You-Bin Jin, Sang-Man Hur, Kyu Yeon Ko, Gwang Pyo Lee, Moon-Kyu TI Additional Effect of Dietary Fiber in Patients with Type 2 Diabetes Mellitus Using Metformin and Sulfonylurea: An Open-Label, Pilot Trial SO DIABETES & METABOLISM JOURNAL LA English DT Article DE Diabetes mellitus; type 2; Dietary fiber; Metformin; Microbiota; Sulfonylurea compounds ID CHAIN FATTY-ACIDS; INSULIN SENSITIVITY; GUT MICROBIOTA; INTESTINAL MICROBIOTA; GLUCOSE; INDIVIDUALS; RESISTANCE; INDEX AB Background: Metformin, sulfonylurea, and dietary fiber are known to affect gut microbiota in patients with type 2 diabetes mellitus (T2DM). This open and single-arm pilot trial investigated the effects of the additional use of fiber on glycemic parameters, insulin, incretins, and microbiota in patients with T2DM who had been treated with metformin and sulfonylurea. Methods: Participants took fiber for 4 weeks and stopped for the next 4 weeks. Glycemic parameters, insulin, incretins during mixed-meal tolerance test (MMTT), lipopolysaccharide (LPS) level, and fecal microbiota were analyzed at weeks 0, 4, and 8. The first tertile of difference in glucose area under the curve during MMTT between weeks 0 and 4 was defined as 'responders' and the third as 'nonresponders', respectively. Results: In all 10 participants, the peak incretin levels during MMTT were higher and LPS were lower at week 4 as compared with at baseline. While the insulin sensitivity of the 'responders' increased at week 4, that of the 'nonresponders' showed opposite results. However, the results were not statistically significant. In all participants, metabolically unfavorable microbiota decreased at week 4 and were restored at week 8. At baseline, metabolically hostile bacteria were more abundant in the 'nonresponders.' In 'responders', Roseburia inteslinalis increased at week 4. Conclusion: While dietary fiber did not induce additional changes in glycemic parameters, it showed a trend of improvement in insulin sensitivity in 'responders', Even if patients are already receiving diabetes treatment, the additional administration of fiber can lead to additional benefits in the treatment of diabetes. C1 [Lee, Seung-Eun; Jin, Sang-Man; Hur, Kyu Yeon; Lee, Moon-Kyu] Sungkyunkwan Univ, Samsung Med Ctr, Dept Med, Div Endocrinol & Metab,Sch Med, 81 Irwon Ro, Seoul 06351, South Korea. [Choi, Yongbin; Ko, Gwang Pyo] Seoul Natl Univ, Grad Sch Publ Hlth, Dept Environm Hlth Sci, Seoul, South Korea. [Jun, Ji Eun] Kyung Hee Univ, Kyung Hee Univ Hosp Gangdong, Dept Endocrinol & Metab, Sch Med, Seoul, South Korea. [Lee, You-Bin] Korea Univ, Guro Hosp, Dept Med, Div Endocrinol & Metab,Coll Med, Seoul, South Korea. C3 Sungkyunkwan University (SKKU); Samsung Medical Center; Seoul National University (SNU); Kyung Hee University; Kyung Hee University Hospital; Korea University; Korea University Medicine (KU Medicine) RP Lee, MK (通讯作者),Sungkyunkwan Univ, Samsung Med Ctr, Dept Med, Div Endocrinol & Metab,Sch Med, 81 Irwon Ro, Seoul 06351, South Korea. EM leemk@skku.edu RI Jin, Sang-Man/AFO-5933-2022 OI Jin, Sang-Man/0000-0001-5929-3627; Lee, You-Bin/0000-0003-4058-1738; Lee, Seung-Eun/0000-0001-5785-1891 CR Abutair AS, 2016, NUTR J, V15, DOI 10.1186/s12937-016-0207-4 Bajorek SA, 2010, ANN PHARMACOTHER, V44, P1786, DOI 10.1345/aph.1P347 Brown AJ, 2003, J BIOL CHEM, V278, P11312, DOI 10.1074/jbc.M211609200 Edgar RC, 2011, BIOINFORMATICS, V27, P2194, DOI 10.1093/bioinformatics/btr381 Esteve E, 2011, CURR OPIN CLIN NUTR, V14, P483, DOI 10.1097/MCO.0b013e328348c06d Forslund K, 2015, NATURE, V528, P262, DOI 10.1038/nature15766 Gibb RD, 2015, AM J CLIN NUTR, V102, P1604, DOI 10.3945/ajcn.115.106989 Grabitske HA, 2008, J AM DIET ASSOC, V108, P1677, DOI 10.1016/j.jada.2008.07.010 Hall Micki, 2012, Consult Pharm, V27, P513, DOI 10.4140/TCP.n.2012.513 Han JL, 2014, WORLD J GASTROENTERO, V20, P17737, DOI 10.3748/wjg.v20.i47.17737 Huo TG, 2015, BIOMED CHROMATOGR, V29, P115, DOI 10.1002/bmc.3247 Hur KY, 2015, DIABETES METAB J, V39, P198, DOI 10.4093/dmj.2015.39.3.198 Hur M, 2011, APPL ENVIRON MICROB, V77, P7611, DOI 10.1128/AEM.06102-11 Kalyani RR, 2018, DIABETES CARE, V41, pS3, DOI [10.2337/dc18-Sppc01, 10.2337/dc18-SPPC01] Kasubuchi M, 2015, NUTRIENTS, V7, P2839, DOI 10.3390/nu7042839 Katz A, 2000, J CLIN ENDOCR METAB, V85, P2402, DOI 10.1210/jc.85.7.2402 Kim OS, 2012, INT J SYST EVOL MICR, V62, P716, DOI 10.1099/ijs.0.038075-0 Korean Diabetes Association, 2018, DIAB FACT SHEET KOR Kovatcheva-Datchary P, 2015, CELL METAB, V22, P971, DOI 10.1016/j.cmet.2015.10.001 Lee H, 2014, APPL ENVIRON MICROB, V80, P5935, DOI 10.1128/AEM.01357-14 Levy JC, 1998, DIABETES CARE, V21, P2191, DOI 10.2337/diacare.21.12.2191 Mardinoglu A, 2016, CELL METAB, V23, P10, DOI 10.1016/j.cmet.2015.12.012 Matsuda M, 1999, DIABETES CARE, V22, P1462, DOI 10.2337/diacare.22.9.1462 Montandon SA, 2017, GENES-BASEL, V8, DOI 10.3390/genes8100250 Napolitano A, 2014, PLOS ONE, V9, DOI 10.1371/journal.pone.0100778 Neyrinck AM, 2012, J NUTR BIOCHEM, V23, P51, DOI 10.1016/j.jnutbio.2010.10.008 PASTORS JG, 1991, AM J CLIN NUTR, V53, P1431, DOI 10.1093/ajcn/53.6.1431 Pluznick JL, 2014, GUT MICROBES, V5, P202, DOI 10.4161/gmic.27492 Post RE, 2012, J AM BOARD FAM MED, V25, P16, DOI 10.3122/jabfm.2012.01.110148 Puddu A, 2014, MEDIAT INFLAMM, V2014, DOI 10.1155/2014/162021 Qin JJ, 2012, NATURE, V490, P55, DOI 10.1038/nature11450 Raso GM, 2013, PLOS ONE, V8, DOI 10.1371/journal.pone.0068626 Roelofsen H, 2010, BENEF MICROBES, V1, P433, DOI 10.3920/BM2010.0028 Romeo GR, 2012, ARTERIOSCL THROM VAS, V32, P1771, DOI 10.1161/ATVBAHA.111.241869 Segata N, 2011, GENOME BIOL, V12, DOI 10.1186/gb-2011-12-6-r60 Vrieze A, 2012, GASTROENTEROLOGY, V143, P913, DOI 10.1053/j.gastro.2012.06.031 Weickert MO, 2005, DIABETOLOGIA, V48, P2343, DOI 10.1007/s00125-005-1941-x Woting A, 2016, NUTRIENTS, V8, DOI 10.3390/nu8040202 Wu H, 2017, NAT MED, V23, P850, DOI 10.1038/nm.4345 NR 39 TC 8 Z9 10 U1 1 U2 4 PU KOREAN DIABETES ASSOC PI SEOUL PA 101-2104, LOTTE CASTLE PRES, 109 MAPO-DAERO, MAPO-GU, SEOUL, 04146, SOUTH KOREA SN 2233-6079 EI 2233-6087 J9 DIABETES METAB J JI Diabetes Metab. J. PD AUG PY 2019 VL 43 IS 4 BP 422 EP 431 DI 10.4093/dmj.2018.0090 PG 10 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA IS5XL UT WOS:000482226400005 PM 31237126 OA gold, Green Published, Green Submitted DA 2023-06-08 ER PT J AU Bauer, PV Duca, FA Waise, TMZ Rasmussen, BA Abraham, MA Dranse, HJ Puri, A O'Brien, CA Lam, TKT AF Bauer, Paige V. Duca, Frank A. Waise, T. M. Zaved Rasmussen, Brittany A. Abraham, Mona A. Dranse, Helen J. Puri, Akshita O'Brien, Catherine A. Lam, Tony K. T. TI Metformin Alters Upper Small Intestinal Microbiota that Impact a Glucose-SGLT1-Sensing Glucoregulatory Pathway SO CELL METABOLISM LA English DT Article ID GLUCAGON-LIKE PEPTIDE-1; LOWERS GLUCOSE-PRODUCTION; INSULIN SENSITIVITY; AKKERMANSIA-MUCINIPHILA; DIABETES PREVENTION; INCRETIN HORMONE; GLP-1 SECRETION; PROTEIN-KINASE; ABSORPTION; INHIBITION AB The gut microbiota alters energy homeostasis. In parallel, metformin regulates upper small intestinal sodium glucose cotransporter-1 (SGLT1), but whether changes of the microbiota or SGLT1-dependent pathways in the upper small intestine mediate metformin action is unknown. Here we report that upper small intestinal glucose sensing triggers an SGLT1-dependent pathway to lower glucose production in rodents. High-fat diet (HFD) feeding reduces glucose sensing and SGLT1 expression in the upper small intestine. Upper small intestinal metformin treatment restores SGLT1 expression and glucose sensing while shifting the upper small intestinal microbiota partly by increasing the abundance of Lactobacillus. Transplantation of upper small intestinal microbiota from metformin-treated HFD rats to the upper small intestine of untreated HFD rats also increases the upper small intestinal abundance of Lactobacillus and glucose sensing via an upregulation of SGLT1 expression. Thus, we demonstrate that metformin alters upper small intestinal microbiota and impacts a glucose-SGLT1-sensing glucoregulatory pathway. C1 [Bauer, Paige V.; Duca, Frank A.; Waise, T. M. Zaved; Rasmussen, Brittany A.; Abraham, Mona A.; Dranse, Helen J.; Lam, Tony K. T.] UHN, Toronto Gen Hosp, Res Inst, Toronto, ON M5G 1L7, Canada. [Bauer, Paige V.; Rasmussen, Brittany A.; Abraham, Mona A.; O'Brien, Catherine A.; Lam, Tony K. T.] Univ Toronto, Dept Physiol, Toronto, ON M5S 1A8, Canada. [Lam, Tony K. T.] Univ Toronto, Dept Med, Toronto, ON M5S 1A8, Canada. [Puri, Akshita; O'Brien, Catherine A.] UHN, Princess Margaret Canc Ctr, Toronto, ON M5G 2M9, Canada. [O'Brien, Catherine A.] Univ Toronto, Dept Lab Med & Pathobiol, Toronto, ON M5S 1A8, Canada. [Lam, Tony K. T.] Univ Toronto, Banting & Best Diabet Ctr, Toronto, ON M5G 2C4, Canada. [Duca, Frank A.] Univ Arizona, Sch Anim & Comparat Biomed Sci, Tucson, AZ 85721 USA. C3 University of Toronto; University Health Network Toronto; Toronto General Hospital; University of Toronto; University of Toronto; University of Toronto; University Health Network Toronto; Princess Margaret Cancer Centre; University of Toronto; University of Toronto; University of Arizona RP Lam, TKT (通讯作者),UHN, Toronto Gen Hosp, Res Inst, Toronto, ON M5G 1L7, Canada.; Lam, TKT (通讯作者),Univ Toronto, Dept Physiol, Toronto, ON M5S 1A8, Canada.; Lam, TKT (通讯作者),Univ Toronto, Dept Med, Toronto, ON M5S 1A8, Canada.; Lam, TKT (通讯作者),Univ Toronto, Banting & Best Diabet Ctr, Toronto, ON M5G 2C4, Canada. EM tony.lam@uhnres.utoronto.ca RI WAISE, T M ZAVED/CAG-2483-2022 OI WAISE, T M ZAVED/0000-0002-0205-258X; O'Brien, Catherine/0000-0003-0682-3879 FU Canadian Institutes of Health Research (CIHR) Foundation [FDN-143204]; Ontario Graduate Scholarship; Banting and Best Diabetes Centre; BBDC; CIHR; Diabetes Canada FX The authors are grateful to P. Wang for assistance. This work was funded by a Canadian Institutes of Health Research (CIHR) Foundation Grant to T.K.T.L. (FDN-143204). P.V.B. is supported by an Ontario Graduate Scholarship and by a Banting and Best Diabetes Centre graduate studentship. F.A.D. was a Banting Fellow. T.M.Z.W. is supported by a BBDC post-doctoral fellowship. B.A.R. was a Vanier scholar. M.A.A. is supported by a CIHR Doctoral award. H.J.D. is supported by postdoctoral fellowships from the CIHR and Diabetes Canada. T.K.T.L. holds the John Kitson McIvor (1915-1942) Endowed Chair in Diabetes Research and the Canada Research Chair in Obesity. 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PD JAN 9 PY 2018 VL 27 IS 1 BP 101 EP + DI 10.1016/j.cmet.2017.09.019 PG 22 WC Cell Biology; Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Cell Biology; Endocrinology & Metabolism GA FS2EY UT WOS:000419592800011 PM 29056513 OA Bronze DA 2023-06-08 ER PT J AU Chow, E Yang, AM Chung, CHL Chan, JCN AF Chow, Elaine Yang, Aimin Chung, Colin H. L. Chan, Juliana C. N. TI A Clinical Perspective of the Multifaceted Mechanism of Metformin in Diabetes, Infections, Cognitive Dysfunction, and Cancer SO PHARMACEUTICALS LA English DT Review DE metformin; diabetes; mechanisms; anticancer action; infections; cognition; cardioprotection ID ALL-CAUSE MORTALITY; CHRONIC KIDNEY-DISEASE; FATTY LIVER-DISEASE; OUTCOME PROGRESSION TRIAL; CARDIOVASCULAR-DISEASE; GLYCEMIC CONTROL; RETROSPECTIVE COHORT; ENDOTHELIAL FUNCTION; SEVERE HYPOGLYCEMIA; OLDER-ADULTS AB In type 2 diabetes, ecological and lifecourse factors may interact with the host microbiota to influence expression of his/her genomes causing perturbation of interconnecting biological pathways with diverse clinical course. Metformin is a plant-based or plant-derived medicinal product used for the treatment of type 2 diabetes for over 60 years and is an essential drug listed by the World Health Organization. By reducing mitochondrial oxidative phosphorylation and adenosine triphosphate (ATP) production, metformin increased AMP (adenosine monophosphate)-activated protein kinase (AMPK) activity and altered cellular redox state with reduced glucagon activity, endogenous glucose production, lipogenesis, and protein synthesis. Metformin modulated immune response by directly reducing neutrophil to lymphocyte ratio and improving the phagocytic function of immune cells. By increasing the relative abundance of mucin-producing and short-chain-fatty-acid-producing gut microbes, metformin further improved the host inflammatory and metabolic milieu. Experimentally, metformin promoted apoptosis and reduced proliferation of cancer cells by reducing their oxygen consumption and modulating the microenvironment. Both clinical and mechanistic studies support the pluripotent effects of metformin on reducing cardiovascular-renal events, infection, cancer, cognitive dysfunction, and all-cause death in type 2 diabetes, making this low-cost medication a fundamental therapy for individualization of other glucose-lowering drugs in type 2 diabetes. Further research into the effects of metformin on cognitive function, infection and cancer, especially in people without diabetes, will provide new insights into the therapeutic value of metformin in our pursuit of prevention and treatment of ageing-related as well as acute and chronic diseases beyond diabetes. C1 [Chow, Elaine; Yang, Aimin; Chung, Colin H. L.; Chan, Juliana C. N.] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Med & Therapeut, Hong Kong 999077, Peoples R China. [Chow, Elaine; Yang, Aimin; Chan, Juliana C. N.] Chinese Univ Hong Kong, Prince Wales Hosp, Hong Kong Inst Diabet & Obes, Hong Kong 999077, Peoples R China. [Chow, Elaine] Chinese Univ Hong Kong, Prince Wales Hosp, Phase Clin Trial Ctr 1, Hong Kong 999077, Peoples R China. C3 Chinese University of Hong Kong; Prince of Wales Hospital; Chinese University of Hong Kong; Prince of Wales Hospital; Chinese University of Hong Kong; Prince of Wales Hospital RP Chan, JCN (通讯作者),Chinese Univ Hong Kong, Prince Wales Hosp, Dept Med & Therapeut, Hong Kong 999077, Peoples R China.; Chan, JCN (通讯作者),Chinese Univ Hong Kong, Prince Wales Hosp, Hong Kong Inst Diabet & Obes, Hong Kong 999077, Peoples R China. EM e.chow@cuhk.edu.hk; aiminyang@cuhk.edu.hk; 1155125450@link.cuhk.edu.hk; jchan@cuhk.edu.hk RI Chow, Elaine/HJB-2197-2022; Yang, Aimin/D-8344-2015; Chan, Juliana/B-7918-2016 OI Chow, Elaine/0000-0002-4147-3387; Chung, Ho Lam Colin/0000-0003-2821-6965; Yang, Aimin/0000-0003-2968-1762; Chan, Juliana/0000-0003-1325-1194 FU Chinese University of Hong Kong (CUHK) Impact Research Postdoctoral Scheme FX A.Y. was supported by the Chinese University of Hong Kong (CUHK) Impact Research Postdoctoral Scheme. 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1424-8247 J9 PHARMACEUTICALS-BASE JI Pharmaceuticals PD APR PY 2022 VL 15 IS 4 AR 442 DI 10.3390/ph15040442 PG 26 WC Chemistry, Medicinal; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA 0Q9FJ UT WOS:000785214700001 PM 35455439 OA gold, Green Published DA 2023-06-08 ER PT J AU Shoshan-Barmatz, V Anand, U Nahon-Crystal, E Di Carlo, M Shteinfer-Kuzmine, A AF Shoshan-Barmatz, Varda Anand, Uttpal Nahon-Crystal, Edna Di Carlo, Marta Shteinfer-Kuzmine, Anna TI Adverse Effects of Metformin From Diabetes to COVID-19, Cancer, Neurodegenerative Diseases, and Aging: Is VDAC1 a Common Target? SO FRONTIERS IN PHYSIOLOGY LA English DT Review DE apoptosis; cancer; metabolism; metformin; hexokinase; COVID-19; mitochondria; VDAC ID DEPENDENT ANION CHANNEL; ACTIVATED PROTEIN-KINASE; MITOCHONDRIAL PERMEABILITY TRANSITION; ANTIDIABETIC DRUG METFORMIN; CYTOCHROME-C RELEASE; APOPTOTIC CELL-DEATH; ALZHEIMERS-DISEASE; AMYLOID-BETA; COGNITIVE IMPAIRMENT; INSULIN-RESISTANCE AB Metformin has been used for treating diabetes mellitus since the late 1950s. In addition to its antihyperglycemic activity, it was shown to be a potential drug candidate for treating a range of other diseases that include various cancers, cardiovascular diseases, diabetic kidney disease, neurodegenerative diseases, renal diseases, obesity, inflammation, COVID-19 in diabetic patients, and aging. In this review, we focus on the important aspects of mitochondrial dysfunction in energy metabolism and cell death with their gatekeeper VDAC1 (voltage-dependent anion channel 1) as a possible metformin target, and summarize metformin's effects in several diseases and gut microbiota. We question how the same drug can act on diseases with opposite characteristics, such as increasing apoptotic cell death in cancer, while inhibiting it in neurodegenerative diseases. Interestingly, metformin's adverse effects in many diseases all show VDAC1 involvement, suggesting that it is a common factor in metformin-affecting diseases. The findings that metformin has an opposite effect on various diseases are consistent with the fact that VDAC1 controls cell life and death, supporting the idea that it is a target for metformin. C1 [Shoshan-Barmatz, Varda; Anand, Uttpal] Ben Gurion Univ Negev, Dept Life Sci, Beer Sheva, Israel. [Shoshan-Barmatz, Varda; Shteinfer-Kuzmine, Anna] Ben Gurion Univ Negev, Natl Inst Biotechnol Negev, Beer Sheva, Israel. [Nahon-Crystal, Edna] Achva Acad Coll, Arugot, Israel. [Di Carlo, Marta] CNR, Inst Biomed Res & Innovat, Palermo, Italy. C3 Ben Gurion University; Ben Gurion University; Consiglio Nazionale delle Ricerche (CNR); Istituto Ricerca l'Innovazione Biomedica (IRIB-CNR) RP Shoshan-Barmatz, V (通讯作者),Ben Gurion Univ Negev, Dept Life Sci, Beer Sheva, Israel.; Shoshan-Barmatz, V (通讯作者),Ben Gurion Univ Negev, Natl Inst Biotechnol Negev, Beer Sheva, Israel. 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PD OCT 4 PY 2021 VL 12 AR 730048 DI 10.3389/fphys.2021.730048 PG 25 WC Physiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Physiology GA WV3OZ UT WOS:000717150400001 PM 34671273 OA Green Published, gold DA 2023-06-08 ER PT J AU Su, Y Lu, S Hou, CJ Ren, KH Wang, ML Liu, XL Zhao, SY Liu, XP AF Su, Ying Lu, Shan Hou, Chenjian Ren, Kehan Wang, Meili Liu, Xiaoli Zhao, Shanyu Liu, Xiuping TI Mitigation of liver fibrosis via hepatic stellate cells mitochondrial apoptosis induced by metformin SO INTERNATIONAL IMMUNOPHARMACOLOGY LA English DT Article DE Liver fibrosis; Hepatic stellate cells (HSCs); Metformin; Mitochondrial apoptosis; Nonalcoholic steatohepatitis (NASH) ID GUT MICROBIOME; IN-VIVO; MECHANISMS; MYOFIBROBLASTS; ACTIVATION; TARGETS; AMPK AB Liver fibrosis, a disease characterized by the excessive accumulation of extracellular matrix originating from activated hepatic stellate cells (HSCs), is a common pathological response to chronic liver injury resulting from a variety of insults. However, drugs that effectively block the activation of HSCs have still not been adequately investigated. This study demonstrates that metformin decreased the number of activated-HSCs through induction of apoptosis, but did not impact numbers of hepatocytes. Metformin upregulated BAX activation with facilitation of BIM, BAD and PUMA; downregulated Bcl-2 and Bcl-xl, but did not affect Mcl-1. Additionally, metformin induced cytochrome c release from mitochondria into the cytoplasm, directly triggering caspase-9-mediated mitochondrial apoptosis. The decline in mitochondrial membrane potential (& UDelta;psi m) and deposition of superox -ide in mitochondria accelerated the destruction of the integrity of mitochondrial membrane. Moreover, we verified the therapeutic effect of metformin in our mouse model of liver fibrosis associated with nonalcoholic steatohepatitis (NASH) in which hepatic function, NASH lesions and fibrosis were improved by metformin. In conclusion, this study indicated that metformin has significant therapeutic value in NASH-derived liver fibrosis by inducing apoptosis in HSCs, but does not affect the proliferation of hepatocytes. C1 [Su, Ying; Lu, Shan; Hou, Chenjian; Ren, Kehan; Liu, Xiaoli; Zhao, Shanyu] Fudan Univ, Sch Basic Med Sci, Dept Pathol, Shanghai 200032, Peoples R China. [Wang, Meili] Fudan Univ, Shanghai Peoples Hosp 5, Dept Pathol, Shanghai 200240, Peoples R China. [Liu, Xiuping] Fudan Univ, Shanghai Peoples Hosp 5, Sch Basic Med Sci, Dept Pathol, Shanghai 200240, Peoples R China. C3 Fudan University; Fudan University; Fudan University RP Liu, XP (通讯作者),Fudan Univ, Shanghai Peoples Hosp 5, Sch Basic Med Sci, Dept Pathol, Shanghai 200240, Peoples R China. EM xpliu1228@fudan.edu.cn RI liu, xiao/HKE-9880-2023; liu, xiao/HMD-7454-2023; Liu, Xiaoli/HGE-7614-2022 OI Ren, Kehan/0000-0002-4409-7145 FU Shanghai Natural Science Founda-tion [21ZR1450300] FX Funding This work was supported by the Shanghai Natural Science Founda-tion (No. 21ZR1450300) . 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Immunopharmacol. PD JUL PY 2022 VL 108 AR 108683 DI 10.1016/j.intimp.2022.108683 EA MAR 2022 PG 13 WC Immunology; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Immunology; Pharmacology & Pharmacy GA 1C5ZW UT WOS:000793197900002 PM 35344814 OA hybrid DA 2023-06-08 ER PT J AU Molina-Vega, M Picon-Cesar, MJ Gutierrez-Repiso, C Fernandez-Valero, A Lima-Rubio, F Gonzalez-Romero, S Moreno-Indias, I Tinahones, FJ AF Molina-Vega, Maria Picon-Cesar, Maria J. Gutierrez-Repiso, Carolina Fernandez-Valero, Andrea Lima-Rubio, Fuensanta Gonzalez-Romero, Stella Moreno-Indias, Isabel Tinahones, Francisco J. TI Metformin action over gut microbiota is related to weight and glycemic control in gestational diabetes mellitus: A randomized trial SO BIOMEDICINE & PHARMACOTHERAPY LA English DT Article DE Gestational diabetes; Metformin; Insulin; Gut microbiota; Weight gain; Metabolic control AB Background: Metformin, which is known to produce profound changes in gut micmbiota, is being increasingly used in gestational diabetes mellitus (GDM). The aim of this study was to elucidate the differences in gut microbiota composition and function in women with GDM treated with metformin compared to those treated with insulin. Methods: From May to December 2018, 58 women with GDM were randomized to receive insulin (INS; n = 28) or metformin (MET; n = 30) at the University Hospital Virgen de la Victoria, Malaga, Spain. Basal visits, with at least 1 follow-up visit and prepartum visit, were performed. At the basal and prepartum visits, blood and stool samples were collected. The gut microbiota profile was determined through 16S rRNA analysis. Results: Compared to INS, women on MET presented a lower mean postprandial glycemia and a lower increase in weight and body mass index (BMI). Firmicutes and Peptostreptococcaceae abundance declined, while Proteobacteria and Enterobacteriaceae abundance increased in the MET group. We found inverse correlations between changes in the abundance of Proteobacteria and mean postprandial glycemia (p = 0.023), as well as between Enterobacteriaceae and a rise in BMI and weight gain (p = 0.031 and p = 0.036, respectively). Regarding the metabolic profile of gut microbiota, predicted metabolic pathways related to propionate degradation and ubiquinol biosynthesis predominated in the MET group. Conclusion: Metformin in GDM affects the composition and metabolic profile of gut microbiota. These changes could mediate, at least in part, its clinical effects. Studies designed to assess how these changes influence metabolic control during and after pregnancy are necessary. C1 [Molina-Vega, Maria; Picon-Cesar, Maria J.; Fernandez-Valero, Andrea; Tinahones, Francisco J.] Hosp Univ Virgen Victoria, Dept Endocrinol & Nutr, Malaga, Spain. [Molina-Vega, Maria; Gutierrez-Repiso, Carolina; Lima-Rubio, Fuensanta; Moreno-Indias, Isabel; Tinahones, Francisco J.] Univ Malaga, Virgen Victoria Univ Hosp, Lab Biomed Res Inst Malaga, Malaga, Spain. [Gutierrez-Repiso, Carolina; Moreno-Indias, Isabel; Tinahones, Francisco J.] Inst Salud Carlos III, Ctr Invest Biomed Red CIBER Fisiopatol Obesidad &, Madrid, Spain. [Gonzalez-Romero, Stella] Hosp Reg Univ Carlos Haya, Dept Endocrinol & Nutr, Malaga, Spain. C3 Hospital Virgen de la Victoria; Instituto de Investigacion Biomedica de Malaga y Plataforma en Nanomedicina (IBIMA); Universidad de Malaga; CIBER - Centro de Investigacion Biomedica en Red; CIBEROBN; Instituto de Salud Carlos III; Hospital Carlos Haya RP Moreno-Indias, I (通讯作者),Hosp Clin Univ Virgen Victoria, Lab Invest Biomed 1a Planta, Campus Teatinos S-N, Malaga 29010, Spain. EM isabel.moreno@ibima.eu RI Gutiérrez-Repiso, Carolina/F-8125-2010; Molina-Vega, María/GQA-5234-2022; Moreno-Indias, Isabel/B-6595-2017 OI Gutiérrez-Repiso, Carolina/0000-0002-5842-8873; Moreno-Indias, Isabel/0000-0002-6121-151X; Tinahones, Francisco J/0000-0001-6871-4403 FU Consejeria de Salud y Familias de la Junta de Andalucia: Financiacion de la Investigacion Biomedica y en Ciencias de la Salud en Andalucia para el ano 2019, Linea de proyectos de Investigacion, Desarrollo e Innovacion Biomedica y en Ciencias de la Salud, M [PI0419-2019]; Fundacion SED (Sociedad Espanola de Diabetes): IX Ayuda SED a Proyectos de Investigacion Clinica en Diabetes dirigidos por Jovenes Investigadores en 2018; Juan Rodes program from Instituto de Salud Carlos III [JR20-00040]; Juan de la Cierva program from the Ministerio de Ciencia e Innovacion [IJCI-2017-33065]; Miguel Servet Type I program from the Instituto de Salud Carlos III - Fondo Europeo de Desarrollo Regional [CP16/00163]; "Centros de Investigacion Biomedica en Red" (CIBER) of the Instituto de Salud Carlos III (ISCIII) [CB06/03/ 0018]; ISCIII [PI18/01160, PI21/01677]; European Regional Development Fund (ERDF) FX This study was supported by the Consejeria de Salud y Familias de la Junta de Andalucia: Financiacion de la Investigacion Biomedica y en Ciencias de la Salud en Andalucia para el ano 2019, Linea de proyectos de Investigacion, Desarrollo e Innovacion Biomedica y en Ciencias de la Salud, Modalidad proyectos de investigacion en salud (PI0419-2019) and Fundacion SED (Sociedad Espanola de Diabetes): IX Ayuda SED a Proyectos de Investigacion Clinica en Diabetes dirigidos por Jovenes Investigadores en 2018. This study was also supported by the Juan Rodes program from Instituto de Salud Carlos III (JR20-00040 to MMV), the Juan de la Cierva program from the Ministerio de Ciencia e Innovacion (IJCI-2017-33065 to CG-R) and the Miguel Servet Type I program from the Instituto de Salud Carlos III cofounded by the Fondo Europeo de Desarrollo Regional (CP16/00163 to IM-I). In addition, this study was supported by the "Centros de Investigacion Biomedica en Red" (CIBER) of the Instituto de Salud Carlos III (ISCIII) (CB06/03/ 0018), and research grants from the ISCIII (PI18/01160; PI21/01677)) and co-financed by the European Regional Development Fund (ERDF). 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PD JAN PY 2022 VL 145 AR 112465 DI 10.1016/j.biopha.2021.112465 EA NOV 2021 PG 9 WC Medicine, Research & Experimental; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine; Pharmacology & Pharmacy GA XG7LB UT WOS:000724929300007 PM 34844107 OA gold DA 2023-06-08 ER PT J AU Torres, W Nava, M Galban, N Gomez, Y Morillo, V Rojas, M Cano, C Chacin, M D'Marco, L Herazo, Y Velasco, M Bermudez, V Rojas-Quintero, J AF Torres, Wheeler Nava, Manuel Galban, Nestor Gomez, Yosselin Morillo, Valery Rojas, Milagros Cano, Climaco Chacin, Maricarmen D'Marco, Luis Herazo, Yaneth Velasco, Manuel Bermudez, Valmore Rojas-Quintero, Joselyn TI Anti-Aging Effect of Metformin: A Molecular and Therapeutical Perspective SO CURRENT PHARMACEUTICAL DESIGN LA English DT Review DE Metformin; ageing; anti-ageing drugs; Type 2 diabetes mellitus; geronto-protective properties; cellular homeostasis ID ACTIVATED PROTEIN-KINASE; EXTENDS LIFE-SPAN; MITOCHONDRIAL-FUNCTION; AUTOPHAGY INDUCTION; CALORIC RESTRICTION; DNA-DAMAGE; STEM-CELLS; AMPK; MORTALITY; RAPAMYCIN AB Aging is a time-dependent inevitable process, in which cellular homeostasis is affected, which has an impact on tissue function. This represents a risk factor for the development of numerous non-transmissible diseases. In consequence, the scientific community continues to search for therapeutic measures capable of improving quality of life and delaying cellular aging. At the center of this research is metformin, a widely used drug in Type 2 Diabetes Mellitus treatment that has a reduced adverse effects profile. Furthermore, there is evidence that this drug has beneficial health effects that go beyond its anti-hyperglycemic properties. Among these effects, its geronto-protection capability stands out. There is growing evidence that points out to an increased life expectancy as well as the quality of life in model organisms treated with metformin. Therefore, there is an abundance of research centered on elucidating the mechanism through which metformin has its anti-aging effects. Among these, the AMPK, mTORC1, SIRT1, FOXO, NF.kB, and DICER1 pathways can be mentioned. Furthermore, studies have highlighted the possibility of a role for the gut microbiome in these processes. The next step is the design of clinical essays that have as a goal evaluating the efficacy and safety of metformin as an anti-aging drug in humans to create a paradigm in the medical horizon. The question being if metformin is, in fact, the new anti-aging therapy in humans? C1 [Torres, Wheeler; Nava, Manuel; Galban, Nestor; Gomez, Yosselin; Morillo, Valery; Rojas, Milagros; Cano, Climaco] Univ Zulia, Endocrine & Metab Dis Res Ctr, Sch Med, 20th Ave 4004, Maracaibo, Venezuela. [Chacin, Maricarmen; Herazo, Yaneth; Bermudez, Valmore] Univ Simon Bolivar, Fac Ciencias Salud, Barranquilla, Colombia. [D'Marco, Luis] Hosp Clin Univ, Nephrol Dept, INCLIVA, Valencia, Spain. [Velasco, Manuel] Univ Cent Venezuela, Vargas Sch Med, Clin Pharmacol Unit, Caracas, Venezuela. [Rojas-Quintero, Joselyn] Harvard Med Sch, Brigham & Womens Hosp, Pulm & Crit Care Med Dept, Boston, MA 02115 USA. C3 University of Central Venezuela; Harvard University; Brigham & Women's Hospital; Harvard Medical School RP Torres, W (通讯作者),Univ Zulia, Endocrine & Metab Dis Res Ctr, Sch Med, 20th Ave 4004, Maracaibo, Venezuela. 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Pharm. Design PY 2020 VL 26 IS 35 BP 4496 EP 4508 DI 10.2174/1381612826666200716161610 PG 13 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA OH3WJ UT WOS:000582502300012 PM 32674728 DA 2023-06-08 ER PT J AU Pryor, R Norvaisas, P Marinos, G Best, L Thingholm, LB Quintaneiro, LM De Haes, W Esser, D Waschina, S Lujan, C Smith, RL Scott, TA Martinez-Martinez, D Woodward, O Bryson, K Laudes, M Lieb, W Houtkooper, RH Franke, A Temmerman, L Bjedov, I Cocheme, HM Kaleta, C Cabreiro, F AF Pryor, Rosina Norvaisas, Povilas Marinos, Georgios Best, Lena Thingholm, Louise B. Quintaneiro, Leonor M. De Haes, Wouter Esser, Daniela Waschina, Silvio Lujan, Celia Smith, Reuben L. Scott, Timothy A. Martinez-Martinez, Daniel Woodward, Orla Bryson, Kevin Laudes, Matthias Lieb, Wolfgang Houtkooper, Riekelt H. Franke, Andre Temmerman, Liesbet Bjedov, Ivana Cocheme, Helena M. Kaleta, Christoph Cabreiro, Filipe TI Host-Microbe-Drug-Nutrient Screen Identifies Bacterial Effectors of Metformin Therapy SO CELL LA English DT Article ID HUMAN GUT MICROBIOME; C. ELEGANS; LIFE-SPAN; METABOLISM; EXPRESSION; COORDINATION; ALTERS; IMPACT AB Metformin is the first-line therapy for treating type 2 diabetes and a promising anti-aging drug. We set out to address the fundamental question of how gut microbes and nutrition, key regulators of host physiology, affect the effects of metformin. Combining two tractable genetic models, the bacterium E. coli and the nematode C. elegans, we developed a high-throughput four-way screen to define the underlying host-microbe-drug-nutrient interactions. We show that microbes integrate cues from metformin and the diet through the phosphotransferase signaling pathway that converges on the transcriptional regulator Crp. A detailed experimental characterization of metformin effects downstream of Crp in combination with metabolic modeling of the microbiota in metformin-treated type 2 diabetic patients predicts the production of microbial agmatine, a regulator of metformin effects on host lipid metabolism and lifespan. Our high-throughput screening platform paves the way for identifying exploitable drug-nutrient-microbiome interactions to improve host health and longevity through targeted microbiome therapies. C1 [Pryor, Rosina; Quintaneiro, Leonor M.; Martinez-Martinez, Daniel; Cocheme, Helena M.; Cabreiro, Filipe] MRC London Inst Med Sci, Du Cane Rd, London W12 0NN, England. [Pryor, Rosina; Quintaneiro, Leonor M.; Martinez-Martinez, Daniel; Cocheme, Helena M.; Cabreiro, Filipe] Imperial Coll London, Inst Clin Sci, Hammersmith Hosp Campus,Du Cane Rd, London W12 0NN, England. [Pryor, Rosina; Norvaisas, Povilas; Quintaneiro, Leonor M.; Scott, Timothy A.; Woodward, Orla; Cabreiro, Filipe] Univ Coll London & Birkbeck, Inst Struct & Mol Biol, London WC1E 6BT, England. [Marinos, Georgios; Best, Lena; Esser, Daniela; Waschina, Silvio; Kaleta, Christoph] Univ Kiel, Inst Expt Med, D-24105 Kiel, Germany. [Thingholm, Louise B.; Franke, Andre] Christian Albrechts Univ Kiel, Inst Clin Mol Biol, D-24105 Kiel, Germany. [De Haes, Wouter; Temmerman, Liesbet] Katholieke Univ Leuven, Dept Biol, Mol & Funct Neurobiol, B-3000 Leuven, Belgium. [Lujan, Celia; Bjedov, Ivana] UCL, UCL Canc Inst, London WC1E 6JD, England. [Smith, Reuben L.; Houtkooper, Riekelt H.] Univ Amsterdam, Amsterdam UMC, Lab Genet Metab Dis, NL-1105 AZ Amsterdam, Netherlands. [Bryson, Kevin] UCL, Dept Comp Sci, London WC1E 6BT, England. [Laudes, Matthias] Univ Hosp Schleswig Holstein, Dept Internal Med 1, Campus Kiel, Kiel, Germany. [Lieb, Wolfgang] Christian Albrechts Univ Kiel, Inst Epidemiol, D-24105 Kiel, Germany. C3 Imperial College London; University of London; Birkbeck University London; University College London; University of Kiel; University of Kiel; KU Leuven; University of London; University College London; University of Amsterdam; University of London; University College London; University of Kiel; Schleswig Holstein University Hospital; University of Kiel RP Cabreiro, F (通讯作者),MRC London Inst Med Sci, Du Cane Rd, London W12 0NN, England.; Cabreiro, F (通讯作者),Imperial Coll London, Inst Clin Sci, Hammersmith Hosp Campus,Du Cane Rd, London W12 0NN, England.; Cabreiro, F (通讯作者),Univ Coll London & Birkbeck, Inst Struct & Mol Biol, London WC1E 6BT, England.; Kaleta, C (通讯作者),Univ Kiel, Inst Expt Med, D-24105 Kiel, Germany. EM c.kaleta@iem.uni-kiel.de; f.cabreiro@lms.mrc.ac.uk RI Waschina, Silvio/AAE-2908-2021; Lieb, Wolfgang/AAC-7650-2022; Esser, Daniela/ABB-9383-2020; Franke, Andre/B-2151-2010; Bryson, Kevin/AAZ-8177-2020; Houtkooper, Riekelt/P-5001-2019 OI Waschina, Silvio/0000-0002-6290-3593; Franke, Andre/0000-0003-1530-5811; Bryson, Kevin/0000-0002-1163-6368; Bjedov, Ivana/0000-0001-5894-6016; Martinez-Martinez, Daniel/0000-0001-8468-1357; Scott, Timothy/0000-0001-7042-8609; Cocheme, Helena/0000-0001-8637-0042; Best, Lena/0000-0003-2772-153X; Houtkooper, Riekelt/0000-0001-9961-0842; Norvaisas, Povilas/0000-0003-4790-9820; MARINOS, GEORGIOS/0000-0002-6443-7696; Temmerman, Liesbet/0000-0002-1249-3995 FU Wellcome Trust/Royal Society [102531/Z/13/Z, 102531/Z/13/A]; German Research Foundation [CRC 1182, EXC306]; MRC [MC-A654-5QB90]; FWOFlanders; ERC [StG 311331, PoC 842174]; MRC [MC_UP_1605/6, MC_UP_1102/10] Funding Source: UKRI FX Worm strains were provided by the Caenorhabditis Genetics Center. F.C. acknowledges funding from the Wellcome Trust/Royal Society (102531/Z/13/Z and 102531/Z/13/A), C.K. from the German Research Foundation (CRC 1182 "Metaorganisms,'' Excellence Cluster "Inflammation at Interfaces [EXC306]), H.M.C. from the MRC (MC-A654-5QB90), W.D.H. and L.T. from FWOFlanders, and I.B. from ERC StG 311331 and ERC PoC 842174. Wethank Clara Essmann, Johannes Zimmermann, Ruwen Bohm, and Guido Laucke for technical advice; Kit-Yi Leung and Nicholas Greene for sharing unpublished data; Athanasios Typas, Jurg Bahler, and Irene Miguel-Aliaga for critical reading of the manuscript; and Andrew Osborne for editing the manuscript. 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Cell Biology WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Cell Biology GA IV0QF UT WOS:000483983000008 PM 31474368 OA Green Published, Green Accepted, hybrid DA 2023-06-08 ER PT J AU Ke, HR Li, F Deng, WL Li, ZT Wang, SQ Lv, PJ Chen, Y AF Ke, Haoran Li, Fang Deng, Wenlin Li, Zitong Wang, Siqi Lv, Pinjing Chen, Ye TI Metformin Exerts Anti-inflammatory and Mucus Barrier Protective Effects by Enriching Akkermansia muciniphila in Mice With Ulcerative Colitis SO FRONTIERS IN PHARMACOLOGY LA English DT Article DE intestinal barrier; inflammatory bowel diseases; probiotics; gut microbiota; mucin2 ID INFLAMMATORY-BOWEL-DISEASE; GUT MICROBIOTA; INTESTINAL INFLAMMATION; CROHNS-DISEASE; GERM-FREE; MUCIN; BACTERIA; DIFFERENTIATION; PROBIOTICS; THERAPY AB The present study aimed to determine if metformin exerts anti-inflammatory and mucus-protective effects via the gut microbiota. Metformin has extensive benefits including anti-inflammatory effects. Previous studies showed that metformin changed the gut microbiota composition and increases the number of goblet cells. Intestinal dysbiosis and goblet cell depletion are important features of ulcerative colitis (UC). The underlying mechanism and whether metformin can improve the mucus barrier in UC remain unclear. Metformin (400 mg/kg/day) was administered to mice with dextran sulfate sodium (DSS)-induced UC for 2 wk to investigate the effects of metformin on the intestinal mucus barrier. The gut microbiota was depleted, using antibiotics, to explore its role in the mucus-protecting effects of metformin. Akkermansia muciniphila (A. muciniphila), which was enriched in metformin-treated mice, was administered to mice to investigate the effects of the bacteria on UC and the mucus barrier. Metformin attenuated DSS-induced UC in mice, as evidenced by the alleviation of diarrhea, hematochezia, and the decrease in body weight. The expression of mucin2, a prominent mucus barrier protein, was increased in the metformin-treated group compared to the DSS-treated group. Furthermore, fecal 16S rRNA analysis showed that metformin treatment changed the gut microbiota composition by increasing the relative abundance of Lactobacillus and Akkermansia species while decreasing Erysipelatoclostridium at the genus level. Antibiotic treatment partly abolished the anti-inflammatory and mucus-protecting effects of metformin. Administration of A. muciniphila alleviated the colonic inflammation and mucus barrier disruption. Metformin alleviated DSS-induced UC in mice and protected against cell damage via affecting the gut microbiota, thereby providing a new mechanism for the therapeutic effect of metformin in patients with UC. This study also provides evidence that A. muciniphila as a probiotic has potential benefits for UC. C1 [Ke, Haoran; Li, Fang; Deng, Wenlin; Li, Zitong; Wang, Siqi; Lv, Pinjing; Chen, Ye] Southern Med Univ, Dept Gastroenterol, State Key Lab Organ Failure Res, Guangdong Prov Key Lab Gastroenterol,Nanfang Hosp, Guangzhou, Peoples R China. [Li, Fang] Hainan Gen Hosp, Haikou, Hainan, Peoples R China. [Deng, Wenlin] Sun Yat Sen Univ, Affiliated Hosp 6, Dept Pediat, Guangzhou, Peoples R China. C3 Southern Medical University - China; Sun Yat Sen University RP Chen, Y (通讯作者),Southern Med Univ, Dept Gastroenterol, State Key Lab Organ Failure Res, Guangdong Prov Key Lab Gastroenterol,Nanfang Hosp, Guangzhou, Peoples R China. EM yechen@smu.edu.cn FU National Natural Science Foundation of China [81770529]; National ST Megaprojects [2020ZX09201017]; Guangdong gastrointestinal disease research center [2017B030314037] FX This project is supported by the National Natural Science Foundation of China (No. 81770529); National S&T Megaprojects (2020ZX09201017); Guangdong gastrointestinal disease research center (No. 2017B020209003); and Guangdong gastrointestinal disease research center (No. 2017B030314037). 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Pharmacol. PD SEP 30 PY 2021 VL 12 AR 726707 DI 10.3389/fphar.2021.726707 PG 17 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA WH4JQ UT WOS:000707646600001 PM 34658866 OA Green Published, gold DA 2023-06-08 ER PT J AU Wu, HR Wang, XM Fang, XY Lian, FM Li, M Liao, JQ Dai, D Tian, JX AF Wu, Haoran Wang, Xinmiao Fang, Xinyi Lian, Fengmei Li, Min Liao, Jiangquan Dai, Dan Tian, Jiaxing TI Metformin modulates the gut microbiome in a mice model of high-fat diet-induced glycolipid metabolism disorder SO BMJ OPEN DIABETES RESEARCH & CARE LA English DT Article DE Metformin; Diabetes Mellitus; Experimental; Hyperlipidemias; Microbiology ID AKKERMANSIA-MUCINIPHILA; RNA-SEQ; HOMEOSTASIS; GENOMES AB IntroductionMetformin (MET) can regulate glucose and lipid levels, and the gut microbiota may be involved in the control of metabolism. We hypothesized that MET alleviates glucolipid metabolism disorder by modulating gut microbiota and microbial metabolites.Research design and methodsA total of 24 male C57BL/6 J mice were equally divided into three groups (normal control, model control (MC), and MET-treated groups). Model mice were established by feeding a high-fat diet for 6 weeks. The MET-treated group was administered MET solution (2.5 g/100 mL, 250 mg/kg). Fecal samples were collected to characterize the microbiota system using metagenomic shotgun sequencing and gas chromatography-time of flight-mass spectrometry analysis. Phenotypic and biochemical indices were obtained for further correlation analysis.ResultsCompared with the MC group, MET reduced the levels of weight, glucose, areas under the glucose curve in the glucose tolerance test, triglyceride (TG), and total cholesterol (TC). A decreasing abundance of bacteria, including Parabacteroides distasonis, and an increasing abundance of bacteria, including Bacteroides vulgatus, were observed in the MET-treated group. The 2-deoxytetronic acid declined after MET intervention and was positively correlated with species over-represented in the MC group and negatively correlated with species enriched in the MET-treated group. Additionally, species enriched in the MET-treated group negatively correlated with glucose, areas under the glucose curve in the glucose tolerance test, and TGs. Further, the correlation between the differential metabolites, which decreased after MET intervention, and the phenotypic indices was positive.ConclusionsMET-induced restoration of intestinal homeostasis correlates with the amelioration of host glucolipid metabolism. C1 [Wu, Haoran; Fang, Xinyi; Li, Min; Tian, Jiaxing] China Acad Chinese Med Sci, Inst Metab Dis, Guanganmen Hosp, Beijing, Peoples R China. [Wu, Haoran; Fang, Xinyi] Beijing Univ Chinese Med, Grad Sch, Beijing, Peoples R China. [Wang, Xinmiao; Lian, Fengmei; Dai, Dan] China Acad Chinese Med Sci, Guanganmen Hosp, Beijing, Peoples R China. [Liao, Jiangquan] China Japan Friendship Hosp, Ctr Cardiovasc Dis, Dept Natl Integrated Tradit & Western Med, Beijing, Peoples R China. C3 China Academy of Chinese Medical Sciences; Guang'anmen Hospital, CACMS; Beijing University of Chinese Medicine; China Academy of Chinese Medical Sciences; Guang'anmen Hospital, CACMS; China-Japan Friendship Hospital RP Tian, JX (通讯作者),China Acad Chinese Med Sci, Inst Metab Dis, Guanganmen Hosp, Beijing, Peoples R China. EM tina_yai@126.com OI Wu, Haoran/0000-0003-2906-510X FU National Natural Science Foundation of China [81904187, 81803923]; Capital Health Research and Development of Special Fund [CD2020-4-4155]; CACMS Scientific and Technological Innovation Fund [CI2021A01601]; Open Project of National Facility for Translational Medicine (Shanghai) [TMSK-2021-407]; Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine [ZYYCXTD-D-202001]; Outstanding Young Scientific and Technological Talents Program [ZZ13-YQ-026] FX This work was supported by the National Natural Science Foundation of China (numbers 81904187 and 81803923), Capital Health Research and Development of Special Fund (CD2020-4-4155), CACMS Scientific and Technological Innovation Fund (CI2021A01601), Open Project of National Facility for Translational Medicine (Shanghai, TMSK-2021-407), Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine (number ZYYCXTD-D-202001) and the Outstanding Young Scientific and Technological Talents Program (ZZ13-YQ-026). The design, management, analysis and reporting of the study are entirely independent of the aforementioned programmes. 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Res. Care PD DEC PY 2022 VL 10 IS 6 AR e003149 DI 10.1136/bmjdrc-2022-003149 PG 11 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA 7A3RW UT WOS:000898378800003 PM 36593662 OA gold, Green Published DA 2023-06-08 ER PT J AU Su, CY Li, XX Yang, YX Du, Y Zhang, XM Wang, L Hong, B AF Su, Chunyan Li, Xingxing Yang, Yuxin Du, Yu Zhang, Xiumin Wang, Li Hong, Bin TI Metformin alleviates choline diet-induced TMAO elevation in C57BL/6J mice by influencing gut-microbiota composition and functionality SO NUTRITION & DIABETES LA English DT Article ID TRIMETHYLAMINE-N-OXIDE; LACTOBACILLUS-ACIDOPHILUS; INTESTINAL MICROBIOTA; ATHEROSCLEROSIS; INHIBITION; METABOLISM; ALTERS AB Trimethylamine-N-oxide (TMAO), a gut-microbiota-dependent metabolite generated from its dietary precursors such as choline, has been identified as an independent risk factor for atherosclerosis. Metformin is the most widely used drug for the treatment of type 2 diabetes (T2D), which has therapeutic effects on hyperglycemia accelerated atherosclerosis. A growing body of evidence suggest that metformin plays a therapeutic role by regulating the structure and metabolic function of gut microbiota. However, whether metformin has an impact on gut-microbiota-mediated TMAO production from choline remains obscure. In this study, the oral administration of metformin significantly reduced choline diet-increased serum TMAO in choline diet-fed C57BL/6J mice. The diversity analysis based on 16S rRNA gene sequencing of C57BL/6J mice fecal samples indicated that metformin markedly changed the gut-microbiota composition. Metformin was positively correlated with the enrichment of different intestinal bacteria such as Bifidobacterium and Akkermansia and a lower cutC (a choline utilization gene) abundance. Furthermore, the ex vivo and in vitro inhibitory effects of metformin on choline metabolism of TMA-producing bacteria were confirmed under anaerobic condition. The results suggested that metformin suppresses serum TMAO level by remodeling gut microbiota involved in TMA generation from choline. C1 [Su, Chunyan; Li, Xingxing; Yang, Yuxin; Du, Yu; Zhang, Xiumin; Wang, Li; Hong, Bin] Chinese Acad Med Sci & Peking Union Med Coll, NHC Key Lab Biotechnol Antibiot, 1 Tiantan Xili, Beijing 100050, Peoples R China. [Li, Xingxing; Hong, Bin] Chinese Acad Med Sci & Peking Union Med Coll, Inst Med Biotechnol, CAMS Key Lab Synthet Biol Drug Innovat, 1 Tiantan Xili, Beijing 100050, Peoples R China. C3 Chinese Academy of Medical Sciences - Peking Union Medical College; Peking Union Medical College; Chinese Academy of Medical Sciences - Peking Union Medical College; Peking Union Medical College RP Wang, L; Hong, B (通讯作者),Chinese Acad Med Sci & Peking Union Med Coll, NHC Key Lab Biotechnol Antibiot, 1 Tiantan Xili, Beijing 100050, Peoples R China.; Hong, B (通讯作者),Chinese Acad Med Sci & Peking Union Med Coll, Inst Med Biotechnol, CAMS Key Lab Synthet Biol Drug Innovat, 1 Tiantan Xili, Beijing 100050, Peoples R China. EM wangli_imb@163.com; binhong69@hotmail.com RI Wang, Li/Z-4308-2019 OI Wang, Li/0000-0001-7340-416X; Du, Yu/0000-0002-4901-6746; Hong, Bin/0000-0001-6244-8298 FU National Natural Science Foundation of China [81473214, 81621064]; Drug Innovation Major Project of China [2018ZX09711001-003-006, 2018ZX09711001-007-002]; CAMS Innovation Fund for Medical Sciences [2016-I2M-2-002, 2016-I2M-1011] FX This work was supported by grants from the National Natural Science Foundation of China 81473214 (to L.W.) and 81621064 (to B.H.); the Drug Innovation Major Project of China 2018ZX09711001-003-006 (to L.W.), 2018ZX09711001-007-002 (to Y.D.); CAMS Innovation Fund for Medical Sciences 2016-I2M-2-002 (to L.W.), 2016-I2M-1011 (to B.H.). 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Diabetes PD JUL 31 PY 2021 VL 11 IS 1 AR 27 DI 10.1038/s41387-021-00169-w PG 6 WC Endocrinology & Metabolism; Nutrition & Dietetics WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism; Nutrition & Dietetics GA UC6LG UT WOS:000686634800001 PM 34389700 OA Green Published, gold DA 2023-06-08 ER PT J AU He, L AF He, Ling TI Metformin and Systemic Metabolism SO TRENDS IN PHARMACOLOGICAL SCIENCES LA English DT Review ID ACTIVATED PROTEIN-KINASE; ORGANIC CATION TRANSPORTERS; GLUCAGON-LIKE PEPTIDE-1; HEPATIC GLUCONEOGENESIS; GLUCOSE-PRODUCTION; ADIPOSE-TISSUE; SKELETAL-MUSCLE; AMINO-ACIDS; INSULIN; AMPK AB Metformin can improve patients' hyperglycemia through significant suppression of hepatic glucose production. However, up to 300 times higher concentrations of metformin accumulate in the intestine than in the circulation, where it alters nutrient metabolism in intestinal epithelial cells and microbiome, leading to increased lactate production. Hepatocytes use lactate to make glucose at the cost of energy expenditure, creating a futile intestine-liver cycle. Furthermore, metformin reduces blood lipopolysaccharides and its initiated low-grade inflammation and increased oxidative phosphorylation in liver and adipose tissues. These metformin effects result in the improvement of insulin sensitivity and glucose utilization in extrahepatic tissues. In this review, I discuss the current understanding of the impact of metformin on systemic metabolism and its molecular mechanisms of action in various tissues. C1 [He, Ling] Johns Hopkins Univ, Sch Med, Dept Pediat, Baltimore, MD 21287 USA. [He, Ling] Johns Hopkins Univ, Sch Med, Dept Pharmacol & Mol Sci, Baltimore, MD 21287 USA. C3 Johns Hopkins University; Johns Hopkins University RP He, L (通讯作者),Johns Hopkins Univ, Sch Med, Dept Pediat, Baltimore, MD 21287 USA.; He, L (通讯作者),Johns Hopkins Univ, Sch Med, Dept Pharmacol & Mol Sci, Baltimore, MD 21287 USA. 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Sci. PD NOV PY 2020 VL 41 IS 11 BP 868 EP 881 DI 10.1016/j.tips.2020.09.001 PG 14 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA OD3RA UT WOS:000579769000007 PM 32994049 OA Green Accepted DA 2023-06-08 ER PT J AU Greenway, F Wang, S Heiman, M AF Greenway, F. Wang, S. Heiman, M. TI A novel cobiotic containing a prebiotic and an antioxidant augments the glucose control and gastrointestinal tolerability of metformin: a case report SO BENEFICIAL MICROBES LA English DT Article DE beta-glucan; inulin; diarrhoea ID HIGH-FAT DIET; GUT MICROBIOTA; INSULIN SENSITIVITY; BETA-GLUCAN; VISCOSITY; ENDOTOXEMIA; OBESITY; RISK AB The gut microbiome plays an important role in regulation of metabolic processes, including digestion, absorption, and synthesis of bioactive molecules that signal physiological host mechanisms. Changes in the human gut microbiome are associated with type 2 diabetes and insulin resistance. Water-soluble dietary fibres like inulin and beta-glucan are fermented in the colon, and beta-glucan increases viscosity. Blueberries improve insulin sensitivity through an antioxidant effect. A cobiotic, consisting of purified inulin, sugar-free blueberry pomace extract, and an oat preparation of purified beta-glucan was developed for twice a day (bid) consumption as a smoothie drink to repair the gastrointestinal dysbiosis in type 2 diabetes. A 30-year-old man presented with new onset type 2 diabetes and a fasting glucose (FBS) of 375 mg/dl. Metformin 500 mg bid was initiated and increased to 1 g bid after 1 week. During the first 9 days of metformin treatment, he developed diarrhoea, but his FBS only dropped to 325 mg/dl. The cobiotic bid was added on the 9th day of metformin treatment, and after 2 days, his FBS dropped to 175 mg/dl. After 8 weeks on metformin and the cobiotic, his blood sugar was 100 mg/dl and he lost 5.5 kg. His stools became soft and formed on the cobiotic, reverted to diarrhoea when off of it for 2 days, and returned to normal on resuming the cobiotic formulation. Metformin is a safe, effective and inexpensive generic medication favouring weight loss, recommended as initial treatment of type 2 diabetes by the American Diabetes Association. However, a 20% incidence of diarrhoea limits its tolerability. A safe food supplement that can increase the efficacy of metformin and its tolerability, as occurred in this case report, would have significant positive public health consequences. A controlled clinical trial of the cobiotic with metformin is planned. C1 [Greenway, F.; Wang, S.] Louisiana State Univ Syst, Pennington Biomed Res Ctr, Outpatient Clin, Baton Rouge, LA 70808 USA. [Wang, S.] Chinese Peoples Liberat Army Gen Hosp, Med Sch Chinese PLA, Beijing, Peoples R China. [Heiman, M.] NuMe LLC, New Orleans, LA 70112 USA. C3 Louisiana State University System; Louisiana State University; Pennington Biomedical Research Center; Chinese People's Liberation Army General Hospital RP Greenway, F (通讯作者),Louisiana State Univ Syst, Pennington Biomed Res Ctr, Outpatient Clin, 6400 Perkins Rd, Baton Rouge, LA 70808 USA. 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Mirbobes PD MAR PY 2014 VL 5 IS 1 BP 29 EP 32 DI 10.3920/BM2012.0063 PG 4 WC Microbiology; Nutrition & Dietetics WE Science Citation Index Expanded (SCI-EXPANDED) SC Microbiology; Nutrition & Dietetics GA AD3HH UT WOS:000333128400004 PM 23685372 DA 2023-06-08 ER PT J AU Deng, WL Li, F Ke, HR Wang, SQ Li, ZT Lv, PJ Chen, Y AF Deng, Wenlin Li, Fang Ke, Haoran Wang, Siqi Li, Zitong Lv, Pinjing Chen, Ye TI Effect of metformin in autistic BTBR T+Itpr3tf/J mice administered a high-fat diet SO BRAIN RESEARCH BULLETIN LA English DT Article DE Autism; Sociality; High-fat diet; Metformin; Microbiome; Serotonin ID MOUSE MODEL; SPECTRUM DISORDER; OBESITY; INFLAMMATION; BEHAVIORS; CHILDREN; MEMORY; CELLS; ACID AB The biological mechanisms linking diet-related obesity and autism-related behaviors remain unclear. We aimed to characterize these interactions, focusing on gut microbiota, 5-hydroxytryptamine (5-HT) levels, and autistic behaviors in an animal model for autism; a high-fat diet (HFD) BTBR T + Itpr3tf/J (BTBR) mouse. In this model, we also examined the medication effects of metformin (Met) which is known to ameliorate several symptoms of autism spectrum disorder (ASD). Therefore, we hypothesized that HFD exacerbates BTBR autistic symptoms, which can be alleviated by Met, and the effects are associated with semtonin and the microbiota. As expected, compared with mice fed a normal diet, ten-week HFD-fed mice showed increased body weight, adiposity, and glucose levels. HFD consumption markedly aggravated repetitive behaviors in the self-grooming test. Met reduced HFD-induced hyperactivity. Notably, HFD intervention rescued sociability in the three-chamber sociability test. Furthermore, HFD stimulated tryptophan production, which was inhibited by Met. In contrast, 5-HT levels were lower in the gut and higher in the cortex in the HFD group. Moreover, Met suppressed inflammation in the hippocampus of HFD-fed mice by significantly downregulating the expression of pro-inflammatory cytokines (NF-kappa B, IL-17A, and IL-6). HFD increased the Firmicutes/Bacteroidetes ratio, and Met supplementation decreased richness while increasing bacterial diversity. We found that the abundance of gut microbiota (Lachnoclostridium, Anaerotruncus, Mucispirillum, and Lactococcus) was correlated with behavior scores and 5-HT levels. Overall, HFD consumption improved sociality in BTBR mice, which was related to the modulation of 5-HT levels and the composition of the microbiota. Met did not show any significant positive effects on the autism phenotype associated with HFD. C1 [Deng, Wenlin; Ke, Haoran; Wang, Siqi; Li, Zitong; Lv, Pinjing; Chen, Ye] Southern Med Univ, Nanfang Hosp, Dept Gastroenterol, State Key Lab Organ Failure Res, Guangzhou 510515, Guangdong, Peoples R China. [Deng, Wenlin] Sun Yat Sen Univ, Affiliated Hosp 6, Dept Pediat, Guangzhou 510655, Peoples R China. [Li, Fang] Hainan Med Univ, Hainan Gen Hosp, Hainan Affiliated Hosp, Dept Gastroenterol,Gastroenterol Endoscopy Ctr, Haikou 570311, Hainan, Peoples R China. C3 Southern Medical University - China; Sun Yat Sen University; Hainan Medical University RP Chen, Y (通讯作者),Southern Med Univ, Dept Gastroenterol, State Key Lab Organ Failure Res, Guangdong Prov Key Lab Gastroenterol,Nanfang Hosp, 1838 North Guangzhou Rd, Guangzhou 510515, Peoples R China. EM yechen@smu.edu.cn FU National Natural Science Foundation of China [81770529, 82100609]; Hainan Provincial Natural Science Foundation of China [821QN0982]; Guangdong Gastrointestinal Disease Research Center [2017B02029003] FX This work was supported by the National Natural Science Foundation of China [grant numbers 81770529 and 82100609] , Hainan Provincial Natural Science Foundation of China (NO. 821QN0982) and the Guangdong Gastrointestinal Disease Research Center [grant number 2017B02029003] . 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Bull. PD JUN 1 PY 2022 VL 183 BP 172 EP 183 DI 10.1016/j.brainresbull.2022.02.021 EA MAR 2022 PG 12 WC Neurosciences WE Science Citation Index Expanded (SCI-EXPANDED) SC Neurosciences & Neurology GA 5E9OK UT WOS:000865950600004 PM 35240246 DA 2023-06-08 ER PT J AU Li, QZ He, R Zhang, FM Zhang, J Lian, SH Liu, HX AF Li, Qingzhong He, Rui Zhang, Fengmei Zhang, Jian Lian, Shihai Liu, Hongxia TI Combination of Oligofructose and Metformin Alters the Gut Microbiota and Improves Metabolic Profiles, Contributing to the Potentiated Therapeutic Effects on Diet-Induced Obese Animals SO FRONTIERS IN ENDOCRINOLOGY LA English DT Article DE metformin; oligofructose; gut microbiota; obesity; T2DM ID AMERICAN-DIABETES-ASSOCIATION; EUROPEAN ASSOCIATION; INSULIN; HYPERGLYCEMIA; MANAGEMENT; STATEMENT; GENETICS AB Accumulating studies implicate that the metformin (MET)- and oligofructose (OFS)-altered gut microbiota may play roles in the improvement of type 2 diabetes mellitus (T2DM) and obesity. However, whether the combined administration of OFS and MET could effectively affect the gut microbiota and improve metabolic profiles remains unknown. Here, we randomized diet-induced obesity (DIO) rats to OFS, MET, or MET+OFS for 8 weeks and demonstrated that the combined administration of OFS+MET possessed potentiated effects on the glycemia, body weight, and gut microbiome. In addition, fecal samples from the MET and MET+OFS group were exchanged and transferred to germ-free rats induced by antibiotics. Not surprisingly, the glucose tolerance and serum levels of endotoxin, free fatty acids (FFA), tumor necrosis factor-alpha (TNF-alpha), interleukin-2 (IL-2), and interleukin-6 (IL-6) were all sustainably improved among OFS+MET fecal microbiota-treated DIO rats while the MET fecal microbiota-treated ones presented a relatively reverse trend. Furthermore, transfer of fecal samples from the rats after 8 weeks of treatment to antibiotics-treated germ-free mice significantly improved metabolic profiles, including glucose tolerance and weight reduction in mice that received MET+OFS-altered microbiota. In conclusion, the present study illustrated that the effects of OFS and MET combined treatment on gut microbiota, especially for the MET-induced side effect-related ones, and host metabolism were of greater magnitude than individual OFS or MET treatment in obese rats and mice. Therefore, it is likely that combined administration of OFS and MET may offer a novel and promising strategy for reducing side effects induced by MET and improving metabolic outcomes, particularly glycemia control and weight reduction. C1 [Li, Qingzhong; Liu, Hongxia] Binzhou Med Univ, Sch Pharm, Dept Clin Pharm, Yantai, Peoples R China. [He, Rui] Shandong First Med Univ & Shandong Acad Med Sci, Tai An, Shandong, Peoples R China. [Zhang, Fengmei] Binzhou Med Univ, Dept Rehabil Med, Affiliated Hosp, Binzhou, Peoples R China. [Zhang, Jian] Taian City Cent Hosp, Dept Endocrinol 2, Tai An, Shandong, Peoples R China. [Lian, Shihai] Zaozhuang Municipal Hosp, Dept Thorac Surg, Zaozhuang, Peoples R China. C3 Binzhou Medical University; Shandong First Medical University & Shandong Academy of Medical Sciences; Binzhou Medical University RP Li, QZ (通讯作者),Binzhou Med Univ, Sch Pharm, Dept Clin Pharm, Yantai, Peoples R China. EM qzli88@ncstmc.cn FU Natural Science Foundation of Shandong Province, China [ZR2013HL007]; Science and Technology Plan of Universities of Shandong Province [J12LM03]; Science Research Program of Binzhou Medical University [BY2011KYQD06] FX This work was supported by the Natural Science Foundation of Shandong Province, China (ZR2013HL007), the Science and Technology Plan of Universities of Shandong Province (J12LM03), and the Science Research Program of Binzhou Medical University (BY2011KYQD06). 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Endocrinol. PD FEB 25 PY 2020 VL 10 AR 939 DI 10.3389/fendo.2019.00939 PG 14 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA LC3GG UT WOS:000525212700001 PM 32158428 OA Green Published, gold DA 2023-06-08 ER PT J AU Justice, JN Gubbi, S Kulkarni, AS Bartley, JM Kuchel, GA Barzilai, N AF Justice, Jamie N. Gubbi, Sriram Kulkarni, Ameya S. Bartley, Jenna M. Kuchel, George A. Barzilai, Nir TI A geroscience perspective on immune resilience and infectious diseases: a potential case for metformin SO GEROSCIENCE LA English DT Article DE Metformin; Aging; Geroscience; Immunity; COVID-19 ID CHRONIC HEPATITIS-C; T-HELPER 17; DNA-DAMAGE; HEPATOCELLULAR-CARCINOMA; DIABETES-MELLITUS; MAMMALIAN TARGET; GUT MICROBIOTA; LIFE-SPAN; AMPK; MORTALITY AB We are in the midst of the global pandemic. Though acute respiratory coronavirus (SARS-COV2) that leads to COVID-19 infects people of all ages, severe symptoms and mortality occur disproportionately in older adults. Geroscience interventions that target biological aging could decrease risk across multiple age-related diseases and improve outcomes in response to infectious disease. This offers hope for a new host-directed therapeutic approach that could (i) improve outcomes following exposure or shorten treatment regimens; (ii) reduce the chronic pathology associated with the infectious disease and subsequent comorbidity, frailty, and disability; and (iii) promote development of immunological memory that protects against relapse or improves response to vaccination. We review the possibility of this approach by examining available evidence in metformin: a generic drug with a proven safety record that will be used in a large-scale multicenter clinical trial. Though rigorous translational research and clinical trials are needed to test this empirically, metformin may improve host immune defenses and confer protection against long-term health consequences of infectious disease, age-related chronic diseases, and geriatric syndromes. C1 [Justice, Jamie N.] Wake Forest Sch Med, Sticht Ctr Hlth Aging & Alzheimers Prevent Intern, Med Ctr Blvd, Winston Salem, NC 27157 USA. [Gubbi, Sriram] NIDDK, Metab Dis Branch, NIH, Bethesda, MD 20814 USA. [Kulkarni, Ameya S.; Barzilai, Nir] Albert Einstein Coll Med, Dept Med, Div Endocrinol, Bronx, NY 10461 USA. [Kulkarni, Ameya S.; Barzilai, Nir] Albert Einstein Coll Med, Inst Aging Res, Bronx, NY 10461 USA. [Bartley, Jenna M.; Kuchel, George A.] Univ Connecticut, Sch Med, Ctr Aging, Farmington, CT 06030 USA. [Bartley, Jenna M.] Univ Connecticut, Sch Med, Dept Immunol, Farmington, CT 06030 USA. C3 Wake Forest University; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK); Yeshiva University; Albert Einstein College of Medicine; Yeshiva University; Albert Einstein College of Medicine; University of Connecticut; University of Connecticut RP Justice, JN (通讯作者),Wake Forest Sch Med, Sticht Ctr Hlth Aging & Alzheimers Prevent Intern, Med Ctr Blvd, Winston Salem, NC 27157 USA. EM jnjustic@wakehealth.edu RI Gubbi, Sriram/AAL-6801-2020; Kulkarni, Ameya/AAH-7996-2020; Justice, Jamie/AAW-9590-2021 OI Gubbi, Sriram/0000-0002-9263-1381; Kulkarni, Ameya/0000-0003-4495-8838; Justice, Jamie/0000-0003-2953-4404; Kuchel, George/0000-0001-8387-7040; Bartley, Jenna/0000-0003-0302-975X FU American Federation of Aging Research; Glenn Center for the Biology of Human Aging; National Institutes of Health (NIH) [K01 AG059837, P30 AG021332, R33 AG061456, R21 AG063528, R56 AG060746, R35 GM124922, U01 AI124297, R21 AG060018, R01 AG058814, R01 AI142086, UH3 AG056925, P30AG038072] FX The authors acknowledge the support by the American Federation of Aging Research (JMB, Irene Diamond AFAR award), the Glenn Center for the Biology of Human Aging (NB), and the National Institutes of Health (NIH): JNJ (K01 AG059837, P30 AG021332); GAK (R33 AG061456, R21 AG063528, R56 AG060746, R35 GM124922, U01 AI124297, R21 AG060018, R01 AG058814, R01 AI142086, UH3 AG056925); NB (P30AG038072).Data availabilityNot applicable. 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10.1016/j.ijid.2020.05.040 NR 168 TC 17 Z9 17 U1 3 U2 11 PU SPRINGER PI DORDRECHT PA VAN GODEWIJCKSTRAAT 30, 3311 GZ DORDRECHT, NETHERLANDS SN 2509-2715 EI 2509-2723 J9 GEROSCIENCE JI GeroScience PD JUN PY 2021 VL 43 IS 3 SI SI BP 1093 EP 1112 DI 10.1007/s11357-020-00261-6 EA SEP 2020 PG 20 WC Geriatrics & Gerontology WE Science Citation Index Expanded (SCI-EXPANDED); Social Science Citation Index (SSCI) SC Geriatrics & Gerontology GA SQ7HY UT WOS:000567721900002 PM 32902818 OA Bronze, Green Published DA 2023-06-08 ER PT J AU Wu, H Esteve, E Tremaroli, V Khan, MT Caesar, R Manneras-Holm, L Stahlman, M Olsson, LM Serino, M Planas-Felix, M Xifra, G Mercader, JM Torrents, D Burcelin, R Ricart, W Perkins, R Fernandez-Real, JM Backhed, F AF Wu, Hao Esteve, Eduardo Tremaroli, Valentina Khan, Muhammad Tanweer Caesar, Robert Manneras-Holm, Louise Stahlman, Marcus Olsson, Lisa M. Serino, Matteo Planas-Felix, Mercs Xifra, Gemma Mercader, Josep M. Torrents, David Burcelin, Remy Ricart, Wifredo Perkins, Rosie Fernandez-Real, Jose Manuel Backhed, Fredrik TI Metformin alters the gut microbiome of individuals with treatment-naive type 2 diabetes, contributing to the therapeutic effects of the drug SO NATURE MEDICINE LA English DT Article ID DIET-INDUCED OBESITY; AKKERMANSIA-MUCINIPHILA; GLUCOSE-HOMEOSTASIS; BACTERIAL; GLUCONEOGENESIS; ASSOCIATION; MODULATION; EXTRACTION; RESISTANCE; POPULATION AB Metformin is widely used in the treatment of type 2 diabetes (T2D), but its mechanism of action is poorly defined. Recent evidence implicates the gut microbiota as a site of metformin action. In a double-blind study, we randomized individuals with treatment-naive T2D to placebo or metformin for 4 months and showed that metformin had strong effects on the gut microbiome. These results were verified in a subset of the placebo group that switched to metformin 6 months after the start of the trial. Transfer of fecal samples (obtained before and 4 months after treatment) from metformin-treated donors to germ-free mice showed that glucose tolerance was improved in mice that received metformin-altered microbiota. By directly investigating metformin-microbiota interactions in a gut simulator, we showed that metformin affected pathways with common biological functions in species from two different phyla, and many of the metformin-regulated genes in these species encoded metalloproteins or metal transporters. Our findings provide support for the notion that altered gut microbiota mediates some of metformin's antidiabetic effects. C1 [Wu, Hao; Tremaroli, Valentina; Khan, Muhammad Tanweer; Caesar, Robert; Manneras-Holm, Louise; Stahlman, Marcus; Olsson, Lisa M.; Perkins, Rosie; Backhed, Fredrik] Univ Gothenburg, Inst Med, Dept Mol & Clin Med, Wallenberg Lab, Gothenburg, Sweden. [Esteve, Eduardo; Xifra, Gemma; Ricart, Wifredo; Fernandez-Real, Jose Manuel] Hosp Josep Trueta, Inst Invest Biomed Girona, Dept Diabet Endocrinol & Nutr, Girona, Spain. [Esteve, Eduardo; Xifra, Gemma; Ricart, Wifredo; Fernandez-Real, Jose Manuel] Univ Girona, Fac Med, Dept Med, Girona, Spain. [Esteve, Eduardo; Xifra, Gemma; Ricart, Wifredo; Fernandez-Real, Jose Manuel] Inst Salud Carlos III, Ctr Invest Biomed Red Fisiopatol Obesidad & Nutr, Madrid, Spain. [Serino, Matteo] Univ Toulouse, IRSD, INSERM, INRA,ENVT,UPS, Toulouse, France. [Planas-Felix, Mercs; Mercader, Josep M.; Torrents, David] BSC, Joint BSC CRG IRB Res Program Computat Biol, Barcelona, Spain. [Torrents, David] ICREA, Barcelona, Spain. [Burcelin, Remy] INSERM, Toulouse, France. [Burcelin, Remy] UPS, UMR 1048, Inst Malad Metab & Cardiovasc, Toulouse, France. [Backhed, Fredrik] Sahlgrens Univ Hosp, Gothenburg, Sweden. [Backhed, Fredrik] Univ Copenhagen, Fac Hlth Sci, Sect Metab Receptol & Enteroendocrinol, Novo Nordisk Fdn,Ctr Basic Metab Res, Copenhagen, Denmark. C3 University of Gothenburg; Universitat de Girona; Girona University Hospital Dr. Josep Trueta; Institut d'Investigacio Biomedica de Girona (IDIBGI); Universitat de Girona; CIBER - Centro de Investigacion Biomedica en Red; CIBEROBN; Instituto de Salud Carlos III; INRAE; Institut National de la Sante et de la Recherche Medicale (Inserm); Universite de Toulouse; Ecole Nationale Veterinaire de Toulouse; Universite Toulouse III - Paul Sabatier; Barcelona Institute of Science & Technology; Institute for Research in Biomedicine - IRB Barcelona; ICREA; Institut National de la Sante et de la Recherche Medicale (Inserm); Universite de Toulouse; Universite Toulouse III - Paul Sabatier; Sahlgrenska University Hospital; Novo Nordisk Foundation; University of Copenhagen RP Backhed, F (通讯作者),Univ Gothenburg, Inst Med, Dept Mol & Clin Med, Wallenberg Lab, Gothenburg, Sweden.; Fernandez-Real, JM (通讯作者),Hosp Josep Trueta, Inst Invest Biomed Girona, Dept Diabet Endocrinol & Nutr, Girona, Spain.; Fernandez-Real, JM (通讯作者),Univ Girona, Fac Med, Dept Med, Girona, Spain.; Fernandez-Real, JM (通讯作者),Inst Salud Carlos III, Ctr Invest Biomed Red Fisiopatol Obesidad & Nutr, Madrid, Spain.; Backhed, F (通讯作者),Sahlgrens Univ Hosp, Gothenburg, Sweden.; Backhed, F (通讯作者),Univ Copenhagen, Fac Hlth Sci, Sect Metab Receptol & Enteroendocrinol, Novo Nordisk Fdn,Ctr Basic Metab Res, Copenhagen, Denmark. EM jmfreal@idibgi.org; fredrik.backhed@wlab.gu.se RI Serino, Matteo/O-3310-2018; StÃhlman, Marcus/M-4597-2019; burcelin, remy/M-6013-2014; Caesar, Robert/AAX-3205-2020; Torrents, David/G-5785-2015; Tremaroli, Valentina/AAE-8001-2019; Fernández-Real, Jose Manuel/AGH-3599-2022; Backhed, Fredrik/ABE-6613-2020 OI Serino, Matteo/0000-0003-4644-8532; Torrents, David/0000-0002-6086-9037; Tremaroli, Valentina/0000-0002-9150-4233; Fernández-Real, Jose Manuel/0000-0002-7442-9323; Backhed, Fredrik/0000-0002-4871-8818; Mercader, Josep M/0000-0001-8494-3660; Planas-Felix, Merce/0000-0002-8267-576X; Wu, Hao/0000-0003-1314-4954; Henricsson, Marcus/0000-0002-4202-0339 FU Swedish Diabetes Foundation; Swedish Research Council; Swedish Heart Lung Foundation; Torsten Soderberg's Foundation; Goran Gustafsson's Foundation; Inga Britt and Arne Lundberg's Foundation; Swedish Foundation for Strategic Research; Knut and Alice Wallenberg Foundation; Novo Nordisk Foundation; Region Vastra Gotaland; Sahlgrenska University Hospital; Ministerio de Economia y Competitividad [PI11-00214, PI15/01934]; FEDER funds; Obra Social Fundacion la Caixa fellowship under the Severo Ochoa program; Sara Borrell Fellowship from the Instituto Carlos III; EFSD/Lilly Research Fellowship; Beatriu de Pinos Fellowship from the Agency for Management of University and Research Grants (AGAUR); ERC Consolidator Grant (European Research Council) [615362-METABASE]; NNF Center for Basic Metabolic Research [Bäckhed Group] Funding Source: researchfish; Novo Nordisk Fonden [NNF15OC0016798, NNF13OC0008163] Funding Source: researchfish FX We thank C. Arvidsson, S. Nordin-Larsson, C. Wennberg, and U. Enqvist for superb mouse husbandry. The administrative and technical help of J.M. Moreno Navarrete, E. Huertos, M. Sabater, and O. Rovira is also acknowledged. The strain Akkermansia muciniphila DSM22959 was kindly provided by W. de Vos (Wageningen University and Helsinki University). The strain Bifidobacterium adolescentis L2-32 was kindly provided by K. Scott (The Rowett Institute of Nutrition and Health, University of Aberdeen). Whole-genome shotgun sequencing was performed at the Genomics Core Facility at the Sahlgrenska Academy, University of Gothenburg. The computations for metagenomics analyses were performed on resources provided by the Swedish National Infrastructure for Computing (SNIC) through Uppsala Multidisciplinary Center for Advanced Computational Science (UPPMAX). This study was supported by the Swedish Diabetes Foundation; Swedish Research Council; Swedish Heart Lung Foundation; Torsten Soderberg's Foundation; Goran Gustafsson's Foundation; Inga Britt and Arne Lundberg's Foundation; Swedish Foundation for Strategic Research; Knut and Alice Wallenberg Foundation; the Novo Nordisk Foundation; the regional agreement on medical training and clinical research (ALF) between Region Vastra Gotaland and Sahlgrenska University Hospital; the Ministerio de Economia y Competitividad (PI11-00214 and PI15/01934); and FEDER funds. CIBEROBN Fisiopatologia de la Obesidad y Nutricion is an initiative from the Instituto de Salud Carlos III from Spain. M.P.-F. is funded by the Obra Social Fundacion la Caixa fellowship under the Severo Ochoa 2013 program. J. M. M. was supported by the Sara Borrell Fellowship from the Instituto Carlos III, EFSD/Lilly Research Fellowship and Beatriu de Pinos Fellowship from the Agency for Management of University and Research Grants (AGAUR). F.B. is a recipient of ERC Consolidator Grant (European Research Council, Consolidator grant 615362-METABASE). 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Med. PD JUL PY 2017 VL 23 IS 7 BP 850 EP + DI 10.1038/nm.4345 PG 12 WC Biochemistry & Molecular Biology; Cell Biology; Medicine, Research & Experimental WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Cell Biology; Research & Experimental Medicine GA FA1DS UT WOS:000405180100014 PM 28530702 HC Y HP N DA 2023-06-08 ER PT J AU Lee, H Ko, G AF Lee, Heetae Ko, GwangPyo TI Effect of Metformin on Metabolic Improvement and Gut Microbiota SO APPLIED AND ENVIRONMENTAL MICROBIOLOGY LA English DT Article ID ACTIVATED PROTEIN-KINASE; AKKERMANSIA-MUCINIPHILA; GENDER-DIFFERENCES; ENERGY; ASSOCIATION; LIFE AB Metformin is commonly used as the first line of medication for the treatment of metabolic syndromes, such as obesity and type 2 diabetes (T2D). Recently, metformin-induced changes in the gut microbiota have been reported; however, the relationship between metformin treatment and the gut microbiota remains unclear. In this study, the composition of the gut microbiota was investigated using a mouse model of high-fat-diet (HFD)-induced obesity with and without metformin treatment. As expected, metformin treatment improved markers of metabolic disorders, including serum glucose levels, body weight, and total cholesterol levels. Moreover, Akkermansia muciniphila (12.44% +/- 5.26%) and Clostridium cocleatum (0.10% +/- 0.09%) abundances increased significantly after metformin treatment of mice on the HFD. The relative abundance of A. muciniphila in the fecal microbiota was also found to increase in brain heart infusion (BHI) medium supplemented with metformin in vitro. In addition to the changes in the microbiota associated with metformin treatment, when other influences were controlled for, a total of 18 KEGG metabolic pathways (including those for sphingolipid and fatty acid metabolism) were significantly upregulated in the gut microbiota during metformin treatment of mice on an HFD. Our results demonstrate that the gut microbiota and their metabolic pathways are influenced by metformin treatment. C1 [Lee, Heetae; Ko, GwangPyo] Seoul Natl Univ, Sch Publ Hlth, Ctr Human & Environm Microbiome, Seoul, South Korea. [Ko, GwangPyo] Seoul Natl Univ, N Bio, Seoul, South Korea. C3 Seoul National University (SNU); Seoul National University (SNU) RP Ko, G (通讯作者),Seoul Natl Univ, Sch Publ Hlth, Ctr Human & Environm Microbiome, Seoul, South Korea. EM gko@snu.ac.kr FU National Research Foundation of Korea (NRF) - South Korea government (MEST) [2012-0008692]; National Research Foundation of Korea [2010-0029113, 22A20130012682] Funding Source: Korea Institute of Science & Technology Information (KISTI), National Science & Technology Information Service (NTIS) FX This study was supported by a grant from the National Research Foundation of Korea (NRF) funded by the South Korea government (MEST) (2012-0008692). 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Environ. Microbiol. PD OCT PY 2014 VL 80 IS 19 BP 5935 EP 5943 DI 10.1128/AEM.01357-14 PG 9 WC Biotechnology & Applied Microbiology; Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Biotechnology & Applied Microbiology; Microbiology GA AP2FD UT WOS:000341887100007 PM 25038099 OA Green Published, Bronze DA 2023-06-08 ER PT J AU Hu, N Zhang, Q Wang, H Yang, XP Jiang, Y Chen, R Wang, LY AF Hu, Nan Zhang, Qi Wang, Hui Yang, Xuping Jiang, Yan Chen, Rong Wang, Liying TI Comparative Evaluation of the Effect of Metformin and Insulin on Gut Microbiota and Metabolome Profiles of Type 2 Diabetic Rats Induced by the Combination of Streptozotocin and High-Fat Diet SO FRONTIERS IN PHARMACOLOGY LA English DT Article DE type 2 diabetes; metformin; insulin; microbiota; metabolome; bile acids ID AMINO-ACIDS; OBESITY; RESISTANCE; IDENTIFICATION; ACYLCARNITINES; INDIVIDUALS; SIGNATURES; MELLITUS AB Lately, an increasing number of studies have investigated the relationship between metformin and gut microbiota, suggesting that metformin exerts part of its hypoglycemic effect through the microbes. However, its underlying mechanism remains largely undetermined. In the present study, we investigated the effects of metformin on gut microbiota and metabolome profiles in serum and compared it with insulin treatment in rats with type 2 diabetes mellitus (T2DM). Diabetic rats (DM group) were induced by a combination of streptozotocin and high-fat diet (HFD). After 7 days, DM rats were treated with metformin (MET group) or insulin (INS group) for 3 weeks. The 16S rRNA sequencing of the gut microbiota and non-targeted metabolomics analysis of serum were conducted. A total of 13 bile acids (BAs) in serum were further determined and compared among different groups. The rat model of T2DM was well established with the typical diabetic symptoms, showing significantly increased blood glucose, AUC of OGTT, HOMA-IR, TC, TG, LDL-C and TBA. Metformin or insulin treatment could ameliorate symptoms of diabetes and partly recover the abnormal biochemical indicators. Compared with DM rats, the relative abundances of 13 genera were significantly changed after metformin treatment, while only three genera were changed after insulin treatment. The metformin and insulin treatments also exhibited different serum metabolome profiles in T2DM rats. Moreover, 64 differential metabolites were identified between MET and DM groups, whereas 206 were identified between INS and DM groups. Insulin treatment showed greater influence on amino acids, glycerophospholipids/glycerolipids, and acylcarnitine compared with the metformin treatment, while metformin had an important impact on BAs. Furthermore, metformin could significantly decrease the serum levels of CA, GCA, UDCA, and GUDCA, but increase the level of TLCA in DM rats. Insulin treatment significantly decreased the levels of CA, UDCA, and CDCA. Besides, several metabolites in serum or microbiota were positively or negatively correlated with some bacteria. Collectively, our findings indicated that metformin had a stronger effect on gut microbiota than insulin, while insulin treatment showed greater influence on serum metabolites, which provided novel insights into the therapeutic effects of metformin on diabetes. C1 [Hu, Nan; Yang, Xuping; Jiang, Yan; Chen, Rong; Wang, Liying] Soochow Univ, Peoples Hosp Changzhou 1, Affiliated Hosp 3, Dept Pharm, Changzhou, Jiangsu, Peoples R China. [Zhang, Qi] Changzhou No 7 Peoples Hosp, Dept Pharm, Changzhou, Jiangsu, Peoples R China. [Wang, Hui] Soochow Univ, Peoples Hosp Changzhou 1, Affiliated Hosp 3, Dept Pathol, Changzhou, Jiangsu, Peoples R China. C3 Soochow University - China; Soochow University - China RP Chen, R; Wang, LY (通讯作者),Soochow Univ, Peoples Hosp Changzhou 1, Affiliated Hosp 3, Dept Pharm, Changzhou, Jiangsu, Peoples R China. EM pharmacy_czyy@163.com; wlyzqcz@163.com FU National Natural Science Foundation of China [81503136]; Changzhou High Level Medical Talents Training Project [2016CZBJ010]; Science and Technology Project of Changzhou Health Commission [QN 202005] FX Funding This work was funded by National Natural Science Foundation of China (No. 81503136), Changzhou High Level Medical Talents Training Project (No. 2016CZBJ010), and Science and Technology Project of Changzhou Health Commission (QN 202005). 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Pharmacol. PD JAN 3 PY 2022 VL 12 AR 794103 DI 10.3389/fphar.2021.794103 PG 18 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA YK3QW UT WOS:000745132800001 PM 35046817 OA Green Published, gold DA 2023-06-08 ER PT J AU Guo, XX Wang, C Zhang, RR Hao, XL Lv, L Ni, Y Fan, XH Zhang, WL Jiao, YH Song, W Dong, Q Qi, YQ Song, MQ Qin, XM AF Guo, Xiaoxia Wang, Chong Zhang, Ranran Hao, Xuliang Lv, Lei Ni, Yan Fan, Xiaohong Zhang, Weiliang Jiao, Yunhong Song, Wei Dong, Qi Qi, Yuqi Song, Meiqing Qin, Xuemei TI Scrophulariae Radix-Atractylodes sinensis pair and metformin inhibit inflammation by modulating gut microbiota of high-fat diet/streptozotocin-induced diabetes in rats SO FRONTIERS IN MICROBIOLOGY LA English DT Article DE type 2 diabetes mellitus; Scrophulariae Radix; Atractylodes sinensis pair; metformin; gut microbiota ID GLUCOSE-METABOLISM; OBESITY; DIET; INDIVIDUALS; DATABASE; SEARCH AB IntroductionType 2 mellitus (T2DM), a chronic metabolic disorder, causes severe impairment of patients' quality of life and has attracted global attention. Many studies have suggested the importance of the gut microbiota in the occurrence of T2DM. The Scrophulariae Radix and Atractylodes sinensis (XC) pair, recommended in traditional Chinese medicine (TCM), have been used for treating diabetes for many years. However, research on the role of the XC pair in modulating gut microbial communities is lacking, but it is important to elucidate the underlying mechanism. MethodsIn this study, we detected bacterial communities by high-throughput 16S rRNA gene sequencing. ResultsThe results showed that XC + MET reduced postprandial hyperglycemia and inflammatory response in diabetic rats more effectively than metformin (MET) alone. The XC + MET treatment reshaped the intestinal microbial composition of diabetic rats. XC can help MET regulate carbohydrate, amino acid, and lipid metabolism, particularly the insulin signaling pathway. DiscussionThis research would help elucidate potential mechanisms and the treatment methods. 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Microbiol. PD NOV 30 PY 2022 VL 13 AR 900021 DI 10.3389/fmicb.2022.900021 PG 14 WC Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Microbiology GA 6Y2KH UT WOS:000896928500001 PM 36532503 OA Green Published, gold DA 2023-06-08 ER PT J AU Maniar, K Moideen, A Mittal, A Patil, A Chakrabarti, A Banerjee, D AF Maniar, Kunal Moideen, Amal Mittal, Ankur Patil, Amol Chakrabarti, Amitava Banerjee, Dibyajyoti TI A story of metformin-butyrate synergism to control various pathological conditions as a consequence of gut microbiome modification: Genesis of a wonder drug? SO PHARMACOLOGICAL RESEARCH LA English DT Review DE Metformin; Insulin; Diabetes mellitus; Antibiotics; NAFLD ID POLYCYSTIC-OVARY-SYNDROME; ACTIVATED PROTEIN-KINASE; CHAIN FATTY-ACIDS; IMPAIRED GLUCOSE-TOLERANCE; TYPE-2 DIABETES-MELLITUS; GLUCAGON-LIKE PEPTIDE-1; INHIBITS HEPATIC GLUCONEOGENESIS; HISTONE DEACETYLASE INHIBITORS; CARDIOVASCULAR RISK-FACTORS; SERUM HOMOCYSTEINE LEVELS AB The most widely prescribed oral anti-diabetic agent today in the world today is a member of the biguanide class of drugs called metformin. Apart from its use in diabetes, it is currently being investigated for its potential use in many diseases such as cancer, cardiovascular diseases, Alzheimer's disease, obesity, comorbidities of diabetes such as retinopathy, nephropathy to name a few. Numerous in-vitro and in-vivo studies as well as clinical trials have been and are being conducted with a vast amount of literature being published every day. Numerous mechanisms for this drug have been proposed, but they have been unable to explain all the actions observed clinically. It is of interest that insulin has a stimulatory effect on cellular growth. Metformin sensitizes the insulin action but believed to be beneficial in cancer. Like-wise metformin is shown to have beneficial effects in opposite sets of pathological scenario looking from insulin sensitization point of view. This requires a comprehensive review of the disease conditions which are claimed to be affected by metformin therapy. Such a comprehensive review is presently lacking. In this review, we begin by examining the history of metformin before it became the most popular anti diabetic medication today followed by a review of its relevant molecular mechanisms and important clinical trials in all areas where metformin has been studied and investigated till today. 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Res. PD MAR PY 2017 VL 117 BP 103 EP 128 DI 10.1016/j.phrs.2016.12.003 PG 26 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA EN2MQ UT WOS:000395845000012 PM 27939359 DA 2023-06-08 ER PT J AU Ahmadi, S Razazan, A Nagpal, R Jain, S Wang, B Mishra, SP Wang, SH Justice, J Ding, JZ McClain, DA Kritchevsky, SB Kitzman, D Yadav, H AF Ahmadi, Shokouh Razazan, Atefeh Nagpal, Ravinder Jain, Shalini Wang, Bo Mishra, Sidharth P. Wang, Shaohua Justice, Jamie Ding, Jingzhong McClain, Donald A. Kritchevsky, Stephen B. Kitzman, Dalane Yadav, Hariom TI Metformin Reduces Aging-Related Leaky Gut and Improves Cognitive Function by Beneficially Modulating Gut Microbiome/Goblet Cell/Mucin Axis SO JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES LA English DT Article DE Gut permeability; Inflammation; Microbiota; Mucus; Wnt signaling ID SYSTEMIC INFLAMMATION; BRAIN; AGE; MICROBIOTA; NEUROINFLAMMATION; GLUCOSE; PROTEIN; OBESITY; HEALTH AB Aging-related illnesses are increasing and effective strategies to prevent and/or treat them are lacking. This is because of a poor understanding of therapeutic targets. Low-grade inflammation is often higher in older adults and remains a key risk factor of aging-related morbidities and mortalities. Emerging evidence indicates that abnormal (dysbiotic) gut microbiome and dysfunctional gut permeability (leaky gut) are linked with increased inflammation in older adults. However, currently available drugs do not treat aging-related microbiome dysbiosis and leaky gut, and little is known about the cellular and molecular processes that can be targeted to reduce leaky gut in older adults. Here, we demonstrated that metformin, a safe Food and Drug Administration-approved antidiabetic drug, decreased leaky gut and inflammation in high-fat diet-fed older obese mice, by beneficially modulating the gut microbiota. In addition, metformin increased goblet cell mass and mucin production in the obese older gut, thereby decreasing leaky gut and inflammation. Mechanistically, metformin increased the goblet cell differentiation markers by suppressing Wnt signaling. Our results suggest that metformin can be used as a regimen to prevent and treat aging-related leaky gut and inflammation, especially in obese individuals and people with western-style high-fat dietary lifestyle, by beneficially modulating gut microbiome/goblet cell/mucin biology. C1 [Ahmadi, Shokouh; Razazan, Atefeh; Nagpal, Ravinder; Mishra, Sidharth P.; Wang, Shaohua; Yadav, Hariom] Wake Forest Sch Med, Dept Internal Med Mol Med, Biotech Pl,Suite 2E-034,575 Patterson Ave, Winston Salem, NC 27101 USA. [Jain, Shalini; McClain, Donald A.] Wake Forest Sch Med, Dept Endocrinol & Metab, Winston Salem, NC 27101 USA. [Jain, Shalini; McClain, Donald A.] Wake Forest Sch Med, Mouse Metab Phenotyping Core, Winston Salem, NC 27101 USA. [Wang, Bo] North Carolina A&T State Univ, Dept Chem, Greensboro, NC USA. [Justice, Jamie; Ding, Jingzhong; Kritchevsky, Stephen B.; Kitzman, Dalane] Wake Forest Sch Med, Dept Internal Med Gerontol & Geriatr Med, Winston Salem, NC 27101 USA. [Kitzman, Dalane] Wake Forest Sch Med, Dept Cardiol, Winston Salem, NC 27101 USA. [Yadav, Hariom] Wake Forest Sch Med, Dept Microbiol & Immunol, Winston Salem, NC 27101 USA. C3 Wake Forest University; Wake Forest University; Wake Forest University; University of North Carolina; North Carolina A&T State University; Wake Forest University; Wake Forest University; Wake Forest University RP Yadav, H (通讯作者),Wake Forest Sch Med, Dept Internal Med Mol Med, Biotech Pl,Suite 2E-034,575 Patterson Ave, Winston Salem, NC 27101 USA. EM hyadav@wakehealth.edu RI Nagpal, Ravinder/H-5358-2019; Ahmadi, Shokouh/ABA-1007-2020; Justice, Jamie/AAW-9590-2021; Wang, Shaohua/G-8194-2018; Yadav, Hariom/I-2455-2018 OI Nagpal, Ravinder/0000-0002-4250-1749; Ahmadi, Shokouh/0000-0003-2766-1098; Justice, Jamie/0000-0003-2953-4404; Wang, Shaohua/0000-0002-8548-1602; Yadav, Hariom/0000-0003-4504-1597 FU National Institutes of Health [K01AG059837, RF1AG054474, U01AG060897, R01DK103531, R01DK081842, R01AG059416, U13AG040938, R01AG052419, U24AG058556, KL2TR001421, R01AG018915, R01AG045551, U24AG059624]; Pepper Older Americans for Independence Center [P30AG21332]; Department of Defense [W81XWH-18-1-0118, W81XWH-19-1-0236]; Center for Diabetes, Obesity and Metabolism; Wake Forest Baptist Medical Center; National Center for Advancing Translational Sciences (NCATS), the National Institutes of Health [UL1TR001420] FX This study was supported by the National Institutes of Health-K01AG059837 (J.J.), RF1AG054474, U01AG060897, R01DK103531 (J.D.), R01DK081842 (D.A.M.), R01AG059416, U13AG040938, R01AG052419, U24AG058556, KL2TR001421 (S.B.K.), R01AG018915, R01AG045551, U24AG059624 (D.W.K.) and the Pepper Older Americans for Independence Center (P30AG21332), and the Department of Defense-W81XWH-18-1-0118 and W81XWH-19-1-0236 (H.Y.), as well funds and services provided from the Center for Diabetes, Obesity and Metabolism, Wake Forest Baptist Medical Center, and the National Center for Advancing Translational Sciences (NCATS), the National Institutes of Health-funded Wake Forest Clinical, and Translational Science Institute (WF CTSI) through Grant Award Number UL1TR001420. 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Gerontol. Ser. A-Biol. Sci. Med. Sci. PD JUL PY 2020 VL 75 IS 7 SI SI BP E9 EP E21 DI 10.1093/gerona/glaa056 PG 13 WC Geriatrics & Gerontology; Gerontology WE Science Citation Index Expanded (SCI-EXPANDED); Social Science Citation Index (SSCI) SC Geriatrics & Gerontology GA OD4YV UT WOS:000579859200002 PM 32129462 OA Green Published, Bronze DA 2023-06-08 ER PT J AU Foretz, M Guigas, B Viollet, B AF Foretz, Marc Guigas, Bruno Viollet, Benoit TI Understanding the glucoregulatory mechanisms of metformin in type 2 diabetes mellitus SO NATURE REVIEWS ENDOCRINOLOGY LA English DT Review ID GLUCAGON-LIKE PEPTIDE-1; POLYCYSTIC-OVARY-SYNDROME; HEPATIC GLUCOSE-PRODUCTION; ACTIVATED PROTEIN-KINASE; REGULATORY T-CELLS; MITOCHONDRIAL PERMEABILITY TRANSITION; LIFE-STYLE MODIFICATION; INSULIN-RESISTANCE; OBESE-PATIENTS; CLINICAL PHARMACOKINETICS AB Despite its position as the first-line drug for treatment of type 2 diabetes mellitus, the mechanisms underlying the plasma glucose level-lowering effects of metformin (1,1-dimethylbiguanide) still remain incompletely understood. Metformin is thought to exert its primary antidiabetic action through the suppression of hepatic glucose production. In addition, the discovery that metformin inhibits the mitochondrial respiratory chain complex 1 has placed energy metabolism and activation of AMP-activated protein kinase (AMPK) at the centre of its proposed mechanism of action. However, the role of AMPK has been challenged and might only account for indirect changes in hepatic insulin sensitivity. Various mechanisms involving alterations in cellular energy charge, AMP-mediated inhibition of adenylate cyclase or fructose-1,6-bisphosphatase 1 and modulation of the cellular redox state through direct inhibition of mitochondrial glycerol-3-phosphate dehydrogenase have been proposed for the acute inhibition of gluconeogenesis by metformin. Emerging evidence suggests that metformin could improve obesity-induced meta-inflammation via direct and indirect effects on tissue-resident immune cells in metabolic organs (that is, adipose tissue, the gastrointestinal tract and the liver). Furthermore, the gastrointestinal tract also has a major role in metformin action through modulation of glucose-lowering hormone glucagon-like peptide 1 and the intestinal bile acid pool and alterations in gut microbiota composition. C1 [Foretz, Marc; Viollet, Benoit] INSERM, U1016, Inst Cochin, Paris, France. [Foretz, Marc; Viollet, Benoit] CNRS, UMR8104, Paris, France. [Foretz, Marc; Viollet, Benoit] Univ Paris 05, Sorbonne Paris Cite, Paris, France. [Guigas, Bruno] Leiden Univ, Med Ctr, Dept Parasitol, Leiden, Netherlands. C3 Institut National de la Sante et de la Recherche Medicale (Inserm); UDICE-French Research Universities; Universite Paris Cite; Centre National de la Recherche Scientifique (CNRS); CNRS - National Institute for Biology (INSB); UDICE-French Research Universities; Universite Paris Cite; UDICE-French Research Universities; Universite Paris Cite; Leiden University; Leiden University Medical Center (LUMC); Leiden University - Excl LUMC RP Viollet, B (通讯作者),INSERM, U1016, Inst Cochin, Paris, France.; Viollet, B (通讯作者),CNRS, UMR8104, Paris, France.; Viollet, B (通讯作者),Univ Paris 05, Sorbonne Paris Cite, Paris, France. EM benoit.viollet@inserm.fr RI Viollet, Benoit/O-6927-2017; FORETZ, Marc/O-7334-2017; Viollet, Benoit/N-2397-2019; Guigas, Bruno/M-2515-2015 OI Viollet, Benoit/0000-0002-0121-0224; FORETZ, Marc/0000-0001-7017-9032; Viollet, Benoit/0000-0002-0121-0224; Guigas, Bruno/0000-0002-8856-5799 FU Inserm; CNRS; Universite Paris Descartes; Agence Nationale de la Recherche (ANR); Societe Francophone du Diabete (SFD); Fondation pour la Recherche Medicale (FRM); Dutch Organization for Scientific Research (ZonMW); DiabetesFonds FX The authors acknowledge the support of grants from Inserm, CNRS, Universite Paris Descartes, Agence Nationale de la Recherche (ANR), Societe Francophone du Diabete (SFD), Fondation pour la Recherche Medicale (FRM), the Dutch Organization for Scientific Research (ZonMW) and DiabetesFonds. 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Rev. Endocrinol. PD OCT PY 2019 VL 15 IS 10 BP 569 EP 589 DI 10.1038/s41574-019-0242-2 PG 21 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA IX4KE UT WOS:000485654300008 PM 31439934 OA Green Submitted HC Y HP N DA 2023-06-08 ER PT J AU Dahabiyeh, LA Mujammami, M Arafat, T Benabdelkamel, H Alfadda, AA Rahman, AMA AF Dahabiyeh, Lina A. Mujammami, Muhammad Arafat, Tawfiq Benabdelkamel, Hicham Alfadda, Assim A. Rahman, Anas M. Abdel TI A Metabolic Pattern in Healthy Subjects Given a Single Dose of Metformin: A Metabolomics Approach SO FRONTIERS IN PHARMACOLOGY LA English DT Article DE metabolomics; metformin; branched-chain amino acids; mass spectrometry; glycerophospholipid; eicosanoids; type 2 diabetes mellitus; cancer ID P-COUMARIC ACID; MECHANISMS; HYPERGLYCEMIA; INFLAMMATION; MODULATION; CONTRIBUTE; GROWTH AB Metformin is a widely prescribed medication for the treatment of type 2 diabetes mellitus (T2DM). It possesses effective roles in various disorders, including cancer, dyslipidemia, and obesity. However, the underlying mechanisms of metformin's multiple benefits are not fully understood. Herein, a mass spectrometry-based untargeted metabolomics approach was used to investigate the metabolic changes associated with the administration of a single dose of metformin in the plasma of 26 healthy subjects at five-time points; pre-dose, before the maximum concentration of metformin (C-max), C-max, after C-max, and 36 h post-dose. A total of 111 metabolites involved in various biochemical processes were perturbed, with branched-chain amino acid (BCAA) being the most significantly altered pathway. Additionally, the Pearson similarity test revealed that 63 metabolites showed a change in their levels dependent on metformin level. Out of these 63, the level of 36 metabolites was significantly altered by metformin. Significantly altered metformin-dependent metabolites, including hydroxymethyl uracil, propionic acid, glycerophospholipids, and eicosanoids, pointed to fundamental biochemical processes such as lipid network signaling, energy homeostasis, DNA lesion repair mechanisms, and gut microbiota functions that could be linked to the multiple beneficial roles of metformin. Thus, the distinctive metabolic pattern linked to metformin administration can be used as a metabolic signature to predict the potential effect and mechanism of actions of new chemical entities during drug development. C1 [Dahabiyeh, Lina A.] Univ Jordan, Sch Pharm, Dept Pharmaceut Sci, Amman, Jordan. [Mujammami, Muhammad; Alfadda, Assim A.] King Saud Univ, Coll Med, Dept Med, Endocrinol & Diabet Unit, Riyadh, Saudi Arabia. [Mujammami, Muhammad] King Saud Univ, King Saud Univ Med City, Univ Diabet Ctr, Riyadh, Saudi Arabia. [Arafat, Tawfiq] Jordan Ctr Pharmaceut Res, Amman, Jordan. [Benabdelkamel, Hicham; Alfadda, Assim A.] King Saud Univ, Obes Res Ctr, Prote Resource Unit, Riyadh, Saudi Arabia. [Rahman, Anas M. Abdel] King Faisal Specialist Hosp & Res Ctr KFSHRC, Dept Clin Gen, Metabol Sect, Riyadh, Saudi Arabia. [Rahman, Anas M. Abdel] Al Faisal Univ, Coll Med, Dept Biochem & Mol Med, Riyadh, Saudi Arabia. [Rahman, Anas M. Abdel] Mem Univ Newfoundland, Dept Chem, St John, NF, Canada. C3 University of Jordan; King Saud University; King Saud University; King Saud University; Alfaisal University; Memorial University Newfoundland RP Dahabiyeh, LA (通讯作者),Univ Jordan, Sch Pharm, Dept Pharmaceut Sci, Amman, Jordan.; Rahman, AMA (通讯作者),King Faisal Specialist Hosp & Res Ctr KFSHRC, Dept Clin Gen, Metabol Sect, Riyadh, Saudi Arabia.; Rahman, AMA (通讯作者),Al Faisal Univ, Coll Med, Dept Biochem & Mol Med, Riyadh, Saudi Arabia.; Rahman, AMA (通讯作者),Mem Univ Newfoundland, Dept Chem, St John, NF, Canada. EM l.dahabiyeh@ju.edu.jo; aabdelrahman46@kfshrc.edu.sa RI Alfadda, Assim/AAF-4499-2020; benabdelkamel, hicham/GXV-1396-2022; Abdel Rahman, Anas/AEC-1515-2022 OI Abdel Rahman, Anas/0000-0002-9527-9424 FU University Diabetes Center, King Saud University Medical City, King Saud University FX This research project was supported by the University Diabetes Center, King Saud University Medical City, King Saud University. 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Pharmacol. PD JUL 15 PY 2021 VL 12 AR 705932 DI 10.3389/fphar.2021.705932 PG 12 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA TR6KQ UT WOS:000679071900001 PM 34335266 OA gold, Green Published DA 2023-06-08 ER PT J AU Alemon-Medina, R Coria-Jimenez, R Rivera-Espinosa, L Ramirez-Mendiola, B Garcia-Alvarez, R Juarez-Olguin, H Chavez-Pacheco, JL AF Alemon-Medina, Radames Coria-Jimenez, Rafael Rivera-Espinosa, Liliana Ramirez-Mendiola, Blanca Garcia-Alvarez, Raquel Juarez-Olguin, Hugo Luis Chavez-Pacheco, Juan TI Physicochemical and Microbiological Stabilities of a Sweetened and Calorie-Free Metformin Extemporaneous Formulation for Pediatrics SO LATIN AMERICAN JOURNAL OF PHARMACY LA English DT Article DE Extemporaneous formulation; Individualized dose; Insulin resistance; Metformin; Microbial stability; Physicochemical integrity ID METABOLIC SYNDROME; CHILDREN AB A liquid extemporaneous metformin formulation from Glucophage (R) tablets was prepared in drinking water sweetened with 10 % Splenda (R), then stored for 30 days at 25 degrees C exposed to and protected from light, at 4 and 40 degrees C. Physicochemical integrity was determined by UPLC-UV using a VARIAN Pursuit C8 column 150 x 3.9 mm at 40 degrees C, with detection at 236 nm. Mobile phase was 0.1M KH2PO4 (pH = 6.5) : 4.6 mM SDS : acetonitrile (63: 7: 30 v/v) eluted at 0.8 mL/min. Microbial colony forming units per milliliter (CFU/mL) were determined in soy agar trypticasein (SAT), McConkey agar, and Sabouraud media at 37 and 29 degrees C for 72 and 96 h. The solution retained over 90 % of the initial amount of metformin, showing zero-growth of enteric or aerobic mesophilic bacteria and was able to restore normal glucose levels in chronically hyperglycemic Wistar rats. This metformin formulation may be helpful managing insulin resistance in pediatric endocrinology. C1 [Alemon-Medina, Radames; Rivera-Espinosa, Liliana; Ramirez-Mendiola, Blanca; Garcia-Alvarez, Raquel; Juarez-Olguin, Hugo; Luis Chavez-Pacheco, Juan] Minist Hlth, Natl Inst Pediat, Pharmacol Lab, Mexico City 04530, DF, Mexico. [Coria-Jimenez, Rafael] Minist Hlth, Natl Inst Pediat, Expt Bacteriol Lab, Mexico City 04530, DF, Mexico. RP Chavez-Pacheco, JL (通讯作者),Minist Hlth, Natl Inst Pediat, Pharmacol Lab, Mexico Insurgentes 3-700-C, Mexico City 04530, DF, Mexico. EM jchavez_pacheco@hotmail.com RI CHAVEZ PACHECO, JUAN LUIS/HJA-3400-2022 OI CHAVEZ PACHECO, JUAN LUIS/0000-0001-6919-4497; RIVERA ESPINOSA, LILIANA/0000-0002-1334-0026 CR Bailey CJ, 1996, NEW ENGL J MED, V334, P574, DOI 10.1056/NEJM199602293340906 Chavez-Pacheco JL, 2011, LAT AM J PHARM, V30, P1977 de Silva-Sanigorski A, 2010, BMC PUBLIC HEALTH, V10, DOI 10.1186/1471-2458-10-288 de Leon-Castaneda C, 2012, CLINICOECONOMIC OUTC, V4, P57, DOI 10.2147/CEOR.S27826 Fulgencio JP, 2001, BIOCHEM PHARMACOL, V62, P439, DOI 10.1016/S0006-2952(01)00679-7 Garnett SP, 2010, BMC PUBLIC HEALTH, V10, DOI 10.1186/1471-2458-10-575 HERMANN LS, 1994, DIABETES CARE, V17, P1100, DOI 10.2337/diacare.17.10.1100 Juarez-Olguin H, 2011, ACTA PEDIATR MEX, V32, P175 Kanekara A., 2010, J CLIN MED RES, V3, P105 LALAU JD, 1995, DIABETES CARE, V18, P779, DOI 10.2337/diacare.18.6.779 NORMA Oficial Mexicana, 2010, NOM008SSA32010 Nunn AJ, 2003, ARCH DIS CHILD, V88, P369, DOI 10.1136/adc.88.5.369 Perichart-Perera O, 2007, J AM DIET ASSOC, V107, P81, DOI 10.1016/j.jada.2006.10.011 Schirm E, 2003, PEDIATRICS, V111, P291, DOI 10.1542/peds.111.2.291 Standing JF, 2005, INT J PHARMACEUT, V300, P56, DOI 10.1016/j.ijpharm.2005.05.006 Strickley RG, 2008, J PHARM SCI-US, V97, P1731, DOI 10.1002/jps.21101 Ventura EE, 2008, J AM DIET ASSOC, V108, P1355, DOI 10.1016/j.jada.2008.05.006 Wang Z., 2010, WEI SHENG YAN JIU, V2, P133 YOUNG DA, 1990, J DENT RES, V69, P1480, DOI 10.1177/00220345900690080601 NR 19 TC 7 Z9 7 U1 0 U2 5 PU COLEGIO FARMACEUTICOS PROVINCIA DE BUENOS AIRES PI LA PLATA PA DEPT CIENTIFICO, CALLE 5 NO 966, LA PLATA, 00000, ARGENTINA SN 0326-2383 J9 LAT AM J PHARM JI Lat. Am. J. Pharm. PY 2012 VL 31 IS 9 BP 1253 EP 1260 PG 8 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA V31CG UT WOS:000208861100004 DA 2023-06-08 ER PT J AU Takahara, M Takaki, A Hiraoka, S Takei, K Yasutomi, E Igawa, S Yamamoto, S Oka, S Ohmori, M Yamasaki, Y Inokuchi, T Kinugasa, H Harada, K Udono, H Okada, H AF Takahara, Masahiro Takaki, Akinobu Hiraoka, Sakiko Takei, Kensuke Yasutomi, Eriko Igawa, Shoko Yamamoto, Shumpei Oka, Shohei Ohmori, Masayasu Yamasaki, Yasushi Inokuchi, Toshihiro Kinugasa, Hideaki Harada, Keita Udono, Heiichiro Okada, Hiroyuki TI Metformin ameliorates chronic colitis in a mouse model by regulating interferon-gamma-producing lamina propria CD4(+) T cells through AMPK activation SO FASEB JOURNAL LA English DT Article DE AMP-activated protein kinase; chronic colitis; metformin; oxidative phosphorylation ID INFLAMMATORY-BOWEL-DISEASE; GUT MICROBIOTA; SCID MICE; MECHANISMS; IL-17; RISK; DRUG AB Metformin, a commonly prescribed drug for type 2 diabetes mellitus, has been shown to activate AMP-activated protein kinase (AMPK). Notably, AMPK activation has recently been observed to be associated with anti-inflammatory responses. Metformin is also reported to elicit anti-inflammatory responses in CD4(+) T cells, resulting in improvement in experimental chronic inflammatory diseases, such as systemic lupus erythematosus. To investigate the effect of metformin on inflammatory bowel disease (IBD), we developed a T cell-transfer model of chronic colitis in which SCID mice were injected with CD4(+)CD45RB(high) T cells to induce colitis. We examined the effects of metformin via in vitro and in vivo experiments on lamina propria (LP) CD4(+) T cells. We observed that metformin suppresses the frequency of interferon (IFN) -gamma-producing LP CD4(+) T cells in vitro, which were regulated by AMPK activation, a process possibly induced by the inhibition of oxidative phosphorylation. Furthermore, we examined the effects of metformin on an in vivo IBD model. Metformin-treated mice showed AMPK activation in LP CD4(+) T cells and ameliorated colitis. Our study demonstrates that metformin-induced AMPK activation in mucosal CD4(+) T cells contributes to the improvement of IBD by suppressing IFN-gamma production. Moreover, our results indicate that AMPK may be a target molecule for the regulation of mucosal immunity and inflammation. Thus, AMPK-activating drugs such as metformin may be potential therapeutic agents for the treatment of IBD. C1 [Takahara, Masahiro; Takaki, Akinobu; Hiraoka, Sakiko; Takei, Kensuke; Yasutomi, Eriko; Igawa, Shoko; Yamamoto, Shumpei; Oka, Shohei; Ohmori, Masayasu; Yamasaki, Yasushi; Inokuchi, Toshihiro; Kinugasa, Hideaki; Harada, Keita; Okada, Hiroyuki] Okayama Univ, Dept Gastroenterol & Hepatol, Grad Sch Med Dent & Pharmaceut Sci, Okayama, Japan. [Udono, Heiichiro] Okayama Univ, Dept Immunol Dent & Pharmaceut Sci, Grad Sch Med, Okayama, Japan. C3 Okayama University; Okayama University RP Takahara, M (通讯作者),Okayama Univ, Dept Gastroenterol & Lepatol, Grad Sch Med Dent & Pharmaceut Sci, Kita Ku, 2-5-1 Shikata Cho, Okayama 7008558, Japan. 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PD FEB PY 2022 VL 36 IS 2 AR e22139 DI 10.1096/fj.202100831RR PG 14 WC Biochemistry & Molecular Biology; Biology; Cell Biology WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Life Sciences & Biomedicine - Other Topics; Cell Biology GA YO5NJ UT WOS:000747987800042 PM 35064693 DA 2023-06-08 ER PT J AU Napolitano, A Miller, S Nicholls, AW Baker, D Van Horn, S Thomas, E Rajpal, D Spivak, A Brown, JR Nunez, DJ AF Napolitano, Antonella Miller, Sam Nicholls, Andrew W. Baker, David Van Horn, Stephanie Thomas, Elizabeth Rajpal, Deepak Spivak, Aaron Brown, James R. Nunez, Derek J. TI Novel Gut-Based Pharmacology of Metformin in Patients with Type 2 Diabetes Mellitus SO PLOS ONE LA English DT Article ID GLUCAGON-LIKE PEPTIDE-1; BILE-ACID; ORAL METFORMIN; IV ACTIVITY; MICROBIOTA; GLUCOSE; METABOLISM; OBESITY; DEGRADATION; INHIBITION AB Metformin, a biguanide derivate, has pleiotropic effects beyond glucose reduction, including improvement of lipid profiles and lowering microvascular and macrovascular complications associated with type 2 diabetes mellitus (T2DM). These effects have been ascribed to adenosine monophosphate-activated protein kinase (AMPK) activation in the liver and skeletal muscle. However, metformin effects are not attenuated when AMPK is knocked out and intravenous metformin is less effective than oral medication, raising the possibility of important gut pharmacology. We hypothesized that the pharmacology of metformin includes alteration of bile acid recirculation and gut microbiota resulting in enhanced enteroendocrine hormone secretion. In this study we evaluated T2DM subjects on and off metformin monotherapy to characterize the gut-based mechanisms of metformin. Subjects were studied at 4 time points: (i) at baseline on metformin, (ii) 7 days after stopping metformin, (iii) when fasting blood glucose (FBG) had risen by 25% after stopping metformin, and (iv) when FBG returned to baseline levels after restarting the metformin. At these timepoints we profiled glucose, insulin, gut hormones (glucagon-like peptide-1 (GLP-1), peptide tyrosine-tyrosine (PYY) and glucose-dependent insulinotropic peptide (GIP) and bile acids in blood, as well as duodenal and faecal bile acids and gut microbiota. We found that metformin withdrawal was associated with a reduction of active and total GLP-1 and elevation of serum bile acids, especially cholic acid and its conjugates. These effects reversed when metformin was restarted. Effects on circulating PYY were more modest, while GIP changes were negligible. Microbiota abundance of the phylum Firmicutes was positively correlated with changes in cholic acid and conjugates, while Bacteroidetes abundance was negatively correlated. Firmicutes and Bacteroidetes representation were also correlated with levels of serum PYY. Our study suggests that metformin has complex effects due to gut-based pharmacology which might provide insights into novel therapeutic approaches to treat T2DM and associated metabolic diseases. C1 [Napolitano, Antonella] GlaxoSmithKline Res & Dev Ltd, Immunoinflammat Unit, Stevenage, Herts, England. [Miller, Sam] GlaxoSmithKline Res & Dev Ltd, Quantitat Sci, Stevenage, Herts, England. [Nicholls, Andrew W.; Baker, David] GlaxoSmithKline Res & Dev Ltd, Safety Assessment, Ware, Herts, England. [Van Horn, Stephanie; Thomas, Elizabeth] GlaxoSmithKline Res & Dev Ltd, Target & Pathways Validat, Upper Providence, PA USA. [Rajpal, Deepak; Spivak, Aaron; Brown, James R.] GlaxoSmithKline Res & Dev Ltd, Computat Biol, Upper Providence, PA USA. [Nunez, Derek J.] GlaxoSmithKline Res & Dev Ltd, GlaxoSmithKline R&D, Enteroendocrine Discovery Unit, Res Triangle Pk, NC USA. C3 GlaxoSmithKline; GlaxoSmithKline; GlaxoSmithKline; GlaxoSmithKline; GlaxoSmithKline; GlaxoSmithKline RP Napolitano, A (通讯作者),GlaxoSmithKline Res & Dev Ltd, Immunoinflammat Unit, Stevenage, Herts, England. EM antonella.2.napolitano@gsk.com OI Brown, James/0000-0002-9368-627X FU GlaxoSmithKline FX The study has been fully funded by GlaxoSmithKline. The funder provided support in the form of salaries for authors [AN, SM, AWN, DB, SVH, ET, DR, AS, JRB and DJN], but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The specific roles of these authors are articulated in the 'author contributions' section. 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Hoyos, Raul Maldonado, Jose Bueno, Gloria Leis, Rosaura Gil, Angel Canete, Ramon Aguilera, Concepcion M. TI Evaluation of differential effects of metformin treatment in obese children according to pubertal stage and genetic variations: study protocol for a randomized controlled trial SO TRIALS LA English DT Article DE Metformin; Children; Obesity; Puberty; Lifestyle intervention; Microbiota; Polymorphisms ID NORMAL GLUCOSE-TOLERANCE; LIFE-STYLE; INSULIN-RESISTANCE; PHYSICAL-ACTIVITY; FASTING INSULIN; CLINICAL-TRIAL; DOUBLE-BLIND; ADOLESCENTS; WEIGHT; TRANSPORTER AB Background: Overweight and obesity are considered to be serious public health problems. In pediatric populations, insulin resistance, dyslipidemia, and hypertension associated with obesity occur with increased frequencies. Metformin is an oral anti-hyperglycemic agent that has been demonstrated to be efficacious in the treatment of diabetic and non-diabetic obese adults. A considerable amount of pharmacogenetic research has demonstrated that genetic variation is one of the major factors affecting metformin response. Additionally, potential microbiota-mediated mechanisms of metformin effect have been recently described. However, scant work has been conducted in children, with no attention being paid to the potential effects of pubertal development. Thus, the main objective of the present study is to evaluate the effect of metformin treatment together with lifestyle recommendations in a randomized control trial (RCT) of obese children according to pubertal stage, genetic variants and signature of gut microbiota. Methods/design: This is a randomized, prospective, double-blind, placebo-controlled, multicenter trial, which is stratified by puberty and sex. Eighty pre-pubertal (40 boys and 40 girls) and 80 pubertal non-diabetic obese children (40 boys and 40 girls) are being recruited in four Spanish Clinical Hospitals. The inclusion criteria to participate in the RCT include a Body Mass Index (BMI) above the 95th percentile and age 7-14 years. The pubertal stage is determined based on the Tanner criteria. Participants are assigned to two groups in accordance with a randomization schedule and receive 1 g of metformin or placebo for six months in combination with healthy lifestyle recommendations in both groups. The primary outcomes include changes in the BMI Z score and the biomarkers associated with the early appearance of insulin resistance syndrome, inflammation, cardiovascular risk according of the presence of genetic determinants of metformin response, as well as possible modifications in microbiota. Discussion: This study will assess the differential response of metformin treatment at six months in pre-pubertal and pubertal obese children. C1 [Pastor-Villaescusa, Belen; Gil, Angel; Aguilera, Concepcion M.] Univ Granada, Ctr Biomed Res Lab 123, Inst Nutr & Food Technol, Dept Biochem & Mol Biol 2, Ave Conocimiento S-N, Granada 18006, Spain. [Caballero-Villarraso, Javier] Univ Cordoba, IMIBIC Reina Sofia Hosp, Clin Anal Serv, Cordoba, Spain. [Dolores Canete, M.] Maimonides Inst Biomed Res Cordoba IMIBIC, PAIDI CTS 329, Cordoba, Spain. [Hoyos, Raul] Virgen de las Univ Hosp, Andalusian Hlth Serv, Dept Pediat, Granada, Spain. [Maldonado, Jose] Univ Granada, Dept Pediat, Virgen de las Nieves Univ Hosp, Pediat Gastroenterol & Nutr Unit, Granada, Spain. [Bueno, Gloria] Univ Zaragoza, Lozano Blesa Univ Clin Hosp, Dept Pediat, Zaragoza, Spain. [Leis, Rosaura] Univ Santiago de Compostela, Clin Univ Hosp Santiago, Dept Pediat, Unit Invest Nutr Growth & Human Dev Galicia, Santiago De Compostela, Spain. [Canete, Ramon] Reina Sofia Univ Hosp, Unit Pediat Endocrinol, Cordoba, Spain. [Bueno, Gloria; Leis, Rosaura; Gil, Angel; Canete, Ramon; Aguilera, Concepcion M.] CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid, Spain. [Gil, Angel; Aguilera, Concepcion M.] Inst Invest Biosanitaria Ibs, Granada, Spain. C3 University of Granada; Universidad de Cordoba; Hospital Universitario Virgen de las Nieves; University of Granada; Lozano Blesa University Clinical Hospital; University of Zaragoza; Complexo Hospitalario Universitario de Santiago de Compostela; Universidade de Santiago de Compostela; Hospital Universitario Reina Sofia - Cordoba; CIBER - Centro de Investigacion Biomedica en Red; CIBEROBN; Instituto de Investigacion Biosanitaria IBS Granada RP Aguilera, CM (通讯作者),Univ Granada, Ctr Biomed Res Lab 123, Inst Nutr & Food Technol, Dept Biochem & Mol Biol 2, Ave Conocimiento S-N, Granada 18006, Spain.; Aguilera, CM (通讯作者),CIBER Fisiopatol Obesidad & Nutr CIBEROBN, Madrid, Spain.; Aguilera, CM (通讯作者),Inst Invest Biosanitaria Ibs, Granada, Spain. EM caguiler@ugr.es RI Bueno-Lozano, Gloria/AAK-7748-2021; Leis, Rosaura/Z-3186-2019; Pastor Villaescusa, Maria Belen/U-2325-2017; Villaescusa, Maria Belen Pastor/ABA-2162-2021; Gil, Angel/L-2275-2014; Gil, Angel/ABA-7621-2020; Caballero-Villarraso, Javier/AAC-3434-2019; Pastor-Villaescusa, Belén/GRF-0832-2022; Aguilera, Concepcion M/M-1663-2014 OI Leis, Rosaura/0000-0002-0540-4210; Pastor Villaescusa, Maria Belen/0000-0003-0817-6804; Villaescusa, Maria Belen Pastor/0000-0003-0817-6804; Gil, Angel/0000-0001-7663-0939; Gil, Angel/0000-0001-7663-0939; Caballero-Villarraso, Javier/0000-0003-0571-5147; Aguilera, Concepcion M/0000-0002-1451-4788 FU Spanish Ministry of Health, Social and Equality, General Department for Pharmacy and Health Products; PN I + D + I (Spain); ISCIII-Sub-Directorate General for Research Assessment and Promotion; European Regional Development Fund (ERDF) [Rd12/0026] FX We would like to acknowledge the Spanish Ministry of Health, Social and Equality, General Department for Pharmacy and Health Products for financing this study; RETICS funded by the PN I + D + I 2008-2011 (Spain), ISCIII-Sub-Directorate General for Research Assessment and Promotion and The European Regional Development Fund (ERDF), Ref. Rd12/0026. Furthermore, the members of the project group who participate in the data and sample collection and the development of the FFQ (Miriam Latorre, PhD student, Pediatric Department, Lozano Blesa University Hospital, University of Zaragoza. Zaragoza, Spain; Rocio Vazquez-Cobela, PhD student, Unit of Investigation in Nutrition, Growth and Human Development of Galicia, Pediatric Department, Clinic University Hospital of Santiago, University of Santiago de Compostela. Santiago de Compostela, Spain). This paper will be part of Maria Belen Pastor Villaescusa's doctorate, which is being performed within the "Nutrition and Food Sciences Program" at the University of Granada. 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Gastrointestinal microbiome contributes to PCOS through mediating insulin resistance. Guizhi Fuling Wan, Chinese herbal medicine, can treat PCOS with insulin resistance (PCOS-IR), but the underlying mechanism is not clear. The aim of this study was to characterize the exact mechanism of Guizhi Fuling Wan action and whether it is related to the regulation of intestinal flora structure. We induced PCOS-IR rat model by means of letrozole sodium carboxymethyl cellulose (CMC-na) solution combined with high-fat emulsion administration and randomly divided it into blank control group (K), model control group (M), low dose of Guizhi Fuling Wan group (D), middle dose of Guizhi Fuling Wan group (Z), high dose of Guizhi Fuling Wan group (G) and positive drug (Metformin) control group (Y). After 36 days of modeling and treatment, serum and stool samples from all rats were collected for a follow-up analysis. The data display that, compared with K group, elevated testosterone and HOMA-IR, turbulent estrous cycles and polycystic ovaries in M group, indicating the PCOS-IR rat model is successfully established. Increased fasting insulin is associated with higher inflammation(plasma TNF-alpha, IL-6, and HS-CPR concentration were determined) in M group, and the altered intestinal flora (compared with the K group, in M group the relative abundance ofAlloprevotellawas decreased significantly, while the relative abundance ofLachnospiraceae UCG-008, Lachnospiraceae NK4A136, Lactobacillus, Ruminiclostridium 9, andRuminococcaceae UCG-003was increased significantly) induced the secretion of inflammatory markers. On the other hand, Guizhi Fuling Wan can alleviate inflammation, improve insulin resistence: Lower inflammation decreased fasting insulin can be seen in G group compared with M group, this effect is related to the regulating effect of Guizhi Fuling Wan on intestinal flora (in G group, the relative abundance ofAlloprevotella, Ruminococcaceae UCG-003, andLachnospiraceae UCG-008was increased significantly, compared with M group). This research demonstrates Guizhi Fuling Wan improve insulin resistance in polycystic ovary syndrome with the underlying mechanism of regulating intestinal flora to control inflammation. It would be useful to promote the therapeutic effect of Guizhi Fuling Wan on PCOS-IR. C1 [Zhu, Ying; Li, Yin; Liu, Min; Hu, XiaoDan] Chengdu Univ Tradit Chinese Med, Sch Clin Med, Chengdu, Peoples R China. [Zhu, Hongqiu] Chengdu Univ Tradit Chinese Med, Coll Med & Life Sci, Chengdu, Peoples R China. C3 Chengdu University of Traditional Chinese Medicine; Chengdu University of Traditional Chinese Medicine RP Zhu, HQ (通讯作者),Chengdu Univ Tradit Chinese Med, Coll Med & Life Sci, Chengdu, Peoples R China. EM zhuhongqiu@cdutcm.edu.cn OI liu, min/0000-0003-4535-0293 FU National Natural Science Foundation of China [81873335]; Department of Science and Technology of Chengdu province [2020YJ0376]; Second Clinical Medical College of Chengdu University of Traditional Chinese Medicine [2017-EL-14] FX This work was supported by National Natural Science Foundation of China (81873335), Department of Science and Technology of Chengdu province (2020YJ0376), The Second Clinical Medical College of Chengdu University of Traditional Chinese Medicine(2017-EL-14). 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Endocrinol. PD AUG 27 PY 2020 VL 11 AR 575 DI 10.3389/fendo.2020.00575 PG 11 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA NP8NN UT WOS:000570428300001 PM 32973686 OA Green Published, gold DA 2023-06-08 ER PT J AU Shin, NR Bose, S Wang, JH Ansari, A Lim, SK Chin, YW Choi, HS Kim, H AF Shin, Na R. Bose, Shambhunath Wang, Jing-Hua Ansari, AbuZar Lim, Soo-Kyoung Chin, Young-won Choi, Han-seok Kim, Hojun TI Flos Lonicera Combined with Metformin Ameliorates Hepatosteatosis and Glucose Intolerance in Association with Gut Microbiota Modulation SO FRONTIERS IN MICROBIOLOGY LA English DT Article DE Flos Lonicera; metformin; metabolic syndrome; gut microbiota; hepatosteatosis ID ACTIVATED PROTEIN-KINASE; FATTY LIVER-DISEASE; NONALCOHOLIC STEATOHEPATITIS; COMBINATION THERAPY; OXIDATIVE STRESS; JAPONICA THUNB.; ETHANOL EXTRACT; OBESITY; CHOLESTEROL; DIET AB The gut microbiota is important in energy contribution, metabolism and immune modulation, and compositional disruption of the gut microbiota population is closely associated with chronic metabolic diseases like type 2 diabetes (T2D) and non-alcoholic fatty liver disease (NAFLD). Metformin (MET) and Flos Lonicera (FL) are common treatments for metabolic diseases inWestern and Oriental medicinal fields. We evaluated the effect of treatment with FL and MET in combination on hepatosteatosis, glucose tolerance, and gut microbial composition. FL and MET were administered to Otsuka Long-Evans Tokushima Fatty (OLETF) rats, an animal model of genetic T2D and NAFLD. The FL+MET treatment reduced liver weight, serum cholesterol, insulin resistance, and hepatic MDA level and modulated the gut microbial composition. More specifically, the genera of Prevotella and Lactobacillus were negatively associated with the body and liver weights, hepatic TG and TC content, and serum insulin level. However, the relative abundance of these genera decreased in response to the FL+ MET treatment. Interestingly, pathway prediction data revealed that the FL+ MET treatment attenuated lipopolysaccharide-related pathways, in keeping with the decrease in serum and fecal endotoxin levels. FL and MET in combination exerts a synergistic effect on the improvement of hepatosteatosis and insulin sensitivity in OLETF rats, and modulates gut microbiota in association with the effect. C1 [Shin, Na R.; Wang, Jing-Hua; Ansari, AbuZar; Lim, Soo-Kyoung; Kim, Hojun] Dongguk Univ, Dept Rehabil Med Korean Med, Goyang, South Korea. [Bose, Shambhunath] NosQuest, Seongnam Si, Gyeonggi Do, South Korea. [Chin, Young-won] Dongguk Univ, Coll Pharm, Goyang, South Korea. [Choi, Han-seok] Dongguk Univ, Dept Endocrinol, Goyang, South Korea. C3 Dongguk University; Dongguk University; Dongguk University RP Kim, H (通讯作者),Dongguk Univ, Dept Rehabil Med Korean Med, Goyang, South Korea. EM kimklar@gmail.com RI Bose, Shambhunath/HKW-2568-2023; Kim, Hojun/AAB-8405-2020; Choi, Han Seok/AAG-1493-2019; Wang, Jing-hua/AAO-2350-2020; ANSARI, ABUZAR/AAZ-2578-2020 OI Wang, Jing-hua/0000-0002-2034-7429; Bose, Shambunath/0000-0003-0737-5713; Chin, Young-Won/0000-0001-6964-1779 FU Convergence of Conventional Medicine and Traditional Korean Medicine R&D program - Ministry of Health and Welfare through the Korea Health Industry Development Institute [HI14C0558]; Korea Health Promotion Institute [HI14C0558010017] Funding Source: Korea Institute of Science & Technology Information (KISTI), National Science & Technology Information Service (NTIS) FX This work was supported by the grant of Convergence of Conventional Medicine and Traditional Korean Medicine R&D program funded by the Ministry of Health and Welfare through the Korea Health Industry Development Institute (HI14C0558). 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Microbiol. PD NOV 17 PY 2017 VL 8 AR 2271 DI 10.3389/fmicb.2017.02271 PG 16 WC Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Microbiology GA FM9LB UT WOS:000415589600001 PM 29204141 OA gold, Green Published DA 2023-06-08 ER PT J AU Zhang, MC Feng, RL Yang, M Qian, C Wang, Z Liu, W Ma, J AF Zhang, Minchun Feng, Rilu Yang, Mei Qian, Cheng Wang, Zheng Liu, Wei Ma, Jing TI Effects of metformin, acarbose, and sitagliptin monotherapy on gut microbiota in Zucker diabetic fatty rats SO BMJ OPEN DIABETES RESEARCH & CARE LA English DT Article ID METAGENOME; BACTERIA; OBESITY; ALTERS; ACIDS AB Objective Recent studies have demonstrated that gut microbiota was closely related to metabolic disorders such as type 2 diabetes. Oral antidiabetic medications including metformin, acarbose and sitagliptin lowered blood glucose levels via acting on the gastrointestinal tract. The aim of the study was to observe the comparisons among those medications on gut microbiota composition. Research design and methods Zucker diabetic fatty rats (n=32) were randomly divided into four groups, and had respectively gastric administration of normal saline (control), metformin (215.15 mg/kg/day), acarbose (32.27 mg/kg/day), or sitagliptin (10.76 mg/kg/day) for 4 weeks. Blood glucose levels were measured during an intragastric starch tolerance test after the treatments. 16S rRNA gene sequencing was used to access the microbiota in the fecal samples. Results Metformin, acarbose, and sitagliptin monotherapy effectively decreased fasting and postprandial blood glucose levels (p<0.001). Acarbose group displayed specific cluster and enterotype mainly composed by Ruminococcus 2 while Lactobacillus was the dominant bacterium in the enterotype of the other three groups. The relative abundance of genera Ruminococcus 2 and Bifidobacterium was dramatically higher in acarbose group. Metformin and sitagliptin increased the relative abundance of genus Lactobacillus. Metagenomic prediction showed that the functional profiles of carbohydrate metabolism were enriched in acarbose group. Conclusions Metformin, acarbose and sitagliptin exerted different effects on the composition of gut microbiota and selectively increased the beneficial bacteria. Supplementation with specific probiotics may further improve the hypoglycemic effects of the antidiabetic drugs. C1 [Zhang, Minchun; Feng, Rilu; Yang, Mei; Qian, Cheng; Liu, Wei; Ma, Jing] Shanghai Jiao Tong Univ, Sch Med, Renji Hosp, Dept Endocrinol & Metab, Shanghai, Peoples R China. [Wang, Zheng] Shanghai Jiao Tong Univ, Sch Med, Renji Hosp, Dept Gastrointestinal Surg, Shanghai, Peoples R China. C3 Shanghai Jiao Tong University; Shanghai Jiao Tong University RP Liu, W; Ma, J (通讯作者),Shanghai Jiao Tong Univ, Sch Med, Renji Hosp, Dept Endocrinol & Metab, Shanghai, Peoples R China. EM sue_liuwei@163.com; cherry1996@live.cn OI Ma, Jing/0000-0003-1098-945X FU National Natural Science Foundation of China [NSFC81670728]; Shanghai Municipal Education Commission-Gaofeng Clinical Medicine Grant Support [20181807]; Clinical Research Funding in Renji Hospital affiliated to Shanghai Jiao Tong University [PYZY16-020] FX This work was supported by the National Natural Science Foundation of China (grant number NSFC81670728), the Shanghai Municipal Education Commission-Gaofeng Clinical Medicine Grant Support (grant number 20181807) and the Clinical Research Funding in Renji Hospital affiliated to Shanghai Jiao Tong University (grant number PYZY16-020). 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Res. Care PD OCT PY 2019 VL 7 IS 1 AR e000717 DI 10.1136/bmjdrc-2019-000717 PG 11 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA KB0KF UT WOS:000506187100031 PM 31641523 OA gold, Green Published DA 2023-06-08 ER PT J AU Shin, NR Lee, JC Lee, HY Kim, MS Whon, TW Lee, MS Bae, JW AF Shin, Na-Ri Lee, June-Chul Lee, Hae-Youn Kim, Min-Soo Whon, Tae Woong Lee, Myung-Shik Bae, Jin-Woo TI An increase in the Akkermansia spp. population induced by metformin treatment improves glucose homeostasis in diet-induced obese mice SO GUT LA English DT Article ID ADIPOSE-TISSUE INFLAMMATION; GUT MICROBIOTA; INSULIN-RESISTANCE; T-CELLS; METABOLIC SYNDROME; UNIQUE POPULATION; LINKING OBESITY; FAT; MUCIN; MODULATION AB Background Recent evidence indicates that the composition of the gut microbiota contributes to the development of metabolic disorders by affecting the physiology and metabolism of the host. Metformin is one of the most widely prescribed type 2 diabetes (T2D) therapeutic agents. Objective To determine whether the antidiabetic effect of metformin is related to alterations of intestinal microbial composition. Design C57BL/6 mice, fed either a normal-chow diet or a high-fat diet (HFD), were treated with metformin for 6 weeks. The effect of metformin on the composition of the gut microbiota was assessed by analysing 16S rRNA gene sequences with 454 pyrosequencing. Adipose tissue inflammation was examined by flow cytometric analysis of the immune cells present in visceral adipose tissue (VAT). Results Metformin treatment significantly improved the glycaemic profile of HFD-fed mice. HFD-fed mice treated with metformin showed a higher abundance of the mucin-degrading bacterium Akkermansia than HFD-fed control mice. In addition, the number of mucin-producing goblet cells was significantly increased by metformin treatment (p < 0.0001). Oral administration of Akkermansia muciniphila to HFD-fed mice without metformin significantly enhanced glucose tolerance and attenuated adipose tissue inflammation by inducing Foxp3 regulatory T cells (Tregs) in the VAT. Conclusions Modulation of the gut microbiota (by an increase in the Akkermansia spp. population) may contribute to the antidiabetic effects of metformin, thereby providing a new mechanism for the therapeutic effect of metformin in patients with T2D. This suggests that pharmacological manipulation of the gut microbiota in favour of Akkermansia may be a potential treatment for T2D. C1 [Shin, Na-Ri; Kim, Min-Soo; Whon, Tae Woong; Bae, Jin-Woo] Kyung Hee Univ, Dept Life & Nanopharmaceut Sci, Seoul 130701, South Korea. [Shin, Na-Ri; Kim, Min-Soo; Whon, Tae Woong; Bae, Jin-Woo] Kyung Hee Univ, Dept Biol, Seoul 130701, South Korea. [Lee, June-Chul; Lee, Hae-Youn; Lee, Myung-Shik] Sungkyunkwan Univ, Sch Med, Dept Med, Samsung Med Ctr, Seoul 135710, South Korea. [Lee, June-Chul; Lee, Hae-Youn; Lee, Myung-Shik] Sungkyunkwan Univ, Sch Med, Dept Biotechnol & Bioengn, Samsung Med Ctr, Seoul 135710, South Korea. C3 Kyung Hee University; Kyung Hee University; Sungkyunkwan University (SKKU); Samsung Medical Center; Sungkyunkwan University (SKKU); Samsung Medical Center RP Bae, JW (通讯作者),Kyung Hee Univ, Dept Life & Nanopharmaceut Sci, Seoul 130701, South Korea. EM mslee0923@skku.edu; baejw@khu.ac.kr RI Lee, Myung Shik/C-9606-2011; Bae, Jin-Woo/S-1955-2017 OI Bae, Jin-Woo/0000-0001-6433-5270 FU National Research Foundation of Korea (NRF) - Ministry of Education, Science and Technology (MEST) [2011-0028854]; Bio RD Program [2008-04090]; National Research Foundation of Korea [K21004000003-12A0500-00310] FX This work was supported by a grant from the Mid-Career Researcher Program (2011-0028854 to J-WB) through the National Research Foundation of Korea (NRF), funded by the Ministry of Education, Science and Technology (MEST) and by the Bio R&D Program (2008-04090 to M-SL). M-SL is the recipient of a global research laboratory grant from the National Research Foundation of Korea (K21004000003-12A0500-00310). 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gut microbiota; metformin; Chinese herbal formula; combination treatment; meta-analysis ID GEGEN QINLIAN DECOCTION; SHENLING BAIZHU POWDER; DOUBLE-BLIND; EXPERIMENTAL COLITIS; INSULIN-RESISTANCE; GLUCOSE-TOLERANCE; MEDICINE; RATS; PHARMACOKINETICS; INFLAMMATION AB To assess and analyse the effectiveness and safety of combined Chinese herbal formula (CHF) and metformin treatment in the modulation of the gut microbiota in the amelioration of type 2 diabetes mellitus(T2DM), all publications addressing the effect of this combination treatment on the quantitative alterations in the gut microbiota and glucose parameters were collected. Rob tool in the Cochrane handbook was performed to evaluate the methodological quality of all included studies. Relevant information and statistics were abstracted and synthesized in Review Manager 5.4 to evaluate the efficacy of combination treatment. Sensitivity analyses and subgroup analyses were used to analyse the sources of heterogeneity. Publication bias analyses were performed by Stata software to assess the robustness and quality of the outcomes. As a result, a total of 12 eligible RCTs with 1307 T2DM participants from 7 electronic databases were included. Combined CHF with metformin treatment showed better efficacies than metformin monotherapy in regulating the structure of the gut microbiota, characterized by increased Bifidobacterium, Lactobacillus and Bacteroidetes and decreased Enterobacteriaceae, Enterococcus, and Saccharomyces along with better decreases in glycated haemoglobin, fasting plasma glucose, 2-hour postprandial blood glucose, fasting insulin and homeostasis model assessment of insulin resistance. Subgroup analyses further analysed the effect of metformin doses and CHF classifications on controlling hyperglycaemia and altering the gut microbiota. In conclusion, our meta-analysis suggested that combined CHF with metformin treatment is promising for the modulation of the gut microbiota along with ameliorating hyperglycemia in T2DM patients. Importantly, more well-designed RCTs are needed to validate the outcomes and verify the treatment value for clinical purposes. C1 [Xu, Yunxi; Zheng, Shuyu; Jiang, Shui; Chen, Junyu; Zhu, Xiaofang; Zhang, Ya] Chengdu Univ Tradit Chinese Med, Hosp Chengdu Univ Tradit Chinese Med, Chengdu, Peoples R China. C3 Chengdu University of Traditional Chinese Medicine RP Zhang, Y (通讯作者),Chengdu Univ Tradit Chinese Med, Hosp Chengdu Univ Tradit Chinese Med, Chengdu, Peoples R China. EM zhangya19780711@163.com FU Sichuan Provincial Administration of Traditional Chinese Medicine; [2021MS457] FX Funding This research was supported by the Sichuan Provincial Administration of Traditional Chinese Medicine (Grant Number: 2021MS457). 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Endocrinol. PD SEP 15 PY 2022 VL 13 AR 927959 DI 10.3389/fendo.2022.927959 PG 18 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA 4Z5UY UT WOS:000862274600001 PM 36187136 OA gold, Green Published DA 2023-06-08 ER PT J AU Diez-Echave, P Vezza, T Algieri, F Ruiz-Malagon, AJ Hidalgo-Garcia, L Garcia, F Moron, R Sanchez, M Toral, M Romero, M Duarte, J Garrido-Mesa, J Rodriguez-Cabezas, ME Rodriguez-Nogales, A Galvez, J AF Diez-Echave, Patricia Vezza, Teresa Algieri, Francesca Ruiz-Malagon, Antonio Jesus Hidalgo-Garcia, Laura Garcia, Federico Moron, Rocio Sanchez, Manuel Toral, Marta Romero, Miguel Duarte, Juan Garrido-Mesa, Jose Rodriguez-Cabezas, Maria Elena Rodriguez-Nogales, Alba Galvez, Julio TI The melatonergic agonist agomelatine ameliorates high fat diet-induced obesity in mice through the modulation of the gut microbiome SO BIOMEDICINE & PHARMACOTHERAPY LA English DT Article DE Agomelatine; Melatonin; Metabolism; Metformin; Microbiome; Obesity ID INSULIN-RESISTANCE; METFORMIN; INFLAMMATION; ANTIOXIDANT; METABOLISM; AMPK; METAANALYSIS; ADIPONECTIN; MECHANISM; BUTYRATE AB Background and purpose: Melatonin has shown beneficial effects on obesity, both in humans and experimental models, via regulating the altered circadian rhythm and thus ameliorating the gut dysbiosis associated with this metabolic condition. However, its clinical use is limited, mostly due to its short half-life. Agomelatine is an agonist of the melatonin receptors that could be used to manage obesity and offer a better profile than melatonin. Experimental approach: Male C57BL/6 mice were fed a high fat diet and orally treated for five weeks with agomelatine, or melatonin or metformin, used as control drugs. Metabolic profile, inflammatory status, vascular dysfunction and intestinal microbiota composition were assessed. Key results: Agomelatine lessened body weight gain, enhanced glucose and lipid metabolisms, and improved insulin resistance. It also reduced the obesity-associated inflammatory status and endothelial dysfunction, probably linked to its effect on gut dysbiosis, consisting of the restoration of bacterial populations with key functions, such as short chain fatty acid production. Conclusions and implications: Agomelatine can be considered as a novel therapeutic tool for the management of human obesity and its associated comorbidities. C1 [Diez-Echave, Patricia; Vezza, Teresa; Algieri, Francesca; Ruiz-Malagon, Antonio Jesus; Hidalgo-Garcia, Laura; Sanchez, Manuel; Toral, Marta; Romero, Miguel; Duarte, Juan; Garrido-Mesa, Jose; Rodriguez-Cabezas, Maria Elena; Rodriguez-Nogales, Alba; Galvez, Julio] Univ Granada, Ctr Biomed Res CIBM, Dept Pharmacol, Granada 18071, Spain. [Diez-Echave, Patricia; Vezza, Teresa; Ruiz-Malagon, Antonio Jesus; Hidalgo-Garcia, Laura; Garcia, Federico; Moron, Rocio; Sanchez, Manuel; Toral, Marta; Romero, Miguel; Duarte, Juan; Rodriguez-Cabezas, Maria Elena; Rodriguez-Nogales, Alba; Galvez, Julio] Inst Invest Biosanitaria Granada ibs GRANADA, Granada 18012, Spain. [Garcia, Federico] Hosp Univ Clin San Cecilio, Serv Microbiol, Red Invest SIDA, Granada 18100, Spain. [Moron, Rocio] Hosp Univ Clin San Cecilio, Serv Farm Hosp, Granada 18100, Spain. [Romero, Miguel; Duarte, Juan] Ctr Invest Biomed Red Enfermedades Cardiovasc CIBE, Madrid, Spain. [Rodriguez-Nogales, Alba] Hosp Univ Virgen Nieves, Serv Digest, Granada 18012, Spain. [Galvez, Julio] Ctr Invest Biomed Red Enfermedades Hepat & Digest, Madrid, Spain. C3 University of Granada; Instituto de Investigacion Biosanitaria IBS Granada; CIBER - Centro de Investigacion Biomedica en Red; CIBERCV; Hospital Universitario Virgen de las Nieves; CIBER - Centro de Investigacion Biomedica en Red; CIBEREHD RP Garrido-Mesa, J; Rodriguez-Cabezas, ME (通讯作者),Univ Granada, Ctr Biomed Res CIBM, Dept Pharmacol, Granada 18071, Spain. EM josegarridomesa@gmail.com; merodri@ugr.es RI Romero, Miguel/K-6053-2014; Garrido Mesa, Jose/AAP-3208-2020; Duarte, Juan/K-6472-2014; Toral, Marta/K-6709-2014; Algieri, Francesca/L-3231-2014 OI Romero, Miguel/0000-0003-0578-1099; Garrido Mesa, Jose/0000-0001-6420-9055; Duarte, Juan/0000-0002-9153-5857; Toral, Marta/0000-0001-5324-8569; Algieri, Francesca/0000-0002-0262-4867 FU Junta de Andalucia [CTS 164]; Instituto de Salud Carlos III [PI19/01058]; European Union FX This work was supported by the Junta de Andalucia (CTS 164) and by Instituto de Salud Carlos III (PI19/01058) with funds from the European Union. T. Vezza is a postdoctoral fellow from Instituto de Investigacion Biosanitaria de Granada; P. Diez-Echave, F. Algieri and J. Garrido-Mesa are postdoctoral fellows from University of Granada; A.J. Ruiz-Malagon and L. Hidalgo-Garcia are predoctoral fellows from University of Granada ("Programa de Doctorado: Medicina Clinica y Salud Publica"). 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Pharmacother. PD SEP PY 2022 VL 153 AR 113445 DI 10.1016/j.biopha.2022.113445 EA JUL 2022 PG 16 WC Medicine, Research & Experimental; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine; Pharmacology & Pharmacy GA 3S0UT UT WOS:000839319900001 PM 36076560 OA gold, Green Published DA 2023-06-08 ER PT J AU Tseng, CH AF Tseng, Chin-Hsiao TI The Relationship between Diabetes Mellitus and Gastric Cancer and the Potential Benefits of Metformin: An Extensive Review of the Literature SO BIOMOLECULES LA English DT Review DE diabetes mellitus; gastric cancer; Helicobacter pylori; insulin resistance; metformin; microbiota ID POPULATION-BASED COHORT; HELICOBACTER-PYLORI INFECTION; EN-Y RECONSTRUCTION; RISK-FACTORS; TAIWANESE PATIENTS; POSTOPERATIVE COMPLICATIONS; GASTROINTESTINAL CANCERS; GLUCOSE-METABOLISM; ESOPHAGEAL CANCER; STOMACH-CANCER AB The objective of this review is to summarize the findings of published research that investigated the relationship between diabetes mellitus and gastric cancer (GCa) and the potential benefits of metformin on GCa. Related literature has been extensively reviewed, and findings from studies investigating the relationship between diabetes mellitus and GCa suggest that hyperglycemia, hyperinsulinemia and insulin resistance are closely related to the development of GCa. Although not supported by all, most observational studies suggest an increased risk of GCa in patients with type 2 diabetes mellitus, especially in women and in Asian populations. Incidence of second primary malignancy diagnosed after GCa is significantly higher in diabetes patients. Diabetes patients with GCa may have more complications after gastrectomy or chemotherapy and they may have a poorer prognosis than patients with GCa but without diabetes mellitus. However, glycemic control may improve in the diabetes patients with GCa after receiving gastrectomy, especially after procedures that bypass the duodenum and proximal jejunum, such as Roux-en-Y gastric bypass or Billroth II reconstruction. The potential links between diabetes mellitus and GCa may involve the interactions with shared risk factors (e.g., obesity, hyperglycemia, hyperinsulinemia, insulin resistance, high salt intake, smoking, etc.), Helicobacter pylori (HP) infection, medications (e.g., insulin, metformin, statins, aspirin, proton pump inhibitors, antibiotics, etc.) and comorbidities (e.g., hypertension, dyslipidemia, vascular complications, heart failure, renal failure, etc.). With regards to the potential benefits of metformin on GCa, results of most observational studies suggest a reduced risk of GCa associated with metformin use in patients with T2DM, which can be supported by evidence derived from many in vitro and animal studies. Metformin use may also reduce the risk of HP infection, an important risk factor of GCa. In patients with GCa, metformin users may have improved survival and reduced recurrence. More studies are required to clarify the pathological subtypes/anatomical sites of GCa associated with type 2 diabetes mellitus or prevented by metformin, to confirm whether GCa risk can also be increased in patients with type 1 diabetes mellitus and to explore the possible role of gastric microbiota in the development of GCa. C1 [Tseng, Chin-Hsiao] Natl Taiwan Univ, Dept Internal Med, Coll Med, Taipei 10051, Taiwan. [Tseng, Chin-Hsiao] Natl Taiwan Univ Hosp, Dept Internal Med, Div Endocrinol & Metab, Taipei 10051, Taiwan. [Tseng, Chin-Hsiao] Natl Hlth Res Inst, Div Environm Hlth & Occupat Med, Zhunan 350, Taiwan. [Tseng, Chin-Hsiao] Natl Taiwan Univ Hosp, Dept Internal Med, 7 Chung Shan South Rd, Taipei 100, Taiwan. C3 National Taiwan University; National Taiwan University; National Taiwan University Hospital; National Health Research Institutes - Taiwan; National Taiwan University; National Taiwan University Hospital RP Tseng, CH (通讯作者),Natl Taiwan Univ, Dept Internal Med, Coll Med, Taipei 10051, Taiwan.; Tseng, CH (通讯作者),Natl Taiwan Univ Hosp, Dept Internal Med, Div Endocrinol & Metab, Taipei 10051, Taiwan.; Tseng, CH (通讯作者),Natl Hlth Res Inst, Div Environm Hlth & Occupat Med, Zhunan 350, Taiwan.; Tseng, CH (通讯作者),Natl Taiwan Univ Hosp, Dept Internal Med, 7 Chung Shan South Rd, Taipei 100, Taiwan. EM ccktsh@ms6.hinet.net OI TSENG, CHIN-HSIAO/0000-0001-9545-7123 FU Ministry of Science and Technology [MOST 107-2221-E-002-129-MY3]; Yee Fong Charity Foundation FX Related research was funded by the Ministry of Science and Technology (MOST 107-2221-E-002-129-MY3) and the Yee Fong Charity Foundation. 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Differding, Moira K. Zhang, Mingyu Maruthur, Nisa M. Juraschek, Stephen P. Miller, Edgar R., III Appel, Lawrence J. Yeh, Hsin-Chieh TI Metformin Affects Gut Microbiome Composition and Function and Circulating Short-Chain Fatty Acids: A Randomized Trial SO DIABETES CARE LA English DT Article ID INSULIN AB OBJECTIVE To determine the longer-term effects of metformin treatment and behavioral weight loss on gut microbiota and short-chain fatty acids (SCFAs). RESEARCH DESIGN AND METHODS We conducted a 3-parallel-arm, randomized trial. We enrolled overweight/obese adults who had been treated for solid tumors but had no ongoing cancer treatment and randomized them (n = 121) to either 1) metformin (up to 2,000 mg), 2) coach-directed behavioral weight loss, or 3) self-directed care (control) for 12 months. We collected stool and serum at baseline (n = 114), 6 months (n = 109), and 12 months (n = 105). From stool, we extracted microbial DNA and conducted amplicon and metagenomic sequencing. We measured SCFAs and other biochemical parameters from fasting serum. RESULTS Of the 121 participants, 79% were female and 46% were Black, and the mean age was 60 years. Only metformin treatment significantly altered microbiota composition. Compared with control, metformin treatment increased amplicon sequence variants for Escherichia (confirmed as Escherichia coli by metagenomic sequencing) and Ruminococcus torques and decreased Intestinibacter bartlettii at both 6 and 12 months and decreased the genus Roseburia, including R. faecis and R. intestinalis, at 12 months. Effects were similar in comparison of the metformin group with the behavioral weight loss group. Metformin versus control also increased butyrate, acetate, and valerate at 6 months (but not at 12 months). Behavioral weight loss versus control did not significantly alter microbiota composition but did increase acetate at 6 months (but not at 12 months). Increases in acetate were associated with decreases in fasting insulin. Additional whole-genome metagenomic sequencing of a subset of the metformin group showed that metformin altered 62 metagenomic functional pathways, including an acetate-producing pathway and three pathways in glucose metabolism. CONCLUSIONS Metformin, but not behavioral weight loss, impacted gut microbiota composition at 6 months and 12 months. Both metformin and behavioral weight loss altered circulating SCFAs at 6 months, including increasing acetate, which correlated with lower fasting insulin. Future research is needed to elucidate whether the gut microboime mediates or modifies metformin's health effects. C1 [Mueller, Noel T.; Differding, Moira K.; Zhang, Mingyu] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21218 USA. [Mueller, Noel T.; Differding, Moira K.; Zhang, Mingyu; Maruthur, Nisa M.; Miller, Edgar R., III; Appel, Lawrence J.; Yeh, Hsin-Chieh] Johns Hopkins Univ, Welch Ctr Prevent Epidemiol & Clin Res, Baltimore, MD 21218 USA. [Juraschek, Stephen P.] Beth Israel Deaconess Med Ctr, Div Gen Med & Primary Care, Boston, MA USA. C3 Johns Hopkins University; Johns Hopkins Bloomberg School of Public Health; Johns Hopkins University; Harvard University; Beth Israel Deaconess Medical Center RP Mueller, NT (通讯作者),Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21218 USA.; Mueller, NT (通讯作者),Johns Hopkins Univ, Welch Ctr Prevent Epidemiol & Clin Res, Baltimore, MD 21218 USA. EM noeltmueller@jhu.edu RI Zhang, mingyu/HGB-1069-2022; Appel, Larry/GLT-2608-2022; Zhang, Mingyu/O-4477-2018 OI Zhang, Mingyu/0000-0003-3628-0983; Mueller, Noel/0000-0002-7412-8352; Juraschek, Stephen/0000-0003-4168-2696 FU Maryland Cigarette Restitution Fund; National Heart, Lung, and Blood Institute of the National Institutes of Health [K01HL141589]; National Cancer Institute's Cancer Centers Support Grant [5P30CA006973]; American Heart Association [827990]; National Heart, Lung, and Blood Institute, NIH [T32 HL007024] FX SPIRIT was funded by the Maryland Cigarette Restitution Fund. N.T.M. was supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health (K01HL141589). H.-C.Y. was supported in part by the National Cancer Institute's Cancer Centers Support Grant to the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins (5P30CA006973). M.Z. is supported by the American Heart Association (Award Number: 827990). M.K.D. is supported by the National Heart, Lung, and Blood Institute, NIH Grant Number T32 HL007024. 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Methods: This retrospective cohort study used the Taiwan's National Health Insurance database to enroll 307,548 ever users and 18,839 never users of metformin. The patients were followed up starting on January 1, 2006 and ending on a date up to December 31, 2011. To address confounding by indication, hazard ratios were derived from Cox regression based on the inverse probability of treatment weighting using propensity score. Results: During follow-up, newly diagnosed cases of diverticula were identified in 1,828 ever users (incidence rate: 125.59 per 100,000 person-years) and 223 never users (incidence rate: 268.17 per 100,000 person-years). Ever users had an approximately 54% lower risk, as shown by the overall hazard ratio of 0.464 (95% confidence interval 0.404-0.534). While patients categorized in each tertile of cumulative duration of metformin therapy were compared to never users, a dose-response pattern was observed with hazard ratios of 0.847 (0.730-0.983), 0.455 (0.391-0.531) and 0.216 (0.183-0.255) for the first (<27.37 months), second (27.37-59.70 months) and third (>59.70 months) tertiles, respectively. The findings were similar when the diagnosis of diverticula was restricted to the small intestine or to the colon. Subgroup analyses suggested that the lower risk of diverticula of intestine associated with metformin use was significant in all age groups of <50, 50-64 and >= 65 years, but the magnitude of risk reduction attenuated with increasing age. Conclusion: Metformin treatment is associated with a significantly reduced risk of diverticula of intestine. C1 [Tseng, Chin-Hsiao] Natl Taiwan Univ, Dept Internal Med, Coll Med, Taipei, Taiwan. [Tseng, Chin-Hsiao] Natl Taiwan Univ Hosp, Dept Internal Med, Div Endocrinol & Metab, Taipei, Taiwan. [Tseng, Chin-Hsiao] Natl Hlth Res Inst, Div Environm Hlth & Occupat Med, Zhunan, Taiwan. C3 National Taiwan University; National Taiwan University; National Taiwan University Hospital; National Health Research Institutes - Taiwan RP Tseng, CH (通讯作者),Natl Taiwan Univ, Dept Internal Med, Coll Med, Taipei, Taiwan.; Tseng, CH (通讯作者),Natl Taiwan Univ Hosp, Dept Internal Med, Div Endocrinol & Metab, Taipei, Taiwan.; Tseng, CH (通讯作者),Natl Hlth Res Inst, Div Environm Hlth & Occupat Med, Zhunan, Taiwan. EM ccktsh@ms6.hinet.net FU Ministry of Science and Technology [MOST 107-2221-E002-129-MY3]; Yee Fong Charity Foundation FX The Ministry of Science and Technology (MOST 107-2221-E002-129-MY3) and the Yee Fong Charity Foundation provided financial support for the study. 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Pharmacol. PD SEP 7 PY 2021 VL 12 AR 739141 DI 10.3389/fphar.2021.739141 PG 11 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA US3HW UT WOS:000697325500001 PM 34557103 OA Green Published, gold DA 2023-06-08 ER PT J AU Alvarez-Silva, C Kashani, A Hansen, TH Pinna, NK Anjana, RM Dutta, A Saxena, S Stoy, J Kampmann, U Nielsen, T Jorgensen, T Gnanaprakash, V Gnanavadivel, R Sukumaran, A Rani, CSS Faerch, K Radha, V Balasubramanyam, M Nair, GB Das, B Vestergaard, H Hansen, T Mande, SS Mohan, V Arumugam, M Pedersen, O AF Alvarez-Silva, Camila Kashani, Alireza Hansen, Tue Haldor Pinna, Nishal Kumar Anjana, Ranjit Mohan Dutta, Anirban Saxena, Shruti Stoy, Julie Kampmann, Ulla Nielsen, Trine Jorgensen, Torben Gnanaprakash, Visvanathan Gnanavadivel, Rameshkumar Sukumaran, Aswath Rani, Coimbatore Subramanian Shanthi Faerch, Kristine Radha, Venkatesan Balasubramanyam, Muthuswamy Nair, Gopinath Balakrish Das, Bhabatosh Vestergaard, Henrik Hansen, Torben Mande, Sharmila Shekhar Mohan, Viswanathan Arumugam, Manimozhiyan Pedersen, Oluf TI Trans-ethnic gut microbiota signatures of type 2 diabetes in Denmark and India SO GENOME MEDICINE LA English DT Article DE Gut microbiota; Trans-ethnic; Indians; Danes; Populations; Type 2 diabetes; Metformin ID RNA GENE DATABASE; METFORMIN; INDIVIDUALS; DANISH; COHORT AB Background Type 2 diabetes (T2D), a multifactorial disease influenced by host genetics and environmental factors, is the most common endocrine disease. Several studies have shown that the gut microbiota as a close-up environmental mediator influences host physiology including metabolism. The aim of the present study is to examine the compositional and functional potential of the gut microbiota across individuals from Denmark and South India with a focus on T2D. Many earlier studies have investigated the microbiome aspects of T2D, and it has also been anticipated that such microbial associations would be dependent on diet and ethnic origin. However, there has been no large scale trans-ethnic microbiome study earlier in this direction aimed at evaluating any "universal" microbiome signature of T2D. Methods 16S ribosomal RNA gene amplicon sequencing was performed on stool samples from 279 Danish and 294 Indian study participants. Any differences between the gut microbiota of both populations were explored using diversity measures and negative binomial Wald tests. Study samples were stratified to discover global and country-specific microbial signatures for T2D and treatment with the anti-hyperglycemic drug, metformin. To identify taxonomical and functional signatures of the gut microbiota for T2D and metformin treatment, we used alpha and beta diversity measures and differential abundances analysis, comparing metformin-naive T2D patients, metformin-treated T2D patients, and normoglycemic individuals. Results Overall, the gut microbial communities of Danes and Indians are compositionally very different. By analyzing the combined study materials, we identify microbial taxonomic and functional signatures for T2D and metformin treatment. T2D patients have an increased relative abundance of two operational taxonomic units (OTUs) from the Lachnospiraceae family, and a decreased abundance of Subdoligranulum and Butyricicoccus. Studying each population per se, we identified T2D-related microbial changes at the taxonomic level within the Danish population only. Alpha diversity indices show that there is no significant difference between normoglycemic individuals and metformin-naive T2D patients, whereas microbial richness is significantly decreased in metformin-treated T2D patients compared to metformin-naive T2D patients and normoglycemic individuals. Enrichment of two OTUs from Bacteroides and depletion of Faecalibacterium constitute a trans-ethnic signature of metformin treatment. Conclusions We demonstrate major compositional differences of the gut microbiota between Danish and South Indian individuals, some of which may relate to differences in ethnicity, lifestyle, and demography. By comparing metformin-naive T2D patients and normoglycemic individuals, we identify T2D-related microbiota changes in the Danish and Indian study samples. In the present trans-ethnic study, we confirm that metformin changes the taxonomic profile and functional potential of the gut microbiota. C1 [Alvarez-Silva, Camila; Kashani, Alireza; Hansen, Tue Haldor; Vestergaard, Henrik; Hansen, Torben; Arumugam, Manimozhiyan; Pedersen, Oluf] Univ Copenhagen, Novo Nordisk Fdn, Ctr Basic Metab Res, Blegdamsvej 3B, DK-2200 Copenhagen N, Denmark. [Kashani, Alireza; Nielsen, Trine] Odense Univ Hosp, Danish Acad Diabet, Klovervaenget 6, DK-5000 Odense C, Denmark. [Hansen, Tue Haldor] Slagelse Hosp, Dept Cardiol & Endocrinol, Slagelse, Denmark. [Pinna, Nishal Kumar; Dutta, Anirban; Mande, Sharmila Shekhar] Tata Consultancy Serv Ltd, TCS Res, 54B Hadapsar Ind Estate, Pune 411013, Maharashtra, India. [Anjana, Ranjit Mohan; Gnanaprakash, Visvanathan; Gnanavadivel, Rameshkumar; Sukumaran, Aswath; Rani, Coimbatore Subramanian Shanthi; Radha, Venkatesan; Balasubramanyam, Muthuswamy; Mohan, Viswanathan] Madras Diabet Res Fdn, 4 Conran Smith Rd, Chennai 600086, Tamil Nadu, India. [Saxena, Shruti; Nair, Gopinath Balakrish; Das, Bhabatosh] NCR Biotech Sci Cluster, Translat Hlth Sci & Technol Inst, Mol Genet Lab, Infect & Immunol, Faridabad 121001, India. [Stoy, Julie; Kampmann, Ulla; Faerch, Kristine] Aarhus Universitetshosp, Steno Diabet Ctr Aarhus, Hedeager 3,2 Sal, DK-8200 Aarhus, Denmark. [Jorgensen, Torben] Univ Copenhagen, Bispebjerg & Frederiksberg Hosp, Ctr Clin Res & Prevent, Copenhagen, Denmark. [Arumugam, Manimozhiyan] Univ Southern Denmark, Fac Hlth Sci, Odense, Denmark. C3 Novo Nordisk Foundation; University of Copenhagen; University of Southern Denmark; Odense University Hospital; Tata Sons; Tata Consultancy Services Limited (TCS); Madras Diabetes Research Foundation; Department of Biotechnology (DBT) India; Translational Health Science & Technology Institute (THSTI); University of Copenhagen; Bispebjerg Hospital; University of Southern Denmark RP Arumugam, M; Pedersen, O (通讯作者),Univ Copenhagen, Novo Nordisk Fdn, Ctr Basic Metab Res, Blegdamsvej 3B, DK-2200 Copenhagen N, Denmark.; Mande, SS (通讯作者),Tata Consultancy Serv Ltd, TCS Res, 54B Hadapsar Ind Estate, Pune 411013, Maharashtra, India.; Mohan, V (通讯作者),Madras Diabet Res Fdn, 4 Conran Smith Rd, Chennai 600086, Tamil Nadu, India. EM sharmila.mande@tcs.com; drmohans@diabetes.ind.in; arumugam@sund.ku.dk; oluf@sund.ku.dk RI Pinna, Nishal Kumar/HTL-2678-2023; Arumugam, Manimozhiyan/AAJ-2394-2020; Pedersen, Oluf/Z-1731-2019; Hansen, Tue Haldor/S-7724-2016; Nielsen, trine/HJZ-4867-2023; Kampmann, Ulla/ISA-2654-2023; Arumugam, Manimozhiyan/E-1211-2011; Dutta, Anirban/B-1519-2010 OI Arumugam, Manimozhiyan/0000-0002-0886-9101; Pedersen, Oluf/0000-0002-3321-3972; Hansen, Tue Haldor/0000-0001-5948-8993; Nielsen, trine/0000-0002-2066-7895; Arumugam, Manimozhiyan/0000-0002-0886-9101; Vestergaard, Henrik/0000-0003-3090-269X; Alvarez-Silva, Maria Camila/0000-0002-7905-2967; Dutta, Anirban/0000-0002-8209-026X; Hansen, Torben/0000-0001-8748-3831; Kampmann, Ulla/0000-0002-2234-7780 FU Innovation Fund of Denmark [0603-00591B]; Department of Biotechnology, Govt. of India [BT/IN/Denmark/12/VM/2013]; Novo Nordisk Foundation [NNF10CC1016515, NNF18CC0034900, NNF16CC0020896]; Danish Diabetes Academy - Novo Nordisk Foundation FX This work was supported by funds from Innovation Fund of Denmark (grant number 0603-00591B) and the Department of Biotechnology, Govt. of India (BT/IN/Denmark/12/VM/2013) to "MicrobDiab -Studies of interactions between the gut microbiome and the human host biology to elucidate novel aspects of the pathophysiology and pathogenesis of type 2 Diabetes". It was also supported by Novo Nordisk Foundation (grant numbers NNF10CC1016515 and NNF18CC0034900). CAS was supported by Novo Nordisk Foundation (grant NNF16CC0020896). AK was supported by the Danish Diabetes Academy supported by the Novo Nordisk Foundation. 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PD MAR 3 PY 2021 VL 13 IS 1 AR 37 DI 10.1186/s13073-021-00856-4 PG 13 WC Genetics & Heredity WE Science Citation Index Expanded (SCI-EXPANDED) SC Genetics & Heredity GA QS0TE UT WOS:000625620700002 PM 33658058 OA Green Published, gold DA 2023-06-08 ER PT J AU Song, ZC Luo, WM Huang, B Cao, YF Jiang, RZ AF Song, Zicheng Luo, Weiming Huang, Bing Cao, Yunfeng Jiang, Rongzhen TI A new predictive model for the concurrent risk of diabetic retinopathy in type 2 diabetes patients and the effect of metformin on amino acids SO FRONTIERS IN ENDOCRINOLOGY LA English DT Article DE amino acids; new predictive model; metformin; PLS; DR ID GUT MICROBIOTA; METABOLISM; METAGENOME; PATHWAY AB ObjectiveThis study established a model to predict the risk of diabetic retinopathy (DR) with amino acids selected by partial least squares (PLS) method, and evaluated the effect of metformin on the effect of amino acids on DR in the model. MethodsIn Jinzhou, Liaoning Province, China, we retrieved 1031 patients with type 2 diabetes (T2D) from the First Affiliated Hospital of Liaoning Medical University. After sorting the amino acids using the PLS method, the top 10 amino acids were included in the model. Multivariate logistic regression was used to analyze the relationship between different amino acids and DR. And then the effects of metformin on amino acids were explored through interaction. Finally, Spearman's rank correlation analysis was used to analyze the correlation between different amino acids. ResultsAfter sorting by PLS, Gly, Pro, Leu, Lyr, Glu, Phe, Tyr, His, Val and Ser were finally included in the DR risk prediction model. The predictive model after adding amino acids was statistically different from the model that only included traditional risk factors (p=0.001). Metformin had a significant effect on the relationship between DR and 7 amino acids (Gly, Glu, Phe, Tyr, His, Val, Ser, p<0.05), and the population who are not using metformin and have high levels of Glu (OR: 0.44, 95%CI: 0.27-0.71) had an additive protection effect for the occurrence of DR. And the similar results can be seen in high levels of Gly (OR: 0.46, 95%CI: 0.29-0.75), Leu (OR: 0.48, 95%CI: 0.29-0.8), His (OR: 0.46, 95%CI: 0.29-0.75), Phe (OR: 0.24, 95%CI: 0.14-0.42) and Tyr (OR: 0.41, 95%CI: 0.24 -0.68) in population who are not using metformin. ConclusionsWe established a prediction model of DR by amino acids and found that the use of metformin reduced the protective effect of amino acids on DR developing, suggesting that amino acids as biomarkers for predicting DR would be affected by metformin use. C1 [Song, Zicheng; Jiang, Rongzhen] Shanghai Jiao Tong Univ, Dept Obstet & Gynecol, Affiliated Peoples Hosp 6, Shanghai, Peoples R China. [Luo, Weiming] Tianjin Med Univ, Sch Publ Hlth, Dept Toxicol & Sanit Chem, Tianjin, Peoples R China. [Huang, Bing] Dalian Innovat Ctr Lab Med Mass Spectrometry Techn, Res Dept, Dalian, Peoples R China. [Huang, Bing] Clin Mass Spectrometry Profess Technol Innovat Ctr, Res Dept, Jinzhou, Peoples R China. [Huang, Bing] Dalian Lab Med Mass Spectrometry Technol Dev Innov, Res Dept, Dalian, Peoples R China. [Cao, Yunfeng] Shanghai Inst Planned Parenthood Res, Dept Sci Res, Shanghai, Peoples R China. [Cao, Yunfeng] Chinese Acad Sci, Dalian Inst Chem Phys, Dalian, Peoples R China. C3 Shanghai Jiao Tong University; Tianjin Medical University; Chinese Academy of Sciences; Dalian Institute of Chemical Physics, CAS RP Jiang, RZ (通讯作者),Shanghai Jiao Tong Univ, Dept Obstet & Gynecol, Affiliated Peoples Hosp 6, Shanghai, Peoples R China.; Cao, YF (通讯作者),Shanghai Inst Planned Parenthood Res, Dept Sci Res, Shanghai, Peoples R China.; Cao, YF (通讯作者),Chinese Acad Sci, Dalian Inst Chem Phys, Dalian, Peoples R China. EM cyf2005yjs@163.com; jianrzh@163.com RI Cao, Yunfeng/S-1593-2016 FU Development and clinical application of mass spectrometry methods for small molecule metabolic pathways; Dalian Innovation Center of Laboratory Medicine Mass Spectrometry Technology; [2021RT09] FX Funding This work was supported by the Development and clinical application of mass spectrometry methods for small molecule metabolic pathways (Project No. 2021RT09), Dalian Innovation Center of Laboratory Medicine Mass Spectrometry Technology. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. 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Endocrinol. PD AUG 18 PY 2022 VL 13 AR 985776 DI 10.3389/fendo.2022.985776 PG 12 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA 4O8YJ UT WOS:000854979600001 PM 36060930 OA gold, Green Published DA 2023-06-08 ER PT J AU Wang, JH Bose, S Shin, NR Chin, YW Choi, YH Kim, H AF Wang, Jing-Hua Bose, Shambhunath Shin, Na Rae Chin, Young-Won Choi, Young Hee Kim, Hojun TI Pharmaceutical Impact of Houttuynia Cordata and Metformin Combination on High-Fat-Diet-Induced Metabolic Disorders: Link to Intestinal Microbiota and Metabolic Endotoxemia SO FRONTIERS IN ENDOCRINOLOGY LA English DT Article DE Houttuynia cordate; type 2 diabetes; high fat diet; gut microbiota; endotoxin ID DEPENDENT DIABETES-MELLITUS; GLUCOSE-TOLERANCE TEST; INSULIN SENSITIVITY; GUT MICROBIOTA; LIVER; RATS; MICE; INFLAMMATION; GLUCONEOGENESIS; ACTIVATION AB Purpose: Metformin and Houttuynia cordata are representative anti-diabetic therapeutic agents in western and oriental medicinal fields, respectively. The present study examined the therapeutic effects of houttuynia cordata extract (HOE) and metformin in combination in a dysmetabolic mouse model. Methods: Metabolic disorders were induced in C57BL/6J mice by high fat diet (HFD) for 14 weeks. Results: Combination of metformin and HCE significantly lowered body weight, abdominal fat, perirenal fat, liver and kidney weights, but did not change epididymal fat in HFD-fed animals. Metformin + HCE treatment markedly attenuated the elevated serum levels of TG, TC, AST, ALT, and endotoxin and restored the depleted HDL level. Both HCE and metformin + HCE treatment ameliorated glucose tolerance and high level of fasting blood glucose in association with AMPK activation. Moreover, treatment with HCE + metformin dramatically suppressed inflammation in HFD-fed animals via inhibition of proinflammatory cytokines (MCP-1 and IL-6) and LPS receptor (TLR4). Histopathological findings showed that exposure of HFD-treated animals to metformin + HCE ameliorated fatty liver, shrinkage of intestinal villi and adipocytes enlargement. Furthermore, HOE and metformin + HCE treatments markedly modulated the abundance of gut Gram-negative bacteria, including Escherichia coli and Bacteriodetes fragilis, but not universal Gram-positive bacteria. Conclusions: Overall, HCE and metformin cooperatively exert their therapeutic effects via modulation of gut microbiota, especially reduction of Gram-negative bacteria, resulting in alleviation of endotoxemia. C1 [Wang, Jing-Hua; Shin, Na Rae; Kim, Hojun] Dongguk Univ, Dept Oriental Rehabil Med, Goyang, South Korea. [Bose, Shambhunath] NosQuest, Seongnam Si, South Korea. [Chin, Young-Won] Dongguk Univ Seoul, Coll Pharm, Goyang, South Korea. [Choi, Young Hee] Dongguk Univ Seoul, Coll Pharm, Seoul, South Korea. [Choi, Young Hee] Dongguk Univ Seoul, Integrated Res Inst Drug Dev, Seoul, South Korea. C3 Dongguk University; Dongguk University; Dongguk University; Dongguk University RP Kim, H (通讯作者),Dongguk Univ, Dept Oriental Rehabil Med, Goyang, South Korea. EM kimklar@dongguk.ac.kr RI Bose, Shambhunath/HKW-2568-2023; Kim, Hojun/AAB-8405-2020; Wang, Jing-hua/AAO-2350-2020 OI Wang, Jing-hua/0000-0002-2034-7429; Chin, Young-Won/0000-0001-6964-1779; Bose, Shambunath/0000-0003-0737-5713; Choi, Young Hee/0000-0002-9360-6436 FU Convergence of Conventional Medicine and Traditional Korean Medicine R&D program - Ministry of Health and Welfare through the Korea Health Industry Development Institute [HI14C0558]; National Research Foundation of Korea - Korean Government [NRF-2016R1A2B4014225] FX This work was supported by a grant from the Convergence of Conventional Medicine and Traditional Korean Medicine R&D program funded by the Ministry of Health and Welfare through the Korea Health Industry Development Institute (HI14C0558). This work was also supported by the National Research Foundation of Korea Grant funded by the Korean Government (NRF-2016R1A2B4014225). 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Endocrinol. PD OCT 24 PY 2018 VL 9 AR 620 DI 10.3389/fendo.2018.00620 PG 12 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA GX9IM UT WOS:000448115300001 PM 30405531 OA Green Published, gold DA 2023-06-08 ER PT J AU Sahin, K Sahinturk, Y Koker, G Koker, GO Bostan, F Kok, M Uyar, S Cekin, AH AF Sahin, Kubra Sahinturk, Yasin Koker, Gokhan Koker, Gulhan Ozcelik Bostan, Feyzi Kok, Mehmet Uyar, Seyit Cekin, Ayhan Hilmi TI Metformin with Versus without Concomitant Probiotic Therapy in Newly Diagnosed Patients with Type 2 Diabetes or Prediabetes: A Comparative Analysis in Relation to Glycemic Control, Gastrointestinal Side Effects, and Treatment Compliance SO TURKISH JOURNAL OF GASTROENTEROLOGY LA English DT Article DE Type 2 diabetes; metformin; probiotic; BB-12; gastrointestinal intolerance; glycemic control; lipids; body weight; compliance ID GUT MICROBIOME; WEIGHT-LOSS; SYMPTOMS; INTOLERANCE; PREVENTION; ACID AB Background: To evaluate the impact of concomitant use of probiotic BB-12 in metformin-treated patients with type 2 diabetes or prediabetes on glycemic control, metformin-related gastrointestinal side effects, and treatment compliance. Methods: A total of 156 patients (mean [standard deviation] age: 50.9 [9.9 years], 74.4% females) with newly diagnosed type 2 diabetes or prediabetes were randomly assigned to receive either metformin alone (n = 84, MET group) or metformin plus Bifidobacterium animalis subsp. lactis (BB-12) probiotic (n = 72, MET-PRO group). Data on body mass index (kg/m(2)), fasting blood glucose (mg/dL), blood lipids, and glycated hemoglobin (HbA1c) levels were recorded at baseline and at the third month of therapy. Data on gastrointestinal intolerance symptoms and treatment noncompliance were also recorded during post-treatment week 1 to week 4. Results: MET-PRO versus MET therapy was associated with a significantly higher rate of treatment compliance (91.7% vs 71.4%, P = .001), greater reduction from baseline HbA1c values (0.9 [0.4-1.6] vs 0.4 [0-1.6] %, P < .001) and lower likelihood of gastrointestinal intolerance symptoms, including abdominal pain (P = .031 to < .001), diarrhea (P = .005 to < .001) and bloating (P = .010 to < .001). Noncompliance developed later (at least 15 days after the therapy) in a significantly higher percentage of patients in the MET group (P =.001 for 15-21 days and P = .002 for 22-28 days). Conclusion: In conclusion, the present study proposes the benefit of combining probiotics with metformin in the treatment of patients with T2D or prediabetes in terms of improved glycemic control and treatment adherence rather than correction of dyslipidemia or weight reduction. C1 [Sahin, Kubra; Sahinturk, Yasin; Koker, Gokhan; Koker, Gulhan Ozcelik; Bostan, Feyzi; Kok, Mehmet; Uyar, Seyit; Cekin, Ayhan Hilmi] Univ Hlth Sci, Antalya Training & Res Hosp, Dept Internal Med, Antalya, Turkey. C3 Antalya Training & Research Hospital; University of Health Sciences Turkey RP Sahinturk, Y (通讯作者),Univ Hlth Sci, Antalya Training & Res Hosp, Dept Internal Med, Antalya, Turkey. 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J. Gastroenterol. PD NOV PY 2022 VL 33 IS 11 BP 925 EP 933 DI 10.5152/tjg.2022.211063 PG 9 WC Gastroenterology & Hepatology WE Science Citation Index Expanded (SCI-EXPANDED) SC Gastroenterology & Hepatology GA 7A8BP UT WOS:000898674900004 PM 36098362 OA Green Published, gold DA 2023-06-08 ER PT J AU Ericsson, AC Johnson, PJ Gieche, LM Zobrist, C Bucy, K Townsend, KS Martin, LM LaCarrubba, AM AF Ericsson, Aaron C. Johnson, Philip J. Gieche, Lyndsy M. Zobrist, Chelsea Bucy, Katie Townsend, Kile S. Martin, Lynn M. LaCarrubba, Alison M. TI The Influence of Diet Change and Oral Metformin on Blood Glucose Regulation and the Fecal Microbiota of Healthy Horses SO ANIMALS LA English DT Article DE equine; metabolic syndrome; glucose tolerance ID EQUINE METABOLIC SYNDROME; INSULIN SENSITIVITY; GUT MICROBIOTA; PHARMACOKINETICS; MODULATION; SEQUENCES; OBESITY; PONIES AB Simple Summary Horses are susceptible to a condition known as Equine Metabolic Syndrome (EMS), which is somewhat similar to metabolic syndrome and type II diabetes in people, and is characterized by elevated insulin levels and increased susceptibility to other adverse health outcomes. Common treatments, including change to an all-hay diet and a drug called metformin, may provide benefits through modulation of intestinal bacteria, collectively known as the gut microbiota. In the studies reported here, horses undergoing such a diet change, regardless of the presence of metformin, showed a significant expansion in their fecal microbiota of a specific, poorly characterized group of bacteria. Notably, this phylum is distantly related to the bacteria found to expand in the fecal microbiota of mice and humans following metformin administration, suggesting removal from pasture to reduce the caloric intake may exert effects on the equine microbiota similar to those seen in other host species treated with metformin. Common treatments for Equine Metabolic Syndrome (EMS) and associated conditions include removal from pasture and adoption of an all-hay diet. Pharmacological treatments for EMS include metformin, a biguanide antihyperglycemic agent also administered to people to help improve glucose tolerance and insulin sensitivity. Both treatments may work, at least partially, through the gut microbiota, yet little is known regarding these effects in the equine host. To determine the influence on the fecal microbiota of this diet change and administration of metformin, six healthy horses were removed from pasture and switched to an all-hay diet, with four of those horses also receiving oral metformin for seven days. Control horses (n = 24) remaining on pasture and receiving no metformin were sampled at the beginning and end of one week. All samples were subjected to 16S rRNA sequencing, and horses undergoing the diet change were subjected to an oral sugar test twice, one week apart. Characteristic changes in the microbiota following diet change included the significant expansion of the phylum Kiritimatiellaeota. As Kiritimatiellaeota are related to Verrucomicrobia, found to expand in the microbiota of mice and humans in response to metformin, this taxon may represent the cognate microbes in equine hosts. C1 [Ericsson, Aaron C.] Univ Missouri, Coll Vet Med, Dept Vet Pathobiol, Metagen Ctr, Columbia, MO 65201 USA. [Johnson, Philip J.; Bucy, Katie; Townsend, Kile S.; Martin, Lynn M.; LaCarrubba, Alison M.] Univ Missouri, Coll Vet Med, Dept Vet Med & Surg, Columbia, MO 65211 USA. [Gieche, Lyndsy M.; Zobrist, Chelsea] Univ Missouri, Coll Vet Med, Columbia, MO 65211 USA. C3 University of Missouri System; University of Missouri Columbia; University of Missouri System; University of Missouri Columbia; University of Missouri System; University of Missouri Columbia RP Ericsson, AC (通讯作者),Univ Missouri, Coll Vet Med, Dept Vet Pathobiol, Metagen Ctr, Columbia, MO 65201 USA.; Johnson, PJ (通讯作者),Univ Missouri, Coll Vet Med, Dept Vet Med & Surg, Columbia, MO 65211 USA. EM ericssona@missouri.edu; johnsonpj@missouri.edu; lgiechedvm@gmail.com; chelsea.zobrist@outlook.com; katie.bucy1@gmail.com; townsendks@missouri.edu; martinlyn@missouri.edu; lacarrubbaa@missouri.edu RI Ericsson, Aaron C./AAJ-1406-2021 OI Ericsson, Aaron C./0000-0002-3053-7269; Townsend, Kile/0000-0001-8418-7842; Martin, Lynn/0000-0001-9731-8071 FU COR Clinician Scientist award; Phi Zeta award from the University of Missouri College of Veterinary Medicine, Columbia, MO; Boehringer Ingelheim (Veterinary Research Scholars Program); University of Missouri Metagenomics Center FX This research was supported by a COR Clinician Scientist award and a Phi Zeta award from the University of Missouri College of Veterinary Medicine, Columbia, MO. Additional funding was made available for student training by Boehringer Ingelheim (Veterinary Research Scholars Program) and the University of Missouri Metagenomics Center. 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Methods: Db/m mice in the normal control group (NOC), electroacupuncture group (EA), metformin group (MET) and T2DM group (T2DM) were used as model controls, and db/db mice were used in all three groups, with 8 mice in each group. The treatment period was 2 weeks. Fasting blood glucose (FBG) and triglyceride (TG) levels were measured. Lipopolysaccharide (LPS) and tumor necrosis factor-alpha (TNF-alpha) levels were detected by enzyme-linked immune sorbent assay (ELISA). The ileal tissue was stained with hematoxylin-eosin staining (H&E), and histopathological changes were observed under a light microscope. Illumina sequencing was used to analyze the V4 region of the 16S rRNA gene to evaluate the effect of EA on the intestinal flora.Results: Our results suggest that EA treatment can reduce the expression of diabetes-related markers, with an effect similar to that of metformin. After EA intervention, the abundance of Firmicutes and the ratio of Firmicutes to Bacteroidetes increased, while the abundances of Bacteroidetes and Eubacterium decreased. In addition, the serum levels of LPS and TNF-alpha in the electroacupuncture group were downregulated, and ileal tissue damage was alleviated under an electron microscope.Conclusion: EA combined with acupoints can restore the intestinal flora structure, decrease the blood LPS level, reduce levels of inflammation, maintain the integrity of the intestinal barrier, and play a therapeutic role in the treatment of T2DM, mainly by increasing the abundance of Firmicutes and the ratio of Firmicutes to Bacteroidetes and decreasing the abundances of Bacteroidetes and Eubacterium. C1 [Wang, Haili; Pan, Ting; Li, Mengyuan; Yao, Lin; Li, Xuefeng; Lu, Qi; Wang, Zhaohui] Changchun Univ Chinese Med, Sch Acupuncture Moxibust & Tuina, Changchun 130117, Jilin, Peoples R China. [Chen, Xinhua; Chen, Chunhai] Affiliated Hosp Changchun Univ Chinese Med, Dept Acupuncture & Moxibust, Changchun 130021, Jilin, Peoples R China. [Wang, Hongfeng] Changchun Univ Chinese Med, Changchun 130117, Jilin, Peoples R China. [Wang, Zhaohui] Baoan Authent TCM Therapy Hosp, Shenzhen 518101, Peoples R China. C3 Changchun University of Chinese Medicine; Changchun University of Chinese Medicine RP Wang, ZH (通讯作者),Changchun Univ Chinese Med, Sch Acupuncture Moxibust & Tuina, Changchun 130117, Jilin, Peoples R China.; Wang, HF (通讯作者),Changchun Univ Chinese Med, Changchun 130117, Jilin, Peoples R China. EM ccwhf@126.com; wzhqiwei@126.com OI Yao, Lin/0000-0002-5948-2249; Wang, Haili/0000-0001-7741-6395 FU National Natural Science Funding of China [81774393]; Natural Science Foundation of Jilin Province [20200201612JC, 20210101191JC] FX Acknowledgments We thank the National Natural Science Funding of China (81774393) , the Natural Science Foundation of Jilin Province (20200201612JC, 20210101191JC) . 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PY 2022 VL 15 BP 2265 EP 2276 DI 10.2147/DMSO.S374843 PG 12 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA 3M0KE UT WOS:000835146000001 PM 35936053 OA Green Published, gold DA 2023-06-08 ER PT J AU Hata, S Nakajima, H Hashimoto, Y Miyoshi, T Hosomi, Y Okamura, T Majima, S Nakanishi, N Senmaru, T Osaka, T Okada, H Ushigome, E Hamaguchi, M Asano, M Yamazaki, M Fukui, M AF Hata, Shinnosuke Nakajima, Hanako Hashimoto, Yoshitaka Miyoshi, Tomoki Hosomi, Yukako Okamura, Takuro Majima, Saori Nakanishi, Naoko Senmaru, Takafumi Osaka, Takafumi Okada, Hiroshi Ushigome, Emi Hamaguchi, Masahide Asano, Mai Yamazaki, Masahiro Fukui, Michiaki TI Effects of probiotic Bifidobacterium bifidum G9-1 on the gastrointestinal symptoms of patients with type 2 diabetes mellitus treated with metformin: An open-label, single-arm, exploratory research trial SO JOURNAL OF DIABETES INVESTIGATION LA English DT Article DE Constipation; Diarrhea; Probiotics ID GUT MICROBIOME; SUPPLEMENTATION; METAGENOME; TRANSIT; FECES AB Aims/Introduction Metformin is associated with the risk of gastrointestinal complications, and probiotic Bifidobacterium bifidum G9-1 (BBG9-1) can improve the symptoms of diarrhea. This study aimed to clarify the effects of probiotic BBG9-1 on the gastrointestinal symptoms of type 2 diabetes mellitus patients using metformin. Materials and methods In this open-label single-arm exploratory study, 40 patients (mean age 64.0 +/- 9.4 years) were given probiotic BBG9-1 for 10 weeks. Changes in the gastrointestinal symptom rating scale total score, which was the primary end-point, gastrointestinal symptom rating scale subscale scores, glycated hemoglobin levels and gut microbiota after the administration of probiotic BBG9-1 were evaluated by the Student's t-test. Results The gastrointestinal symptom rating scale total score significantly improved (from 2.02 +/- 0.51 to 1.59 +/- 0.43, change, -0.43 +/- 0.49, P < 0.001). Furthermore, all gastrointestinal symptom rating scale subscale scores, including diarrhea (from 2.32 +/- 1.14 to 1.89 +/- 0.99, change, -0.42 +/- 0.95, P = 0.007) and constipation (from 3.00 +/- 1.16 to 2.20 +/- 1.07, change, -0.80 +/- 1.19, P < 0.001), scores also significantly improved. However, the glycated hemoglobin levels did not change (from 7.0 +/- 0.7 to 7.0 +/- 0.6%, change, 0.0 +/- 0.4, P = 0.91). The relative abundance of the genus Sutterella decreased by the use of probiotic BBG9-1 (from 0.011 +/- 0.009 to 0.008 +/- 0.006, change, -0.003 +/- 0.006, P = 0.002). Conclusions Type 2 diabetes mellitus patients treated with metformin showed significant improvement in all gastrointestinal symptom rating scores after using probiotic BBG9-1 without changing the glucose control. This study showed the potential usefulness of probiotic BBG9-1 for improving gastrointestinal symptoms, including constipation and diarrhea, in type 2 diabetes mellitus patients treated with metformin. C1 [Hata, Shinnosuke; Nakajima, Hanako; Hashimoto, Yoshitaka; Miyoshi, Tomoki; Hosomi, Yukako; Okamura, Takuro; Majima, Saori; Nakanishi, Naoko; Senmaru, Takafumi; Osaka, Takafumi; Okada, Hiroshi; Ushigome, Emi; Hamaguchi, Masahide; Asano, Mai; Yamazaki, Masahiro; Fukui, Michiaki] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Endocrinol & Metab, Kyoto, Japan. C3 Kyoto Prefectural University of Medicine RP Hashimoto, Y (通讯作者),Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Endocrinol & Metab, Kyoto, Japan. EM y-hashi@koto.kpu-m.ac.jp RI Hashimoto, Yoshitaka/AAH-8503-2020 OI Hashimoto, Yoshitaka/0000-0002-8794-0550; Okamura, Takuro/0000-0001-7269-1697 FU Biofermin Pharmaceutical. Co. Ltd. FX The authors thank all the clinical staff for their assistance with the execution of the clinical trial, and Soiken Inc. for their technical assistance in the launch and execution of the trial. The authors thank Editage (www.editage.com) for English language editing. This study, including the article processing charge, was funded by Biofermin Pharmaceutical. Co. Ltd. No drugs were donated or funded by the sponsor. No funding bodies had any role in the study design, data collection and analysis, decision to publish or preparation of the manuscript. 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Diabetes Investig. PD MAR PY 2022 VL 13 IS 3 BP 489 EP 500 DI 10.1111/jdi.13698 EA NOV 2021 PG 12 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA ZO4QX UT WOS:000718273500001 PM 34665938 OA Green Published DA 2023-06-08 ER PT J AU Bornstein, S Moschetta, M Kawano, Y Sacco, A Huynh, D Brooks, D Manier, S Fairfield, H Falank, C Roccaro, AM Nagano, K Baron, R Bouxein, M Vary, C Ghobrial, IM Rosen, CJ Reagan, MR AF Bornstein, Sheila Moschetta, Michele Kawano, Yawara Sacco, Antonio Huynh, Daisy Brooks, Daniel Manier, Salomon Fairfield, Heather Falank, Carolyne Roccaro, Aldo M. Nagano, Kenichi Baron, Roland Bouxein, Mary Vary, Calvin Ghobrial, Irene M. Rosen, Clifford J. Reagan, Michaela R. TI Metformin Affects Cortical Bone Mass and Marrow Adiposity in Diet-Induced Obesity in Male Mice SO ENDOCRINOLOGY LA English DT Article ID MINERAL DENSITY; INSULIN-RESISTANCE; IN-VIVO; TISSUE; WOMEN; WEIGHT; MICROARCHITECTURE; MICROSTRUCTURE; STRENGTH; MYELOMA AB Obesity during maturation can affect the growing skeleton directly and indirectly, although these effects and the mechanisms behind them are not fully understood. Our objective was to determine how a high-fat diet with or without metformin treatment affects skeletal development. We also sought to characterize changes that occur in white adipose tissue, circulating metabolites, lipids, and gut microbiota. A diet-induced obesity C57BL/6J mouse model was used to test the effects of obesity and metformin on bone using bone histomorphometry and microcomputed tomography. Bone marrow adipose tissue was quantified with osmium tetroxide microcomputed tomography and histology. Dual-energy x-ray absorptiometry was used to analyze body composition. Hematoxylin and eosin staining was used to assess changes in white adipose depots, mass spectrometry was used for circulating lipids and protein metabolite analysis, and ribosomal RNA sequencing was used for gut microbiome analysis. Mice fed a high fat-diet since wean displayed increased medullary areas and decreased osteoblast numbers in the long bones; this phenotype was partially normalized by metformin. Marrow and inguinal adipose expansion was also noted in obese mice, and this was partially normalized by metformin. A drug-by-diet interaction was noted for circulating lipid molecules, protein metabolites, and gut microbiome taxonomical units. Obesity was not detrimental to trabecular bone in growing mice, but bone marrow medullary expansion was observed, likely resulting from inhibition of osteoblastogenesis, and this was partially reversed by metformin treatment. C1 [Bornstein, Sheila; Fairfield, Heather; Falank, Carolyne; Vary, Calvin; Rosen, Clifford J.; Reagan, Michaela R.] Maine Med Ctr, Res Inst, 81 Res Dr, Scarborough, ME 04074 USA. [Moschetta, Michele; Kawano, Yawara; Sacco, Antonio; Huynh, Daisy; Manier, Salomon; Roccaro, Aldo M.; Reagan, Michaela R.] Dana Farber Canc Inst, Boston, MA 02115 USA. [Sacco, Antonio; Roccaro, Aldo M.] Azienda Socio Sanitaria Territoriale Spedali Civi, Progettaz Ric Clin & Studi Fase 1, Lab Ctr Ric OncoEmatol AIL, Brescia, BS, Italy. [Brooks, Daniel; Bouxein, Mary] Beth Israel Deaconess Med Ctr, Boston, MA 02115 USA. [Brooks, Daniel; Bouxein, Mary] Massachusetts Gen Hosp, Skeletal Res Ctr, Boston, MA 02114 USA. [Fairfield, Heather; Falank, Carolyne; Vary, Calvin; Rosen, Clifford J.; Reagan, Michaela R.] Univ Maine, Grad Sch Biomed Sci & Engn, Orono, ME 04469 USA. [Fairfield, Heather; Falank, Carolyne; Vary, Calvin; Rosen, Clifford J.; Reagan, Michaela R.] Tufts Univ, Sch Med, Boston, MA 02215 USA. [Nagano, Kenichi; Baron, Roland] Harvard Med Sch, Harvard Sch Dent Med, Dept Oral Med Infect & Immun, Boston, MA 02115 USA. C3 Maine Medical Center; Harvard University; Dana-Farber Cancer Institute; Harvard University; Beth Israel Deaconess Medical Center; Harvard University; Massachusetts General Hospital; University of Maine System; University of Maine Orono; Tufts University; Harvard University; Harvard Medical School; Harvard School of Dental Medicine RP Reagan, MR (通讯作者),Maine Med Ctr, Res Inst, 81 Res Dr, Scarborough, ME 04074 USA. EM Mreagan@mmc.org RI Sacco, Antonio/AFL-7734-2022; Kawano, Yawara/AAH-8714-2020; Sacco, Antonio/AAG-7676-2022; Dimopoulos, Meletios Athanasios/AAD-4130-2019; Nagano, Kenichi/AAH-3246-2019; Sacco, Antonio/K-4681-2016 OI Kawano, Yawara/0000-0002-8269-440X; Nagano, Kenichi/0000-0003-3145-4841; Reagan, Michaela/0000-0003-2884-6481; Sacco, Antonio/0000-0003-2945-9416 FU Center for Skeletal Research Core [National Institutes of Health (NIH)] [P30 AR066261]; National Institute of General Medical Sciences (NIGMS)/NIH [P30 GM106391]; Histopathology Core of NIH Grants NIGMS [P30 GM103392, P30GM106391]; Maine Medical Center Research Institute; NIH/National Institute of Diabetes and Digestive and Kidney Diseases [R24 DK092759-01]; American Cancer Society [IRG-16-191-33] FX This work was supported by funding from the Center for Skeletal Research Core [National Institutes of Health (NIH) Grant P30 AR066261], the National Institute of General Medical Sciences (NIGMS)/NIH Grant P30 GM106391, the Histopathology Core of NIH Grants NIGMS P30 GM103392 (R. Friesel, principal investigator) and P30GM106391 (D. Wojchowski, principal investigator), startup funds from the Maine Medical Center Research Institute, the NIH/National Institute of Diabetes and Digestive and Kidney Diseases (Grant R24 DK092759-01), and the American Cancer Society (Research Grant IRG-16-191-33). 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Abas, Faridah Rudiyanto, R. Abd Kadir, Nurul Huda Zolkeflee, Nur Khaleeda. Zulaikha Lajise, Nordin H. TI Analysis of urinary metabolic alteration in type 2 diabetic rats treated with metformin using the metabolomics of quantitative spectral deconvolution H-1 NMR spectroscopy SO MICROCHEMICAL JOURNAL LA English DT Article; Proceedings Paper CT 19th Brazilian Meeting on Analytical Chemistry / 7th Iberoamerican Congress on Analytical Chemistry CY SEP 16-19, 2018 CL Caldas Novas, BRAZIL SP Brazilian Chem Soc, Anal Chem Div DE Metformin; Type 2 diabetic rat model; Urine metabolites; Deconvolution method; Quantitative 1H NMR-based metabolomics ID HYPERGLYCEMIA; METAANALYSIS; MELLITUS AB Metformin has been used clinically as the first-choice drug to treat type 2 diabetes patients. It is not metabolized in liver and the residue which is excreted unchanged in the urine. Identification and quantification of metformin in the urine can be used as a unique marker for the metformin treated diabetic patients. The aim of our study was to identify residual metformin in the urine of type 2 diabetic rats using quantitative spectral deconvolution of H-1 NMR method. Additionally, quantitative assessment of residual metformin and other identified metabolites in the urine, as well as the evaluation of metabolic alteration due to metformin treatment of diabetic condition were also carried out. Partial least square discriminant analysis (PLS-DA) and statistical analysis were used to discriminate the metformin treated type 2 diabetic, the lean, the obese, and the type 2 diabetic rat groups. Furthermore, in order to evaluate the statistical difference of metabolite levels between the groups, ANOVA test was performed. The presence of metformin in the urine of the metformin treated diabetic rats from the H-1 NMR spectral analysis and its identity was confirmed by 2D NMR spectroscopy experiments including the 2D H-1 J-resolved (JRES), and H-1 heteronuclear multiple correlation (HMBC). Based on the PLS-DA model and statistical analysis, it was established that metformin treatment significantly influenced the improvement of glucose and 1-methylnicotinamide metabolism; increase the growth and activity of gut microbiota as indicated by the elevation of trimethylamine (TMA), phenylacetylglycine (PAG) and indoxylsulfate levels; as well as the suppression of tricarboxylic acid (TCA) cycle metabolism as shown by the decreased levels of citrate, 2-oxoglutarate, succinate, and fumarate. This study provided new approach to the quantitative analysis of metformin in urine and further exploration on the effect of metformin treatment on the type 2 diabetic rats revealed useful findings on its metabolic states. C1 [Maulidiani, M.; Abd Kadir, Nurul Huda] Univ Malaysia Terengganu, Fac Sci & Marine Environm, Terengganu 21030, Malaysia. [Maulidiani, M.; Abas, Faridah; Zolkeflee, Nur Khaleeda. Zulaikha] Univ Putra Malaysia, Inst Biosci, Lab Nat Prod, Serdang 43400, Selangor, Malaysia. [Abas, Faridah] Univ Putra Malaysia, Fac Food Sci & Technol, Dept Food Sci, Serdang 43400, Selangor, Malaysia. [Rudiyanto, R.] Univ Malaysia Terengganu, Fac Fisheries & Food Sci, Terengganu 21030, Malaysia. [Lajise, Nordin H.] Univ Putra Malaysia, Fac Sci, Dept Chem, Upm Serdang 43400, Selangor, Malaysia. C3 Universiti Malaysia Terengganu; Universiti Putra Malaysia; Universiti Putra Malaysia; Universiti Malaysia Terengganu; Universiti Putra Malaysia RP Maulidiani, M (通讯作者),Univ Malaysia Terengganu, Fac Sci & Marine Environm, Terengganu 21030, Malaysia.; Abas, F (通讯作者),Univ Putra Malaysia, Fac Food Sci & Technol, Dept Food Sci, Serdang 43400, Selangor, Malaysia. EM maulidiani@umt.edu.my; faridah_abas@upm.edu.my RI Kadir, Nurul Huda Abd/B-6775-2015; , Maulidiani/B-3053-2019; , Rudiyanto/AAC-8364-2019; Abas, Faridah/B-9229-2015 OI Kadir, Nurul Huda Abd/0000-0002-3263-9568; , Maulidiani/0000-0002-3227-4191; , Rudiyanto/0000-0002-8837-8053; Abas, Faridah/0000-0002-8110-9424 FU Ministry of Higher Education Malaysia [02-10-10-967FR] FX We would like to thank the Ministry of Higher Education Malaysia for the financial support under Fundamental Research Grant Scheme (project no. 02-10-10-967FR). 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PD MAR PY 2020 VL 153 AR 104513 DI 10.1016/j.microc.2019.104513 PG 10 WC Chemistry, Analytical WE Science Citation Index Expanded (SCI-EXPANDED); Conference Proceedings Citation Index - Science (CPCI-S) SC Chemistry GA KM5ZR UT WOS:000514218800095 OA Green Accepted DA 2023-06-08 ER PT J AU Kuka, J Videja, M Makrecka-Kuka, M Liepins, J Grinberga, S Sevostjanovs, E Vilks, K Liepinsh, E Dambrova, M AF Kuka, Janis Videja, Melita Makrecka-Kuka, Marina Liepins, Janis Grinberga, Solveiga Sevostjanovs, Eduards Vilks, Karlis Liepinsh, Edgars Dambrova, Maija TI Metformin decreases bacterial trimethylamine production and trimethylamine N-oxide levels in db/db mice SO SCIENTIFIC REPORTS LA English DT Article ID L-CARNITINE; INTESTINAL MICROBIOTA; GAMMA-BUTYROBETAINE; GUT MICROBIOTA; METABOLISM; CHOLINE; PHOSPHATIDYLCHOLINE; METAGENOME; ALTERS; SERUM AB The current study aimed to explore whether metformin, the most widely prescribed oral medication for the treatment of type 2 diabetes, alters plasma levels of cardiometabolic disease-related metabolite trimethylamine N-oxide (TMAO) in db/db mice with type 2 diabetes. TMAO plasma concentration was up to 13.2-fold higher in db/db mice when compared to control mice, while in db/db mice fed choline-enriched diet, that mimics meat and dairy product intake, TMAO plasma level was increased 16.8-times. Metformin (250 mg/kg/day) significantly decreased TMAO concentration by up to twofold in both standard and choline-supplemented diet-fed db/db mice plasma. In vitro, metformin significantly decreased the bacterial production rate of trimethylamine (TMA), the precursor of TMAO, from choline up to 3.25-fold in K. pneumoniae and up to 26-fold in P. Mirabilis, while significantly slowing the growth of P. Mirabilis only. Metformin did not affect the expression of genes encoding subunits of bacterial choline-TMA-lyase microcompartment, the activity of the enzyme itself and choline uptake, suggesting that more complex regulation beyond the choline-TMA-lyase is present. To conclude, the TMAO decreasing effect of metformin could be an additional mechanism behind the clinically observed cardiovascular benefits of the drug. C1 [Kuka, Janis; Videja, Melita; Makrecka-Kuka, Marina; Grinberga, Solveiga; Sevostjanovs, Eduards; Vilks, Karlis; Liepinsh, Edgars; Dambrova, Maija] Latvian Inst Organ Synth, Aizkraukles Str 21, LV-1006 Riga, Latvia. [Videja, Melita; Dambrova, Maija] Riga Stradins Univ, Fac Pharm, Dzirciema Str 16, LV-1007 Riga, Latvia. [Liepins, Janis] Univ Latvia, Inst Microbiol & Biotechnol, Jelgavas Str 1, LV-1004 Riga, Latvia. C3 Latvian Institute of Organic Synthesis; Riga Stradins University; Riga Stradins University; University of Latvia RP Kuka, J (通讯作者),Latvian Inst Organ Synth, Aizkraukles Str 21, LV-1006 Riga, Latvia. 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The current study examined the synergistic anti-diabetic effect of Houttuynia cordata extraction (HCE) and metformin combination in Otsuka Long-Evans Tokushima Fatty (OLETF) rats. Fecal microbiota were analyzed by denaturing gradient gel electrophoresis (DGGE) and real-time PCR. Combining HCE + metformin resulted in significantly ameliorated glucose tolerance (oral glucose tolerance test (OGTT))-the same as metformin alone. Particularly, results of the insulin tolerance test (ITT) showed that combining HCE + metformin dramatically improved insulin sensitivity as compared to metformin treatment alone. Both fecal and serum endotoxin, as well as cytokines (tumor necrosis factor (TNF-) and interleukin 6 (IL-6)) were significantly ameliorated by HCE + metformin compared to metformin alone. Meanwhile, the activation of AMPK (adenosine monophosphate-activated protein kinase) by metformin was distinctly enhanced by HCE. Both of HCE and metformin evidently changed the gut microbiota composition, causing the alteration of bacterial metabolite, like short-chain fatty acids. H. cordata, together with metformin, exerts intensive sensibilization to insulin; the corresponding mechanisms are associated with alleviation of endotoxemia via regulation of gut microbiota, particularly Roseburia, Akkermansia, and Gram-negative bacterium. C1 [Wang, Jing-Hua; Lim, Soo-Kyoung; Ansari, AbuZar; Kim, Hojun] Dongguk Univ, Dept Rehabil Med Korean Med, 814 Siksa, Goyang 10326, Gyeonggi Do, South Korea. [Bose, Shambhunath] NosQuest, USPACE 1A 1103, Daewang Pangyoro 660, Seongnam Si 13494, Gyeonggi Do, South Korea. [Chin, Young-Won] Dongguk Univ Seoul, Coll Pharm, Dongguk Io 32, Goyang 10326, Gyeonggi Do, South Korea. [Choi, Han Seok] Dongguk Univ, Dept Endocrinol, Dongguk Io 32, Goyang 10326, Gyeonggi Do, South Korea. C3 Dongguk University; Dongguk University; Dongguk University RP Kim, H (通讯作者),Dongguk Univ, Dept Rehabil Med Korean Med, 814 Siksa, Goyang 10326, Gyeonggi Do, South Korea. EM ewccwang@gmail.com; shambose@yahoo.com; sklim1972@naver.com; abu.zar.0313@outlook.com; f2744@dongguk.edu; hschoi402@dumc.or.kr; kimklar@gmail.com RI Choi, Han Seok/AAG-1493-2019; ANSARI, ABUZAR/AAZ-2578-2020; Wang, Jing-hua/AAO-2350-2020; Kim, Hojun/AAB-8405-2020; Bose, Shambhunath/HKW-2568-2023 OI Wang, Jing-hua/0000-0002-2034-7429; Bose, Shambunath/0000-0003-0737-5713; Chin, Young-Won/0000-0001-6964-1779; Kim, Hojun/0000-0003-1038-0142 FU Convergence of Conventional Medicine and Traditional Korean Medicine R&D program - Ministry of Health and Welfare through the Korea Health Industry Development Institute [HI14C0558] FX This work was supported by the grant of Convergence of Conventional Medicine and Traditional Korean Medicine R&D program funded by the Ministry of Health and Welfare through the Korea Health Industry Development Institute (HI14C0558). 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B. Wu, Kun-Chang Hsu, Jye-Lin Chang, Chih-Shiang Chou, Chiahung Lin, Chen-Yuan Liao, Yu-Min Lin, Pei-Chun Yang, Liang-Yo Lin, Hsiang-Wen TI Effects of Non-insulin Anti-hyperglycemic Agents on Gut Microbiota: A Systematic Review on Human and Animal Studies SO FRONTIERS IN ENDOCRINOLOGY LA English DT Article DE anti-hyperglycemic drugs; microbiome; microbiota; association; systematic review ID METFORMIN ALTERS; INTESTINAL MICROBIOTA; BILE-ACIDS; IMPROVEMENT; MICE; MODULATION; METAGENOME; ACARBOSE; OBESITY; WEIGHT AB Background:As growing evidence links gut microbiota with the therapeutic efficacy and side effects of anti-hyperglycemic drugs, this article aims to provide a systematic review of the reciprocal interactions between anti-hyperglycemic drugs and gut microbiota taxa, which underlie the effect of the gut microbiome on diabetic control via bug-host interactions. Method:We followed the PRISMA requirements to perform a systematic review on human vs. animal gut microbiota data in PubMed, SCOPUS, and EMBASE databases, and used Cochrane, ROBIN-I, and SYRCLE tools to assess potential bias risks. The outcomes of assessment were trends on gut microbiota taxa, diversity, and associations with metabolic control (e.g., glucose, lipid) following anti-hyperglycemic treatment. Results:Of 2,804 citations, 64 studies (17/humans; 47/mice) were included. In human studies, seven were randomized trials using metformin or acarbose in obese, pre-diabetes, and type 2 diabetes (T2D) patients. Treatment of pre-diabetes and newly diagnosed T2D patients with metformin or acarbose was associated with decreases in genus ofBacteroides, accompanied by increases in bothBifidobacteriumandLactobacillus. Additionally, T2D patients receiving metformin showed increases in various taxa of the orderEnterobacterialesand the speciesAkkermansia muciniphila. Of seven studies with significant differences in beta-diversity, the incremental specific taxa were associated with the improvement of glucose and lipid profiles. In mice, the effects of metformin onA. muciniphilawere similar, but an inverse association withBacteroideswas reported. Animal studies on other anti-hyperglycemic drugs, however, showed substantial variations in results. Conclusions:The changes in specific taxa and beta-diversity of gut microbiota were associated with metformin and acarbose in humans while pertinent information for other anti-hyperglycemic drugs could only be obtained in rodent studies. Further human studies on anti-hyperglycemic drugs other than metformin and acarbose are needed to explore gut microbiota's role in their therapeutic efficacies and side effects. C1 [Cao, Thao T. B.; Wu, Kun-Chang; Chang, Chih-Shiang; Lin, Chen-Yuan; Lin, Pei-Chun; Lin, Hsiang-Wen] China Med Univ, Sch Pharm & Grad Inst, Taichung, Taiwan. [Cao, Thao T. B.] Hanoi Univ Pharm, Dept Clin Pharm, Hanoi, Vietnam. [Hsu, Jye-Lin] China Med Univ, Grad Inst Biomed Sci, Taichung, Taiwan. [Chou, Chiahung] Auburn Univ, Harrison Sch Pharm, Dept Hlth Outcomes Res & Policy, Auburn, AL 36849 USA. [Chou, Chiahung] China Med Univ Hosp, Dept Med Res, Taichung, Taiwan. [Lin, Chen-Yuan; Liao, Yu-Min] China Med Univ Hosp, Div Hematol & Oncol, Taichung, Taiwan. [Yang, Liang-Yo] China Med Univ, Sch Med, Dept Physiol, Coll Med, Taichung, Taiwan. [Yang, Liang-Yo] China Med Univ Hosp, Lab Neural Repair, Taichung, Taiwan. [Yang, Liang-Yo] China Med Univ Hosp, Biomed Technol Res & Dev Ctr, Taichung, Taiwan. [Lin, Hsiang-Wen] China Med Univ Hosp, Dept Pharm, Taichung, Taiwan. [Lin, Hsiang-Wen] Univ Illinois, Coll Pharm, Dept Pharm Syst Outcomes & Policy, Chicago, IL 60607 USA. C3 China Medical University Taiwan; Hanoi University of Pharmacy; China Medical University Taiwan; Auburn University System; Auburn University; China Medical University Taiwan; China Medical University Hospital - Taiwan; China Medical University Taiwan; China Medical University Hospital - Taiwan; China Medical University Taiwan; China Medical University Taiwan; China Medical University Hospital - Taiwan; China Medical University Taiwan; China Medical University Hospital - Taiwan; China Medical University Taiwan; China Medical University Hospital - Taiwan; University of Illinois System; University of Illinois Chicago; University of Illinois Chicago Hospital RP Lin, HW (通讯作者),China Med Univ, Sch Pharm & Grad Inst, Taichung, Taiwan.; Lin, HW (通讯作者),China Med Univ Hosp, Dept Pharm, Taichung, Taiwan.; Lin, HW (通讯作者),Univ Illinois, Coll Pharm, Dept Pharm Syst Outcomes & Policy, Chicago, IL 60607 USA. EM hsiangwl@gmail.com RI Lin, Chen/GRR-2799-2022 FU China Medical University [CMU107-Z-03, CMU108-N-03, CMU-108-Z-07, 1075955A]; Ministry of Science and Technology [MOST 109-2320-B-039-023, 109-2622-8-039-002-TB1, 108-2911-I-039-301]; Ministry of Education Center-of-Excellence under Grant for Drug Development Center, China Medical University, Taichung, Taiwan FX This research was partially supported by China Medical University under Grant CMU107-Z-03, CMU108-N-03, CMU107-Z-03, CMU-108-Z-07, and 1075955A; Ministry of Science and Technology under Grant MOST 109-2320-B-039-023, 109-2622-8-039-002-TB1, and 108-2911-I-039-301; Ministry of Education Center-of-Excellence under Grant for Drug Development Center, China Medical University, Taichung, Taiwan. The funding agencies played no role in the study implementation, analysis or interpretation of data, or preparation and review or approval of the manuscript. 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PD SEP 23 PY 2020 VL 11 AR 573891 DI 10.3389/fendo.2020.573891 PG 25 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA NX1OS UT WOS:000575487000001 PM 33071980 OA Green Published, gold DA 2023-06-08 ER PT J AU Li, F Ke, HR Wang, SQ Mao, W Fu, CX Chen, X Fu, QQ Qin, XR Huang, YH Li, BD Li, SB Xing, JY Wang, MH Deng, WL AF Li, Fang Ke, Haoran Wang, Siqi Mao, Wei Fu, Cexiong Chen, Xi Fu, Qingqing Qin, Xiaori Huang, Yonghua Li, Bidan Li, Shibing Xing, Jingying Wang, Minhui Deng, Wenlin TI Leaky Gut Plays a Critical Role in the Pathophysiology of Autism in Mice by Activating the Lipopolysaccharide-Mediated Toll-Like Receptor 4-Myeloid Differentiation Factor 88-Nuclear Factor Kappa B Signaling Pathway SO NEUROSCIENCE BULLETIN LA English DT Article; Early Access DE Autism; Gut; Lipopolysaccharide; Toll-like receptor 4; Metformin ID ELEVATED PLUS-MAZE; MOUSE MODEL; GASTROINTESTINAL DYSFUNCTION; INTESTINAL PERMEABILITY; INFLAMMATORY RESPONSES; SPECTRUM DISORDERS; BRAIN AXIS; METFORMIN; CHILDREN; MICROBIOTA AB Increased intestinal barrier permeability, leaky gut, has been reported in patients with autism. However, its contribution to the development of autism has not been determined. We selected dextran sulfate sodium (DSS) to disrupt and metformin to repair the intestinal barrier in BTBR T(+)tf/J autistic mice to test this hypothesis. DSS treatment resulted in a decreased affinity for social proximity; however, autistic behaviors in mice were improved after the administration of metformin. We found an increased affinity for social proximity/social memory and decreased repetitive and anxiety-related behaviors. The concentration of lipopolysaccharides in blood decreased after the administration of metformin. The expression levels of the key molecules in the toll-like receptor 4 (TLR4)-myeloid differentiation factor 88 (MyD88)-nuclear factor kappa B (NF-kappa B) pathway and their downstream inflammatory cytokines in the cerebral cortex were both repressed. Thus, "leaky gut " could be a trigger for the development of autism via activation of the lipopolysaccharide-mediated TLR4-MyD88-NF-kappa B pathway. C1 [Li, Fang; Mao, Wei; Qin, Xiaori; Huang, Yonghua] Hainan Med Univ, Hainan Gen Hosp, Gastroenterol Endoscopy Ctr, Dept Gastroenterol,Hainan Affiliated Hosp, Haikou 570311, Peoples R China. [Ke, Haoran] Southern Med Univ, Nanfang Hosp, Dept Infect Dis, Hepatol Unit, Guangzhou 510515, Peoples R China. [Wang, Siqi] Guangzhou Med Univ, Dept Gastroenterol, Affiliated Hosp 1, Guangzhou 510120, Peoples R China. [Fu, Cexiong; Li, Bidan] Hainan Med Univ, Hainan Gen Hosp, Dept Hepatopancreatobiliary Surg, Hainan Affiliated Hosp, Haikou 570311, Peoples R China. [Chen, Xi] Hainan Med Univ, Hosp Hainan Prov, Hainan Gen Hosp, Dept Otorhinolaryngol,Hainan Affiliated Hosp,Otola, Haikou 570311, Peoples R China. [Fu, Qingqing] Hainan Med Univ, Hainan Gen Hosp, Dept Radiol, Hainan Affiliated Hosp, Haikou 570311, Peoples R China. [Li, Shibing] Hainan Med Univ, Hainan Gen Hosp, Dept Pediat Surg, Hainan Affiliated Hosp, Haikou 570311, Peoples R China. [Xing, Jingying] Hainan Med Univ, Hainan Gen Hosp, Dept Gastroenterol, Hainan Affiliated Hosp, Haikou 570311, Peoples R China. [Wang, Minhui] Hainan Med Coll, Hainan Gen Hosp, Dept Nephrol, Hainan Affiliated Hosp, Haikou 570311, Peoples R China. [Deng, Wenlin] Sun Yat sen Univ, Affiliated Hosp 6, Dept Pediat, Guangzhou 510655, Peoples R China. C3 Hainan Medical University; Southern Medical University - China; Guangzhou Medical University; Hainan Medical University; Hainan Medical University; Hainan Medical University; Hainan Medical University; Hainan Medical University; Hainan Medical University; Sun Yat Sen University RP Deng, WL (通讯作者),Sun Yat sen Univ, Affiliated Hosp 6, Dept Pediat, Guangzhou 510655, Peoples R China. EM dengwl3@mail.sysu.edu.cn RI fu, cexiong/A-4197-2011 FU National Natural Science Foundation of China; Hainan Provincial Natural Science Foundation of China; [82100609]; [821QN0982] FX AcknowledgementsThis work was supported by the National Natural Science Foundation of China (82100609) and the Hainan Provincial Natural Science Foundation of China (821QN0982). 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Bull. PD 2022 DEC 18 PY 2022 DI 10.1007/s12264-022-00993-9 EA DEC 2022 PG 18 WC Neurosciences WE Science Citation Index Expanded (SCI-EXPANDED) SC Neurosciences & Neurology GA 7B6FS UT WOS:000899227300001 PM 36528850 OA hybrid DA 2023-06-08 ER PT J AU Kim, E Kim, AH Lee, Y Ji, SC Cho, JY Yu, KS Chung, JY AF Kim, Eunwoo Kim, Andrew Hyoungjin Lee, Yujin Ji, Sang Chun Cho, Joo-Youn Yu, Kyung-Sang Chung, Jae-Yong TI Effects of vancomycin-induced gut microbiome alteration on the pharmacodynamics of metformin in healthy male subjects SO CTS-CLINICAL AND TRANSLATIONAL SCIENCE LA English DT Article ID METABOLISM AB Metformin is a major treatment for type 2 diabetes. This study was conducted to investigate the impact of gut microbiome dysbiosis on the pharmacokinetics and antihyperglycemic effects of metformin. Healthy adult males aged 19-45 years with no defecation abnormalities were recruited for this 4-period clinical study: baseline; post-metformin (i.e., multiple oral doses of 1000 mg metformin on days 1-4); post-vancomycin (i.e., multiple oral doses of 500 mg vancomycin on days 11-17 inducing gut microbiome changes); and post-metformin + vancomycin (i.e., multiple oral doses of 1000 mg metformin on days 16-19). In each period, serum glucose and insulin concentrations following an oral glucose tolerance test, fecal samples for gut microbiome composition, and safety data were obtained. Following metformin dosing, plasma and urine samples for pharmacokinetics were collected. Nine subjects completed the study. The pharmacokinetics of metformin remained unchanged, and the antihyperglycemic effect was significantly decreased after vancomycin administration (p value = 0.039), demonstrating the weak relationship between the pharmacokinetics and pharmacodynamics of metformin. Relative abundances of some genus were changed after vancomycin administration, and tended to correlate with the antihyperglycemic effects of metformin (p value = 0.062 for Erysipelatoclostridium; p value = 0.039 for Enterobacter; and p value = 0.086 for Faecalibacterium). Adverse events occurred in all subjects and were resolved without sequelae. In conclusion, a decrease in the antihyperglycemic effect of metformin was observed after concomitant administration with vancomycin, without changes in metformin pharmacokinetics. The antihyperglycemic effect was tended to correlate with the relative abundance of several genus, suggesting that the effect of metformin is partly attributable to the gut microbiome (ClinicalTrials.gov, NCT03809260). C1 [Kim, Eunwoo; Kim, Andrew Hyoungjin; Lee, Yujin; Ji, Sang Chun; Cho, Joo-Youn; Yu, Kyung-Sang] Seoul Natl Univ, Coll Med & Hosp, Dept Clin Pharmacol & Therapeut, Seoul, South Korea. [Cho, Joo-Youn; Yu, Kyung-Sang] Seoul Natl Univ, Coll Med & Hosp, Dept Biomed Sci, Seoul, South Korea. [Chung, Jae-Yong] Seoul Natl Univ, Coll Med, Dept Clin Pharmacol & Therapeut, Seongnam, South Korea. [Chung, Jae-Yong] Bundang Hosp, Seongnam, South Korea. [Kim, Andrew Hyoungjin] Washington Univ, Sch Med, Div Infect Dis, Edison Family Ctr Genome Sci & Syst Biol,Dept Med, St Louis, MO 63110 USA. C3 Seoul National University (SNU); Seoul National University (SNU); Seoul National University (SNU); Washington University (WUSTL) RP Chung, JY (通讯作者),Seoul Natl Univ, Coll Med, Dept Clin Pharmacol & Therapeut, Seongnam, South Korea.; Chung, JY (通讯作者),Bundang Hosp, Seongnam, South Korea. EM jychung@snubh.org RI Chung, Jae Yong/J-5646-2012; Cho, Joo-Youn/ABC-2044-2021; Cho, Joo-Youn/J-5672-2012 OI Cho, Joo-Youn/0000-0001-9270-8273; Cho, Joo-Youn/0000-0001-9270-8273; Chung, Jae Yong/0000-0003-4188-2786 FU National Research Foundation of Korea [NRF-2018R1D1A1B07044406] FX This study was funded by National Research Foundation of Korea (No. NRF-2018R1D1A1B07044406), Seoul, Republic of Korea. 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Transl. Sci. PD SEP PY 2021 VL 14 IS 5 BP 1955 EP 1966 DI 10.1111/cts.13051 EA MAY 2021 PG 12 WC Medicine, Research & Experimental WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine GA WQ2LD UT WOS:000656277800001 PM 33982376 OA gold, Green Published DA 2023-06-08 ER PT J AU Kalia, VC Gong, CJ Shanmugam, R Lin, H Zhang, LY Lee, JK AF Kalia, Vipin Chandra Gong, Chunjie Shanmugam, Ramasamy Lin, Hui Zhang, Liaoyuan Lee, Jung-Kul TI The Emerging Biotherapeutic Agent: Akkermansia SO INDIAN JOURNAL OF MICROBIOLOGY LA English DT Review DE Akkermansia; Biotherapy; Microbiota; Dysbiosis; Eubiosis; Obesity; Diabetes; Cancer; Aging ID GUT MICROBIOME; INTESTINAL MICROBIOTA; MUCINIPHILA; INFLAMMATION; INDIVIDUALS; ASSOCIATION; CONSUMPTION; POPULATION; METFORMIN; IMMUNITY AB The human gastrointestinal tract (GIT) is a well-recognized hub of microbial activities. The microbiota harboring the mucus layer of the GIT act as a defense against noxious substances, and pathogens including Clostridium difficile, Enterococcus faecium, Escherichia coli, Salmonella Typhimurium. Toxins, pathogens, and antibiotics perturb the commensal floral composition within the GIT. Imbalanced gut microbiota leads to dysbiosis, manifested as diseases ranging from obesity, diabetes, and cancer to reduced lifespan. Among the bacteria present in the gut microbiome, the most beneficial are those representing Firmicutes and Bacteroidetes. Recent studies have revealed the emergence of a novel biotherapeutic agent, Akkermansia, which is instrumental in regaining eubiosis and conferring various health benefits. C1 [Kalia, Vipin Chandra; Shanmugam, Ramasamy; Lee, Jung-Kul] Konkuk Univ, Dept Chem Engn, 1 Hwayang Dong, Seoul 05029, South Korea. [Gong, Chunjie] Hubei Univ Technol, Natl Ctr Cellular Regulat & Mol Pharmaceut 111, Key Lab Fermentat Engn, Minist Educ, Wuhan 430068, Peoples R China. [Lin, Hui; Zhang, Liaoyuan] Fujian Agr & Forestry Univ, Coll Life Sci, Gutian Edible Fungi Res Inst, Fuzhou 350002, Peoples R China. C3 Konkuk University; Hubei University of Technology; Fujian Agriculture & Forestry University RP Kalia, VC; Lee, JK (通讯作者),Konkuk Univ, Dept Chem Engn, 1 Hwayang Dong, Seoul 05029, South Korea.; Zhang, LY (通讯作者),Fujian Agr & Forestry Univ, Coll Life Sci, Gutian Edible Fungi Res Inst, Fuzhou 350002, Peoples R China. EM vckaliaku@gmail.com; zliaoyuan@126.com; jkrhee@konkuk.ac.kr FU Basic Science Research Program through the National Research Foundation of Korea (NRF) - Ministry of Science, ICT & Future Planning [NRF-2021R1I1A1A01060963, NRF-2020R1I1A1A01073483]; Konkuk University Researcher Fund FX This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (NRF-2021R1I1A1A01060963, NRF-2020R1I1A1A01073483). This paper was supported by Konkuk University Researcher Fund in 2020. 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Microbiol. PD MAR PY 2022 VL 62 IS 1 BP 1 EP 10 DI 10.1007/s12088-021-00993-9 EA DEC 2021 PG 10 WC Biotechnology & Applied Microbiology; Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Biotechnology & Applied Microbiology; Microbiology GA YG3DG UT WOS:000730884400001 PM 34931096 OA Green Published, Bronze DA 2023-06-08 ER PT J AU Balvers, M van den Born, BJH Levin, E Nieuwdorp, M AF Balvers, Manon van den Born, Bert-Jan H. Levin, Evgeni Nieuwdorp, Max TI Impact drugs targeting cardiometabolic risk on the gut microbiota SO CURRENT OPINION IN LIPIDOLOGY LA English DT Review DE antihyperglycemic drugs; antihyperlipidemic drugs; antihypertensive drugs; drug; microbiome ID INTESTINAL MICROBIOTA; DOUBLE-BLIND; METFORMIN; BIOAVAILABILITY; AMLODIPINE; ALTERS; TRIAL AB Purpose of review Alterations in the gut microbiome composition or function are associated with risk factors for cardiometabolic diseases, including hypertension, hyperlipidemia and hyperglycemia. Based on recent evidence that also oral medications used to treat these conditions could alter the gut microbiome composition and function and, vice versa, that the gut microbiome could affect the efficacy of these treatments, we reviewed the literature on these observed interactions. Recent findings While the interaction of metformin with the gut microbiome has been studied most, other drugs that target cardiometabolic risk are gaining attention and often showed associations with alterations in microbiome-related features, including alterations in specific microbial taxa or pathways, microbiome composition or microbiome-derived metabolites, while the gut microbiome was also involved in drug metabolism and drug efficacy. As for metformin, for some of them even a potential therapeutic effect via the gut microbiome is postulated. However, exact mechanisms remain to be elucidated. There is growing interest in clarifying the interactions between the gut microbiome and drugs to treat hypertension, hyperlipidemia and hyperglycemia as well as the first pass effect of microbiome on drug efficacy. While mostly analysed in animal models, also human studies are gaining more and more traction. Improving the understanding of the gut microbiome drug interaction can provide clinical directions for therapy by optimizing drug efficacy or providing new targets for drug development. C1 [Balvers, Manon; van den Born, Bert-Jan H.; Levin, Evgeni; Nieuwdorp, Max] Univ Amsterdam, Locat AMC, Amsterdam UMC, Dept Internal & Vasc Med, Amsterdam, Netherlands. [Balvers, Manon; Levin, Evgeni] Horaizon BV, Delft, Netherlands. [van den Born, Bert-Jan H.] Univ Amsterdam, Amsterdam UMC, Dept Publ Hlth, Amsterdam, Netherlands. C3 University of Amsterdam; University of Amsterdam RP Nieuwdorp, M (通讯作者),Univ Amsterdam, Med Ctr, Amsterdam Diabet Ctr, Dept Internal & Vasc Med,Locat AMC, Meibergdreef 9,Room D3-211, NL-1105 AZ Amsterdam, Netherlands. EM m.nieuwdorp@amster-damumc.nl RI van den Born, Bert-Jan/E-4263-2017 OI van den Born, Bert-Jan H. (BJH)/0000-0003-0943-4393 FU NNF CAMIT grant 2018; Le Ducq consortium grant [17CVD01] FX M.V. is appointed on a NNF CAMIT grant 2018 (to M.N.). The study reported here was additionally supported by Le Ducq consortium grant 17CVD01 (to M.N.). The illustrations in the summary figure are from Servier Medical Art (smart.servier.com). M.B. is supported by a NNF CAMIT grant 2018. 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ELEGANS AB The most well-known mechanism of metformin action, one of the most commonly prescribed antidiabetic drugs, is adenosine monophosphate-activated protein kinase activation; however, recent investigations have shown that adenosine monophosphate-activated protein kinase-independent pathways can explain some of metformin's beneficial metabolic effects as well as undesirable side-effects. Such novel pathways include induction of mitochondrial stress, inhibition of mitochondrial shuttles, alteration of intestinal microbiota, suppression of glucagon signaling, activation of autophagy, attenuation of inflammasome activation, induction of incretin receptors and reduction of terminal endoplasmic reticulum stress. Together, these studies have broadened our understanding of the mechanisms of antidiabetic agents as well as the pathogenic mechanism of diabetes itself. The results of such investigations might help to identify new target molecules and pathways for treatment of diabetes and metabolic syndrome, and could also have broad implications in diseases other than diabetes. Accordingly, new antidiabetic drugs with better efficacy and fewer adverse effects will likely result from these studies. C1 [Hur, Kyu Yeon; Lee, Myung-Shik] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Div Endocrinol & Metab,Dept Med, Seoul, South Korea. C3 Sungkyunkwan University (SKKU); Samsung Medical Center RP Lee, MS (通讯作者),Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Div Endocrinol & Metab,Dept Med, Seoul, South Korea. EM mslee0923@skku.edu RI Lee, Myung Shik/C-9606-2011 OI Lee, Myung-Shik/0000-0003-3292-1720 FU Global Research Laboratory Grant of the National Research Foundation of Korea [K21004000003-10A0500-00310]; Ulsan National Institute of Science and Technology (UNIST) [2014M3A9D8034459]; National Research Foundation of Korea [2010-00347] Funding Source: Korea Institute of Science & Technology Information (KISTI), National Science & Technology Information Service (NTIS) FX This work was supported by the Global Research Laboratory Grant of the National Research Foundation of Korea (K21004000003-10A0500-00310), and the Ulsan National Institute of Science and Technology (UNIST) research fund (2014M3A9D8034459). The authors thank Sungkab Kim (Samsung Medical Center, Multimedia Services Part, Chief Illustrator) for illustrating the figures. 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Diabetes Investig. PD NOV PY 2015 VL 6 IS 6 BP 600 EP 609 DI 10.1111/jdi.12328 PG 10 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA CU7AL UT WOS:000363687000002 PM 26543531 OA Green Published, gold DA 2023-06-08 ER PT J AU Deng, WL Ke, HR Wang, SQ Li, ZT Li, ST Lv, PJ Li, F Chen, Y AF Deng, Wenlin Ke, Haoran Wang, Siqi Li, Zitong Li, Sitao Lv, Pinjing Li, Fang Chen, Ye TI Metformin Alleviates Autistic-Like Behaviors Elicited by High-Fat Diet Consumption and Modulates the Crosstalk Between Serotonin and Gut Microbiota in Mice SO BEHAVIOURAL NEUROLOGY LA English DT Article ID BTBR MOUSE MODEL; DISORDERS; DEPRESSION; PROBIOTICS; OBESITY AB The biological mechanisms linking diet-related obesity and autistic behaviors remain unclear. Metformin has proven to be beneficial in the treatment of many syndromes, including autism spectrum disorder. Therefore, the aim of this study was to assess whether metformin treatment could ameliorate metabolic and behavioral alterations in C57BL/6 mice kept on a high-fat diet (HFD), and whether these changes were related to modifications in the gut microbiota and 5-HT levels. As expected, ten weeks of HFD ingestion increased body weight, adiposity, and glucose levels. HFD-fed mice showed a marked aggravation of repetitive behaviors (marble burying and self-grooming), and this was prevented by metformin administration. In addition, HFD-fed mice increased the total distance travelled in the open field test. This hyperactivity was counteracted by metformin cotreatment. In the elevated plus maze test, HFD-fed mice showed a reduced number of entries into the open arms. Interestingly, both HFD and metformin cotreatment increased social interactions in the three-chamber test. HFD increased the levels of intestinal tryptophan and 5-hydroxyindoleacetic acid. Metformin stimulated gut tryptophan and promoted the synthesis of 5-HT in the HFD group. Lactococcus, Trichococcus, Romboutsia, and Faecalibaculum were enriched in HFD-fed mice, whereas the HFD group cotreated with metformin was enriched in Intestinimonas and L. reuteri. Faecalibacterium was positively correlated with sociability and 5-HT pathway components in mice that received metformin. In summary, HFD consumption elicited a complex phenotype comprising higher levels of anxiety-like and repetitive behaviors but also increased sociability. Metformin could potentially improve HFD-induced disorders in the autistic spectrum through a mechanism involving positive modulation of 5-HT levels in the gut and its microbiota composition. C1 [Deng, Wenlin; Ke, Haoran; Wang, Siqi; Li, Zitong; Chen, Ye] Southern Med Univ, Nanfang Hosp, Dept Gastroenterol, State Key Lab Organ Failure Res, Guangzhou 510515, Guangdong, Peoples R China. [Deng, Wenlin; Li, Sitao; Lv, Pinjing] Sun Yat Sen Univ, Affiliated Hosp 6, Dept Pediat, Guangzhou 510655, Peoples R China. [Li, Fang] Hainan Med Univ, Hainan Affiliated Hosp, Hainan Gen Hosp, Gastroenterol Endoscopy Ctr,Dept Gastroenterol, Haikou 570311, Hainan, Peoples R China. C3 Southern Medical University - China; Sun Yat Sen University; Hainan Medical University RP Chen, Y (通讯作者),Southern Med Univ, Nanfang Hosp, Dept Gastroenterol, State Key Lab Organ Failure Res, Guangzhou 510515, Guangdong, Peoples R China.; Li, F (通讯作者),Hainan Med Univ, Hainan Affiliated Hosp, Hainan Gen Hosp, Gastroenterol Endoscopy Ctr,Dept Gastroenterol, Haikou 570311, Hainan, Peoples R China. EM dengwl3@mail.sysu.edu.cn; kehaoran@smu.edu.cn; wsq21600242@smu.edu.cn; 1223978306@qq.com; lisit@mail.sysu.edu.cn; 779711485@qq.com; 1195948845@qq.com; yechen@smu.edu.cn FU National Natural Science Foundation of China [81770529, 82100609]; Science and Technology Foundation of Guangzhou, China [202103000071]; Hainan Provincial Natural Science Foundation of China [821QN0982]; Guangdong Gastrointestinal Disease Research Center [2017B02029003] FX AcknowledgmentsThis work was supported by the National Natural Science Foundation of China (grant numbers 81770529 and 82100609), the Science and Technology Foundation of Guangzhou, China (202103000071), the Hainan Provincial Natural Science Foundation of China (No. 821QN0982), and the Guangdong Gastrointestinal Disease Research Center (grant number 2017B02029003). 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Neurol. PD FEB 17 PY 2022 VL 2022 AR 6711160 DI 10.1155/2022/6711160 PG 15 WC Clinical Neurology WE Science Citation Index Expanded (SCI-EXPANDED) SC Neurosciences & Neurology GA ZO8QA UT WOS:000765991500001 PM 35222739 OA gold, Green Published DA 2023-06-08 ER PT J AU Ansari, A Bose, S Lim, SK Wang, JH Choi, YH Kim, H AF Ansari, AbuZar Bose, Shambhunath Lim, Soo-Kyoung Wang, Jing-Hua Choi, Young-Hee Kim, Hojun TI Combination of Scutellaria baicalensis and Metformin Ameliorates Diet-Induced Metabolic Dysregulation in Mice via the Gut-Liver-Brain Axis SO AMERICAN JOURNAL OF CHINESE MEDICINE LA English DT Article DE Scutellaria baicalensis; Metformin; Metabolic Dysregulation; Microbiota ID HIGH-FAT; HEPATIC STEATOSIS; INSULIN-RESISTANCE; FOOD-INTAKE; INFLAMMATION; FRUCTOSE; PATHWAY; GLUCOSE; GAMMA; RATS AB Scutellaria baicalensis (SB), a herbal medicine, is commonly used to treat metabolic diseases, while Metformin (MF) is a widely used drug for type 2 diabetes. The purpose of this study was to investigate whether co-treatment of SB with MF could produce a potential therapeutic effect on high-fat and high-fructose diet (HFFD)-induced metabolic dysregulation. First, we optimized the dose of SB (100, 200, 400, and 800 mg/kg) with MF (200 mg/kg) in HFFD-induced C57BL6J mice. Next, the optimized dose of SB (400 mg/kg) was co-administered with MF (50, 100, and 200 mg/kg) in a similar animal model to find the effective combinations of SB and MF. Metabolic markers were determined in serum and tissues using different assays, histology, gene expression, and gut microbial population. The SB and MF co-treatment significantly decreased the body, liver, and VAT weights. The outcome of OGTT was improved, and the fasting insulin, HbA1c, TG, TC, LDL-c, AST, and ALT were decreased, while HDL-c was significantly increased. Histological analyses revealed maintained the integrity of liver, adipose tissue, and intestine prevented lipid accumulation in the liver and intestine and combated neuronal damage in the brain. Importantly, controlled the expression of PPAR gamma, and IL-6 genes in the liver, and expression of BDNF, Glut1, Glut3, and Glut4 genes in the brain. Treatment-specific gut microbial segregation was observed in the PCA chart. Our findings indicate that SB and MF co-treatment is an effective therapeutic approach for HFFD-induced metabolic dysregulation which is operated through the gut-liver-brain axis. C1 [Ansari, AbuZar] Ewha Womans Univ, Mokdong Hosp, Dept Obstet & Gynecol, Seoul, South Korea. [Bose, Shambhunath] NosQuest Inc, USPACE 1A-1103,Daewang Pangyo Ro 660, Seongnam Si 13494, Gyeonggi Do, South Korea. [Wang, Jing-Hua] Daejeon Univ, Coll Korean Med, Dept Immunol, Inst Biosci & Integrat Med, Daejeon, South Korea. [Choi, Young-Hee] Dongguk Univ Seoul, Coll Pharm, Goyang, South Korea. [Choi, Young-Hee] Dongguk Univ Seoul, Integrated Res Inst Drug Dev, Goyang, South Korea. [Ansari, AbuZar; Lim, Soo-Kyoung; Kim, Hojun] Dongguk Univ, Dept Rehabil Med Korean Med, Goyang Si, South Korea. C3 Ewha Womans University; Daejeon University; Dongguk University; Dongguk University; Dongguk University RP Kim, H (通讯作者),Dongguk Univ, Dept Rehabil Med Korean Med, Med Ctr, Goyang Si 10326, Gyeonggi Do, South Korea. EM kimklar@dongguk.ac.kr RI Wang, Jing-hua/AAO-2350-2020; Bose, Shambhunath/HKW-2568-2023 OI Wang, Jing-hua/0000-0002-2034-7429; Choi, Young Hee/0000-0002-9360-6436 FU Convergence of Conventional Medicine and Traditional Medicine Korean Medicine R&D - Ministry of Health and Welfare through the Korean Health Industry Development Institute [HI14C0558] FX This work was supported by a Convergence of Conventional Medicine and Traditional Medicine Korean Medicine R&D grant funded by the Ministry of Health and Welfare through the Korean Health Industry Development Institute (HI14C0558). 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ELEGANS; LIFE-SPAN; CELL-ACTIVATION; GUT MICROBIOTA; OLD DRUG; CANCER AB Aging results from the progressive dysregulation of several molecular pathways and mTOR and AMPK signaling have been suggested to play a role in the complex changes in key biological networks involved in cellular senescence. Moreover, multiple factors, including poor nutritional balance, drive immunosenescence progression, one of the meaningful aspects of aging. Unsurprisingly, nutraceutical and pharmacological interventions could help maintain an optimal biological response by providing essential bioactive micronutrients required for the development, maintenance, and the expression of the immune response at all stages of life. In this regard, many studies have provided evidence of potential antiaging properties of resveratrol, as well as rapamycin and metformin. Indeed, in vitro and in vivo models have demonstrated for these molecules a number of positive effects associated with healthy aging. The current review focuses on the mechanisms of action of these three important compounds and their suggested use for the clinical treatment of immunosenescence and aging. C1 [Sorrenti, Vincenzo] Univ Padua, Dept Pharmaceut & Pharmacol Sci, Largo Egidio Meneghetti 2, I-35131 Padua, Italy. [Sorrenti, Vincenzo; Caudullo, Giada] Bendessere Study Ctr, Via Prima Str 23-3, I-35129 Padua, Italy. [Sorrenti, Vincenzo] Synlab Ltd, Data Med Grp, Maria Paola Belloni Ctr Personalized Med, I-35100 Padua, Italy. [Benedetti, Francesca; Buriani, Alessandro; Zella, Davide] Univ Maryland, Inst Human Virol, Dept Biochem & Mol Biol, Sch Med, Baltimore, MD 21201 USA. [Fortinguerra, Stefano] IRCCS SDN, Via E Gianturco 113, I-80143 Naples, Italy. [Davinelli, Sergio; Scapagnini, Giovanni] Univ Molise, Dept Med & Hlth Sci V Tiberio, I-86100 Campobasso, Italy. C3 University of Padua; University System of Maryland; University of Maryland Baltimore; IRCCS Istituto di Ricerca Diagnostica e Nucleare (SDN); University of Molise RP Sorrenti, V (通讯作者),Univ Padua, Dept Pharmaceut & Pharmacol Sci, Largo Egidio Meneghetti 2, I-35131 Padua, Italy.; Sorrenti, V (通讯作者),Bendessere Study Ctr, Via Prima Str 23-3, I-35129 Padua, Italy.; Sorrenti, V (通讯作者),Synlab Ltd, Data Med Grp, Maria Paola Belloni Ctr Personalized Med, I-35100 Padua, Italy.; Zella, D (通讯作者),Univ Maryland, Inst Human Virol, Dept Biochem & Mol Biol, Sch Med, Baltimore, MD 21201 USA.; Scapagnini, G (通讯作者),Univ Molise, Dept Med & Hlth Sci V Tiberio, I-86100 Campobasso, Italy. EM vincenzosorrenti88@gmail.com; fbenedetti@ihv.umaryland.edu; alessandro.buriani@gmail.com; stefano.fortinguerra@gmail.com; giada.caudullo@solgar.it; sergio.davinelli@unimol.it; dzella@ihv.umaryland.edu; giovanni.scapagnini@unimol.it RI Sorrenti, Vincenzo/AAI-1683-2020; Fortinguerra, Stefano/AAA-4663-2021; DAVINELLI, SERGIO/U-1545-2017 OI Sorrenti, Vincenzo/0000-0002-4716-7401; Fortinguerra, Stefano/0000-0002-6111-332X; SCAPAGNINI, Giovanni/0000-0003-1592-5586; DAVINELLI, SERGIO/0000-0003-2578-7199; buriani, alessandro/0000-0001-9742-8991 CR Aballay A, 2002, CURR OPIN MICROBIOL, V5, P97, DOI 10.1016/S1369-5274(02)00293-X Aballay A, 2003, CURR BIOL, V13, P47, DOI 10.1016/S0960-9822(02)01396-9 Aiello A, 2019, FRONT IMMUNOL, V10, DOI 10.3389/fimmu.2019.02247 Algire C, 2012, CANCER PREV RES, V5, P536, DOI 10.1158/1940-6207.CAPR-11-0536 Anisimov VN, 2008, CELL CYCLE, V7, P2769, DOI 10.4161/cc.7.17.6625 Apelo SIA, 2016, J GERONTOL A-BIOL, V71, P841, DOI 10.1093/gerona/glw090 Arrieta O, 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YC Ge, TT Liu, JY AF Cao, Gui Gong, Ting Du, Yue Wang, Yicun Ge, Tongtong Liu, Jingyu TI Mechanism of metformin regulation in central nervous system: Progression and future perspectives SO BIOMEDICINE & PHARMACOTHERAPY LA English DT Article DE Neuroprotection; BDNF; Neuroinflammation; AMPK activation; Neurogenesis ID NEURAL STEM-CELLS; ADULT HIPPOCAMPAL NEUROGENESIS; ACTIVATED PROTEIN-KINASE; TRAUMATIC BRAIN-INJURY; HIGH-FAT-DIET; MOUSE MODEL; GUT MICROBIOTA; NEURONAL DIFFERENTIATION; SIGNALING PATHWAYS; SPATIAL MEMORY AB Metformin as a first-line drug for type 2 diabetes mellitus(T2DM) treatment is widely studied. Metformin can reduce liver glucose output and improve insulin resistance. Recent evidence from in vivo and in vitro has confirmed that metformin can transport across the blood-brain barrier(BBB) and activate specific neurons and neuroglia to exert neurological actions, however, the specific effect of metformin regulation on CNS is still obscure. In this review, we summarized current evidence from preclinical evidence focusing on the regulatory role of metformin in CNS and found that metformin can exert potential neuroprotective, neurotrophic, and neurogenesis-stimulated actions; besides, metformin also exerts antiinflammatory effect by inhibiting microglial activates and regulating microglial polarization. These findings indicate there might be extensive pharmaco-logical efficacy and therapeutic insights of metformin in neurological diseases' clinical application. C1 [Cao, Gui; Du, Yue; Liu, Jingyu] Chengdu Seventh Peoples Hosp, Dept Endocrinol, Chengdu, Peoples R China. [Gong, Ting] Chengdu Seventh Peoples Hosp, Dept Otolaryngol, Chengdu, Peoples R China. [Wang, Yicun; Ge, Tongtong] Jilin Univ, Hosp 2, Jilin Prov Key Lab Mol & Chem Genet, Changchun, Peoples R China. C3 Jilin University RP Liu, JY (通讯作者),Chengdu Seventh Peoples Hosp, Dept Endocrinol, Chengdu, Peoples R China.; Ge, TT (通讯作者),Jilin Univ, Hosp 2, Jilin Prov Key Lab Mol & Chem Genet, Changchun, Peoples R China. EM gett@jlu.edu.cn; liujy92@163.com FU Natural Science of Science and Technology Department of Jilin Province; [20200201505JC] FX This work is supported by Natural Science of Science and Technology Department of Jilin Province (20200201505JC) . 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RUE CAMILLE DESMOULINS, CS50083, 92442 ISSY-LES-MOULINEAUX, FRANCE SN 0753-3322 EI 1950-6007 J9 BIOMED PHARMACOTHER JI Biomed. Pharmacother. PD DEC PY 2022 VL 156 AR 113686 DI 10.1016/j.biopha.2022.113686 EA OCT 2022 PG 11 WC Medicine, Research & Experimental; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine; Pharmacology & Pharmacy GA 5R6DC UT WOS:000874597900008 PM 36244266 OA gold DA 2023-06-08 ER PT J AU Koo, H Morrow, CD AF Koo, Hyunmin Morrow, Casey D. TI Perturbation of the human gastrointestinal tract microbial ecosystem by oral drugs to treat chronic disease results in a spectrum of individual specific patterns of extinction and persistence of dominant microbial strains SO PLOS ONE LA English DT Article ID GUT MICROBIOME; INTESTINAL MICROBIOTA; RHEUMATOID-ARTHRITIS; READ ALIGNMENT; RECOVERY AB Background Oral drugs can have side effects such as diarrhea that indicate the perturbation of the gut microbial community. To further understand the dynamics of perturbation, we have assessed the strain relatedness of samples from previously published data sets from pre and post bowel evacuation, episodes of diarrhea, and administration of oral drugs to treat diabetes and rheumatoid arthritis. Methods We analyzed a total of published five data sets using our strain-tracking tool called Window-based Single Nucleotide Variant (SNV) Similarity (WSS) to identify related strains from the same individual. Results Strain-tracking analysis using the first data set from 8 individuals pre and 21-50 days post iso-osmotic bowel wash revealed almost all microbial strains were related in an individual between pre and post samples. Similarly, in a second study, strain-tracking analysis of 4 individuals pre and post sporadic diarrhea revealed the majority of strains were related over time (up to 44 weeks). In contrast, the analysis of a third data set from 22 individuals pre and post 3-day exposure of oral metformin revealed that no individuals had a related strain. In a fourth study, the data set taken at 2 and 4 months from 38 individuals on placebo or metformin revealed individual specific sharing of pre and post strains. Finally, the data set from 18 individuals with rheumatoid arthritis given disease-modifying antirheumatic drugs methotrexate or glycosides of the traditional Chinese medicinal component Tripterygium wilfordii showed individual specific sharing of pre and post strains up to 16 months. Conclusion Oral drugs used to treat chronic disease can result in individual specific microbial strain change for the majority of species. Since the gut community provides essential functions for the host, our study supports personalized monitoring to assess the status of the dominant microbial strains after initiation of oral drugs to treat chronic disease. C1 [Koo, Hyunmin] Univ Alabama Birmingham, Dept Genet, Birmingham, AL 35294 USA. [Morrow, Casey D.] Univ Alabama Birmingham, Dept Cell Dev & Integrat Biol, Birmingham, AL 35294 USA. C3 University of Alabama System; University of Alabama Birmingham; University of Alabama System; University of Alabama Birmingham RP Koo, H (通讯作者),Univ Alabama Birmingham, Dept Genet, Birmingham, AL 35294 USA.; Morrow, CD (通讯作者),Univ Alabama Birmingham, Dept Cell Dev & Integrat Biol, Birmingham, AL 35294 USA. EM khmkhm87@uab.edu; caseym@uab.edu OI Koo, Hyunmin/0000-0001-6630-2165 FU UAB School of Medicine FX We thank the UAB Information Technology Research Computing group for providing the high-performance computing support necessary for bioinformatics analyses. We thank Adrienne Ellis for preparation of the manuscript. We also thank UAB School of Medicine for supporting this study. 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To gain more insights into the mechanisms occurring in the different regions of the intestine, adult male mice were fed a high-fat-high sucrose (HFS) diet for 8 days and treated with metformin by gavage (300 mg/day/kg body weight) during the HFS diet. Metformin counteracted HFS diet-induced overexpression of a network of genes involved in the transport of glucose and fatty acids in the different regions of the small intestine. It also induced beneficial modification of secondary bile acid profile in the caecum, with a reduction of deoxycholic acid and lithocholic acid levels and increased abundance of ursodeoxycholic acid and tauroursodeoxycholic acid, potentially leading to FRX inhibition. In parallel, metformin treatment was associated with specific changes of the microbiota composition in the lumen of the different regions of the intestine. Metformin induced a marked increase in the abundance of Akkermansia muciniphila in the lumen all along the gut and counteracted the effects of HFS diet on the abundances of some bacterial groups generally associated with metabolic disturbances (f-Lachnospiraceae, f-Petostreptococcaceae, g-Clostidium). Therefore, the present work clearly emphasises the role of all the regions of the intestinal tract in the beneficial action of the antidiabetic drug metformin in a prediabetic mouse model. C1 [Bravard, Amelie; Gerard, Celine; Defois, Clemence; Benoit, Berengere; Makki, Kassem; Meugnier, Emmanuelle; Rieusset, Jennifer; Godet, Murielle; Vidal, Hubert] Univ Claude Bernard Lyon1, Univ Lyon, INRAE U1397, Lab CarMeN,INSERM U1060, F-69600 Oullins, France. [Rieusset, Jennifer] Sorbonne Univ, INSERM U938, Ctr Rech St Antoine, F-75012 Paris, France. [Makki, Kassem] Univ Gothenburg, Inst Med, Wallenberg Lab, Dept Mol & Clin Med, Gothenburg, Sweden. [Makki, Kassem] Sahlgrens Univ Hosp, Gothenburg, Sweden. C3 INRAE; Institut National de la Sante et de la Recherche Medicale (Inserm); UDICE-French Research Universities; Universite Claude Bernard Lyon 1; Institut National de la Sante et de la Recherche Medicale (Inserm); UDICE-French Research Universities; Sorbonne Universite; University of Gothenburg; Sahlgrenska University Hospital RP Vidal, H (通讯作者),Univ Claude Bernard Lyon1, Univ Lyon, INRAE U1397, Lab CarMeN,INSERM U1060, F-69600 Oullins, France. EM hubert.vidal@univ-lyon1.fr RI Vidal, Hubert/M-6674-2017; Carmen, Team1/Y-7382-2019; makki, kassem/HTN-0263-2023; Carmen, Team2/Y-7383-2019; Rieusset, Jennifer/F-1595-2018 OI Vidal, Hubert/0000-0002-9467-0317; Carmen, Team1/0000-0003-4234-1746; Carmen, Team2/0000-0001-9867-5724; Godet, Murielle/0000-0001-9879-4731; Lab, Carmen/0000-0002-5935-3236; Rieusset, Jennifer/0000-0002-1587-2253; meugnier, emmanuelle/0000-0002-2291-7691 FU Fondation Francophone pour la Recherche sur le Diabete; Region Auvergne-Rhone-Alpes (Pack Ambition Recherche); INSERM (French transversal program on microbiota) FX This work was funded by grants from the "Fondation Francophone pour la Recherche sur le Diabete" (FFRD 2018) (PROBIODIAB 2018), from Region Auvergne-Rhone-Alpes ("Pack Ambition Recherche >> Probiodiab 2017) and from INSERM (French transversal program on microbiota). 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Methods We classified 80 subjects into three groups: patients with DPN (n = 45), patients type 2 diabetes without DPN (n = 21), and healthy controls (n = 14). The intestinal flora composition was compared among the three groups, and the correlation between the intestinal flora and clinical indicators was analyzed. Results At the phylum level, the richness of Firmicutes and Actinobacteria was elevated in the DN group, and that of Bacteroidetes was decreased. At the genus level, the richness ofBacteroidesandFaecalibacteriumwas significantly decreased in the DPN group, whereas that ofEscherichia-Shigella,Lachnoclostridium,Blautia,Megasphaera, andRuminococcus torquesgroup was increased. The homeostasis model assessment insulin resistance index was positively correlated withMegasphaerarichness. Glycine ursodeoxycholic acid was positively correlated withRuminococcus gnavusgroup andPhascolarctobacteriumrichness. Tauroursodeoxycholic acid was positively correlated withRuminococcus gnavusgroup andParabacteroidesrichness. Conclusion There was obvious intestinal microbiota disorder in patients with DPN, which may be related to insulin resistance. These changes may have important roles in the development of DPN. C1 [Wang, Yayun; Ye, Xiaolong; Ding, Dafa; Lu, Yibing] Nanjing Med Univ, Affiliated Hosp 2, Dept Endocrinol, 121 Jiangjiayuan, Nanjing 210011, Peoples R China. C3 Nanjing Medical University RP Lu, YB (通讯作者),Nanjing Med Univ, Affiliated Hosp 2, Dept Endocrinol, 121 Jiangjiayuan, Nanjing 210011, Peoples R China. 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Oksenych, Valentyn Korda, Mykhaylo Kamyshnyi, Aleksandr TI Immunoregulatory Intestinal Microbiota and COVID-19 in Patients with Type Two Diabetes: A Double-Edged Sword SO VIRUSES-BASEL LA English DT Review DE type 2 diabetes; metformin; COVID-19; SARS-CoV-2; intestinal microbiota; immunoregulation ID REGULATORY T-CELLS; CHAIN FATTY-ACIDS; BILE-SALT BIOTRANSFORMATIONS; GUT MICROBIOTA; AKKERMANSIA-MUCINIPHILA; ADAPTIVE IMMUNITY; TH17 CELLS; METFORMIN; INDUCTION; BACTERIA AB Coronavirus disease 2019, or COVID-19, is a major challenge facing scientists worldwide. Alongside the lungs, the system of organs comprising the GI tract is commonly targeted by COVID-19. The dysbiotic modulations in the intestine influence the disease severity, potentially due to the ability of the intestinal microbiota to modulate T lymphocyte functions, i.e., to suppress or activate T cell subpopulations. The interplay between the lungs and intestinal microbiota is named the gut-lung axis. One of the most usual comorbidities in COVID-19 patients is type 2 diabetes, which induces changes in intestinal microbiota, resulting in a pro-inflammatory immune response, and consequently, a more severe course of COVID-19. However, changes in the microbiota in this comorbid pathology remain unclear. Metformin is used as a medication to treat type 2 diabetes. The use of the type 2 diabetes drug metformin is a promising treatment for this comorbidity because, in addition to its hypoglycemic action, it can increase amount of intestinal bacteria that induce regulatory T cell response. This dual activity of metformin can reduce lung damage and improve the course of the COVID-19 disease. C1 [Petakh, Pavlo; Nykyforuk, Andriy] Uzhgorod Natl Univ, Dept Biochem & Pharmacol, UA-88000 Uzhgorod, Ukraine. [Petakh, Pavlo; Kamyshnyi, Aleksandr] I Horbachevsky Ternopil Natl Med Univ, Dept Microbiol Virol & Immunol, UA-46001 Ternopol, Ukraine. 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0B1PW UT WOS:000774415100001 PM 35336884 OA Green Published, gold DA 2023-06-08 ER PT J AU Kyriachenko, Y Falalyeyeva, T Korotkyi, O Molochek, N Kobyliak, N AF Kyriachenko, Yevheniia Falalyeyeva, Tetyana Korotkyi, Oleksandr Molochek, Nataliia Kobyliak, Nazarii TI Crosstalk between gut microbiota and antidiabetic drug action SO WORLD JOURNAL OF DIABETES LA English DT Review DE Type 2 diabetes; Gut microbiota; Metformin; alpha-glucosidase inhibitors; Glucagon-like peptide-1 agonists; Peroxisome proliferator-activated receptors gamma agonists; Dipeptidyl peptidase-4 inhibitors; Sodium/glucose cotransporter inhibitors ID GLUCAGON-LIKE PEPTIDE-1; CHAIN FATTY-ACIDS; AKKERMANSIA-MUCINIPHILA; INSULIN SENSITIVITY; GLUCOSE-TOLERANCE; LIPID-METABOLISM; DOUBLE-BLIND; BODY-WEIGHT; DIET; METFORMIN AB Type 2 diabetes (T2D) is a disorder characterized by chronic inflated blood glucose levels (hyperglycemia), at first due to insulin resistance and unregulated insulin secretion but with tendency towards global spreading. The gut microbiota is recognized to have an influence on T2D, although surveys have not formed a clear overview to date. Because of the interactions between gut microbiota and host homeostasis, intestinal bacteria are believed to play a large role in various diseases, including metabolic syndrome, obesity and associated disease. In this review, we highlight the animal and human studies which have elucidated the roles of metformin, alpha-glucosidase inhibitors, glucagon-like peptide-1 agonists, peroxisome proliferator-activated receptors gamma agonists, inhibitors of dipeptidyl peptidase-4, sodium/glucose cotransporter inhibitors, and other less studied medications on gut microbiota. This review is dedicated to one of the most widespread diseases, T2D, and the currently used antidiabetic drugs and most promising new findings. In general, the gut microbiota has been shown to have an influence on host metabolism, food consumption, satiety, glucose homoeostasis, and weight gain. Altered intestinal microbiota composition has been noticed in cardiovascular diseases, colon cancer, rheumatoid arthritis, T2D, and obesity. Therefore, the main effect of antidiabetic drugs is on the microbiome composition, basically increasing the short-chain fatty acids-producing bacteria, responsible for losing weight and suppressing inflammation. C1 [Kyriachenko, Yevheniia; Falalyeyeva, Tetyana; Korotkyi, Oleksandr; Molochek, Nataliia] Taras Shevchenko Natl Univ Kyiv, Inst Biol & Med, Educ & Sci Ctr, UA-01601 Kiev, Ukraine. [Kobyliak, Nazarii] Bogomolets Natl Med Univ, Endocrinol Dept, Pushkinska 22a Str, UA-01601 Kiev, Ukraine. C3 Ministry of Education & Science of Ukraine; Taras Shevchenko National University Kiev; Bogomolets National Medical University RP Kobyliak, N (通讯作者),Bogomolets Natl Med Univ, Endocrinol Dept, Pushkinska 22a Str, UA-01601 Kiev, Ukraine. 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Diabetes PD MAR 15 PY 2019 VL 10 IS 3 BP 154 EP 168 DI 10.4239/wjd.v10.i3.154 PG 15 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA HP3SV UT WOS:000461598700003 PM 30891151 OA Green Submitted, Green Published, gold DA 2023-06-08 ER PT J AU Montandon, SA Jornayvaz, FR AF Montandon, Sophie A. Jornayvaz, Francois R. TI Effects of Antidiabetic Drugs on Gut Microbiota Composition SO GENES LA English DT Review DE gut microbiota; type 2 diabetes; antidiabetic drugs; metformin; incretins ID CHAIN FATTY-ACIDS; INTESTINAL MICROBIOTA; BILE-ACIDS; METFORMIN; DIET; GLUCAGON; METABOLISM; ACARBOSE; ALTERS; IMPACT AB Gut microbiota forms a catalog of about 1000 bacterial species; which mainly belong to the Firmicutes and Bacteroidetes phyla. Microbial genes are essential for key metabolic processes; such as the biosynthesis of short-chain fatty acids (SCFA); amino acids; bile acids or vitamins. It is becoming clear that gut microbiota is playing a prevalent role in pathologies such as metabolic syndrome; type 2 diabetes (T2D); inflammatory and bowel diseases. Obesity and related diseases; notably type 2 diabetes, induce gut dysbiosis. In this review; we aim to cover the current knowledge about the effects of antidiabetic drugs on gut microbiota diversity and composition as well as the potential beneficial effects mediated by specific taxa. Metformin is the first-line treatment against T2D. In addition to its glucose-lowering and insulin sensitizing effects, metformin promotes SCFA-producing and mucin-degrading bacteria. Other antidiabetic drugs discussed in this review show positive effects on dysbiosis; but without any consensus specifically regarding the Firmicutes to Bacteroidetes ratio. Thus, beneficial effects might be mediated by specific taxa. C1 [Montandon, Sophie A.; Jornayvaz, Francois R.] Geneva Univ Hosp, Serv Endocrinol Diabet Hypertens & Nutr, Rue Gabrielle Perret Gentil 4, CH-1205 Geneva, Switzerland. C3 University of Geneva RP Jornayvaz, FR (通讯作者),Geneva Univ Hosp, Serv Endocrinol Diabet Hypertens & Nutr, Rue Gabrielle Perret Gentil 4, CH-1205 Geneva, Switzerland. EM sophie.montandon@unige.ch; francois.jornayvaz@hcuge.ch RI Jornayvaz, François/AAL-2134-2020 OI Jornayvaz, Francois/0000-0001-9425-3137 FU Gottfried and Julia Bangerter-Rhyner Foundation; Foundation of the Swiss Diabetes Association; Novo Nordisk FX F.R.J. is supported by grants from the Gottfried and Julia Bangerter-Rhyner Foundation, the Foundation of the Swiss Diabetes Association, and by an unrestricted grant from Novo Nordisk. 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Metagenome analyses have demonstrated that the gut microbiota differs between patients with type 2 diabetes and healthy subjects, and several studies have shown that impaired glucose metabolism is associated with decreased levels of butyrate-producing bacteria. Gut microbiota-produced metabolites, such as short-chain fatty acids, amino acid derivatives and secondary bile acids, participate in metabolic and immunologic processes and, hence, pose putative links between the gut microbiota and glucose homeostasis. Strategies to prevent and treat type 2 diabetes through manipulation of the gut microbiota are being developed. These include replacement of the gut microbiota by fecal transplantation, consumption of fibres to promote the function and growth of beneficial bacteria and treatment with probiotic bacterial strains. Furthermore, it has been shown that many drugs, including drugs used for treatment of diabetes, have major impacts on gut microbiota and, thereby, potentially on glucose metabolism. In particular, the commonly used drug metformin has been shown to influence the functional capacity of the gut microbiota, and recent evidence indicates that this may contribute to the antidiabetes effect of metformin. (C) 2019 Canadian Diabetes Association. C1 [Caesar, Robert] Univ Gothenburg, Dept Mol & Clin Med, Wallenberg Lab, S-41345 Gothenburg, Sweden. C3 University of Gothenburg RP Caesar, R (通讯作者),Univ Gothenburg, Dept Mol & Clin Med, Wallenberg Lab, S-41345 Gothenburg, Sweden. EM Robert.Caesar@wlab.gu.se RI Caesar, Robert/AAX-3205-2020 FU Swedish Research Council Formas [2017-02001] FX I thank A. Wahlstrom, V. Tremaroli and K. Krautkramer for reading and commenting on the manuscript. I also thank A. Hallen for her assistance with figures and artwork. Work in the authors' laboratory is supported by The Swedish Research Council Formas (2017-02001). 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J. Diabetes PD APR PY 2019 VL 43 IS 3 BP 224 EP 231 DI 10.1016/j.jcjd.2019.01.007 PG 8 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA HQ7SW UT WOS:000462623200014 PM 30929665 DA 2023-06-08 ER PT J AU Yan, X AF Yan, Xiao TI Impacts of Metformin on Local Ovarian Cell Tissue of Rats with Polycystic Ovary Syndrome and Intestinal Flora Under Aerobic Exercise SO JOURNAL OF BIOMATERIALS AND TISSUE ENGINEERING LA English DT Article DE Polycystic Ovary Syndrome; Aerobic Exercise; Local Cell Tissue; Metformin; Intestinal Flora ID LIFE-STYLE; WOMEN; DISORDERS AB In order to explore the possible treatment mechanism of metformin on the local ovarian cell tissue of rats with polycystic ovary syndrome (PCOS), 35 female clean sterile rats were selected as the research objects in this study, and randomly divided a PCOS model group (PCOS MG) (25 rats) and a control group (CG) (10 rats). After the modelling was completed, 5 rats were randomly selected to evaluate the modelling effect. When the success rate was higher than 80%, the remaining model rats were divided into two groups randomly, namely the (PCOS MG) (10 rats) and the treatment group (TG) (10 rats). Hematoxylin-eosin (HE) staining was performed on ovarian tissue of the rat, and the ovarian tissue structure was observed under light microscope. Immunohistochemistry was used to detect the distribution and expression levels of tumour necrosis factor-alpha (TNF-alpha), insulin-like growth factor-I (IGF-I), and connective tissue growth factor (CTGF) on the ovaries of rats in each group. It was found by observing the vaginal smear under the microscope that the rats in the (PCOS MG) had lost the regular estrous cycle, suggesting that there was no ovulation. The expression levels of TNF-alpha and CTGF in rats in the (PCOS MG) were greatly higher than those in the CG (P < 0.05); compared with the (PCOS MG), the expression levels of TNF-alpha and CTGF in the TG were decreased observably (P < 0.05). IGF-I was mainly expressed in granulosa cells (GCs) and follicular membrane cells (FMCs) of the ovarian tissue. The expression level of IGF-I in ovarian GCs in rats in the (PCOS MG) was significantly higher than that in the CG (P < 0.05). The expression level of IGF-I in GCs in the TG was lower significantly than that in the (PCOS MG) (P < 0.05). By comparing with rats in the CG, the rats in the (PCOS MG) had obviously decreased Actinobacteria and Betaproteobacteria in the intestinal tract, and the proportion of Firmicutes in the intestine was significantly increased; the amount of butyric acid in the faeces of rats with aerobic exercise was obviously higher than that in the (PCOS MG), because exercise increased the proportion of intestinal butyric acid-producing bacteria. Conclusion: metformin combined with aerobic exercise can treat the PCOS by regulating serum hormone levels and the expression levels of TNF-alpha, IGF-I, and CTGF. C1 [Yan, Xiao] Shanghai Univ Tradit Chinese Med, Dept Gynaecol & Obstet, Putuo Hosp, Shanghai 200062, Peoples R China. C3 Shanghai University of Traditional Chinese Medicine RP Yan, X (通讯作者),Shanghai Univ Tradit Chinese Med, Dept Gynaecol & Obstet, Putuo Hosp, Shanghai 200062, Peoples R China. 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PD DEC PY 2021 VL 11 IS 12 BP 2381 EP 2388 DI 10.1166/jbt.2021.2854 PG 8 WC Cell & Tissue Engineering WE Science Citation Index Expanded (SCI-EXPANDED) SC Cell Biology GA UH1US UT WOS:000689725600009 DA 2023-06-08 ER PT J AU Lovell, H Mitchell, A Ovadia, C Pitrelli, N Briley, A Singh, C Marschall, HU Cruickshank, K Murphy, H Seed, P Williamson, C AF Lovell, Holly Mitchell, Alice Ovadia, Caroline Pitrelli, Noelia Briley, Annette Singh, Claire Marschall, Hanns-Ulrich Cruickshank, Kennedy Murphy, Helen Seed, Paul Williamson, Catherine TI A multi-centered trial investigating gestational treatment with ursodeoxycholic acid compared to metformin to reduce effects of diabetes mellitus (GUARD): a randomized controlled trial protocol SO TRIALS LA English DT Article DE Gestational diabetes mellitus; Treatment; Ursodeoxycholic acid; Metformin; Randomized clinical trial ID PULSE-WAVE VELOCITY; GLUCOSE-TOLERANCE; INTRAHEPATIC CHOLESTASIS; ADVERSE PREGNANCY; GUT MICROBIOTA; FOLLOW-UP; WOMEN; INSULIN; OUTCOMES; RISK AB Background Each year in the UK, approximately 35,000 women develop gestational diabetes mellitus (GDM). The condition increases the risk of obstetric and neonatal complications for mother and child, including preeclampsia, preterm birth, and large for gestational age babies. Biochemical consequences include maternal hyperglycemia, neonatal hypoglycemia, and dyslipidemia. Metformin is the most commonly used firstline pharmacological treatment. However, there are concerns about its widespread use during pregnancy, due to its limited efficacy and potential safety concerns. Therefore, there is a need for additional therapies that improve both maternal-fetal glucose and lipid metabolism. Ursodeoxycholic acid (UDCA) is not currently used for treatment for GDM. However, it can improve glucose control in type 2 diabetes, and it improves fetal lipid profiles in gestational cholestasis. Consequentially, it is hypothesized that treatment with UDCA for women with GDM may improve both maternal metabolism and neonatal outcomes. The primary outcome of this trial is to assess the efficacy of UDCA compared with metformin to improve glucose levels in women with GDM. Methods The trial is a two-armed, open-label, multi-center, randomized controlled trial. Women are eligible if they have been diagnosed with GDM by an oral glucose tolerance test between 24 + 0 and 30 + 6 weeks' gestation, and if they require pharmacological intervention. In total, 158 pregnant women will be recruited across seven NHS Trusts in England and Wales. Women who consent will be recruited and randomized to either metformin or UDCA, which will be taken daily until the birth of their baby. Maternal and neonatal blood samples will be taken to evaluate the impact of the treatments on maternal glucose control, and maternal and neonatal lipid metabolism. Maternal and fetal outcomes will be evaluated, and acceptability of UDCA compared with metformin will be assessed. Discussion This trial has the potential to identify a potential new treatment for women with GDM. If successful, a future large multi-center trial will be designed to investigate where decisions can be personalized to identify which women will respond more effectively to UDCA than alternatives to improve maternal and baby outcomes. C1 [Lovell, Holly; Pitrelli, Noelia] Guys & St Thomas NHS Fdn Trust, London, England. [Mitchell, Alice; Ovadia, Caroline; Singh, Claire; Cruickshank, Kennedy; Seed, Paul; Williamson, Catherine] Kings Coll London, London, England. [Briley, Annette] Flinders Univ South Australia, Caring Futures Inst, Adelaide, SA, Australia. [Marschall, Hanns-Ulrich] Univ Gothenburg, Gothenburg, Sweden. [Murphy, Helen] Univ East Angela, Cambridge Univ Hosp NHS Fdn Trust, Cambridge, England. C3 Guy's & St Thomas' NHS Foundation Trust; RLUK- Research Libraries UK; University of London; King's College London; Flinders University South Australia; University of Gothenburg; RLUK- Research Libraries UK; University of Cambridge RP Williamson, C (通讯作者),Kings Coll London, London, England. EM catherine.williamson@kcl.ac.uk RI Mitchell, Alice/HLQ-0764-2023; Seed, Paul T/C-4435-2008 OI Seed, Paul T/0000-0001-7904-7933; Briley, Annette/0000-0002-4266-920X FU J.P. Moulton Foundation (REF Tommy's Grant) [81]; NIHR FX Funding to conduct the trial is provided by J.P. Moulton Foundation (REF Tommy's Grant 81) and an NIHR Senior Investigators grant (Professor Catherine Williamson). 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Restivo, Victoria E. Kidd, Karen A. Zhu, Juliet Shires, Kallie Clarence, Stacey Khan, Hufsa Sullivan, Cheryl Pacepavicius, Grazina Alaee, Mehran TI Chronic Embryo-Larval Exposure of Fathead Minnows to the Pharmaceutical Drug Metformin: Survival, Growth, and Microbiome Responses SO ENVIRONMENTAL TOXICOLOGY AND CHEMISTRY LA English DT Article DE Pharmaceuticals; Municipal effluents; Aquatic toxicology; Microbiome; Fathead minnow; Growth ID GUT MICROBIOME; PROTEOBACTERIA; CHEMICALS; TOXICITY; HEALTH AB Metformin is a glucose-lowering drug commonly found in municipal wastewater effluents (MWWEs). The present study investigated the chronic effects of metformin in early-life stages of the fathead minnow (Pimephales promelas). Endpoints assessed were growth, survival, and deformities. The larval gut microbiome was also examined using 16 S ribosomal RNA gene amplicon sequencing to determine microbial community composition and alpha and beta diversity. Eggs and larvae were exposed to metformin measured concentrations (mean [standard deviation]) of 0.020 (0.017) mu g/L (for controls) and 3.44 (0.23), 33.6 (1.6), and 269 (11) mu g/L in a daily static-renewal setup, with 20 embryos per beaker. The low and middle metformin exposure concentrations represent river and MWWE concentrations of metformin. To detect small changes in growth, we used 18 replicate beakers for controls and 9 replicates for each metformin treatment. Over the 21-d exposure (5 d as embryos and 16 d posthatch [dph]), metformin did not affect survival or growth of larval fish. Hatch success, time to hatch, deformities in hatched fry, and survival were similar across all treatments. Growth (wet wt, length, and condition factor) assessed at 9 and 16 dph was also unaffected by metformin. Assessment of the microbiome showed that the larvae microbiome was dominant in Proteobacteria and Firmicutes, with small increases in Proteobacteria and decreases in Firmicutes with increasing exposure to metformin. No treatment effects were found for microbiome diversity measures. Control fish euthanized with the anesthetic tricaine methane sulfonate had decreased alpha diversity compared to those sampled by spinal severance. This experiment demonstrates that metformin at environmentally relevant concentrations (3.44 and 33.6 mu g/L) and at 10 times MWWE concentrations (269 mu g/L) does not adversely affect larval growth or gut microbiome in this ubiquitous freshwater fish species. Environ Toxicol Chem 2021;00:1-13. (c) 2021 SETAC (c) 2021 SETAC C1 [Parrott, Joanne L.; Shires, Kallie; Clarence, Stacey; Khan, Hufsa; Sullivan, Cheryl; Pacepavicius, Grazina; Alaee, Mehran] Environm & Climate Change Canada, Water Sci & Technol Directorate, Burlington, ON, Canada. [Restivo, Victoria E.; Kidd, Karen A.; Zhu, Juliet] McMaster Univ, Dept Biol, Hamilton, ON, Canada. [Kidd, Karen A.] McMaster Univ, Sch Earth Environm & Soc, Hamilton, ON, Canada. C3 Environment & Climate Change Canada; McMaster University; McMaster University RP Parrott, JL (通讯作者),Environm & Climate Change Canada, Water Sci & Technol Directorate, Burlington, ON, Canada. EM joanne.parrott@canada.ca RI Kidd, Karen/ABG-3237-2020; Sullivan, Cheryl Suzette/HNC-2608-2023 OI Kidd, Karen/0000-0002-5619-1358; FU Chemicals Management Plan of Health Canada; National Science and Engineering Council of Canada [312237-2012]; Jarislowsky Foundation FX The Chemicals Management Plan of Health Canada funded the initial study. The present study was supported by a National Science and Engineering Council of Canada Discovery Grant (312237-2012 to K.A. Kidd) and the Jarislowsky Foundation (to K.A. Kidd). We are grateful to the Aquatic Life Research Facility manager A. Mehlenbacher for use of the exposure laboratory and to M. Gardiner for assistance with the fish exposures. Thank you to M. Surette, M. Shah, and L. Rossi (Farncombe Institute, McMaster University) for their technical and microbial expertise. We are grateful to Health Canada/Environment and Climate Change Canada for review of the manuscript. 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Toxicol. Chem. PD MAR PY 2022 VL 41 IS 3 BP 635 EP 647 DI 10.1002/etc.5054 EA JUN 2021 PG 13 WC Environmental Sciences; Toxicology WE Science Citation Index Expanded (SCI-EXPANDED) SC Environmental Sciences & Ecology; Toxicology GA ZH4WM UT WOS:000656812000001 PM 33788292 OA Green Published DA 2023-06-08 ER PT J AU Allin, KH Jensen, CB Jacobsen, RK Jess, T AF Allin, Kristine H. Jensen, Camilla B. Jacobsen, Rikke K. Jess, Tine TI Metformin use is not associated with reduced risk of older onset inflammatory bowel disease: a Danish nationwide population-based study SO JOURNAL OF GASTROENTEROLOGY LA English DT Article DE Biguanides; Colitis; Ulcerative; Crohn Disease; Pharmacoepidemiology ID SUPPRESSES; MICROBIOTA AB Background Metformin has pleiotropic effects including anti-inflammatory properties and effects on the gut microbiome. It is primarily used in the older population, where the occurrence of inflammatory bowel disease (IBD) is increasing. The aim of this study was to examine whether metformin protects against development of IBD. Methods In the setting of a Danish nationwide population-based cohort, we conducted a nested case-control study using a new-user active comparator design. For each patient with IBD, we selected 10 IBD-free individuals matched on age, sex, and duration of follow-up. Conditional logistic regression was used to estimate odds ratios (ORs) of IBD. Adjustment included educational level, other immune-mediated inflammatory diseases, and use of dipeptidyl peptidase (DPP)-4 inhibitors and statins. Results Among 302,863 IBD-free new users of oral glucose-lowering drugs, we identified 1271 patients who developed IBD and 12,676 matched IBD-free individuals. Mean age at IBD diagnosis was 66 (SD, 11) years. We found no association between ever use of metformin and risk of IBD, Crohn's disease or ulcerative colitis, adjusted OR 0.95 (95% CI 0.78-1.15), 0.87 (95% CI 0.60-1.26), and 1.04 (95% CI 0.83-1.31), respectively. Neither was the cumulative dose of metformin or the treatment duration with metformin associated with risk of IBD. Conclusions In this population-based study, we report that despite anti-inflammatory effects and a notable impact on the gut microbiome, metformin use is not associated with reduced risk of older onset IBD. C1 [Allin, Kristine H.; Jess, Tine] Aalborg Univ, Ctr Mol Predict Inflammatory Bowel Dis PREDICT, Dept Clin Med, AC Meyers Vaenge 15, DK-2450 Copenhagen, Denmark. [Allin, Kristine H.; Jess, Tine] Aalborg Univ Hosp, Dept Gastroenterol & Hepatol, Aalborg, Denmark. [Jensen, Camilla B.; Jacobsen, Rikke K.] Capital Reg, Ctr Clin Res & Prevent, Bispebjerg & Frederiksberg Hosp, Copenhagen, Denmark. C3 Aalborg University; Aalborg University; Aalborg University Hospital; University of Copenhagen; Bispebjerg Hospital RP Allin, KH (通讯作者),Aalborg Univ, Ctr Mol Predict Inflammatory Bowel Dis PREDICT, Dept Clin Med, AC Meyers Vaenge 15, DK-2450 Copenhagen, Denmark.; Allin, KH (通讯作者),Aalborg Univ Hosp, Dept Gastroenterol & Hepatol, Aalborg, Denmark. EM allin@dcm.aau.dk OI Allin, Kristine Hojgaard/0000-0002-6880-5759 FU Novo Nordisk Foundation [NNF16OC0022586]; Danish National Research Foundation [DNRF148] FX This work was supported by The Novo Nordisk Foundation [grant number NNF16OC0022586] and The Danish National Research Foundation [Grant no. DNRF148]. These had no role in the study design or in the collection, analysis, and interpretation of data. 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Gastroenterol. PD OCT PY 2022 VL 57 IS 10 BP 761 EP 769 DI 10.1007/s00535-022-01896-2 EA JUL 2022 PG 9 WC Gastroenterology & Hepatology WE Science Citation Index Expanded (SCI-EXPANDED) SC Gastroenterology & Hepatology GA 4Z0XQ UT WOS:000819879300001 PM 35780256 DA 2023-06-08 ER PT J AU Manaer, T Yu, L Nabi, XH Dilidaxi, D Liu, L Sailike, J AF Manaer, Tabusi Yu, Lan Nabi, Xin-Hua Dilidaxi, Dinareer Liu, Lu Sailike, Jialehasibieke TI The beneficial effects of the composite probiotics from camel milk on glucose and lipid metabolism, liver and renal function and gut microbiota in db/db mice SO BMC COMPLEMENTARY MEDICINE AND THERAPIES LA English DT Article DE Composite probiotics camel milk; db; db mice; Gut microbiota; TFCW; TG ID FERMENTED CHEESE WHEY; LACTOBACILLUS-CASEI; RISK-FACTORS; OBESITY; UYGUR; PREVALENCE; MICROFLORA; KAZAKH; HAN AB Background Probiotics may have beneficial effects on patients with type 2 diabetes mellitus (T2DM). We separated 4 lactobacillus and 1 saccharomycetes from traditional fermented cheese whey (TFCW) and prepared composite probiotics from camel milk (CPCM) and investigated their effects on glucose and lipid metabolism, liver and renal function and gut microbiota in db/db mice. Methods CPCM was prepared in the laboratory and 40 db/db mice were randomly divided into 4 groups as metformin, low-dose and high-dose group and model group, and treated for 6 weeks. In addition, 10 C57BL/Ks mice as normal control group were used for comparison. Fasting blood glucose (FBG), body weight (BW), oral glucose tolerance test (OGTT), glycated hemoglobin (HbAlc), C-peptide (CP), triglycerides (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C), 24 h urinary microalbumin (24 h malb), urine ketone, urine sugar, pancreas and liver tissue and intestinal flora were tested. Results Compared to diabetic group, high dose CPCM significantly decreased FBG, OGTT, HbAlc and IRI, plasma TC, TG, LDL-C, 24 h malb, urine ketone and urine sugar, increased CP, HDL-C levels, improved the liver and kidney function, protected the function of islets, also increased intestinal tract lactic acid bacteria and Bifidobacterium, decreased Escherichia in db/db mice. Conclusion CPCM decreased FBG, OGTT and HbAlc, increased CP, modulated lipid metabolism and improved liver and kidney protected injury in db/db mice, which may be related to various probiotics acting through protecting the function of islets and regulating intestinal flora disturbance. C1 [Manaer, Tabusi; Yu, Lan; Nabi, Xin-Hua; Dilidaxi, Dinareer; Liu, Lu; Sailike, Jialehasibieke] Xinjiang Med Univ, Coll Pharmaceut Sci, Urumqi 830011, Peoples R China. [Manaer, Tabusi] Xinjiang Uygur Autonomous Reg Inst Drug Control, Urumqi 830054, Peoples R China. [Yu, Lan] Xinjiang Med Univ, Affiliated Hosp 1, Urumqi 830011, Peoples R China. C3 Xinjiang Medical University; Xinjiang Medical University RP Nabi, XH (通讯作者),Xinjiang Med Univ, Coll Pharmaceut Sci, Urumqi 830011, Peoples R China. EM xinhuanabi@126.com OI xinhua, nabi/0000-0001-9191-6839 FU Key Laboratory of Active Components of Xinjiang Natural Medicine and Drug Release Technology [XJDX1713]; National Natural Science Foundation of China [81160344] FX This research was funded by Key Laboratory of Active Components of Xinjiang Natural Medicine and Drug Release Technology (No. XJDX1713) and National Natural Science Foundation of China (No. 81160344). The funder had no role in the design of the study and collection, analysis, and interpretation of data, and in writing of the manuscript. 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Med. Ther. PD APR 22 PY 2021 VL 21 IS 1 AR 127 DI 10.1186/s12906-021-03303-4 PG 13 WC Integrative & Complementary Medicine WE Science Citation Index Expanded (SCI-EXPANDED) SC Integrative & Complementary Medicine GA RS9EK UT WOS:000644073900001 PM 33888105 OA Green Published, gold DA 2023-06-08 ER PT J AU Zhang, X Zhao, YF Xu, J Xue, ZS Zhang, MH Pang, XY Zhang, XJ Zhao, LP AF Zhang, Xu Zhao, Yufeng Xu, Jia Xue, Zhengsheng Zhang, Menghui Pang, Xiaoyan Zhang, Xiaojun Zhao, Liping TI Modulation of gut microbiota by berberine and metformin during the treatment of high-fat diet-induced obesity in rats SO SCIENTIFIC REPORTS LA English DT Article ID ACTIVATED PROTEIN-KINASE; 16S RIBOSOMAL-RNA; CARDIOVASCULAR-DISEASE; METABOLIC SYNDROME; RISK-FACTORS; WEIGHT-LOSS; MICE; PHARMACOKINETICS; CHROMATOGRAPHY; INFLAMMATION AB Accumulating evidence suggests that the gut microbiota is an important factor in mediating the development of obesity-related metabolic disorders, including type 2 diabetes. Metformin and berberine, two clinically effective drugs for treating diabetes, have recently been shown to exert their actions through modulating the gut microbiota. In this study, we demonstrated that metformin and berberine similarly shifted the overall structure of the gut microbiota in rats. Both drugs showed reverting effects on the high-fat diet-induced structural changes of gut microbiota. The diversity of gut microbiota was significantly reduced by both berberine-and metformin-treatments. Nearest shrunken centroids analysis identified 134 operational taxonomic units (OTUs) responding to the treatments, which showed close associations with the changes of obese phenotypes. Sixty out of the 134 OTUs were decreased by both drugs, while those belonging to putative short-chain fatty acids (SCFA)-producing bacteria, including Allobaculum, Bacteriodes, Blautia, Butyricoccus, and Phascolarctobacterium, were markedly increased by both berberine and, to a lesser extent, metformin. Taken together, our findings suggest that berberine and metformin showed similarity in modulating the gut microbiota, including the enrichment of SCFA-producing bacteria and reduction of microbial diversity, which may contribute to their beneficial effects to the host. C1 [Zhang, Xu; Xu, Jia; Xue, Zhengsheng; Zhang, Menghui; Pang, Xiaoyan; Zhang, Xiaojun; Zhao, Liping] Shanghai Jiao Tong Univ, State Key Lab Microbial Metab, Shanghai 200240, Peoples R China. [Zhang, Xu; Xu, Jia; Xue, Zhengsheng; Zhang, Menghui; Pang, Xiaoyan; Zhang, Xiaojun; Zhao, Liping] Shanghai Jiao Tong Univ, Sch Life Sci & Biotechnol, Shanghai 200240, Peoples R China. [Zhao, Yufeng; Zhao, Liping] Shanghai Jiao Tong Univ, Shanghai Ctr Syst Biomed, Shanghai 200240, Peoples R China. C3 Shanghai Jiao Tong University; Shanghai Jiao Tong University; Shanghai Jiao Tong University RP Zhao, LP (通讯作者),Shanghai Jiao Tong Univ, State Key Lab Microbial Metab, Shanghai 200240, Peoples R China. EM lpzhao@sjtu.edu.cn RI Xu, Jia/GSD-6115-2022; Zhang, Xiaojun/E-9521-2016; zhang, menghui/Q-3752-2016 OI Xu, Jia/0000-0002-3341-7668; Zhang, Xiaojun/0000-0002-4559-0177; Zhang, Xu/0000-0003-2406-9478 FU National Natural Science Foundation of China (NSFC) [81273720, 31121064]; key project of NSFC [31330005, 30730005]; National Science and Technology Major Project of China [2012ZX10005001-009] FX This study was supported by the National Natural Science Foundation of China (NSFC) (No. 81273720 and No. 31121064), the key project of NSFC (No. 31330005 and No. 30730005), and the National Science and Technology Major Project of China (2012ZX10005001-009). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. 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Ailanen, Liisa Pietila, Sami Laiho, Asta Hanninen, Arno Pursiheimo, Juha-Pekka Munukka, Eveliina Rintala, Anniina Savontaus, Eriika Pesonen, Ullamari Koulu, Markku TI Neuropeptide Y Overexpressing Female and Male Mice Show Divergent Metabolic but Not Gut Microbial Responses to Prenatal Metformin Exposure SO PLOS ONE LA English DT Article ID IMPAIRED GLUCOSE-TOLERANCE; DIABETES-MELLITUS; SIGNAL PEPTIDE; FOLLOW-UP; HYPOTHALAMIC REGULATION; NORADRENERGIC NEURONS; PREPRONEUROPEPTIDE-Y; BODY-COMPOSITION; INDUCED OBESITY; ADIPOSE-TISSUE AB Background Prenatal metformin exposure has been shown to improve the metabolic outcome in the offspring of high fat diet fed dams. However, if this is evident also in a genetic model of obesity and whether gut microbiota has a role, is not known. Methods The metabolic effects of prenatal metformin exposure were investigated in a genetic model of obesity, mice overexpressing neuropeptide Y in the sympathetic nervous system and in brain noradrenergic neurons (OE-NPYD beta H). Metformin was given for 18 days to the mated female mice. Body weight, body composition, glucose tolerance and serum parameters of the offspring were investigated on regular diet from weaning and sequentially on western diet (at the age of 5-7 months). Gut microbiota composition was analysed by 16S rRNA sequencing at 10-11 weeks. Results In the male offspring, metformin exposure inhibited weight gain. Moreover, weight of white fat depots and serum insulin and lipids tended to be lower at 7 months. In contrast, in the female offspring, metformin exposure impaired glucose tolerance at 3 months, and subsequently increased body weight gain, fat mass and serum cholesterol. In the gut microbiota, a decline in Erysipelotrichaceae and Odoribacter was detected in the metformin exposed offspring. Furthermore, the abundance of Sutterella tended to be decreased and Parabacteroides increased. Gut microbiota composition of the metformin exposed male offspring correlated to their metabolic phenotype. Conclusion Prenatal metformin exposure caused divergent metabolic phenotypes in the female and male offspring. Nevertheless, gut microbiota of metformin exposed offspring was similarly modified in both genders. C1 [Salomaki-Myftari, Henriikka; Vahatalo, Laura H.; Ailanen, Liisa; Savontaus, Eriika; Pesonen, Ullamari; Koulu, Markku] Univ Turku, Dept Pharmacol Drug Dev & Therapeut, Inst Biomed, Turku, Finland. [Salomaki-Myftari, Henriikka; Vahatalo, Laura H.; Ailanen, Liisa] Univ Turku, DRDP, Turku, Finland. [Pietila, Sami; Laiho, Asta] Univ Turku, Turku Ctr Biotechnol, Bioinformat Unit, Turku, Finland. [Pietila, Sami; Laiho, Asta] Abo Akad Univ, Turku, Finland. [Hanninen, Arno; Munukka, Eveliina; Rintala, Anniina] Univ Turku, Dept Med Microbiol & Immunol, Inst Biomed, Turku, Finland. [Pursiheimo, Juha-Pekka] Univ Turku, Inst Biomed, Turku Clin Sequencing Lab, Turku, Finland. C3 University of Turku; University of Turku; University of Turku; Abo Akademi University; University of Turku; University of Turku RP Koulu, M (通讯作者),Univ Turku, Dept Pharmacol Drug Dev & Therapeut, Inst Biomed, Turku, Finland. EM markku.koulu@utu.fi RI Munukka, Eveliina/GQP-6540-2022 OI Pesonen, Ullamari/0000-0002-9962-212X; Savontaus, Eriika/0000-0003-3421-0367; Keskitalo, Anniina/0000-0002-3342-4358; Hanninen, Arno/0000-0002-0316-4508 FU Academy of Finland [134131]; Drug Research Doctoral Programme (DRDP); Orion Research Foundation; Academy of Finland (AKA) [134131] Funding Source: Academy of Finland (AKA) FX This study was supported by the Academy of Finland (http://www.aka.fi/en; grant 134131 to MK), Drug Research Doctoral Programme (DRDP, http://www.utu.fi/en/units/med/studying/postgrad/doctoral/doctoralprogra mmes/drdp; grant to HSM) and Orion Research Foundation (http://www.orion.fi/en/; grant to HSM). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. 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PY 2020 VL 60 BP 417 EP 435 DI 10.1146/annurev-pharmtox-010919-023612 PG 19 WC Pharmacology & Pharmacy; Toxicology WE Book Citation Index– Science (BKCI-S); Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy; Toxicology GA BO2PU UT WOS:000507470800022 PM 31386593 DA 2023-06-08 ER PT J AU Brandt, A Hernandez-Arriaga, A Kehm, R Sanchez, V Jin, CJ Nier, A Baumann, A Camarinha-Silva, A Bergheim, I AF Brandt, Annette Hernandez-Arriaga, Angelica Kehm, Richard Sanchez, Victor Jin, Cheng Jun Nier, Anika Baumann, Anja Camarinha-Silva, Amelia Bergheim, Ina TI Metformin attenuates the onset of non-alcoholic fatty liver disease and affects intestinal microbiota and barrier in small intestine SO SCIENTIFIC REPORTS LA English DT Article ID INSULIN-RESISTANCE; HEPATIC STEATOSIS; MICE; STEATOHEPATITIS; PROTECTS; SUPPLEMENTATION; COMMUNITIES AB The antidiabetic drug metformin has been proposed to affect non-alcoholic fatty liver disease (NAFLD) through its effects on intestinal microbiota and barrier function. However, so far most studies focused on long-term effects and more progressed disease stages. The aim of this study was to assess in two experimental settings, if the onset of NAFLD is associated with changes of intestinal microbiota and barrier function and to determine effects of metformin herein. C57BL/6J mice were fed a liquid control diet (C) or fat-, fructose- and cholesterol-rich diet (FFC) for four days or six weeks +/- 300 mg/kg BW/day metformin (Met). Markers of liver health, intestinal barrier function and microbiota composition were assessed. Metformin treatment markedly attenuated FFC-induced NAFLD in both experiments with markers of inflammation and lipidperoxidation in livers of FFC + Met-fed mice being almost at the level of controls. Metformin treatment attenuated the loss of tight junction proteins in small intestine and the increase of bacterial endotoxin levels in portal plasma. Changes of intestinal microbiota found in FFC-fed mice were also significantly blunted in FFC + Met-fed mice. Taken together, protective effects of metformin on the onset of NAFLD are associated with changes of intestinal microbiota composition and lower translocation of bacterial endotoxins. C1 [Brandt, Annette; Sanchez, Victor; Nier, Anika; Baumann, Anja; Bergheim, Ina] Univ Vienna, Dept Nutr Sci, RF Mol Nutr Sci, A-1090 Vienna, Austria. [Hernandez-Arriaga, Angelica; Camarinha-Silva, Amelia] Univ Hohenheim, Inst Anim Sci, D-70599 Stuttgart, Germany. [Kehm, Richard; Jin, Cheng Jun] Friedrich Schiller Univ Jena, Inst Nutr, SD Model Syst Mol Nutr, D-07743 Jena, Germany. [Kehm, Richard] German Inst Human Nutr Potsdam Rehbruecke DIfE, Dept Mol Toxicol, D-14558 Nuthetal, Germany. C3 University of Vienna; University Hohenheim; Friedrich Schiller University of Jena; Deutsches Institut fur Ernahrungsforschung Potsdam-Rehbrucke (DIfE) RP Bergheim, I (通讯作者),Univ Vienna, Dept Nutr Sci, RF Mol Nutr Sci, A-1090 Vienna, Austria. EM ina.bergheim@univie.ac.at RI Brandt, Annette/HNC-3045-2023 OI Kehm, Richard/0000-0002-2993-4291; Camarinha Silva, Amelia/0000-0001-7814-6569; Hernandez-Arriaga, Angelica/0000-0002-9980-4695; Nier, Anika/0000-0003-3772-2261 FU Federal Ministry of Education and Research [FKZ: 01KU1214A]; state of Baden-Wurttemberg through bw-HPC; University of Vienna FX The present work was funded by a grant from Federal Ministry of Education and Research (FKZ: 01KU1214A to I.B.). A.C.S. acknowledge the support by the state of Baden-Wurttemberg through bw-HPC. We would like to thank Iweta Metzger for assistance during analyzing microbiota data. Open access funding provided by University of Vienna. 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Shuck, Sarah C. Yang, Li Huang, Wendong TI Intestinal AMPK modulation of microbiota mediates crosstalk with brown fat to control thermogenesis SO NATURE COMMUNICATIONS LA English DT Article ID ACTIVATED PROTEIN-KINASE; GUT MICROBIOME; ADIPOSE-TISSUE; INSULIN-RESISTANCE; METFORMIN ALTERS; GLUCOSE; METHYLGLYOXAL; HOMEOSTASIS; OBESITY; METAGENOME AB The energy-dissipating capacity of brown adipose tissue through thermogenesis can be targeted to improve energy balance. Mammalian 5 '-AMP-activated protein kinase, a key nutrient sensor for maintaining cellular energy status, is a known therapeutic target in Type II diabetes. Despite its well-established roles in regulating glucose metabolism in various tissues, the functions of AMPK in the intestine remain largely unexplored. Here we show that AMPK alpha 1 deficiency in the intestine results in weight gain and impaired glucose tolerance under high fat diet feeding, while metformin administration fails to ameliorate these metabolic disorders in intestinal AMPK alpha 1 knockout mice. Further, AMPK alpha 1 in the intestine communicates with brown adipose tissue to promote thermogenesis. Mechanistically, we uncover a link between intestinal AMPK alpha 1 activation and BAT thermogenic regulation through modulating anti-microbial peptide-controlled gut microbiota and the metabolites. Our findings identify AMPK alpha 1-mediated mechanisms of intestine-BAT communication that may partially underlie the therapeutic effects of metformin. Mammalian 5 '-AMP-activated protein kinase (AMPK) is a nutrient sensor and a therapeutic target for Type 2 Diabetes. Here the authors report that intestinal AMPK modulates brown adipose tissue thermogenesis through anti-microbial peptide controlled gut microbiota and may partially underlie the anti-diabetic effects of metformin. C1 [Zhang, Eryun; Zheng, Ruirong; Ding, Lili; Wang, Zhengtao; Yang, Li] Shanghai Univ Tradit Chinese Med, Inst Chinese Mat Med, Shanghai Key Lab Compound Chinese Med, Shanghai, Peoples R China. [Zhang, Eryun; Zheng, Ruirong; Ding, Lili; Wang, Zhengtao; Yang, Li] Shanghai Univ Tradit Chinese Med, Inst Chinese Mat Med, Minist Educ MOE Key Lab Standardizat Chinese Med, Shanghai, Peoples R China. [Zhang, Eryun; Jin, Lihua; Wang, Yangmeng; Tu, Jui; Ding, Lili; Fang, Zhipeng; Fan, Mingjie; Natarajan, Rama; Ma, Ke; Riggs, Arthur D.; Huang, Wendong] City Hope Natl Med Ctr, Beckman Res Inst, Dept Diabet Complicat & Metab, Arthur Riggs Diabet & Metab Res Inst, Duarte, CA 91010 USA. [Tu, Jui; Huang, Wendong] City Hope Natl Med Ctr, Irell & Manella Grad Sch Biol Sci, 1500 E Duarte Rd, Duarte, CA 91010 USA. [Al-Abdullah, Ismail] City Hope Natl Med Ctr, Arthur Riggs Diabet & Metab Res Inst, Beckman Res Inst, Dept Translat Res & Cellular Therapeut, Duarte, CA 91010 USA. [Shuck, Sarah C.] City Hope Natl Med Ctr, Arthur Riggs Diabet & Metab Res Inst, Beckman Res Inst, Dept Diabet & Canc Metab, Duarte, CA 91010 USA. C3 Shanghai University of Traditional Chinese Medicine; Shanghai University of Traditional Chinese Medicine; City of Hope; Beckman Research Institute of City of Hope; City of Hope; City of Hope; Beckman Research Institute of City of Hope; City of Hope; Beckman Research Institute of City of Hope RP Yang, L (通讯作者),Shanghai Univ Tradit Chinese Med, Inst Chinese Mat Med, Shanghai Key Lab Compound Chinese Med, Shanghai, Peoples R China.; Yang, L (通讯作者),Shanghai Univ Tradit Chinese Med, Inst Chinese Mat Med, Minist Educ MOE Key Lab Standardizat Chinese Med, Shanghai, Peoples R China.; Huang, WD (通讯作者),City Hope Natl Med Ctr, Beckman Res Inst, Dept Diabet Complicat & Metab, Arthur Riggs Diabet & Metab Res Inst, Duarte, CA 91010 USA.; Huang, WD (通讯作者),City Hope Natl Med Ctr, Irell & Manella Grad Sch Biol Sci, 1500 E Duarte Rd, Duarte, CA 91010 USA. EM yl7@shutcm.edu.cn; whuang@coh.org RI Wang, Zhengtao/AAH-7360-2019; Fan, Mingjie/GZM-9365-2022; Fang, Zhipeng/HMW-1650-2023 OI Wang, Zhengtao/0000-0003-2797-4625; Zhang, Eryun/0000-0003-3862-3839; Natarajan, Rama/0000-0003-4494-1788; Fang, Zhipeng/0000-0001-5720-1709 FU George & Irina Schaeffer Foundation; John C. Hench Foundation; COH-UCR Biomedical Research Initiative; AR-DMRI Pilot Grant; Caltech-COH Biomedical Research Initiative; National Institutes of Health [R01CA139158, R01DK124627, COH P30CA33572]; National Natural Science Foundation of China [81573581, 8192010803] FX We thank Dr. Fouad Kandeel, Dr. Debbie Thurmond, Dr. Sarah Highlander, and Dr. Qiong (Annabel) Wang for their helpful discussions. We particularly thank Dr. Kerin Higa for reviewing and editing the manuscript. This study was supported in part by the George & Irina Schaeffer Foundation, the John C. Hench Foundation, COH-UCR Biomedical Research Initiative, AR-DMRI Pilot Grant, Caltech-COH Biomedical Research Initiative, the National Institutes of Health (grants R01CA139158 and R01DK124627 to W.H. and COH P30CA33572), the National Natural Science Foundation of China (grants 81573581 to L.Y. and 8192010803 to Z.W.). 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Commun. PD MAR 3 PY 2022 VL 13 IS 1 AR 1135 DI 10.1038/s41467-022-28743-5 PG 10 WC Multidisciplinary Sciences WE Science Citation Index Expanded (SCI-EXPANDED) SC Science & Technology - Other Topics GA ZM3JM UT WOS:000764258100006 PM 35241650 OA Green Published, Green Submitted, gold DA 2023-06-08 ER PT J AU Hiel, S Gianfrancesco, MA Rodriguez, J Portheault, D Leyrolle, Q Bindels, LB Cauduro, CGD Mulders, MDGH Zamariola, G Azzi, AS Kalala, G Pachikian, BD Amadieu, C Neyrinck, AM Loumaye, A Cani, PD Lanthier, N Trefois, P Klein, O Luminet, O Bindelle, J Paquot, N Cnop, M Thissen, JP Delzenne, NM AF Hiel, Sophie Gianfrancesco, Marco A. Rodriguez, Julie Portheault, Daphnee Leyrolle, Quentin Bindels, Laure B. Cauduro, Carolina Gomes da Silveira Mulders, Maria D. G. H. Zamariola, Giorgia Azzi, Anne-Sophie Kalala, Gaetan Pachikian, Barbara D. Amadieu, Camille Neyrinck, Audrey M. Loumaye, Audrey Cani, Patrice D. Lanthier, Nicolas Trefois, Pierre Klein, Olivier Luminet, Olivier Bindelle, Jerome Paquot, Nicolas Cnop, Miriam Thissen, Jean-Paul Delzenne, Nathalie M. TI Link between gut microbiota and health outcomes in inulin -treated obese patients: Lessons from the Food4Gut multicenter randomized placebo-controlled trial SO CLINICAL NUTRITION LA English DT Article DE Microbiota; Prebiotics; Obesity; Metformin; Inulin ID DOUBLE-BLIND; WEIGHT-LOSS; OLIGOFRUCTOSE; SUPPLEMENTATION; QUESTIONNAIRE; OVERWEIGHT; BEHAVIOR; ADULTS; DIET AB Background: The gut microbiota is altered in obesity and is strongly influenced by nutrients and xenobiotics. We have tested the impact of native inulin as prebiotic present in vegetables and added as a supplement on gut microbiota-related outcomes in obese patients. Metformin treatment was analyzed as a potential modulator of the response. Methods: A randomized, single-blinded, multicentric, placebo-controlled trial was conducted in 150 obese patients who received 16 g/d native inulin versus maltodextrin, coupled to dietary advice to consume inulin-rich versus-poor vegetables for 3 months, respectively, in addition to dietary caloric restriction. Anthropometry, diagnostic imaging (abdominal CT-scan, fibroscan), food-behavior questionnaires, serum biology and fecal microbiome (primary outcome; 16S rDNA sequencing) were analyzed before and after the intervention. Results: Both placebo and prebiotic interventions lowered energy intake, BMI, systolic blood pressure, and serum gamma-GT. The prebiotic induced greater weight loss and additionally decreased diastolic blood pressure, AST and insulinemia. Metformin treatment compromised most of the gut microbiota changes and metabolic improvements linked to prebiotic intervention. The prebiotic modulated specific bacteria, associated with the improvement of anthropometry (i.e. a decrease in Desulfovibrio and Clostridium sensu stricto). A large increase in Bifidobacterium appears as a signature of inulin intake rather than a driver of prebiotic-linked biological outcomes. Conclusions: Inulin-enriched diet is able to promote weight loss in obese patients, the treatment efficiency being related to gut microbiota characteristics. This treatment is more efficacious in patients who did not receive metformin as anti-diabetic drugs prior the intervention, supporting that both drug treatment and microbiota might be takYen into account in personalized nutrition interventions. (C) 2020 The Authors. Published by Elsevier Ltd. C1 [Hiel, Sophie; Rodriguez, Julie; Leyrolle, Quentin; Bindels, Laure B.; Amadieu, Camille; Neyrinck, Audrey M.; Cani, Patrice D.; Delzenne, Nathalie M.] Catholic Univ Louvain, Louvain Drug Res Inst, Metab & Nutr Res Grp, UCLouvain, Ave E Mounier Box B1-73-11, B-1200 Brussels, Belgium. [Gianfrancesco, Marco A.; Paquot, Nicolas] Univ Liege, Lab Diabetol Nutr & Metab Dis, Liege, Belgium. [Portheault, Daphnee; Cauduro, Carolina Gomes da Silveira; Cnop, Miriam] Univ Libre Bruxelles, ULB Ctr Diabet Res, Brussels, Belgium. [Mulders, Maria D. G. H.; Klein, Olivier] Univ Libre Bruxelles, Ctr Social & Cultural Psychol, Brussels, Belgium. [Zamariola, Giorgia; Luminet, Olivier] Catholic Univ Louvain, Res Inst Psychol Sci, UCLouvain, Louvain La Neuve, Belgium. [Azzi, Anne-Sophie; Cnop, Miriam] Univ Libre Bruxelles, Erasmus Hosp, Div Endocrinol, Brussels, Belgium. [Kalala, Gaetan; Bindelle, Jerome] Univ Liege, Gembloux Agrobio Tech, Gembloux, Belgium. [Pachikian, Barbara D.] Catholic Univ Louvain, Ctr Invest Clin Nutr, Louvain La Neuve, Belgium. [Loumaye, Audrey; Thissen, Jean-Paul] Catholic Univ Louvain, UCLouvain, Inst Rech Expt & Clin, Pole Endocrinol Diabet & Nutr, Brussels, Belgium. [Cani, Patrice D.] Catholic Univ Louvain, UCLouvain, WELBIO Walloon Excellence Life Sci & BIOtechnol, Brussels, Belgium. [Lanthier, Nicolas] Catholic Univ Louvain, UCLouvain, Inst Rech Expt & Clin, Lab Hepatogastroenterol, Brussels, Belgium. [Trefois, Pierre] Clin Univ St Luc, Dept Med Imaging, Brussels, Belgium. C3 Universite Catholique Louvain; University of Liege; Universite Libre de Bruxelles; Universite Libre de Bruxelles; Universite Catholique Louvain; Universite Libre de Bruxelles; University of Liege; Universite Catholique Louvain; Universite Catholique Louvain; Universite Catholique Louvain; WELBIO; Universite Catholique Louvain; Universite Catholique Louvain; Cliniques Universitaires Saint-Luc RP Delzenne, NM (通讯作者),Catholic Univ Louvain, Louvain Drug Res Inst, Metab & Nutr Res Grp, UCLouvain, Ave E Mounier Box B1-73-11, B-1200 Brussels, Belgium. EM nathalie.delzenne@uclouvain.be RI Lanthier, Nicolas/AAT-2930-2021; Bindels, Laure/T-7846-2019; D., Cani Patrice/M-8055-2016; LEYROLLE, Quentin/GZG-7491-2022; Rodriguez, Julie/AAM-7813-2020; Gomes da Silveira Cauduro, Carolina/E-6853-2017 OI Lanthier, Nicolas/0000-0002-7651-9314; Bindels, Laure/0000-0003-3747-3234; D., Cani Patrice/0000-0003-2040-2448; Azzi, Anne-Sophie/0000-0001-8556-9236; Mulders, Maria/0000-0001-7012-5640; Rodriguez, Julie/0000-0002-8271-3893; Cnop, Miriam/0000-0002-5112-1692; Amadieu, Camille/0000-0003-3359-9315; Gomes da Silveira Cauduro, Carolina/0000-0001-7054-9910; Leyrolle, Quentin/0000-0002-0763-1433 FU Walloon competitive cluster [1318148]; Walloon competitive cluster (FOOD4GUT project) [1318148]; Wallonia (FiberTAG project from European Joint Programming Initiative "A Healthy Diet for a Healthy Life"); Belgium National Scientific Research Fund (FRS-FNRS, convention [PINT-MULTI R.8013.19, PDR T.0068.19]; UCLouvain (Action de Recherche Concertee) [ARC18-23/092]; FRS-FNRS; Excellence Of Science [WELBIO-CR-2017-C02, EOS 30770923]; Funds Baillet Latour Grant for Medical Research FX This study was funded by the Walloon competitive cluster (FOOD4GUT project, convention 1318148). NMD is a recipient of other grant from Wallonia (FiberTAG project from European Joint Programming Initiative "A Healthy Diet for a Healthy Life"), from Belgium National Scientific Research Fund (FRS-FNRS, convention PINT-MULTI R.8013.19 (NEURON, call 2019) and convention PDR T.0068.19) and from UCLouvain (Action de Recherche Concertee ARC18-23/092). OL is a Research Director from the FRS-FNRS. PDC is senior research associate from the FRS-FNRS and has grants (WELBIO-CR-2017-C02, The Excellence Of Science: EOS 30770923) and is a recipient of the Funds Baillet Latour Grant for Medical Research 2015. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. 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Nutr. PD DEC PY 2020 VL 39 IS 12 BP 3618 EP 3628 DI 10.1016/j.clnu.2020.04.005 PG 11 WC Nutrition & Dietetics WE Science Citation Index Expanded (SCI-EXPANDED) SC Nutrition & Dietetics GA PH6YQ UT WOS:000600555900007 PM 32340903 OA hybrid, Green Published DA 2023-06-08 ER PT J AU de la Cuesta-Zuluaga, J Mueller, NT Corrales-Agudelo, V Velasquez-Mejia, EP Carmona, JA Abad, JM Escobar, JS AF de la Cuesta-Zuluaga, Jacobo Mueller, Noel T. Corrales-Agudelo, Vanessa Velasquez-Mejia, Eliana P. Carmona, Jenny A. Abad, Jose M. Escobar, Juan S. TI Metformin Is Associated With Higher Relative Abundance of Mucin-Degrading Akkermansia muciniphila and Several Short-Chain Fatty Acid-Producing Microbiota in the Gut SO DIABETES CARE LA English DT Article ID DIET-INDUCED OBESITY; METABOLISM; METAGENOME; CROSSTALK; BUTYRATE; GLUCAGON; DIFFERS; GLUCOSE; ADULTS; DRUG AB OBJECTIVE Recent studies suggest the beneficial effects of metformin on glucose metabolism may be microbially mediated. We examined the association of type 2 diabetes, metformin, and gut microbiota in community-dwelling Colombian adults. On the basis of previous research, we hypothesized that metformin is associated with higher levels of short-chain fatty acid (SCFA)-producing and mucin-degrading microbiota. RESEARCH DESIGN AND METHODS Participants were selected from a larger cohort of 459 participants. The present analyses focus on the 28 participants diagnosed with diabetes-14 taking metformin- and the 84 participants without diabetes who were matched (3-to-1) to participants with diabetes by sex, age, and BMI. We measured demographic information, anthropometry, and blood biochemical parameters and collected fecal samples from which we performed 16S rRNA gene sequencing to analyze the composition and structure of the gut microbiota. RESULTS We found an association between diabetes and gut microbiota that was modified by metformin use. Compared with participants without diabetes, participants with diabetes taking metformin had higher relative abundance of Akkermansia muciniphila, a microbiota known for mucin degradation, and several gut microbiota known for production of SCFAs, including Butyrivibrio, Bifidobacterium bifidum, Megasphaera, and an operational taxonomic unit of Prevotella. In contrast, compared with participants without diabetes, participants with diabetes not taking metformin had higher relative abundance of Clostridiaceae 02d06 and a distinct operational taxonomic unit of Prevotella and a lower abundance of Enterococcus casseliflavus. CONCLUSIONS Our results support the hypothesis that metformin shifts gut microbiota composition through the enrichment of mucin-degrading A. muciniphila as well as several SCFA-producing microbiota. Future studies are needed to determine if these shifts mediate metformin's glycemic and anti-inflammatory properties. C1 [de la Cuesta-Zuluaga, Jacobo; Corrales-Agudelo, Vanessa; Velasquez-Mejia, Eliana P.; Escobar, Juan S.] Grp Empresarial Nutresa, Vidarium Nutr Hlth & Wellness Res Ctr, Medellin, Colombia. [Mueller, Noel T.] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA. [Carmona, Jenny A.] Dinam IPS Especialista Ayudas Diagnost, Medellin, Colombia. [Abad, Jose M.] EPS & Med Prepagada Suramer SA, Medellin, Colombia. C3 Johns Hopkins University; Johns Hopkins Bloomberg School of Public Health RP Escobar, JS (通讯作者),Grp Empresarial Nutresa, Vidarium Nutr Hlth & Wellness Res Ctr, Medellin, Colombia. EM jsescobar@serviciosnutresa.com RI Escobar, Juan S/F-7234-2013 OI Escobar, Juan S/0000-0001-7304-917X; de la Cuesta-Zuluaga, Juan Jacobo/0000-0002-7369-992X; Mueller, Noel/0000-0002-7412-8352 FU Grupo Empresarial Nutresa; EPS SURA; Dinamica I.P.S. FX This work was funded by Grupo Empresarial Nutresa, EPS SURA, and Dinamica I.P.S. 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Its mechanism of action is not fully understood, but activation of AMP-activated protein kinase (AMPK) and changes in the gut microbiota appear to be important. The inhibitory role of microbial metabolites on metformin action has not previously been investigated. Here, we show that concentrations of the microbial metabolite imidazole propionate are higher in subjects with type 2 diabetes taking metformin who have high blood glucose. We also show that metformin-induced glucose lowering is not observed in mice pretreated with imidazole propionate. Furthermore, we demonstrate that imidazole propionate inhibits AMPK activity by inducing inhibitory AMPK phosphorylation, which is dependent on imidazole propionate-induced basal Akt activation. Finally, we identify imidazole propionate-activated p38 gamma as a novel kinase for Akt and demonstrate that p38 gamma kinase activity mediates the inhibitory action of imidazole propionate on metformin. C1 [Koh, Ara] Sungkyunkwan Univ SKKU, Samsung Med Ctr, Sch Med, Samsung Biomed Res Inst,Dept Precis Med, Suwon 16419, South Korea. [Koh, Ara; Manneras-Holm, Louise; Molinaro, Antonio; Perkins, Rosie; Smith, J. Gustav; Backhed, Fredrik] Univ Gothenburg, Inst Med, Wallenberg Lab, Dept Mol & Clin Med, Gothenburg, Sweden. [Koh, Ara; Manneras-Holm, Louise; Molinaro, Antonio; Perkins, Rosie; Smith, J. Gustav; Backhed, Fredrik] Sahlgrens Univ Hosp, Gothenburg, Sweden. [Yunn, Na-Oh; Ryu, Sung Ho] Pohang Univ Sci & Technol, Dept Life Sci, Pohang, South Korea. [Nilsson, Peter M.] Lund Univ, Dept Internal Med, Clin Sci, Malmo, Sweden. [Smith, J. Gustav] Lund Univ, Dept Cardiol, Clin Sci, Lund, Sweden. [Smith, J. Gustav] Skane Univ Hosp, Lund, Sweden. [Smith, J. Gustav] Lund Univ, Wallenberg Ctr Mol Med, Lund, Sweden. [Smith, J. Gustav] Lund Univ, Diabet Ctr, Lund, Sweden. [Backhed, Fredrik] Univ Copenhagen, Fac Hlth Sci, Sect Metab Receptol & Enteroendocrinol, Novo Nordisk Fdn,Ctr Basic Metab Res, Copenhagen, Denmark. [Backhed, Fredrik] Sahlgrens Univ Hosp, Dept Clin Physiol, Reg Vastra Gotaland, Gothenburg, Sweden. C3 Sungkyunkwan University (SKKU); Samsung Medical Center; University of Gothenburg; Sahlgrenska University Hospital; Pohang University of Science & Technology (POSTECH); Lund University; Lund University; Lund University; Skane University Hospital; Lund University; Lund University; Novo Nordisk Foundation; University of Copenhagen; Sahlgrenska University Hospital RP Koh, A; Backhed, F (通讯作者),Univ Gothenburg, Inst Med, Wallenberg Lab, Dept Mol & Clin Med, Gothenburg, Sweden.; Koh, A; Backhed, F (通讯作者),Sahlgrens Univ Hosp, Gothenburg, Sweden.; Backhed, F (通讯作者),Univ Copenhagen, Fac Hlth Sci, Sect Metab Receptol & Enteroendocrinol, Novo Nordisk Fdn,Ctr Basic Metab Res, Copenhagen, Denmark.; Backhed, F (通讯作者),Sahlgrens Univ Hosp, Dept Clin Physiol, Reg Vastra Gotaland, Gothenburg, Sweden. EM arakoh@skku.edu; fredrik@wlab.gu.se RI Backhed, Fredrik/ABE-6613-2020 OI Backhed, Fredrik/0000-0002-4871-8818; Koh, Ara/0000-0001-7673-034X; Yunn, Na-Oh/0000-0002-0675-4183 FU Swedish Research Council [2013-07800, 2017-02554, 349-2006237, 2009-1039]; Novo Nordisk Foundation [NNF19OC0057271, NNF15OC0016798]; Leducq Foundation [17CVD01]; Swedish government [ALFGBG-718101]; county councils, the ALF agreement [ALFGBG-718101]; Swedish Heart-Lung Foundation [2016-0134, 2016-0315]; ERC (ERC-STG) [679242]; Skane University Hospital; Swedish National Health Service; Swedish Foundation for Strategic Research [IRC15-0067]; National Research Foundation of Korea (NRF) - Korean government (MSIT) [2020R1C1C1003241]; European Research Council (ERC) Consolidator Grant [615362] FX We thank Oskar Persson, Louise Hellden, and Manuela Kramer for technical assistance. We also thank Anna Hallen for producing the graphical abstract. This study was supported by the Swedish Research Council (2013-07800), the Novo Nordisk Foundation (NNF19OC0057271 and NNF15OC0016798), the Leducq Foundation (17CVD01), and grants from the Swedish state under the agreement between the Swedish government and the county councils, the ALF agreement (ALFGBG-718101). J.G.S. is supported by grants from the Swedish Heart-Lung Foundation (2016-0134 and 2016-0315), the Swedish Research Council (2017-025542017-02554), the ERC (ERC-STG-2015-679242), Skane University Hospital, governmental funding of clinical research within the Swedish National Health Service, a donation from the Knut and Alice Wallenberg Foundation to the Wallenberg Center for Molecular Medicine in Lund, and funding from the Swedish Research Council (Linnaeus grant Dnr 349-2006237, Strategic Research Area Exodiab Dnr 2009-1039) and Swedish Foundation for Strategic Research (Dnr IRC15-0067) to the Lund University Diabetes Center. This work is also supported by the National Research Foundation of Korea (NRF) grant funded by the Korean government (MSIT) (No. 2020R1C1C1003241 to A.K.). F.B. is a recipient of a European Research Council (ERC) Consolidator Grant (615362; METABASE) and is a Wallenberg Scholar and Torsten Soderberg Professor in Medicine. 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PD OCT 6 PY 2020 VL 32 IS 4 BP 643 EP + DI 10.1016/j.cmet.2020.07.012 PG 15 WC Cell Biology; Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Cell Biology; Endocrinology & Metabolism GA OH1IK UT WOS:000582325100015 PM 32783890 OA hybrid, Green Published DA 2023-06-08 ER PT J AU Al Kattar, S Jurjus, R Pinon, A Leger, DY Jurjus, A Boukarim, C Diab-Assaf, M Liagre, B AF Al Kattar, Sahar Jurjus, Rosalyn Pinon, Aline Leger, David Yannick Jurjus, Abdo Boukarim, Chawki Diab-Assaf, Mona Liagre, Bertrand TI Metformin and Probiotics in the Crosstalk between Colitis-Associated Colorectal Cancer and Diabetes in Mice SO CANCERS LA English DT Article DE colorectal cancer; microbiota; inflammation; diabetes; oxidative stress; probiotics ID INFLAMMATORY-BOWEL-DISEASE; NF-KAPPA-B; GUT MICROBIOTA; COLON-CANCER; TNF-ALPHA; MODEL; MELLITUS; SUPPLEMENTATION; INHIBITION; MECHANISMS AB The co-occurrence of colorectal cancer (CRC) and diabetes mellitus along with inflammation and dismicrobism has been frequently reported. Several studies shed light on the antioncogenic potential of metformin on colorectal carcinogenesis. This study aimed to demonstrate that metformin in association with probiotics acts in a synergic effect in breaking the crosstalk, thus inhibiting CRC progression, improving diabetes, and reducing inflammation. Ninety-six male Balb/c mice, 6-8 weeks old, were divided into 16 control and experimental groups to assess the effect of the different treatments and combinations at the clinical, histological, and molecular levels. Metformin and probiotics showed beneficial outcomes on CRC and diabetes, alone and most importantly in combination. Their effects were exerted by inhibiting the inflammatory process whereby a downregulation of IL-6 and TNF-alpha as well as oxidative stress were depicted. The characterization of the effects of probiotics and metformin on CRC and diabetes sheds light on the role of inflammation and microbiota in this crosstalk. Deciphering the downstream signaling pathways elicited by these compounds will help in developing new effective targeted treatment modalities. C1 [Al Kattar, Sahar; Pinon, Aline; Leger, David Yannick; Liagre, Bertrand] Univ Limoges, Fac Pharm, Lab PEIRENE EA 7500, 2 Rue Docteur Raymond Marcland, F-87025 Limoges, France. [Al Kattar, Sahar; Diab-Assaf, Mona] Lebanese Univ, Doctoral Sch Sci & Technol, Hadath 99000, Lebanon. [Al Kattar, Sahar; Jurjus, Rosalyn; Jurjus, Abdo] Amer Univ Beirut, Dept Anat Cell Biol & Physiol, Beirut 11072020, Lebanon. [Boukarim, Chawki] Lebanese Univ, Fac Sci 3, Dept Chem, Mt Michel Ras Maska 826, El Koura, Lebanon. C3 Universite de Limoges; American University of Beirut RP Liagre, B (通讯作者),Univ Limoges, Fac Pharm, Lab PEIRENE EA 7500, 2 Rue Docteur Raymond Marcland, F-87025 Limoges, France.; Jurjus, A (通讯作者),Amer Univ Beirut, Dept Anat Cell Biol & Physiol, Beirut 11072020, Lebanon. EM sahar_kattar@hotmail.com; rj58@aub.edu.lb; aline.pinon@unilim.fr; david.leger@unilim.fr; aj00@aub.edu.lb; cboukarim@ul.edu.lb; mdiabassaf@ul.edu.lb; bertrand.liagre@unilim.fr RI Liagre, Bertrand/G-2979-2013 OI Pinon, Aline/0000-0002-3123-7495; Liagre, Bertrand/0000-0003-4148-2598 FU Ministere de l'Enseignement Superieur, de la Recherche et de l'Innovation through the European Fund of Regional Development FEDER 2014-2020; Conseil Regional Nouvelle Aquitaine; Ligue contre le Cancer; American University of Beirut, Seed grant FX The expenses of this work were defrayed in part by the Ministere de l'Enseignement Superieur, de la Recherche et de l'Innovation through the European Fund of Regional Development FEDER 2014-2020, by the Conseil Regional Nouvelle Aquitaine, and by the Ligue contre le Cancer; and by the American University of Beirut, Seed grant. 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2023-06-08 ER PT J AU Reimer, RA Grover, GJ Koetzner, L Gahler, RJ Lyon, MR Wood, S AF Reimer, Raylene A. Grover, Gary J. Koetzner, Lee Gahler, Roland J. Lyon, Michael R. Wood, Simon TI Combining sitagliptin/metformin with a functional fiber delays diabetes progression in Zucker rats SO JOURNAL OF ENDOCRINOLOGY LA English DT Article DE PolyGlycopleX; DPP4 inhibitor; obesity; diabetes medication; glycemia ID DIPEPTIDYL PEPTIDASE-4 INHIBITOR; GLUCAGON-LIKE PEPTIDE-1; GLYCEMIC CONTROL; GUT MICROBIOTA; PREBIOTIC FIBER; SATIETY HORMONE; BODY-WEIGHT; METFORMIN; EFFICACY; OBESITY AB Our primary objective was to determine whether administering the viscous and fermentable polysaccharide PolyGlycopleX (PGX) with metformin (MET) or sitagliptin/metformin (S/MET) reduces hyperglycemia in Zucker diabetic fatty (ZDF) rats more so than monotherapy of each. Glucose tolerance, adiposity, satiety hormones and mechanisms related to dipeptidyl peptidase 4 activity, gut microbiota and, hepatic and pancreatic histology were examined. Male ZDF rats (9-10 weeks of age) were randomized to: i) cellulose/vehicle (control, C); ii) PGX (5% wt/wt)/vehicle (PGX); iii) cellulose/metformin (200 mg/kg) (MET); iv) cellulose/ S/MET (10 mg/kg + 200 mg/kg) (S/MET); v) PGX (5%) CMET (200 mg/kg) (PGX + MET); vi) cellulose/sitagliptin/MET (5%) + (10 mg/kg + 200 mg/kg) (PGX + S/MET) for 6 weeks. PGX + MET and PGX + S/MET reduced glycemia compared with C and singular treatments (P=0.001). Weekly fasted and fed blood glucose levels were lower in PGX + MET and PGXCS/MET compared with all other groups at weeks 4, 5, and 6 (P=0.001). HbA1c was lower in PGX + S/MET than C, MET, S/MET, and PGX at week 6 (P=0.001). Fat mass was lower and GLP1 was higher in PGX + S/MET compared with all other groups (P=0.001). beta-cell mass was highest and islet degeneration lowest in PGX + S/MET. Hepatic lipidosis was significantly lower in PGX + S/MET compared with PGX or S/MET alone. When combined with PGX, both MET and S/MET markedly reduce glycemia; however, PGX + S/MET appears advantageous over PGX + MET in terms of increased b-cell mass and reduced adiposity. Both combination treatments attenuated diabetes in the obese Zucker rat. C1 [Reimer, Raylene A.] Univ Calgary, Fac Kinesiol, Calgary, AB T2N 1N4, Canada. [Reimer, Raylene A.] Univ Calgary, Fac Med, Dept Biochem & Mol Biol, Calgary, AB T2N 1N4, Canada. [Grover, Gary J.; Koetzner, Lee] Dept Pharmacol, Prod Safety Labs, Dayton, NJ USA. [Grover, Gary J.] Univ Med & Dent New Jersey, Robert Wood Johnson Med Sch, Dept Physiol & Biophys, Piscataway, NJ 08854 USA. [Gahler, Roland J.; Wood, Simon] Factors Grp Nutr Companies Inc R&D, Burnaby, BC, Canada. [Lyon, Michael R.] Canadian Ctr Funct Med, Coquitlam, BC, Canada. [Lyon, Michael R.; Wood, Simon] Univ British Columbia, Food Nutr & Hlth Program, Vancouver, BC V5Z 1M9, Canada. C3 University of Calgary; University of Calgary; Rutgers State University New Brunswick; Rutgers State University Medical Center; University of British Columbia RP Reimer, RA (通讯作者),Univ Calgary, Fac Kinesiol, 2500 Univ Dr NW, Calgary, AB T2N 1N4, Canada. EM reimer@ucalgary.ca OI Koetzner, Lee/0000-0002-1208-6046; Reimer, Raylene/0000-0001-5088-7947 FU InovoBiologic, Inc., Calgary, Canada FX This project was funded by InovoBiologic, Inc., Calgary, Canada. 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Endocrinol. PD MAR PY 2014 VL 220 IS 3 BP 361 EP 373 DI 10.1530/JOE-13-0484 PG 13 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA AC7FN UT WOS:000332693200017 PM 24389593 OA Bronze DA 2023-06-08 ER PT J AU Ejtahed, HS Tito, RY Siadat, SD Hasani-Ranjbar, S Hoseini-Tavassol, Z Rymenans, L Verbeke, K Soroush, AR Raes, J Larijani, B AF Ejtahed, Hanieh-Sadat Tito, Raul Y. Siadat, Seyed-Davar Hasani-Ranjbar, Shirin Hoseini-Tavassol, Zahra Rymenans, Leen Verbeke, Kristin Soroush, Ahmad-Reza Raes, Jeroen Larijani, Bagher TI Metformin induces weight loss associated with gut microbiota alteration in non-diabetic obese women: a randomized double-blind clinical trial SO EUROPEAN JOURNAL OF ENDOCRINOLOGY LA English DT Article ID RELATIVE VALIDITY; E. COLI; INDIVIDUALS AB Objective: The increasing prevalence of obesity over the past few decades constitutes a global health challenge. Pharmacological therapy is recommended to accompany life-style modification for obesity management. Here, we perform a clinical trial to investigate the effects of metformin on anthropometric indices and gut microbiota composition in non-diabetic, treatment-naive obese women with a low-calorie diet (LCD). Design: Randomized double-blind parallel-group clinical trail Methods: Forty-six obese women were randomly assigned to the metformin (500 mg/tab) or placebo groups using computer-generated random numbers. Subjects in both groups took two tablets per day for 2 months. Anthropometric measurements and collection of blood and fecal samples were done at the baseline and at the end of the trial. Gut microbiota composition was assessed using 16S rRNA amplicon sequencing. Results: Twenty-four and twenty-two subjects were included in the metformin + LCD and placebo + LCD groups, respectively; at the end of trial, 20 and 16 subjects were analyzed. The metformin + LCD and placebo + LCD caused a 4.5 and 2.6% decrease in BMI from the baseline values, respectively (P < 0.01). Insulin concentration decreased in the metformin + LCD group (P = 0.046). The overall fecal microbiota composition and diversity were unaffected in the metformin + LCD group. However, a significant specific increase in Escherichia/Shigello abundance was observed after metformin + LCD intervention (P = 0.026). Fecal acetate concentration, but not producers, was significantly higher in the placebo + LCD group, adjusted for baseline values and BMI (P = 0.002). Conclusions: Despite the weight reduction after metformin intake, the overall fecal microbiota composition remained largely unchanged in obese women, with exception of changes in specific proteobacterial groups. C1 [Ejtahed, Hanieh-Sadat; Hasani-Ranjbar, Shirin; Soroush, Ahmad-Reza] Univ Tehran Med Sci, Obes & Eating Habits Res Ctr, Endocrinol & Metab Clin Sci Inst, Tehran, Iran. [Tito, Raul Y.; Rymenans, Leen; Raes, Jeroen] Katholieke Univ Leuven, Dept Microbiol & Immunol, Rega Inst, Leuven, Belgium. [Siadat, Seyed-Davar; Hoseini-Tavassol, Zahra] Pasteur Inst Iran, Microbiol Res Ctr, Dept Mycobacteriol & Pulm Res, Tehran, Iran. [Verbeke, Kristin] Katholieke Univ Leuven, Translat Res Gastrointestinal Disorders, Leuven, Belgium. [Larijani, Bagher] Univ Tehran Med Sci, Endocrinol & Metab Res Ctr, Endocrinol & Metab Clin Sci Inst, Tehran, Iran. C3 Tehran University of Medical Sciences; KU Leuven; Le Reseau International des Instituts Pasteur (RIIP); Pasteur Institute of Iran; KU Leuven; Tehran University of Medical Sciences RP Soroush, AR (通讯作者),Univ Tehran Med Sci, Obes & Eating Habits Res Ctr, Endocrinol & Metab Clin Sci Inst, Tehran, Iran.; Raes, J (通讯作者),Katholieke Univ Leuven, Dept Microbiol & Immunol, Rega Inst, Leuven, Belgium. EM soroush.journal@gmail.com; jeroen.raes@med.kuleuven.be RI Tito, Raul/CAG-3546-2022; ejtahed, hanieh/AAH-4921-2021; larijani, Bagher/ABE-3315-2020; Hoseini Tavassol, Zahra/HJP-2607-2023; Siadat, Seyed Davar/A-2204-2012; raes, jeroen/D-7835-2018 OI larijani, Bagher/0000-0001-5386-7597; Siadat, Seyed Davar/0000-0002-6892-5603; raes, jeroen/0000-0002-1337-041X; Verbeke, Kristin/0000-0002-5352-7565; Tito Tadeo, Raul Yhossef/0000-0001-9660-7621; Hoseini Tavassol, Zahra/0000-0002-2432-2114 FU National Institute for Medical Research Development (NIMAD) [942022] FX This work was supported by the National Institute for Medical Research Development (NIMAD) (grant number: 942022). 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J. Endocrinol. PD MAR PY 2019 VL 180 IS 3 BP 165 EP 176 DI 10.1530/EJE-18-0826 PG 12 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA HJ4NR UT WOS:000457151200007 PM 30540558 OA Green Accepted, Bronze DA 2023-06-08 ER PT J AU Balvers, M Deschasaux, M van den Born, BJ Zwinderman, K Nieuwdorp, M Levin, E AF Balvers, Manon Deschasaux, Melanie van den Born, Bert-Jan Zwinderman, Koos Nieuwdorp, Max Levin, Evgeni TI Analyzing Type 2 Diabetes Associations with the Gut Microbiome in Individuals from Two Ethnic Backgrounds Living in the Same Geographic Area SO NUTRIENTS LA English DT Article DE type 2 diabetes; ethnicity; gut microbiome; metformin; treatment-naive; HELIUS study ID POPULATION; METFORMIN; PROPIONATE; METAGENOME; MAFFT AB It is currently unknown whether associations between gut microbiota composition and type 2 diabetes (T2D) differ according to the ethnic background of individuals. Thus, we studied these associations in participants from two ethnicities characterized by a high T2D prevalence and living in the same geographical area, using the Healthy Life In Urban Settings (HELIUS) study. We included 111 and 128 T2D participants on metformin (Met-T2D), 78 and 49 treatment-naive T2D (TN-T2D) participants, as well as a 1:1 matched group of healthy controls from, respectively, African Surinamese and South-Asian Surinamese descent. Fecal microbiome profiles were obtained through 16S rRNA gene sequencing. Univariate and machine learning analyses were used to explore the associations between T2D and the composition and function of the gut microbiome in both ethnicities, comparing Met-T2D and TN-T2D participants to their respective healthy control. We found a lower alpha-diversity for South-Asian Surinamese TN-T2D participants but no significant associations between TN-T2D status and the abundance of bacterial taxa or functional pathways. In African Surinamese participants, we did not find any association between TN-T2D status and the gut microbiome. With respect to Met-T2D participants, we identified several bacterial taxa and functional pathways with a significantly altered abundance in both ethnicities. More alterations were observed in South-Asian Surinamese. Some altered taxa and pathways observed in both ethnicities were previously related to metformin use. This included a strong negative association between the abundance of Romboutsia and Met-T2D status. Other bacterial taxa were consistent with previous observations in T2D, including reduced butyrate producers such as Anaerostipes hadrus. Hence, our results highlighted both shared and unique gut microbial biomarkers of Met-T2D in individuals from different ethnicities but living in the same geographical area. Future research using higher-resolution shotgun sequencing is needed to clarify the role of ethnicity in the association between T2D and gut microbiota composition. C1 [Balvers, Manon; van den Born, Bert-Jan; Nieuwdorp, Max; Levin, Evgeni] Amsterdam Univ Med Ctr, Dept Internal & Vasc Med, NL-1105 AZ Amsterdam, Netherlands. [Balvers, Manon; Levin, Evgeni] HorAIzon BV, NL-2625 GZ Delft, Netherlands. [Deschasaux, Melanie; Zwinderman, Koos] Amsterdam Univ Med Ctr, Dept Clin Epidemiol & Biostat, NL-1105 AZ Amsterdam, Netherlands. [van den Born, Bert-Jan] Amsterdam Univ Med Ctr, Dept Publ & Occupat Hlth, NL-1105 AZ Amsterdam, Netherlands. RP Levin, E (通讯作者),Amsterdam Univ Med Ctr, Dept Internal & Vasc Med, NL-1105 AZ Amsterdam, Netherlands.; Levin, E (通讯作者),HorAIzon BV, NL-2625 GZ Delft, Netherlands. EM m.balvers@amsterdamumc.nl; m.deschasaux@eren.smbh.univ-paris13.fr; b.j.vandenborn@amsterdamumc.nl; a.h.zwinderman@amsterdamumc.nl; m.nieuwdorp@amsterdamumc.nl; e.levin@amsterdamumc.nl RI van den Born, Bert-Jan/E-4263-2017 OI van den Born, Bert-Jan H. (BJH)/0000-0003-0943-4393; Balvers, Manon/0000-0003-4094-5087; Deschasaux, Melanie/0000-0002-3359-420X FU NNF CAMIT [2018]; ZONMW VICI [2020 [09150182010020]]; ZonMw for Technology Hotel grant [40-43500-98-5007]; HELIUS; Dutch Heart Foundation; Netherlands Organization for Health Research and Development (ZonMw); European Union [FP-7]; European Fund for the Integration of non-EU immigrants (EIF); Dutch Heart Foundation [2010T084]; ZonMw [200500003]; European Union (FP-7) [278901]; European Fund for the Integration of non-EU immigrants (EIF) [2013EIF013] FX M.B. is appointed on a NNF CAMIT grant 2018 (to M.N.). M.N. is supported by a personal ZONMW VICI grant 2020 [09150182010020]. This research has been also supported by ZonMw for Technology Hotel grant [40-43500-98-5007]. The HELIUS study is conducted by the Amsterdam University Medical Centers, location AMC and the Public Health Service of Amsterdam. Both organizations provided core support for HELIUS. The HELIUS study is also funded by the Dutch Heart Foundation, the Netherlands Organization for Health Research and Development (ZonMw), the European Union (FP-7), and the European Fund for the Integration of non-EU immigrants (EIF). The study reported here was additionally supported by (an) additional grant(s) from the Dutch Heart Foundation [2010T084], ZonMw [200500003], European Union (FP-7) [278901], and European Fund for the Integration of non-EU immigrants (EIF) [2013EIF013] all assigned to K. Stronks. 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MDPI PI BASEL PA ST ALBAN-ANLAGE 66, CH-4052 BASEL, SWITZERLAND EI 2072-6643 J9 NUTRIENTS JI Nutrients PD SEP PY 2021 VL 13 IS 9 AR 3289 DI 10.3390/nu13093289 PG 23 WC Nutrition & Dietetics WE Science Citation Index Expanded (SCI-EXPANDED) SC Nutrition & Dietetics GA UY6AQ UT WOS:000701604700001 PM 34579166 OA Green Published, gold DA 2023-06-08 ER PT J AU Wu, JY Wang, K Wang, XM Pang, YL Jiang, CT AF Wu, Jiayu Wang, Kai Wang, Xuemei Pang, Yanli Jiang, Changtao TI The role of the gut microbiome and its metabolites in metabolic diseases SO PROTEIN & CELL LA English DT Review DE gut microbiome; metabolism; metabolite; immune regulation; metabolic diseases ID FATTY LIVER-DISEASE; IMPAIRED GLUCOSE-TOLERANCE; BILE-ACID METABOLISM; INTESTINAL MICROBIOTA; ADIPOSE-TISSUE; METFORMIN ALTERS; FASTING GLUCOSE; OBESITY; RECEPTOR; MODULATION AB It is well known that an unhealthy lifestyle is a major risk factor for metabolic diseases, while in recent years, accumulating evidence has demonstrated that the gut microbiome and its metabolites also play a crucial role in the onset and development of many metabolic diseases, including obesity, type 2 diabetes, nonalcoholic fatty liver disease, cardiovascular disease and so on. Numerous microorganisms dwell in the gastrointestinal tract, which is a key interface for energy acquisition and can metabolize dietary nutrients into many bioactive substances, thus acting as a link between the gut microbiome and its host. The gut microbiome is shaped by host genetics, immune responses and dietary factors. The metabolic and immune potential of the gut microbiome determines its significance in host health and diseases. Therefore, targeting the gut microbiome and relevant metabolic pathways would be effective therapeutic treatments for many metabolic diseases in the near future. This review will summarize information about the role of the gut microbiome in organism metabolism and the relationship between gut microbiome-derived metabolites and the pathogenesis of many metabolic diseases. Furthermore, recent advances in improving metabolic diseases by regulating the gut microbiome will be discussed. C1 [Wu, Jiayu; Wang, Kai; Wang, Xuemei; Pang, Yanli; Jiang, Changtao] Peking Univ Third Hosp, Sch Basic Med Sci, Dept Obstet & Gynecol, Ctr Obes & Metab Dis Res, Beijing 100191, Peoples R China. [Wu, Jiayu; Wang, Kai; Wang, Xuemei; Jiang, Changtao] Peking Univ Third Hosp, Inst Med Innovat & Res, Ctr Basic Med Res, Beijing 100191, Peoples R China. [Wu, Jiayu; Wang, Kai; Wang, Xuemei; Jiang, Changtao] Peking Univ, Sch Basic Med Sci, Dept Physiol & Pathophysiol, Key Lab Mol Cardiovasc Sci,Minist Educ, Beijing 100191, Peoples R China. C3 Peking University RP Jiang, CT (通讯作者),Peking Univ Third Hosp, Sch Basic Med Sci, Dept Obstet & Gynecol, Ctr Obes & Metab Dis Res, Beijing 100191, Peoples R China.; Jiang, CT (通讯作者),Peking Univ Third Hosp, Inst Med Innovat & Res, Ctr Basic Med Res, Beijing 100191, Peoples R China.; Jiang, CT (通讯作者),Peking Univ, Sch Basic Med Sci, Dept Physiol & Pathophysiol, Key Lab Mol Cardiovasc Sci,Minist Educ, Beijing 100191, Peoples R China. EM jiangchangtao@bjmu.edu.cn RI Wang, Xuemei/GXF-3702-2022; cell, protein/HSI-1531-2023; Wang, Kai/GPT-2392-2022 OI Wang, Kai/0000-0001-9705-6366; Jiang, Changtao/0000-0002-5206-2372 FU National Key Research and Development Program of China [2018YFA0800700, 2018YFC1003200]; National Natural Science Foundation of the P. R. of China [91857115, 31925021, 81921001] FX This work was supported by the National Key Research and Development Program of China (2018YFA0800700 and 2018YFC1003200) and the National Natural Science Foundation of the P. R. of China (No. 91857115, 31925021, and 81921001). 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4600, NEW YORK, NY, UNITED STATES SN 1674-800X EI 1674-8018 J9 PROTEIN CELL JI Protein Cell PD MAY PY 2021 VL 12 IS 5 SI SI BP 360 EP 373 DI 10.1007/s13238-020-00814-7 EA DEC 2020 PG 14 WC Cell Biology WE Science Citation Index Expanded (SCI-EXPANDED) SC Cell Biology GA RZ1WK UT WOS:000600826500001 PM 33346905 OA gold, Green Published DA 2023-06-08 ER PT J AU Jacob, S Dotsch, A Knoll, S Kohler, HR Rogall, E Stoll, D Tisler, S Huhn, C Schwartz, T Zwiener, C Triebskorn, R AF Jacob, Stefanie Doetsch, Andreas Knoll, Sarah Koehler, Heinz-R. Rogall, Eike Stoll, Dominic Tisler, Selina Huhn, Carolin Schwartz, Thomas Zwiener, Christian Triebskorn, Rita TI Does the antidiabetic drug metformin affect embryo development and the health of brown trout (Salmo trutta f. fario)? SO ENVIRONMENTAL SCIENCES EUROPE LA English DT Article DE Pharmaceutical; Salmonid; Glycogen; Body weight; Microbiome ID PERSONAL CARE PRODUCTS; CLINICAL PHARMACOKINETICS; TRANSFORMATION PRODUCTS; LIVER ULTRASTRUCTURE; ENDOCRINE DISRUPTION; RAINBOW-TROUT; WASTE-WATER; WEIGHT-LOSS; PART II; PHARMACEUTICALS AB BackgroundDue to the rising number of type 2 diabetes patients, the antidiabetic drug, metformin is currently among those pharmaceuticals with the highest consumption rates worldwide. Via sewage-treatment plants, metformin enters surface waters where it is frequently detected in low concentrations (mu g/L). Since possible adverse effects of this substance in aquatic organisms have been insufficiently explored to date, the aim of this study was to investigate the impact of metformin on health and development in brown trout (Salmo trutta f. fario) and its microbiome.ResultsBrown trout embryos were exposed to 0, 1, 10, 100 and 1000 mu g/L metformin over a period from 48days post fertilisation (dpf) until 8weeks post-yolksac consumption at 7 degrees C (156dpf) and 11 degrees C (143dpf). Chemical analyses in tissues of exposed fish showed the concentration-dependent presence of metformin in the larvae. Mortality, embryonic development, body length, liver tissue integrity, stress protein levels and swimming behaviour were not influenced. However, compared to the controls, the amount of hepatic glycogen was higher in larvae exposed to metformin, especially in fish exposed to the lowest metformin concentration of 1 mu g/L, which is environmentally relevant. At higher metformin concentrations, the glycogen content in the liver showed a high variability, especially for larvae exposed to 1000 mu g/L metformin. Furthermore, the body weight of fish exposed to 10 and 100 mu g/L metformin at 7 degrees C and to 1 mu g/L metformin at 11 degrees C was decreased compared with the respective controls. The results of the microbiome analyses indicated a shift in the bacteria distribution in fish exposed to 1 and 10 mu g/L metformin at 7 degrees C and to 100 mu g/L metformin at 11 degrees C, leading to an increase of Proteobacteria and a reduction of Firmicutes and Actinobacteria.ConclusionsOverall, weight reduction and the increased glycogen content belong to the described pharmaceutical effects of the drug in humans, but this study showed that they also occur in brown trout larvae. The impact of a shift in the intestinal microbiome caused by metformin on the immune system and vitality of the host organism should be the subject of further research before assessing the environmental relevance of the pharmaceutical. C1 [Jacob, Stefanie; Koehler, Heinz-R.; Triebskorn, Rita] Univ Tubingen, Anim Physiol Ecol, Morgenstelle 5, D-72076 Tubingen, Germany. [Doetsch, Andreas] Max Rubner Inst, Dept Physiol & Biochem Nutr, Haid & Neu Str 9, D-76131 Karlsruhe, Germany. [Stoll, Dominic] Max Rubner Inst, Dept Safety & Qual Fruit & Vegetables, Haid & Neu Str 9, D-76131 Karlsruhe, Germany. [Knoll, Sarah; Huhn, Carolin] Univ Tubingen, Effect Based Environm Anal, Morgenstelle 18, D-72076 Tubingen, Germany. [Doetsch, Andreas; Rogall, Eike; Schwartz, Thomas] Karlsruhe Inst Technol, Interface Microbiol, Hermann von Helmholtz Pl 1, D-76344 Eggenstein Leopoldshafen, Germany. [Tisler, Selina; Zwiener, Christian] Univ Tubingen, Environm Analyt Chem, Holderlinstr 12, D-72074 Tubingen, Germany. [Triebskorn, Rita] Steinbeis Transfer Ctr Ecotoxicol & Ecophysiol, Blumenstr 13, D-72108 Rottenburg, Germany. C3 Eberhard Karls University of Tubingen; Eberhard Karls University of Tubingen; Helmholtz Association; Karlsruhe Institute of Technology; Eberhard Karls University of Tubingen RP Jacob, S (通讯作者),Univ Tubingen, Anim Physiol Ecol, Morgenstelle 5, D-72076 Tubingen, Germany. EM stefanie.jacob@uni-tuebingen.de RI Köhler, Heinz-R./AAL-1350-2021; Zwiener, Christian/U-2155-2019; Tisler, Selina/GLV-5417-2022; Dötsch, Andreas/H-1383-2013 OI Zwiener, Christian/0000-0002-6682-5828; Dötsch, Andreas/0000-0001-9086-2584; Tisler, Selina/0000-0002-3366-7499; Jacob, Stefanie/0000-0003-3427-0706; Huhn, Carolin/0000-0001-6865-1043 FU Ministry for Science, Research and Arts of Baden-Wurttemberg [33-5733-25-11t32/2] FX This study is funded by the Ministry for Science, Research and Arts of Baden-Wurttemberg (Grant No. 33-5733-25-11t32/2). 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Sci Eur. PD DEC 7 PY 2018 VL 30 AR 48 DI 10.1186/s12302-018-0179-4 PG 16 WC Environmental Sciences WE Science Citation Index Expanded (SCI-EXPANDED) SC Environmental Sciences & Ecology GA HD8CD UT WOS:000452781000001 PM 30595998 OA gold, Green Published DA 2023-06-08 ER PT J AU He, HY Liu, MT He, R Zhao, W AF He, Haiyan Liu, Mengting He, Rong Zhao, Wei TI Lipid-lowering activity of metformin-soluble soybean polysaccharide nanoparticles SO FOOD & FUNCTION LA English DT Article ID GUT MICROBIOTA; METABOLISM AB Soybean dregs are one of the most important albeit underutilized byproducts in soybean processing. In this study, soluble soybean polysaccharides with lipid-lowering activity were extracted from soybean dregs and used as a wall material for embedding metformin. Metformin-soluble soybean polysaccharide nanoparticles (MET-SSPS-NPs) were prepared by electrostatic interaction. The lipid-lowering activity and possible mechanism of MET-SSPS-NPs were investigated. Western blotting was used to detect the expression levels of cell-related protein proprotein convertase subtilisin/kexin type 9 (PCSK9) and low-density lipoprotein receptor (LDLR) in vitro. The results showed that MET-SSPS-NPs lowered the expression of PCSK9 and improved LDLR levels. A high-fat diet (HFD) animal model was established to study the lipid-lowering effect of MET-SSPS-NPs by real-time quantitative PCR and western blotting. MET-SSPS-NPs significantly upregulated peroxisome proliferator-activated receptor gamma (PPAR gamma) expression and downregulated PCSK9, fatty acid-binding protein (FABP)7 and FABP5 expression more strongly than MET or SSPS alone. In conclusion, MET-SSPS-NPs can inhibit PCSK9 expression and improve the level of adipokines, providing a theoretical basis for the application of MET-SSPS-NPs in lipid lowering. C1 [He, Haiyan; Zhao, Wei] Jiangnan Univ, Sch Food Sci & Technol, Wuxi 214122, Jiangsu, Peoples R China. [He, Haiyan] Jiangsu Vocat Inst Commerce, Hlth Coll, Nanjing 211168, Peoples R China. [Liu, Mengting; He, Rong] Nanjing Univ Finance & Econ, Key Lab Grains & Oils Qual Control & Proc, Collaborat Innovat Ctr Modern Grain Circulat & Sa, Coll Food Sci & Engn, Nanjing 210023, Peoples R China. C3 Jiangnan University; Jiangsu Vocational Institute of Commerce; Nanjing University of Finance & Economics RP Zhao, W (通讯作者),Jiangnan Univ, Sch Food Sci & Technol, Wuxi 214122, Jiangsu, Peoples R China. EM zhaow@jiangnan.edu.cn RI zhao, wei/IQS-1144-2023 OI he, rong/0000-0002-3341-9786; Zhao, Wei/0000-0001-9495-8508 FU JVIC Fund for Distinguished Young Scholars FX Funding for this work was provided by the JVIC Fund for Distinguished Young Scholars. 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PD OCT 3 PY 2022 VL 13 IS 19 BP 10265 EP 10274 DI 10.1039/d2fo01237e EA SEP 2022 PG 10 WC Biochemistry & Molecular Biology; Food Science & Technology WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Food Science & Technology GA 5B1QN UT WOS:000855404200001 PM 36125039 DA 2023-06-08 ER PT J AU Yang, M Shi, FH Liu, W Zhang, MC Feng, RL Qian, C Liu, W Ma, J AF Yang, Mei Shi, Fang-Hong Liu, Wen Zhang, Min-Chun Feng, Ri-Lu Qian, Cheng Liu, Wei Ma, Jing TI Dapagliflozin Modulates the Fecal Microbiota in a Type 2 Diabetic Rat Model SO FRONTIERS IN ENDOCRINOLOGY LA English DT Article DE dapagliflozin; fecal microbiota; type 2 diabetes; metfomiin; high-fat diet ID INTESTINAL MICROBIOTA; SGLT2 INHIBITION; METFORMIN ALTERS; GUT MICROBIOTA; CANAGLIFLOZIN AB Background: The gut microbiota is recognized as a major modulator of metabolic disorders such as type 2 diabetes. Dapagliflozin, sodium glucose cotransporter 2 inhibitors (SGLT2i), enhances renal glucose excretion, and lowers blood glucose levels. The study aimed to determine the effects of dapagliflozin on fecal microbiota in a type 2 diabetic rat model. Methods: Four-week-old male Sprague Dawley rats (n = 24) were fed a high-fat diet (HFD) for 8 weeks and then given a single dose of STZ injection (30 mg/kg, i.p). They were randomly divided into three groups (n = 8). Each group received intragastric infusion of normal saline (2 ml, 0.9%) or metformin (215.15 mg/kg/day) or dapagliflozin (1 mg/kg/day) for 4 weeks. Blood glucose levels and plasma insulin levels were detected during intragastric glucose tolerance. Fecal samples were collected to access microbiome by 16S ribosomal RNA gene sequencing. Results: Dapagliflozin significantly decreased fasting and postprandial blood glucose levels as metformin in type 2 diabetic rats (P < 0.001). Enterotype was composed of Ruminococcaceae after treatment of dapagliflozin, whereas Ruminococcaceae and Muribaculaceae were the main enterotypes following metformin treatment. Dapagliflozin did not increase the abundance of beneficial bacteria including Lactobacillaceae and Bifidobacteriaceae. However, these were increased in the metformin group. It is surprising to find that Proteobacteria (especially Desulfovibrionaceae) were enriched in the dapagliflozin group. Conclusion: Dapagliflozin and metformin exerted complementary effects on the main beneficial bacteria. A combination of these two drugs might be beneficial to improve the structure of fecal microbiota in the treatment of type 2 diabetes. C1 [Yang, Mei; Liu, Wen; Zhang, Min-Chun; Feng, Ri-Lu; Qian, Cheng; Liu, Wei; Ma, Jing] Shanghai Jiao Tong Univ, Renji Hosp, Sch Med, Dept Endocrinol & Metab, Shanghai, Peoples R China. [Shi, Fang-Hong] Shanghai Jiao Tong Univ, Renji Hosp, Sch Med, Dept Pharm, Shanghai, Peoples R China. C3 Shanghai Jiao Tong University; Shanghai Jiao Tong University RP Ma, J (通讯作者),Shanghai Jiao Tong Univ, Renji Hosp, Sch Med, Dept Endocrinol & Metab, Shanghai, Peoples R China. EM cherry1996@live.cn RI Shi, Fang-Hong/AAP-9684-2020 FU National Natural Science Foundation of China [NSFC81670728]; Shanghai Municipal Education Commission-Gaofeng Clinical Medicine Grant Support [20181807]; Shanghai Pujiang Program [2019PJD027]; Shanghai Yangfan Program [19YF1428500]; Clinical Pharmacy Innovation Research Institute of Shanghai Jiao Tong University School of Medicine [CXYJY2019QN004]; Research Funds of Shanghai Health and Family Planning Commission [20204Y0011] FX This work was supported by the National Natural Science Foundation of China (grant number NSFC81670728), the Shanghai Municipal Education Commission-Gaofeng Clinical Medicine Grant Support (grant number 20181807), the Shanghai Pujiang Program (2019PJD027), the Shanghai Yangfan Program (grant number 19YF1428500), the Clinical Pharmacy Innovation Research Institute of Shanghai Jiao Tong University School of Medicine (2019) (CXYJY2019QN004), and the Research Funds of Shanghai Health and Family Planning Commission (20204Y0011). 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Endocrinol. PD NOV 17 PY 2020 VL 11 AR 635 DI 10.3389/fendo.2020.00635 PG 11 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA OZ2DS UT WOS:000594743800001 PM 33312157 OA gold, Green Published DA 2023-06-08 ER PT J AU Hur, KY Lee, MS AF Hur, Kyu Yeon Lee, Myung-Shik TI Gut Microbiota and Metabolic Disorders SO DIABETES & METABOLISM JOURNAL LA English DT Article DE Gut; Metformin; Microbiota; Obesity ID DIET-INDUCED OBESITY; HIGH-FAT-DIET; INTESTINAL PERMEABILITY; INSULIN SENSITIVITY; MICE; INFLAMMATION; ENDOTOXEMIA; GLUCOSE; INCREASES; IMPROVEMENT AB Gut microbiota plays critical physiological roles in the energy extraction and in the control of local or systemic immunity. Gut microbiota and its disturbance also appear to be involved in the pathogenesis of diverse diseases including metabolic disorders, gastrointestinal diseases, cancer, etc. In the metabolic point of view, gut microbiota can modulate lipid accumulation, lipopolysaccharide content and the production of short-chain fatty acids that affect food intake, inflammatory tone, or insulin signaling. Several strategies have been developed to change gut microbiota such as prebiotics, probiotics, certain antidiabetic drugs or fecal microbiota transplantation, which have diverse effects on body metabolism and on the development of metabolic disorders. C1 [Hur, Kyu Yeon] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Div Endocrinol & Metab,Dept Internal Med, Seoul, South Korea. [Lee, Myung-Shik] Yonsei Univ, Coll Med, Severance Biomed Res Inst, 50-1 Yonsei Ro, Seoul 120752, South Korea. [Lee, Myung-Shik] Yonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea. C3 Sungkyunkwan University (SKKU); Samsung Medical Center; Yonsei University; Yonsei University Health System; Yonsei University; Yonsei University Health System RP Lee, MS (通讯作者),Yonsei Univ, Coll Med, Severance Biomed Res Inst, 50-1 Yonsei Ro, Seoul 120752, South Korea. EM mslee0923@yuhs.ac RI Lee, Myung Shik/C-9606-2011 OI Lee, Myung-Shik/0000-0003-3292-1720 FU Global Research Laboratory Grant from the National Research Foundation of Korea [K21004000003-12A0500-00310]; Ulsan National Institute of Science and Technology Research Fund [2014M3A9D8034459]; National Research Foundation of Korea [2010-00347] Funding Source: Korea Institute of Science & Technology Information (KISTI), National Science & Technology Information Service (NTIS) FX This study was supported by a Global Research Laboratory Grant (K21004000003-12A0500-00310) from the National Research Foundation of Korea and the Ulsan National Institute of Science and Technology Research Fund (2014M3A9D8034459). 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Although there were no significant changes in BSH-active gut microbiota due to high variability, functional prediction with 16S sequences showed increased primary and secondary bile acid biosynthesis in the combination treatment group. Further study is needed to find the specific strains of bacteria which contribute to FXR-related cholesterol and bile acid regulations. C1 [Han, Kyungsun; Wang, Jing-Hua; Lim, Soo-kyoung; Kim, Hojun] Dongguk Univ, Korean Med, Dept Rehabil Med, Goyang, Gyeonggi Do, South Korea. [Han, Kyungsun] Korea Inst Oriental Med, Clin Res Div, Daejeon, South Korea. [Bose, Shambhunath] Appl Surface Technol Inc, Adv Inst Convergence Technol, 11th Floor,Bldg A, Suwon, South Korea. [Chin, Young-Won; Kim, Young-Mi] Dongguk Univ, Coll Pharm, Goyang, Gyeonggi Do, South Korea. [Choi, Han-Seok] Dongguk Univ, Dept Endocrinol, Goyang, Gyeonggi Do, South Korea. C3 Dongguk University; Korea Institute of Oriental Medicine (KIOM); Dongguk University; Dongguk University RP Kim, H (通讯作者),Dongguk Univ, Korean Med, Dept Rehabil Med, Goyang, Gyeonggi Do, South Korea. EM kimklar@dongguk.ac.kr RI Han, Kyungsun/AAG-1044-2020; Choi, Han Seok/AAG-1493-2019; Bose, Shambhunath/HKW-2568-2023; Kim, Hojun/AAB-8405-2020; Wang, Jing-hua/AAO-2350-2020 OI Han, Kyungsun/0000-0002-9710-7845; Wang, Jing-hua/0000-0002-2034-7429; Kim, Hojun/0000-0003-1038-0142; Bose, Shambunath/0000-0003-0737-5713; Chin, Young-Won/0000-0001-6964-1779 FU Convergence of Conventional Medicine and Traditional Korean Medicine R&D program - Ministry of Health and Welfare through the KHIDI (Korea Health Industry Development Institute) [HI14C0558] FX This work was supported by the grant of Convergence of Conventional Medicine and Traditional Korean Medicine R&D program funded by the Ministry of Health and Welfare through the KHIDI (Korea Health Industry Development Institute, HI14C0558). Author Shambhunath Bose receives a salary from Applied Surface Technology, Inc. The specific roles of this author are articulated in the 'author contributions' section. The funders did not play any role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. 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EM tina_yai@126.com; tongxiaolin@vip.163.com FU Young Elite Scientists Sponsorship Program by CAST [YESS20170034, 2018QNRC2-C10]; National Natural Science Foundation of China [81904187, 81274000, 81803923]; Special Scientific Research for Traditional Chinese Medicine of China [201507001-11]; Capital Health Development Research Project [CD2020-4-4155]; Outstanding Young Scientific and Technological Talents Program [ZZ13-YQ-026] FX This work was partially supported by the Young Elite Scientists Sponsorship Program by CAST (YESS20170034 and 2018QNRC2-C10), the National Natural Science Foundation of China (Nos. 81904187, 81274000, and 81803923), Special Scientific Research for Traditional Chinese Medicine of China (201507001-11), Capital Health Development Research Project (CD2020-4-4155), and the Outstanding Young Scientific and Technological Talents Program (ZZ13-YQ-026). 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Cell. Infect. Microbiol. PD OCT 23 PY 2020 VL 10 AR 530160 DI 10.3389/fcimb.2020.530160 PG 14 WC Immunology; Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Immunology; Microbiology GA OM3VN UT WOS:000585954400001 PM 33194785 OA gold, Green Published DA 2023-06-08 ER PT J AU Pircalabioru, GG Chifiriuc, MC Picu, A Petcu, LM Trandafir, M Savu, O AF Gradisteanu Pircalabioru, Gratiela Chifiriuc, Mariana-Carmen Picu, Ariana Petcu, Laura Madalina Trandafir, Maria Savu, Octavian TI Snapshot into the Type-2-Diabetes-Associated Microbiome of a Romanian Cohort SO INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES LA English DT Article DE microbiota; microbiome; diabetes; metabolites; hypertension; metabolic disease ID CHAIN FATTY-ACIDS; GLUCAGON-LIKE PEPTIDE-1; GUT MICROBIOTA; INTESTINAL MICROBIOTA; ASSOCIATION; METAGENOME; DISEASE; WEIGHT; IMPACT AB The prevalence of type 2 diabetes mellitus (T2D) is alarmingly increasing worldwide, urgently calling for a better understanding of the underlying mechanisms in order to step up prevention and improve therapeutic approaches. It is becoming evident that the gut microbiota seem to have an endless capacity to impact T2D. In this study, we profile the gut microbiome patterns in T2D patients from Romania, by using quantitative Real-Time PCR and next generation sequencing. We enrolled a total of 150 individuals (105 T2D patients, 50 of them without metformin treatment and 45 healthy volunteers). The levels of potentially beneficial butyrate-producing bacteria were significantly reduced, while potentially pathogenic microorganisms such as Enterobacteriaceae and Fusobacterium were enriched in T2D patients. We evaluated the correlation between clinical parameters and gut microbiota and identified the genera Bacteroides, Alistipes, Dialister, Bilophila and Sutterella as possible detrimental factors in T2D. Our findings suggest that the gut microbiota may be a potential target in novel approaches to halt the development of T2D-associated complications. C1 [Gradisteanu Pircalabioru, Gratiela; Chifiriuc, Mariana-Carmen] Univ Bucharest ICUB, Res Inst, Bucharest 050095, Romania. [Gradisteanu Pircalabioru, Gratiela; Chifiriuc, Mariana-Carmen] Acad Romanian Scientists, Bucharest 050045, Romania. [Chifiriuc, Mariana-Carmen] Romanian Acad, Bucharest 010071, Romania. [Chifiriuc, Mariana-Carmen] Univ Bucharest, Fac Biol, Bucharest 050095, Romania. [Picu, Ariana; Petcu, Laura Madalina; Savu, Octavian] NC Paulescu Natl Inst Diabet Nutr & Metab Dis, Bucharest 020042, Romania. [Trandafir, Maria; Savu, Octavian] Carol Davila Univ Med & Pharm, Dept Doctoral Sch, 5th Dist, Bucharest 050474, Romania. C3 Academy of Romanian Scientists (AOSR); Romanian Academy of Sciences; University of Bucharest; Carol Davila University of Medicine & Pharmacy RP Pircalabioru, GG (通讯作者),Univ Bucharest ICUB, Res Inst, Bucharest 050095, Romania.; Pircalabioru, GG (通讯作者),Acad Romanian Scientists, Bucharest 050045, Romania. EM gratiela.gradisteanu@icub.unibuc.ro; octavian.savu@umfcd.ro RI Chifiriuc, Mariana Carmen/AFP-0825-2022; Savu, Octavian/HJY-6206-2023; Gradisteanu, Gratiela/GYJ-6972-2022 OI Chifiriuc, Mariana Carmen/0000-0001-6098-1857; Savu, Octavian/0000-0002-5674-3810; CR Allin KH, 2018, DIABETOLOGIA, V61, P810, DOI 10.1007/s00125-018-4550-1 Alvarez-Silva C, 2021, GENOME MED, V13, DOI 10.1186/s13073-021-00856-4 Amato A, 2010, NEUROGASTROENT MOTIL, V22, P664, DOI 10.1111/j.1365-2982.2010.01476.x Anhe FF, 2019, NAT MED, V25, P1031, DOI 10.1038/s41591-019-0516-1 Baldelli V, 2021, MICROORGANISMS, V9, DOI 10.3390/microorganisms9040697 Balvers M, 2021, NUTRIENTS, V13, DOI 10.3390/nu13093289 Canfora EE, 2015, NAT REV ENDOCRINOL, V11, P577, DOI 10.1038/nrendo.2015.128 Caporaso JG, 2010, NAT METHODS, V7, P335, DOI 10.1038/nmeth.f.303 Chen WH, 2021, DIABET METAB SYND OB, V14, P4283, DOI 10.2147/DMSO.S320169 Connors J, 2019, NUTRIENTS, V11, DOI 10.3390/nu11010025 Cunningham AL, 2021, GUT PATHOG, V13, DOI 10.1186/s13099-021-00446-0 Dao MC, 2016, GUT, V65, P426, DOI 10.1136/gutjnl-2014-308778 Elwing JE, 2006, AM J GASTROENTEROL, V101, P1866, DOI 10.1111/j.1572-0241.2006.00651.x Everard A, 2013, P NATL ACAD SCI USA, V110, P9066, DOI 10.1073/pnas.1219451110 Fernandes J, 2014, NUTR DIABETES, V4, DOI 10.1038/nutd.2014.23 Forslund K, 2015, NATURE, V528, P262, DOI 10.1038/nature15766 Furet JP, 2010, DIABETES, V59, P3049, DOI 10.2337/db10-0253 Ganesan K, 2018, INT J MOL SCI, V19, DOI 10.3390/ijms19123720 Hamer HM, 2008, ALIMENT PHARM THER, V27, P104, DOI 10.1111/j.1365-2036.2007.03562.x International Diabetes Federation, 2019, IDF DIABETES ATLAS, V9th, DOI DOI 10.1520/D7905_D7905M-14 Kaakoush NO, 2020, TRENDS MICROBIOL, V28, P519, DOI 10.1016/j.tim.2020.02.018 Karlsson FH, 2013, NATURE, V498, P99, DOI 10.1038/nature12198 Kelly CJ, 2015, CELL HOST MICROBE, V17, P662, DOI 10.1016/j.chom.2015.03.005 Lambeth Stacey M, 2015, J Diabetes Obes, V2, P1 Larsen N, 2010, PLOS ONE, V5, DOI 10.1371/journal.pone.0009085 Li Q, 2020, SCI REP-UK, V10, DOI 10.1038/s41598-020-62224-3 Loftus M, 2021, BMC MICROBIOL, V21, DOI 10.1186/s12866-021-02153-x Maioli TU, 2021, FRONT PHARMACOL, V12, DOI 10.3389/fphar.2021.740636 Mandoe MJ, 2015, AM J CLIN NUTR, V102, P548, DOI 10.3945/ajcn.115.106799 Mota M, 2016, J DIABETES, V8, P336, DOI 10.1111/1753-0407.12297 Naito Y, 2018, J CLIN BIOCHEM NUTR, V63, P33, DOI 10.3164/jcbn.18-57 Natividad JM, 2018, NAT COMMUN, V9, DOI 10.1038/s41467-018-05249-7 Navab-Moghadam F, 2017, MICROB PATHOGENESIS, V110, P630, DOI 10.1016/j.micpath.2017.07.034 Noureldein M, 2022, CELL MOL LIFE SCI, V79, DOI 10.1007/s00018-022-04485-x Parker BJ, 2020, FRONT IMMUNOL, V11, DOI 10.3389/fimmu.2020.00906 Pedersen HK, 2016, NATURE, V535, P376, DOI 10.1038/nature18646 Pircalabioru G, 2016, CELL HOST MICROBE, V19, P651, DOI 10.1016/j.chom.2016.04.007 Pircalabioru GG, 2022, METABOLITES, V12, DOI 10.3390/metabo12030218 Qin JJ, 2012, NATURE, V490, P55, DOI 10.1038/nature11450 Russo GT, 2016, DIABETES CARE, V39, P2278, DOI 10.2337/dc16-1246 Salamon D, 2018, POL ARCH INTERN MED, V128, P336, DOI 10.20452/pamw.4246 Salminen S, 1998, BRIT J NUTR, V80, pS147, DOI 10.1079/BJN19980108 Sanna S, 2019, NAT GENET, V51, P600, DOI 10.1038/s41588-019-0350-x Sedighi M, 2017, MICROB PATHOGENESIS, V111, P362, DOI 10.1016/j.micpath.2017.08.038 Shahi SK, 2022, FRONT IMMUNOL, V13, DOI 10.3389/fimmu.2022.966417 Sun H, 2013, INT J ENDOCRINOL, V2013, DOI 10.1155/2013/592576 Tazoe H, 2008, J PHYSIOL PHARMACOL, V59, P251 Tolhurst G, 2012, DIABETES, V61, P364, DOI 10.2337/db11-1019 United Nations General Assembly, 2012, POL DECL HIGH LEV M Wang L, 2022, FRONT IMMUNOL, V13, DOI 10.3389/fimmu.2022.952398 World Health Organisation, 2016, GLOBAL REPORT DIABET Zhao LJ, 2019, ENDOCRINE, V66, P526, DOI 10.1007/s12020-019-02103-8 Zhou ZW, 2018, FRONT ONCOL, V8, DOI 10.3389/fonc.2018.00371 NR 53 TC 1 Z9 1 U1 5 U2 5 PU MDPI PI BASEL PA ST ALBAN-ANLAGE 66, CH-4052 BASEL, SWITZERLAND EI 1422-0067 J9 INT J MOL SCI JI Int. 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PD DEC PY 2022 VL 23 IS 23 AR 15023 DI 10.3390/ijms232315023 PG 13 WC Biochemistry & Molecular Biology; Chemistry, Multidisciplinary WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Chemistry GA 6X0WA UT WOS:000896142800001 PM 36499348 OA Green Published, gold DA 2023-06-08 ER PT J AU Xiao, Y Li, KL Bian, J Liu, H Zhai, XT El-Omar, E Han, L Gong, L Wang, M AF Xiao, Yao Li, Kailin Bian, Ji Liu, Hang Zhai, Xiaotong El-Omar, Emad Han, Lin Gong, Lan Wang, Min TI Urolithin A Attenuates Diabetes-Associated Cognitive Impairment by Ameliorating Intestinal Barrier Dysfunction via N-glycan Biosynthesis Pathway SO MOLECULAR NUTRITION & FOOD RESEARCH LA English DT Article DE intestinal barrier; microbiome; N-glycan metabolism; systemic inflammation; type 2 diabetes; urolithin A ID GUT MICROBIOTA; DIETARY POLYPHENOLS; IMMUNE-SYSTEM; ELLAGIC ACID; METFORMIN; OBESITY; INFLAMMATION; METABOLITES; RISK; NEUROINFLAMMATION AB Scope This study aims to investigate the effect of Urolithin A (UA) on diabetes-associated cognitive impairment in type 2 diabetes mellitus (T2DM) mouse model induced by high-fat diet (HFD) and streptozotocin (STZ). Methods and Results The UA-treated T2DM mice display an attenuated cognitive impairment as well as reduced levels of metabolic endotoxemia and proinflammatory cytokines in serum. A systemic restraint of gut/brain inflammation in UA-treated T2DM mice is also observed as the downregulation of TLR4 and Myd88 in colon along with the inhibition of GFAP, Iba-1, NLRP3, and inflammation-related genes in brain. Moreover, UA ameliorates gut barrier dysfunction by upregulating tight-junction proteins levels. Furthermore, UA restores the hyperglycemia-mediated downregulation of genes involved in N-glycan biosynthesis both in vivo and in vitro, which plays a crucial role in barrier integrity. Although UA shares similar beneficial effects on diabetes with metformin, unlike metformin, the effect of UA is independent of gut microbiome and short chain fatty acids. Taken together, these data suggest that feeding UA can attenuate diabetes-associated cognitive impairment by ameliorating systemic inflammation and intestinal barrier dysfunction via N-glycan biosynthesis pathway. The study implies UA as a potential novel pharmaceutic target for diabetes therapy via manipulating gut-brain axis and N-glycan metabolism. C1 [Xiao, Yao; Li, Kailin; Zhai, Xiaotong; Han, Lin; Wang, Min] Northwest A&F Univ, Coll Food Sci & Engn, Yangling 712100, Shaanxi, Peoples R China. [Bian, Ji] Univ Sydney, Royal North Shore Hosp, Sydney Med Sch, Kolling Inst, St Leonards, NSW 2065, Australia. [Liu, Hang] Shanghai Jiao Tong Univ, Sch Life Sci & Biotechnol, Shanghai Ctr Syst Biomed, Shanghai 200240, Peoples R China. [Zhai, Xiaotong] Acad Natl Food & Strateg Reserves Adm, 11 Baiwanzhuang St, Beijing 100037, Peoples R China. [El-Omar, Emad; Gong, Lan] Univ New South Wales, St George & Sutherland Clin Sch, Microbiome Res Ctr, Sydney, NSW, Australia. C3 Northwest A&F University - China; Royal North Shore Hospital; University of Sydney; Kolling Institute of Medical Research; Shanghai Jiao Tong University; University of New South Wales Sydney RP Han, L; Wang, M (通讯作者),Northwest A&F Univ, Coll Food Sci & Engn, Yangling 712100, Shaanxi, Peoples R China.; Gong, L (通讯作者),Univ New South Wales, St George & Sutherland Clin Sch, Microbiome Res Ctr, Sydney, NSW, Australia. EM hanlin730@163.com; l.gong@unsw.edu.au; wangmin20050606@163.com RI Li, Kai/HCI-8860-2022; Gong, Lan/O-7886-2019 OI Gong, Lan/0000-0003-3136-1565; Li, Kailin/0000-0003-2588-8766 FU China Agriculture Research System [CARS-08-E2-01]; Natural Science Foundation of China [32001701] FX The authors would like to acknowledge the financial support provided by China Agriculture Research System (CARS-08-E2-01), and Natural Science Foundation of China (32001701). 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Nutr. Food Res. PD MAY PY 2022 VL 66 IS 9 AR 2100863 DI 10.1002/mnfr.202100863 EA MAR 2022 PG 18 WC Food Science & Technology WE Science Citation Index Expanded (SCI-EXPANDED) SC Food Science & Technology GA 0Z1WD UT WOS:000762228000001 PM 35184377 DA 2023-06-08 ER PT J AU Yang, Y Liu, SL Wang, YH Wang, ZB Ding, WY Sun, XY He, KL Feng, Q Zhang, XD AF Yang, Ying Liu, Shili Wang, Yihua Wang, Zhibin Ding, Wenyu Sun, Xiaoyuan He, Kunlun Feng, Qiang Zhang, Xiandang TI Changes of saliva microbiota in the onset and after the treatment of diabetes in patients with periodontitis SO AGING-US LA English DT Article DE T2DM; salivary microbiota; treatment; differential bacteria; microbial markers ID GUT-MICROBIOTA; INTESTINAL MICROBIOTA; INSULIN SENSITIVITY; ORAL MICROBIOME; TYPE-2; METFORMIN; MELLITUS; INDIVIDUALS; OBESITY; ASSOCIATION AB The relationship between type 2 diabetes mellitus (T2DM) and oral microbiota is still insufficiently recognized. In the present study, we compared the salivary microbiome of nondiabetic individuals, treatment-naive diabetic patients, and diabetic patients treated with metformin or a combination of insulin and other drugs. The alpha- and beta-diversity demonstrated significant differences in the salivary microbiome between the nondiabetic people and patients with a history of diabetes, while little divergence was found among individuals with a history of diabetes. After characterizing the effects of periodontitis on the microbial composition of each group, the salivary microbiome of the treatment-naive diabetic patient group was compared with that of nondiabetic people and the metformin/combined treatment groups. The results revealed changes in the contents of certain bacteria after both the onset and the treatment of diabetes; among these differential bacteria, Blautia_wexlerae, Lactobacillus_fermentum, Nocardia_coeliaca and Selenomonas_artemidis varied in all processes. A subsequent correlational analysis of the differential bacteria and clinical characteristics demonstrated that salivary microbes were related to drug treatment and certain pathological changes. Finally, the four common differential bacteria were employed for distinguishing the treatment-naive diabetic patients from the nondiabetic people and the treated patients, with prediction accuracies of 83.3%, 75% and 75%, respectively. C1 [Yang, Ying; Wang, Zhibin; Ding, Wenyu; Zhang, Xiandang] Shandong First Med Univ & Shandong Acad Med Sci, Endocrine & Metab Dis Hosp Shandong Med Univ 1, Jinan, Shandong, Peoples R China. [Liu, Shili; Wang, Yihua; Feng, Qiang] Shandong Univ, Sch & Hosp Stomatol, Dept Human Microbiome, Cheeloo Coll Med, Jinan, Shandong, Peoples R China. [Liu, Shili; Wang, Yihua; Feng, Qiang] Shandong Prov Key Lab Oral Tissue Regenerat, Jinan, Shandong, Peoples R China. [Liu, Shili; Wang, Yihua; Feng, Qiang] Shandong Engn Lab Dent Mat & Oral Tissue Regenera, Jinan, Shandong, Peoples R China. [Liu, Shili] Shandong Univ, Cheeloo Coll Med, Sch Basic Med Sci, Jinan, Shandong, Peoples R China. [Sun, Xiaoyuan] Shandong Univ Hosp, Jinan, Shandong, Peoples R China. [He, Kunlun] Chinese Peoples Liberat Army Gen Hosp, Beijing Key Lab Precis Med Chron Heart Failure, Beijing, Peoples R China. [Feng, Qiang] Shandong Univ, State Key Lab Microbial Technol, Qingdao, Shandong, Peoples R China. C3 Shandong First Medical University & Shandong Academy of Medical Sciences; Shandong University; Shandong University; Shandong University; Chinese People's Liberation Army General Hospital; Shandong University RP Zhang, XD (通讯作者),Shandong First Med Univ & Shandong Acad Med Sci, Endocrine & Metab Dis Hosp Shandong Med Univ 1, Jinan, Shandong, Peoples R China.; Feng, Q (通讯作者),Shandong Univ, Sch & Hosp Stomatol, Dept Human Microbiome, Cheeloo Coll Med, Jinan, Shandong, Peoples R China.; Feng, Q (通讯作者),Shandong Prov Key Lab Oral Tissue Regenerat, Jinan, Shandong, Peoples R China.; Feng, Q (通讯作者),Shandong Engn Lab Dent Mat & Oral Tissue Regenera, Jinan, Shandong, Peoples R China.; Feng, Q (通讯作者),Shandong Univ, State Key Lab Microbial Technol, Qingdao, Shandong, Peoples R China. EM fengqiang@sdu.edu.cn; xiandangzh@163.com OI He, Kunlun/0000-0002-3335-5700 FU Innovation Project of Shandong Academy of Medical Sciences [2019-11]; Shandong Province "Double-hundred Talent Plan" on 100 Foreign Experts and 100 Foreign Expert Teams Introduction [WST2018004]; Key Research and Development Program of Shandong Province [2018YYSP030]; National Natural Science Foundation of China [81630072]; Scientific and Technological Development Programme of Shandong Academy of Medical Sciences [2018-47]; Fundamental Research Funds of Shandong University [2018JC102]; Natural Science of Shandong Province [ZR201702190185, 2018GSF118231]; Program of Qilu young scholars of Shandong University FX We gratefully acknowledge the financial support from The Innovation Project of Shandong Academy of Medical Sciences (2019-11), Shandong Province "Double-hundred Talent Plan" on 100 Foreign Experts and 100 Foreign Expert Teams Introduction (WST2018004), Key Research and Development Program of Shandong Province (2018YYSP030), The National Natural Science Foundation of China (No. 81630072), The Scientific and Technological Development Programme of Shandong Academy of Medical Sciences (2018-47), The Fundamental Research Funds of Shandong University (2018JC102), The Natural Science of Shandong Province (No. ZR201702190185 and No. 2018GSF118231), Program of Qilu young scholars of Shandong University. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. 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Metformin (MET) presents pleiotropic benefits in the control of chronic metabolic diseases, but the impacts of MET intervention on gut microbiota and inflammation in AS remain largely unclear. In this study, ApoE(-/-) mice with a high-fat diet (HFD) were adopted to assess the MET treatment. After 12 weeks of MET intervention (100mg center dot kg(-1)center dot d(-1)), relevant indications were investigated. As indicated by the pathological measurements, the atherosclerotic lesion was alleviated with MET intervention. Moreover, parameters in AS including body weights (BWs), low-density lipoprotein (LDL), triglyceride (TG), total cholesterol (TC) and malondialdehyde (MDA) were elevated; whereas high-density lipoprotein (HDL) and total superoxide dismutase (T-SOD) levels were decreased, which could be reversed by MET intervention. Elevated pro-inflammatory interleukin (IL)-1 beta, IL-6, tumor necrosis factor (TNF)-alpha and lipopolysaccaride (LPS) in AS were decreased after MET administration. However, anti-inflammatory IL-10 showed no significant difference between AS group and AS+MET group. Consistently, accumulated macrophages in the aorta of AS were conversely lowered with MET treatment. The results of 16S rRNA sequencing and analysis displayed that the overall community of gut microbiota in AS was notably changed with MET treatment mainly through decreasing Firmicutes, Proteobacteria, Romboutsia, Firmicutes/Bacteroidetes, as well as increasing Akkermansia, Bacteroidetes, Bifidobacterium. Additionally, we found that microbiota-derived short-chain fatty acids (SCFAs) including acetic acid, propionic acid, butyric acid and valeric acid in AS were decreased, which were significantly up-regulated with MET intervention. Consistent with the attenuation of MET on gut dysbiosis, decreased intestinal tight junction protein zonula occludens-1 (ZO)-1 in AS was restored after MET supplementation. Correlation analysis showed close relationships among gut bacteria, microbial metabolites SCFAs and inflammation. Collectively, MET intervention ameliorates AS in ApoE(-/-) mice through restoring gut dysbiosis and anti-inflammation, thus can potentially serve as an inexpensive and effective intervention for the control of the atherosclerotic cardiovascular disease. C1 [Yan, Ning; Wang, Lijuan; Yang, Libo] Ningxia Med Univ, Clin Med Coll, Yinchuan, Ningxia, Peoples R China. [Yan, Ning; Yang, Libo; Yan, Ru; Jia, Shaobin] Ningxia Med Univ, Heart Ctr, Gen Hosp, Yinchuan, Ningxia, Peoples R China. [Yan, Ning; Yang, Libo; Yan, Ru; Jia, Shaobin] Ningxia Med Univ, Dept Cardiovasc Dis, Gen Hosp, Yinchuan, Ningxia, Peoples R China. [Wang, Lijuan] Second Hosp Yinchuan, Dept Cardiovasc Dis, Yinchuan, Ningxia, Peoples R China. [Li, Yiwei; Wang, Ting; Wang, Hao] Ningxia Med Univ, Sch Basic Med Sci, Dept Pathogen Biol & Med Immunol, Yinchuan, Ningxia, Peoples R China. [Yan, Ru; Jia, Shaobin] Ningxia Med Univ, Ningxia Key Lab Vasc Injury & Repair Res, Yinchuan, Ningxia, Peoples R China. C3 Ningxia Medical University; Ningxia Medical University; Ningxia Medical University; Ningxia Medical University; Ningxia Medical University RP Jia, SB (通讯作者),Ningxia Med Univ, Heart Ctr, Gen Hosp, Yinchuan, Ningxia, Peoples R China.; Jia, SB (通讯作者),Ningxia Med Univ, Dept Cardiovasc Dis, Gen Hosp, Yinchuan, Ningxia, Peoples R China.; Wang, H (通讯作者),Ningxia Med Univ, Sch Basic Med Sci, Dept Pathogen Biol & Med Immunol, Yinchuan, Ningxia, Peoples R China.; Jia, SB (通讯作者),Ningxia Med Univ, Ningxia Key Lab Vasc Injury & Repair Res, Yinchuan, Ningxia, Peoples R China. EM wanghaograduate@126.com; jsbxn@163.com FU Key Research and Development Projects of Ningxia, China [2018BEG02006]; Natural Science Foundation of Ningxia, China [2018AAC03257]; National Natural Science Foundation, China [82060057] FX This work was supported by the Key Research and Development Projects of Ningxia, China (Grant number 2018BEG02006); the Natural Science Foundation of Ningxia, China (Grant number 2021AAC05010); the National Natural Science Foundation, China (Grant number 82060057) and the Natural Science Foundation of Ningxia, China (Grant number 2018AAC03257). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. 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TC 9 Z9 10 U1 1 U2 8 PU PUBLIC LIBRARY SCIENCE PI SAN FRANCISCO PA 1160 BATTERY STREET, STE 100, SAN FRANCISCO, CA 94111 USA SN 1932-6203 J9 PLOS ONE JI PLoS One PD JUL 15 PY 2021 VL 16 IS 7 AR e0254321 DI 10.1371/journal.pone.0254321 PG 22 WC Multidisciplinary Sciences WE Science Citation Index Expanded (SCI-EXPANDED) SC Science & Technology - Other Topics GA TQ2MX UT WOS:000678120600002 PM 34264978 OA gold, Green Published DA 2023-06-08 ER PT J AU Roessler, J Leistner, DM Landmesser, U Haghikia, A AF Roessler, Johann Leistner, David M. Landmesser, Ulf Haghikia, Arash TI Modulatory role of gut microbiota in cholesterol and glucose metabolism: Potential implications for atherosclerotic cardiovascular disease Atherosclerosis SO ATHEROSCLEROSIS LA English DT Review DE Gut microbiota; Cardiometabolic disease; Obesity; Hypercholesterolemia; Short chain fatty acids; Glucagon like peptide-1; Bile acids; Type II diabetes Mellitus; Statins; Metformin ID CHAIN FATTY-ACIDS; GLUCAGON-LIKE PEPTIDE-1; TRIMETHYLAMINE-N-OXIDE; EPITHELIAL BARRIER FUNCTION; FARNESOID X RECEPTOR; BILE-ACID; INTESTINAL MICROBIOTA; INSULIN-RESISTANCE; LIPID-METABOLISM; AKKERMANSIA-MUCINIPHILA AB Accumulating evidence suggests an important role of gut microbiota in physiological processes of host metabolism as well as cardiometabolic disease. Recent advances in metagenomic and metabolomic research have led to discoveries of novel pathways in which intestinal microbial metabolism of dietary nutrients is linked to metabolic profiles and cardiovascular disease risk. A number of metaorganismal circuits have been identified by microbiota transplantation studies and experimental models using germ-free rodents. Many of these pathways involve gut microbiota-related bioactive metabolites that impact host metabolism, in particular lipid and glucose homeostasis, partly via specific host receptors.In this review, we summarize the current knowledge of how the gut microbiome can impact cardiometabolic phenotypes and provide an overview of recent advances of gut microbiome research.Finally, the potential of modulating intestinal microbiota composition and/or targeting microbiota-related pathways for novel preventive and therapeutic strategies in cardiometabolic and cardiovascular diseases will be discussed. C1 [Roessler, Johann; Leistner, David M.; Landmesser, Ulf; Haghikia, Arash] Charite Univ Med Berlin, Dept Cardiol, Campus Benjamin Franklin, Berlin, Germany. [Leistner, David M.; Landmesser, Ulf; Haghikia, Arash] DZHK German Ctr Cardiovasc Res, Partner Site Berlin, Berlin, Germany. [Leistner, David M.; Landmesser, Ulf; Haghikia, Arash] Berlin Inst Hlth BIH, Berlin, Germany. [Haghikia, Arash] Charite Univ Med Berlin, Dept Cardiol, Campus Benjamin Franklin Hindenburgdamm 30, D-12203 Berlin, Germany. C3 Free University of Berlin; Humboldt University of Berlin; Charite Universitatsmedizin Berlin; German Centre for Cardiovascular Research; Berlin Institute of Health; Free University of Berlin; Humboldt University of Berlin; Charite Universitatsmedizin Berlin RP Haghikia, A (通讯作者),Charite Univ Med Berlin, Dept Cardiol, Campus Benjamin Franklin Hindenburgdamm 30, D-12203 Berlin, Germany. EM arash.haghikia@charite.de FU German Federal Ministry of Education and Research (BMBF) [01ZX1906B]; German Research Foundation (DFG) [HA 6951/2-1]; Charite - Universitatsmedizin Berlin; Berlin Institute of Health FX This study was supported by the Foundation Leducq network "Gut microbiome as a target for the treatment of cardiometabolic diseases", Sympath ("Systems-medicine of pneumonia-aggravated atherosclerosis", grant number 01ZX1906B) funded by the German Federal Ministry of Education and Research (BMBF), and the German Research Foundation (DFG, HA 6951/2-1). AH is participant in the BIH-Charite Advanced Clinician Scientist Pilotprogram funded by the Charite - Universitatsmedizin Berlin and the Berlin Institute of Health. 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Orekhov, Alexander N. TI Gut microbiome: A possible common therapeutic target for treatment of atherosclerosis and cancer SO SEMINARS IN CANCER BIOLOGY LA English DT Article DE Atherosclerosis; Cancer; Gut microbiota; Inflammation; Nutraceuticals ID CHAIN FATTY-ACIDS; E-KNOCKOUT MICE; INTESTINAL MICROBIOTA; METABOLITE BUTYRATE; GERM-FREE; COMMENSAL BACTERIA; METFORMIN ALTERS; STATIN THERAPY; L-CARNITINE; BILE-ACID AB Human gut microbiota is a dynamic and variable system that can change over time and in response to different diets and treatments. There is currently no doubt that gut microbiota can provide interesting therapeutic opportunities, since it can metabolize biologically active molecules, drugs, and their precursors, and control their bioavailability. Moreover, it can produce both beneficial and dangerous metabolites that influence host?s health. In this review, we summarize the current knowledge on the involvement of gut microbiota in two chronic human pathologies that represent the greatest challenges of modern medicine: atherosclerosis and cancer. Interesting parallels are observed between the mechanisms and possible treatment approaches of these pathologies. Some of the common effects of therapeutic agents targeting both pathologies, such as anti-inflammatory activity, are partially mediated by the gut microbiota. We will discuss the effects of common drugs (metformin, statins and aspirin) and various nutraceuticals on gut microbiota and outline the pathways of microbial involvement in mediating the pleiotropic beneficial effects of these agents in atherosclerosis and cancer. C1 [Wu, Wei-Kai] Natl Taiwan Univ Hosp, Bei Hu Branch, Dept Internal Med, Taipei, Taiwan. [Ivanova, Ekaterina A.] Inst Atherosclerosis Res, Moscow 121609, Russia. [Orekhov, Alexander N.] Inst Gen Pathol & Pathophysiol, Lab Angiopathol, Moscow 125315, Russia. [Orekhov, Alexander N.] Inst Human Morphol, Tsyurupa Str 3, Moscow 117418, Russia. C3 National Taiwan University; National Taiwan University Hospital; Russian Academy of Medical Sciences; Institute of General Pathology & Pathophysiology, RAMS; Russian Academy of Medical Sciences; Research Institute of Human Morphology RP Ivanova, EA (通讯作者),Inst Atherosclerosis Res, Moscow 121609, Russia.; Orekhov, AN (通讯作者),Inst Human Morphol, Tsyurupa Str 3, Moscow 117418, Russia. EM kate.ivanov@gmail.com; a.h.opexob@gmail.com RI Wu, Wei-Kai/AAK-9631-2021 OI Wu, Wei-Kai/0000-0002-9476-8998 FU Russian Science Foundation [18-15-00254] FX This work was supported by Russian Science Foundation (Grant #18-15-00254) . 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Cancer Biol. PD MAY PY 2021 VL 70 BP 85 EP 97 DI 10.1016/j.semcancer.2020.06.017 EA MAR 2021 PG 13 WC Oncology WE Science Citation Index Expanded (SCI-EXPANDED) SC Oncology GA QR8IK UT WOS:000625456700009 PM 32610150 DA 2023-06-08 ER PT J AU Pascale, A Marchesi, N Govoni, S Coppola, A Gazzaruso, C AF Pascale, Alessia Marchesi, Nicoletta Govoni, Stefano Coppola, Adriana Gazzaruso, Carmine TI The role of gut microbiota in obesity, diabetes mellitus, and effect of metformin: new insights into old diseases SO CURRENT OPINION IN PHARMACOLOGY LA English DT Article ID BILE-ACIDS; INSULIN; ALTERS; BRAIN; FAT AB There is a recent growing evidence that abnormalities in the microbiota composition can have a major role in the development of obesity and diabetes and that some actions of metformin may be mediated by gut bacteria. Several mechanisms have been found. A reduced microbial diversity is associated to inflammation, insulin-resistance, and adiposity. In particular, a rise in the Firmicutes/Bacteroidetes ratio is related to a low-grade inflammation and to an increased capability of harvesting energy from food. Interestingly, high-fat-diet favors the growth of bacteria capable of extracting more energy from food. Changes in some metabolites, such as short-chain fatty acids (SCFAs), produced by gut microbiota, and decreased amounts of the Akkermansia muciniphila are associated with the presence of type 2 diabetes. Among the mechanisms by which metformin acts on glucose metabolism and on the cardiovascular risk, some of them are due to positive effects on gut microbiota. A shift toward positive SCFAs produced by bacteria, an increase in some bacterial strains, including A. muciniphila, and some actions on bile acids mediated by microbiota have been described. All these recent advances have been reported and discussed. C1 [Pascale, Alessia; Marchesi, Nicoletta; Govoni, Stefano] Univ Pavia, Pharmacol Sect, Dept Drug Sci, I-27100 Pavia, Italy. [Coppola, Adriana; Gazzaruso, Carmine] Clin Inst Beato Matteo, Diabet & Endocrine & Metab Dis Unit, I-27029 Vigevano, Italy. [Coppola, Adriana; Gazzaruso, Carmine] Clin Inst Beato Matteo, Ctr Appl Clin Res CeRCA, I-27029 Vigevano, Italy. C3 University of Pavia RP Gazzaruso, C (通讯作者),Clin Inst Beato Matteo, Diabet & Endocrine & Metab Dis Unit, I-27029 Vigevano, Italy.; Gazzaruso, C (通讯作者),Clin Inst Beato Matteo, Ctr Appl Clin Res CeRCA, I-27029 Vigevano, Italy. EM c.gazzaruso@gmail.com RI Coppola, Adriana/AAA-4259-2022; Marchesi, Nicoletta/GQZ-7428-2022; Gazzaruso, Carmine/F-9072-2018 OI Marchesi, Nicoletta/0000-0001-6271-1420; Gazzaruso, Carmine/0000-0001-9974-0735; COPPOLA, Adriana/0000-0003-0508-0073 CR Backhed F, 2004, P NATL ACAD SCI USA, V101, P15718, DOI 10.1073/pnas.0407076101 Bailey CJ, 2008, DIABETOLOGIA, V51, P1552, DOI 10.1007/s00125-008-1053-5 Campbell JM, 2017, AGEING RES REV, V40, P31, DOI 10.1016/j.arr.2017.08.003 Canfora EE, 2015, NAT REV ENDOCRINOL, V11, P577, DOI 10.1038/nrendo.2015.128 Cani PD, 2018, GUT, V67, P1716, DOI 10.1136/gutjnl-2018-316723 Cani PD, 2019, NAT METAB, V1, P34, DOI 10.1038/s42255-018-0017-4 CASPARY WF, 1975, DIABETOLOGIA, V11, P113, DOI 10.1007/BF00429833 Chambers Edward S, 2018, Curr Nutr Rep, V7, P198, DOI 10.1007/s13668-018-0248-8 Cheng D, 2018, EXP CELL RES, V368, P101, DOI 10.1016/j.yexcr.2018.04.018 Cornejo-Pareja I, 2019, EUR J CLIN NUTR, V72, P26, DOI 10.1038/s41430-018-0306-8 de la Cuesta-Zuluaga J, 2017, DIABETES CARE, V40, P54, DOI 10.2337/dc16-1324 De Vadder F, 2014, CELL, V156, P84, DOI 10.1016/j.cell.2013.12.016 Ding SZ, 2010, PLOS ONE, V5, DOI 10.1371/journal.pone.0009875 Grice EA, 2012, ANNU REV GENOM HUM G, V13, P151, DOI 10.1146/annurev-genom-090711-163814 Hanninen A, 2018, GUT, V67, P1445, DOI 10.1136/gutjnl-2017-314508 Harsch Igor Alexander, 2018, Med Sci (Basel), V6, DOI 10.3390/medsci6020032 Kim MH, 2014, J ENDOCRINOL, V220, P117, DOI 10.1530/JOE-13-0381 Lam YY, 2012, PLOS ONE, V7, DOI 10.1371/journal.pone.0034233 Lee H, 2018, GUT MICROBES, V9, P155, DOI 10.1080/19490976.2017.1405209 Ley RE, 2005, P NATL ACAD SCI USA, V102, P11070, DOI 10.1073/pnas.0504978102 Matsubara T, 2013, MOL CELL ENDOCRINOL, V368, P17, DOI 10.1016/j.mce.2012.05.004 Minamii T, 2018, J DIABETES INVEST, V9, P701, DOI 10.1111/jdi.12864 Nguyen A, 2008, CELL SIGNAL, V20, P2180, DOI 10.1016/j.cellsig.2008.06.014 Ochoa-Reparaz J, 2016, CURR OBES REP, V5, P51, DOI 10.1007/s13679-016-0191-1 Pascale A, 2018, ENDOCRINE, V61, P357, DOI 10.1007/s12020-018-1605-5 Plovier H, 2017, NAT MED, V23, P107, DOI 10.1038/nm.4236 Prattichizzo F, 2018, AGEING RES REV, V48, P87, DOI 10.1016/j.arr.2018.10.003 Rodriguez J, 2018, CURR OPIN CLIN NUTR, V21, P294, DOI 10.1097/MCO.0000000000000468 Shen W, 2014, J NUTR BIOCHEM, V25, P270, DOI 10.1016/j.jnutbio.2013.09.009 Sonne DP, 2015, DIABETES CARE, V38, P1858, DOI DOI 10.2337/dc15-0658 Sun LL, 2018, NAT MED, V24, P1919, DOI 10.1038/s41591-018-0222-4 Wahlstrom A, 2016, CELL METAB, V24, P41, DOI 10.1016/j.cmet.2016.05.005 Wu H, 2017, NAT MED, V23, P850, DOI 10.1038/nm.4345 Wu TZ, 2017, EXPERT REV GASTROENT, V11, P157, DOI 10.1080/17474124.2017.1273769 NR 34 TC 131 Z9 135 U1 8 U2 119 PU ELSEVIER SCI LTD PI OXFORD PA THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, OXON, ENGLAND SN 1471-4892 EI 1471-4973 J9 CURR OPIN PHARMACOL JI Curr. Opin. Pharmacol. PD DEC PY 2019 VL 49 BP 1 EP 5 DI 10.1016/j.coph.2019.03.011 PG 5 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA JW5IV UT WOS:000503086500003 PM 31015106 HC Y HP N DA 2023-06-08 ER PT J AU Varghese, E Samuel, SM Liskova, A Kubatka, P Busselberg, D AF Varghese, Elizabeth Samuel, Samson Mathews Liskova, Alena Kubatka, Peter Busselberg, Dietrich TI Diabetes and coronavirus (SARS-CoV-2): Molecular mechanism of Metformin intervention and the scientific basis of drug repurposing SO PLOS PATHOGENS LA English DT Review ID FACTOR-KAPPA-B; ADVANCED GLYCATION; ENDOTHELIAL DYSFUNCTION; INSULIN-RESISTANCE; COVID-19 SEVERITY; SARS CORONAVIRUS; MEMBRANE-FUSION; GUT MICROBIOTA; GLUCOSE-LEVELS; MORTALITY AB Coronavirus Disease 2019 (COVID-19), caused by a new strain of coronavirus called Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), was declared a pandemic by WHO on March 11, 2020. Soon after its emergence in late December 2019, it was noticed that diabetic individuals were at an increased risk of COVID-19-associated complications, ICU admissions, and mortality. Maintaining proper blood glucose levels using insulin and/or other oral antidiabetic drugs (such as Metformin) reduced the detrimental effects of COVID-19. Interestingly, in diabetic COVID-19 patients, while insulin administration was associated with adverse outcomes, Metformin treatment was correlated with a significant reduction in disease severity and mortality rates among affected individuals. Metformin was extensively studied for its antioxidant, anti-inflammatory, immunomodulatory, and antiviral capabilities that would explain its ability to confer cardiopulmonary and vascular protection in COVID-19. Here, we describe the various possible molecular mechanisms that contribute to Metformin therapy's beneficial effects and lay out the scientific basis of repurposing Metformin for use in COVID-19 patients. C1 [Varghese, Elizabeth; Samuel, Samson Mathews; Busselberg, Dietrich] Qatar Fdn, Weill Cornell Med Qatar, Dept Physiol & Biophys, Doha, Qatar. [Liskova, Alena] Comenius Univ, Jessenius Fac Med, Dept Obstet & Gynecol, Martin, TN, Slovakia. [Kubatka, Peter] Comenius Univ, Jessenius Fac Med, Dept Med Biol, Martin, TN, Slovakia. C3 Qatar Foundation (QF); Weill Cornell Medical College Qatar; Comenius University Bratislava; Comenius University Bratislava RP Samuel, SM; Busselberg, D (通讯作者),Qatar Fdn, Weill Cornell Med Qatar, Dept Physiol & Biophys, Doha, Qatar. EM sms2016@qatar-med.cornell.edu; dib2015@qatar-med.cornell.edu OI Kubatka, Peter/0000-0003-4312-5076; Busselberg, Dietrich/0000-0001-5196-3366; Mathews Samuel, Samson/0000-0002-5541-6623 FU Qatar National Research Fund (QNRF, Qatar Foundation) [NPRP11S-1214-170101]; Biomedical Research Program (BMRP) at Weill Cornell Medicine-Qatar - Qatar Foundation FX This work was supported by a National Priorities Research Program grant (NPRP11S1214-170101; June 2019-Current) awarded to DB, from the Qatar National Research Fund (QNRF, a member of Qatar Foundation) (https://mis.qgrants.org/Public/AwardDetails.aspx?ParamPid= fghmdaekde). The salaries for EV and SMS were paid from the above mentioned QNRF funded grant. The publication costs of this article was funded by the Biomedical Research Program (BMRP) at Weill Cornell Medicine-Qatar, funded by Qatar Foundation. The statements made herein are solely the responsibility of the authors. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. 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PD JUN PY 2021 VL 17 IS 6 AR e1009634 DI 10.1371/journal.ppat.1009634 PG 20 WC Microbiology; Parasitology; Virology WE Science Citation Index Expanded (SCI-EXPANDED) SC Microbiology; Parasitology; Virology GA SW1UY UT WOS:000664307300001 PM 34157054 OA Green Published, gold DA 2023-06-08 ER PT J AU Bauer, PV Duca, FA AF Bauer, Paige V. Duca, Frank A. TI Targeting the gastrointestinal tract to treat type 2 diabetes SO JOURNAL OF ENDOCRINOLOGY LA English DT Review DE gut; metformin; gut sensing; gut microbiota; bile acids ID GLUCAGON-LIKE PEPTIDE-1; Y GASTRIC BYPASS; DUODENAL-JEJUNAL BYPASS; FARNESOID-X-RECEPTOR; VERTICAL SLEEVE GASTRECTOMY; PROTEIN-COUPLED RECEPTOR; GROWTH-FACTOR 19; OLIGOFRUCTOSE PROMOTES SATIETY; LOWERS GLUCOSE-PRODUCTION; HUMAN GUT MICROBIOTA AB The rising global rates of type 2 diabetes and obesity present a significant economic and social burden, underscoring the importance for effective and safe therapeutic options. The success of glucagon-like-peptide-1 receptor agonists in the treatment of type 2 diabetes, along with the potent glucose-lowering effects of bariatric surgery, highlight the gastrointestinal tract as a potential target for diabetes treatment. Furthermore, recent evidence suggests that the gut plays a prominent role in the ability of metformin to lower glucose levels. As such, the current review highlights some of the current and potential pathways in the gut that could be targeted to improve glucose homeostasis, such as changes in nutrient sensing, gut peptides, gut microbiota and bile acids. A better understanding of these pathways will lay the groundwork for novel gut-targeted antidiabetic therapies, some of which have already shown initial promise. C1 [Bauer, Paige V.; Duca, Frank A.] Toronto Gen Hosp, Res Inst, Toronto, ON, Canada. [Bauer, Paige V.; Duca, Frank A.] UHN, Dept Med, Toronto, ON, Canada. [Bauer, Paige V.] Univ Toronto, Dept Physiol, Toronto, ON, Canada. C3 University of Toronto; University Health Network Toronto; Toronto General Hospital; University of Toronto; University Health Network Toronto; University of Toronto RP Duca, FA (通讯作者),Toronto Gen Hosp, Res Inst, Toronto, ON, Canada.; Duca, FA (通讯作者),UHN, Dept Med, Toronto, ON, Canada. EM frank.duca@uhnres.utoronto.ca FU Ontario Graduate Scholarship; Banting and Best Diabetes Centre graduate studentship FX P V B is supported by an Ontario Graduate Scholarship and a Banting and Best Diabetes Centre graduate studentship. F A D is a Banting Fellow. 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PD SEP PY 2016 VL 230 IS 3 BP R95 EP R113 DI 10.1530/JOE-16-0056 PG 19 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA DX2JT UT WOS:000384195700002 PM 27496374 OA Bronze DA 2023-06-08 ER PT J AU Bahlouli, W Breton, J Lelouard, M L'Huillier, C Tirelle, P Salameh, E Amamou, A Atmani, K Goichon, A Bole-Feysot, C Ducrotte, P Ribet, D Dechelotte, P Coeffier, M AF Bahlouli, Wafa Breton, Jonathan Lelouard, Mauranne L'Huillier, Clement Tirelle, Pauline Salameh, Emmeline Amamou, Asma Atmani, Karim Goichon, Alexis Bole-Feysot, Christine Ducrotte, Philippe Ribet, David Dechelotte, Pierre Coeffier, Moise TI Stress-induced intestinal barrier dysfunction is exacerbated during diet-induced obesity SO JOURNAL OF NUTRITIONAL BIOCHEMISTRY LA English DT Article DE Morbid obesity; Irritable bowel syndrome; Gut barrier; Leptin; Metformin; Gut microbiota ID IRRITABLE-BOWEL-SYNDROME; INCREASED GUT PERMEABILITY; SYNDROME INVOLVEMENT; LEPTIN; ENDOTOXEMIA; MICROBIOTA; CURCUMIN; DISEASE; COHORT; CELLS AB Obesity and irritable bowel syndrome (IBS) are two major public health issues. Interestingly previous data report a marked increase of IBS prevalence in morbid obese subjects compared with non-obese subjects but underlying mechanisms remain unknown. Obesity and IBS share common intestinal pathophysiological mechanisms such as gut dysbiosis, intestinal hyperpermeability and low-grade inflammatory response. We thus aimed to evaluate the link between obesity and IBS using different animal models. Male C57Bl/6 mice received high fat diet (HFD) for 12 weeks and were then submitted to water avoidance stress (WAS). In response to WAS, HFD mice exhibited higher intestinal permeability and plasma corticosterone concentration than non-obese mice. We were not able to reproduce a similar response both in ob/ob mice and in leptin-treated non-obese mice. In addition, metformin, a hypoglycemic agent, limited fasting glycaemia both in unstressed and WAS diet-induced obese mice but only partially restored colonic permeability in unstressed HFD mice. Metformin failed to improve intestinal permeability in WAS HFD mice. Finally, cecal microbiota transplantation from HFD mice in antibiotics-treated recipient mice did not reproduce the effects observed in stressed HFD mice. In conclusion, stress induced a more marked intestinal barrier dysfunction in diet-induced obese mice compared with non-obese mice that seems to be independent of leptin, glycaemia and gut microbiota. These data should be further confirmed and the role of the dietary composition should be studied. (C) 2020 Elsevier Inc. All rights reserved. C1 [Bahlouli, Wafa; Breton, Jonathan; Lelouard, Mauranne; L'Huillier, Clement; Tirelle, Pauline; Salameh, Emmeline; Amamou, Asma; Atmani, Karim; Goichon, Alexis; Bole-Feysot, Christine; Ducrotte, Philippe; Ribet, David; Dechelotte, Pierre; Coeffier, Moise] Normandie Univ, UNIROUEN, INSERM, UMR 1073,Nutr Inflammat & Gut Brain Axis, F-76183 Rouen, France. [Bahlouli, Wafa; Breton, Jonathan; Lelouard, Mauranne; L'Huillier, Clement; Tirelle, Pauline; Salameh, Emmeline; Amamou, Asma; Atmani, Karim; Goichon, Alexis; Bole-Feysot, Christine; Ducrotte, Philippe; Ribet, David; Dechelotte, Pierre; Coeffier, Moise] UNIROUEN, Inst Res & Innovat Biomed IRIB, F-76183 Rouen, France. [Ducrotte, Philippe] Rouen Univ Hosp, Dept Gastroenterol, F-76183 Rouen, France. [Dechelotte, Pierre; Coeffier, Moise] Rouen Univ Hosp, Dept Nutr, F-76183 Rouen, France. C3 Institut National de la Sante et de la Recherche Medicale (Inserm); Universite de Rouen Normandie; Universite de Rouen Normandie; Universite de Rouen Normandie; CHU de Rouen; Universite de Rouen Normandie; CHU de Rouen RP Coeffier, M (通讯作者),Normandie Univ, UNIROUEN, INSERM, UMR 1073,Nutr Inflammat & Gut Brain Axis, F-76183 Rouen, France.; Coeffier, M (通讯作者),UNIROUEN, Inst Res & Innovat Biomed IRIB, F-76183 Rouen, France.; Coeffier, M (通讯作者),Rouen Univ Hosp, Dept Nutr, F-76183 Rouen, France. EM moise.coeffier@univ-rouen.fr RI Atmani, Karim/AAR-6116-2020; Atmani, Karim/HLH-8541-2023; Breton, jonathan/ABA-2327-2021; Ribet, David/AAA-6659-2020 OI Atmani, Karim/0000-0003-3584-0694; Ribet, David/0000-0003-1175-6471; BRETON, Jonathan/0000-0001-5359-5210; Coeffier, Moise/0000-0002-7469-2682; DECHELOTTE, Pierre/0000-0001-5224-6166 FU Microbiome foundation; Roquette foundation for health; European Union; Normandie Regional Council FX This work was co-supported by the Microbiome foundation, the Roquette foundation for health and by European Union and Normandie Regional Council (to W.B. and for equipment). Europe gets involved in Normandie with European Regional Development Fund (ERDF). These funders did not participate in the design, implementation, analysis, and interpretation of the data. 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Nutr. Biochem. PD JUL PY 2020 VL 81 AR 108382 DI 10.1016/j.jnutbio.2020.108382 PG 11 WC Biochemistry & Molecular Biology; Nutrition & Dietetics WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Nutrition & Dietetics GA LT2VF UT WOS:000536929100010 PM 32417626 OA Green Published, Bronze DA 2023-06-08 ER PT J AU Almugadam, BS Liu, YH Chen, SM Wang, CH Shao, CY Ren, BW Tang, L AF Almugadam, Babiker Saad Liu, Yinhui Chen, Shen-min Wang, Chun-hao Shao, Chen-yi Ren, Bao-wei Tang, Li TI Alterations of Gut Microbiota in Type 2 Diabetes Individuals and the Confounding Effect of Antidiabetic Agents SO JOURNAL OF DIABETES RESEARCH LA English DT Article ID CHAIN FATTY-ACIDS; EPIDEMIOLOGY; ASSOCIATION; SEQUENCES; BUTYRATE AB Type 2 diabetes is a leading cause of morbidity and a common risk of several disorders. Identifying the microbial ecology changes is essential for disease prediction, therapy, and prevention. Thus, our study is aimed at investigating the intestinal microbiota among healthy and type 2 diabetes individuals and exploring the effect of antidiabetic agents on gut bacterial flora. 24 type 2 diabetes (metformin, glimepiride, and nontherapeutic subgroups;N=8) and 24 healthy control subjects were enrolled in this study, and intestinal bacterial microbiota was investigated by analyzing V3-V4 regions of 16S rRNA gene sequence. Numerous alterations were observed in the gut microbial community of diabetic individuals. These changes were characterized by a significant lowered abundance ofFaecalibacterium,Fusobacterium,Dialister, andElusimicrobiumin the nontherapeutic subgroup compared to the healthy control group. Likewise, correlation analysis showed a substantial decline in gut microbiota richness and diversity with the duration of illness. Furthermore, antidiabetic agents restored to some extent the richness and diversity of gut microbiota and improved the abundance of many beneficial bacteria with a significant increase ofMethanobrevibacterin the metformin subcategory compared to the nontherapeutic subgroup. In return, they decreased the abundance of some opportunistic pathogens. The findings of this study have added a novel understanding about the pathogenesis of the disease and the mechanisms underlying antidiabetic therapy, which are of potential interest for therapeutic lines and further studies. C1 [Almugadam, Babiker Saad; Liu, Yinhui; Chen, Shen-min; Wang, Chun-hao; Shao, Chen-yi; Ren, Bao-wei; Tang, Li] Dalian Med Univ, Dept Microecol, Coll Basic Med Sci, Dalian, Liaoning, Peoples R China. [Almugadam, Babiker Saad] Univ El Imam El Mahdi, Fac Med Lab Sci, Dept Microbiol, Kosti, White Nile Stat, Sudan. C3 Dalian Medical University RP Tang, L (通讯作者),Dalian Med Univ, Dept Microecol, Coll Basic Med Sci, Dalian, Liaoning, Peoples R China. EM babiker888@yahoo.com; yhliu_dl@163.com; 18031500055@163.com; 15124313326@163.com; 1058506994@qq.com; leo_maki@126.com; tangli_2015cn@sina.com RI Almugadam, Babiker Saad/AGO-5640-2022 FU National Natural Science Foundation of China [81970719] FX We are thankful to the study participants. The authors also acknowledge the staff of Namuzaji Center (National Health Insurance Fund) for their help throughout data and specimen collection. This work supported by the National Natural Science Foundation of China (No. 81970719). 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Diabetes Res. PD SEP 28 PY 2020 VL 2020 AR 7253978 DI 10.1155/2020/7253978 PG 14 WC Endocrinology & Metabolism; Medicine, Research & Experimental WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism; Research & Experimental Medicine GA OI4IE UT WOS:000583243600001 PM 33062716 OA Green Published, gold DA 2023-06-08 ER PT J AU Bellerba, F Chatziioannou, AC Jasbi, P Robinot, N Keski-Rahkonen, P Trolat, A Vozar, B Hartman, SJ Scalbert, A Bonanni, B Johansson, H Sears, DD Gandini, S AF Bellerba, Federica Chatziioannou, Anastasia Chrysovalantou Jasbi, Paniz Robinot, Nivonirina Keski-Rahkonen, Pekka Trolat, Amarine Vozar, Beatrice Hartman, Sheri J. Scalbert, Augustin Bonanni, Bernardo Johansson, Harriet Sears, Dorothy D. Gandini, Sara TI Metabolomic profiles of metformin in breast cancer survivors: a pooled analysis of plasmas from two randomized placebo-controlled trials SO JOURNAL OF TRANSLATIONAL MEDICINE LA English DT Article DE Cancer; Recurrence; Metabolic syndrome; Prevention; Lipids; Weight loss ID GUT MICROBIOME; AMINO-ACIDS; FATTY-ACIDS; IN-VIVO; CYP1A2; RISK; INDIVIDUALS; ASSOCIATION; CITRULLINE; MORTALITY AB Background: Obesity is a major health concern for breast cancer survivors, being associated with high recurrence and reduced efficacy during cancer treatment. Metformin treatment is associated with reduced breast cancer incidence, recurrence and mortality. To better understand the underlying mechanisms through which metformin may reduce recurrence, we aimed to conduct metabolic profiling of overweight/obese breast cancer survivors before and after metformin treatment. Methods: Fasting plasma samples from 373 overweight or obese breast cancer survivors randomly assigned to metformin (n = 194) or placebo (n = 179) administration were collected at baseline, after 6 months (Reach For Health trial), and after 12 months (MetBreCS trial). Archival samples were concurrently analyzed using three complementary methods: untargeted LC-QTOF-MS metabolomics, targeted LC-MS metabolomics (AbsoluteIDQ p180, Biocrates), and gas chromatography phospholipid fatty acid assay. Multivariable linear regression models and family-wise error correction were used to identify metabolites that significantly changed after metformin treatment. Results: Participants (n = 352) with both baseline and study end point samples available were included in the analysis. After adjusting for confounders such as study center, age, body mass index and false discovery rate, we found that metformin treatment was significantly associated with decreased levels of citrulline, arginine, tyrosine, caffeine, paraxanthine, and theophylline, and increased levels of leucine, isoleucine, proline, 3-methyl-2-oxovalerate, 4-methyl-2-oxovalerate, alanine and indoxyl-sulphate. Long-chain unsaturated phosphatidylcholines (PC ae C36:4, PC ae C38:5, PC ae C36:5 and PC ae C38:6) were significantly decreased with the metformin treatment, as were phospholipid-derived long-chain n-6 fatty acids. The metabolomic profiles of metformin treatment suggest change in specific biochemical pathways known to impair cancer cell growth including activation of CYP1A2, alterations in fatty acid desaturase activity, and altered metabolism of specific amino acids, including impaired branched chain amino acid catabolism. Conclusions: Our results in overweight breast cancer survivors identify new metabolic effects of metformin treatment that may mechanistically contribute to reduced risk of recurrence in this population and reduced obesity-related cancer risk reported in observational studies. C1 [Bellerba, Federica; Gandini, Sara] European Inst Oncol IRCCS, Dept Expt Oncol, IEO, Milan, Italy. [Chatziioannou, Anastasia Chrysovalantou; Robinot, Nivonirina; Keski-Rahkonen, Pekka; Trolat, Amarine; Vozar, Beatrice; Scalbert, Augustin] Int Agcy Res Canc, Nutr & Metab Branch, Lyon, France. [Jasbi, Paniz; Sears, Dorothy D.] Arizona State Univ, Coll Hlth Solut, Phoenix, AZ USA. [Jasbi, Paniz] Arizona State Univ, Sch Mol Sci, Tempe, AZ USA. [Hartman, Sheri J.] Univ Calif San Diego, Herbert Wertheim Sch Publ Hlth & Human Longev Sci, La Jolla, CA USA. [Hartman, Sheri J.; Sears, Dorothy D.] Univ Calif San Diego, Moores Canc Ctr, La Jolla, CA USA. [Bonanni, Bernardo; Johansson, Harriet] European Inst Oncol IRCCS, Div Canc Prevent & Genet, IEO, Via Giuseppe Ripamonti 435, I-20141 Milan, Italy. [Sears, Dorothy D.] Univ Calif San Diego, Dept Med, La Jolla, CA USA. C3 IRCCS European Institute of Oncology (IEO); World Health Organization; International Agency for Research on Cancer (IARC); Arizona State University; Arizona State University-Downtown Phoenix; Arizona State University; Arizona State University-Tempe; University of California System; University of California San Diego; University of California System; University of California San Diego; IRCCS European Institute of Oncology (IEO); University of California System; University of California San Diego RP Johansson, H (通讯作者),European Inst Oncol IRCCS, Div Canc Prevent & Genet, IEO, Via Giuseppe Ripamonti 435, I-20141 Milan, Italy. EM harriet.johansson@ieo.it OI Johansson, Harriet/0000-0002-4131-2030 FU National Institutes of Health [U54 CA155435]; Italian Ministry of Health [RRC-2014-2354553]; Institut National du Cancer, France (INCa) through the TRANSCAN ERA-Net call on Translational Cancer Research (TRANSCAN-JTC 2013) [2015-034]; Research Council Norway/Norwegian Cancer Society; Italian Ministry of Health FX Reach for Health study was supported by the National Institutes of Health (U54 CA155435) and the MetBreCs trial was supported by the Italian Ministry of Health (RRC-2014-2354553) and the Institut National du Cancer, France (INCa No2015-034), through the TRANSCAN ERA-Net call on Translational Cancer Research (TRANSCAN-JTC 2013). The biomarker analyses were conducted within the European Commission (EC) Seventh Framework Program (FP7) Translational by grants from the research Council Norway/Norwegian Cancer Society (steroid profiling) and Italian Ministry of Health (adipokines, cytokines, growth factors, inflammatory biomarkers). This work was partially supported by the Italian Ministry of Health with Ricerca Corrente and 5 x 1000 funds. Federica Bellerba is a Ph.D. student within the European School of Molecular Medicine (SEMM). 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Transl. Med. PD DEC 29 PY 2022 VL 20 IS 1 AR 629 DI 10.1186/s12967-022-03809-6 PG 16 WC Medicine, Research & Experimental WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine GA 7L4CK UT WOS:000905915800001 PM 36581893 OA Green Published, gold DA 2023-06-08 ER PT J AU Bahler, L Holleman, F Chan, MW Booij, J Hoekstra, JB Verberne, HJ AF Bahler, Lonneke Holleman, Frits Chan, Man-Wai Booij, Jan Hoekstra, Joost B. Verberne, Hein J. TI F-18-FDG uptake in the colon is modulated by metformin but not associated with core body temperature and energy expenditure SO PLOS ONE LA English DT Article ID GLUCOSE-METABOLISM; DIABETES-MELLITUS; GUT MICROBIOTA; TRANSIT-TIME; DOUBLE-BLIND; PET; DISCONTINUATION; ABSORPTION; INTESTINE; OBESITY AB Purpose Physiological colonic F-18-fluorodeoxyglucose (F-18-FDG) uptake is a frequent finding on F-18-FDG positron emission tomography computed tomography (PET-CT). Interestingly, metformin, a glucose lowering drug associated with moderate weight loss, is also associated with an increased colonic F-18-FDG uptake. Consequently, increased colonic glucose use might partly explain the weight losing effect of metformin when this results in an increased energy expenditure and/or core body temperature. Therefore, we aimed to determine whether metformin modifies the metabolic activity of the colon by increasing glucose uptake. Methods In this open label, non-randomized, prospective mechanistic study, we included eight lean and eight overweight males. We measured colonic F-18-FDG uptake on PET-CT, energy expenditure and core body temperature before and after the use of metformin. The maximal colonic F-18-FDG uptake was measured in 5 separate segments (caecum, colon ascendens, -transversum, -descendens and sigmoid). Results The maximal colonic F-18-FDG uptake increased significantly in all separate segments after the use of metformin. There was no significant difference in energy expenditure or core body temperature after the use of metformin. There was no correlation between maximal colonic F-18-FDG uptake and energy expenditure or core body temperature. Conclusion Metformin significantly increases colonic F-18-FDG uptake, but this increased uptake is not associated with an increase in energy expenditure or core body temperature. Although the colon might be an important site of the glucose plasma lowering actions of metformin, this mechanism of action does not explain directly any associated weight loss. C1 [Bahler, Lonneke; Holleman, Frits; Chan, Man-Wai; Hoekstra, Joost B.] Acad Med Ctr, Internal Med, Amsterdam, Netherlands. [Booij, Jan; Verberne, Hein J.] Acad Med Ctr, Nucl Med, Amsterdam, Netherlands. C3 University of Amsterdam; Academic Medical Center Amsterdam; University of Amsterdam; Academic Medical Center Amsterdam RP Bahler, L (通讯作者),Acad Med Ctr, Internal Med, Amsterdam, Netherlands. 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Studies have shown that both LU and MH have the function of hypoglycemic effect. However, there are few reports indicating that LU cooperated with MH (LU center dot MH) can relieve lipid metabolism disorders and optimize intestinal flora compositions of high-fat diet mice. In this research, we investigated the effects of LU, MH and LU center dot MH on lipid metabolism disorders and intestinal flora composition in high-fat diet mice. The study found that compared with high-fat diet (HFD) alone, LU, MH and LU center dot MH could significantly reduce the lipid metabolism disorder. Furthermore, compared with LU or MH alone, the biochemical indicators of LU center dot MH were significantly improved and the results of the histopathological section also showed that LU center dot MH has stronger liver repair ability. It revealed that the potential mechanisms of the LU center dot MH alleviating lipid metabolism disorders were involved in the simultaneous regulation of SREBP-1c/FAS and SREBP-1c/ACC/Cpt-1. In addition, LU center dot MH could regulate the intestinal flora compositions. This includes significantly reducing the ratio of Firmicutes and Bacteroidetes(F/B) and at the family level, increasing the relative abundance of Lachnospiraceae, Helicobacteraceae, Marinifilaceae and Peptococcaceae to relieve lipid metabolism disorders. In conclusion, the work found that LU center dot MH regulates the signal pathway of SREBP-1c/FAS and SREBP-1c/ACC/Cpt-1 simultaneously and decreases the ratio of F/B, as well as increases the relative abundance of certain microbiota to alleviate the lipid metabolism disorders of HFD-fed mice. C1 [Ge, Xiaodong; Chang, Chang'e; Huang, Ying; Zeng, Feng; Liu, Bin] Fujian Agr & Forestry Univ, Coll Food Sci, Fuzhou 350002, Fujian, Peoples R China. [Chen, Huiling; Chen, Ligen] Yancheng Inst Technol, Coll Marine & Bioengn, Yancheng 224051, Jiangsu, Peoples R China. [Liu, Tingting] Yancheng Second Peoples Hosp, Clin Pharm Dept, Yancheng 224051, Jiangsu, Peoples R China. [Liu, Bin] Fujian Agr & Forestry Univ, Natl Engn Res Ctr JUNCAO Technol, Fuzhou 350002, Fujian, Peoples R China. C3 Fujian Agriculture & Forestry University; Yancheng Institute of Technology; Fujian Agriculture & Forestry University RP Zeng, F; Liu, B (通讯作者),Fujian Agr & Forestry Univ, Coll Food Sci, Fuzhou 350002, Fujian, Peoples R China.; Liu, B (通讯作者),Fujian Agr & Forestry Univ, Natl Engn Res Ctr JUNCAO Technol, Fuzhou 350002, Fujian, Peoples R China. EM fengzengfzp@163.com; liubin618@hotmail.com RI Liu, Tingting/F-3317-2019 OI Liu, Tingting/0000-0003-1161-5134 FU Fujian Agriculture and Forestry University International Cooperation Project [KXG15001A]; China Postdoctoral Science Foundation [2020M671918]; Fujian Agriculture and Forestry University Science and Technology Innovation Special Projects [CXZX2018055, CXZX2018056] FX This work was funded by the Fujian Agriculture and Forestry University International Cooperation Project (No. KXG15001A), China Postdoctoral Science Foundation (No. 2020M671918) and the Fujian Agriculture and Forestry University Science and Technology Innovation Special Projects (No. CXZX2018055, CXZX2018056). 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PD NOV 1 PY 2020 VL 11 IS 11 BP 10033 EP 10046 DI 10.1039/d0fo01840f PG 14 WC Biochemistry & Molecular Biology; Food Science & Technology WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Food Science & Technology GA OV8ZL UT WOS:000592490800055 PM 33135040 DA 2023-06-08 ER PT J AU Tilves, C Yeh, HC Maruthur, N Juraschek, SP Miller, ER Appel, LJ Mueller, NT AF Tilves, Curtis Yeh, Hsin-Chieh Maruthur, Nisa Juraschek, Stephen P. Miller, Edgar R. Appel, Lawrence J. Mueller, Noel T. TI A behavioral weight-loss intervention, but not metformin, decreases a marker of gut barrier permeability: results from the SPIRIT randomized trial SO INTERNATIONAL JOURNAL OF OBESITY LA English DT Article ID LIPOPOLYSACCHARIDE-BINDING PROTEIN; OBESITY; INFLAMMATION; INDIVIDUALS; EXPRESSION; MEDIATORS; ENDOTOXIN; DISEASE AB BACKGROUND/OBJECTIVES: Lipopolysaccharide-binding protein (LBP), a biomarker of gut barrier permeability to lipopolysaccharides, is higher in adults with obesity and type 2 diabetes. Behavioral weight loss and metformin have distinct effects on the gut microbiome, but their impact on gut permeability to lipopolysaccharides is unknown. This study's objective was to determine the effects of a behavioral weight-loss intervention or metformin treatment on plasma LBP. SUBJECTS/METHODS: SPIRIT was a randomized trial of adults with overweight or obesity. Participants were randomized to one of three arms: metformin treatment, coach-directed behavioral weight loss on a DASH diet, or self-directed care (control). Of 121 participants, a random subset (n = 88) was selected to have LBP measured at baseline, 6 months, and 12 months post intervention. Intervention effects on LBP over time were assessed using generalized estimating equations (GEE). We also examined whether the intervention effects were modified by change in diet and weight. RESULTS: Arms were balanced by sex (83% female), race (51% white), and age (mean 60 years), with no differences in baseline LBP (median 4.23 mu g/mL). At 1 year, mean weight change was -3.00% in the metformin arm, -3.02% in the coach-directed behavioral weight-loss arm, and +0.33% in the self-directed (control) arm. The corresponding change in LBP was +1.03, -0.98, +1.03 mu g/mL. The behavioral weight-loss intervention reduced LBP compared to self-directed care (beta = -0.17, 95% CI: -0.33 to -0.01); no other between-arm comparisons were significant. Behavioral weight-loss participants who reduced dietary fat showed the greatest reductions in 6-month LBP (beta = -2.84, 95% CI: -5.17 to -0.50). CONCLUSIONS: Despite similar weight loss in the behavioral weight loss arm and the metformin arm, only the behavioral weight-loss intervention reduced LBP compared to control. Lifestyle weight-loss interventions that promote a DASH diet may be effective at reducing gut barrier permeability to lipopolysaccharides. C1 [Tilves, Curtis; Mueller, Noel T.] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21205 USA. [Tilves, Curtis; Yeh, Hsin-Chieh; Maruthur, Nisa; Miller, Edgar R.; Appel, Lawrence J.; Mueller, Noel T.] Johns Hopkins Univ, Welch Ctr Prevent Epidemiol & Clin Res, Baltimore, MD 21205 USA. [Juraschek, Stephen P.] Beth Israel Deaconess Med Ctr, Div Gen Med & Primary Care, Boston, MA USA. C3 Johns Hopkins University; Johns Hopkins Bloomberg School of Public Health; Johns Hopkins University; Harvard University; Beth Israel Deaconess Medical Center RP Mueller, NT (通讯作者),Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21205 USA.; Mueller, NT (通讯作者),Johns Hopkins Univ, Welch Ctr Prevent Epidemiol & Clin Res, Baltimore, MD 21205 USA. EM nmuelle4@jhu.edu RI Appel, Larry/GLT-2608-2022 OI Mueller, Noel/0000-0002-7412-8352 FU Maryland Cigarette Restitution Fund; National Heart, Lung, and Blood Institute of the National Institutes of Health [K01HL141589]; National Cancer Institute's Cancer Centers Support Grant [5P30CA006973]; National Heart, Lung, and Blood Institute [T32HL007024] FX The SPIRIT study was funded by the Maryland Cigarette Restitution Fund. NTM was supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health (K01HL141589). HCY was supported in part by the National Cancer Institute's Cancer Centers Support Grant to the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins (5P30CA006973). CT was supported by the National Heart, Lung, and Blood Institute grant T32HL007024. 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J. Obes. PD MAR PY 2022 VL 46 IS 3 BP 655 EP 660 DI 10.1038/s41366-021-01039-2 EA JAN 2022 PG 6 WC Endocrinology & Metabolism; Nutrition & Dietetics WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism; Nutrition & Dietetics GA ZI1ML UT WOS:000739305100002 PM 34987204 OA Green Accepted DA 2023-06-08 ER PT J AU Giron, F Quigley, EMM AF Giron, Fanny Quigley, Eamonn M. M. TI Pharmabiotic Manipulation of the Microbiota in Gastrointestinal Disorders: A Clinical Perspective SO JOURNAL OF NEUROGASTROENTEROLOGY AND MOTILITY LA English DT Review DE Anti-bacterial agents; Gastrointestinal microbiome; Prebiotics; Probiotics; Synbiotics ID IRRITABLE-BOWEL-SYNDROME; INTESTINAL BACTERIAL OVERGROWTH; BIFIDOBACTERIUM-INFANTIS 35624; INTERNATIONAL SCIENTIFIC ASSOCIATION; GASTROESOPHAGEAL-REFLUX DISEASE; GUT MICROBIOTA; NONALCOHOLIC STEATOHEPATITIS; CONSENSUS STATEMENT; METFORMIN ALTERS; DOUBLE-BLIND AB The advent and widespread availability of high-throughput technology has revolutionized the assessment of the communities of microorganisms that inhabit the gastrointestinal tract-the gut microbiota. As our understanding of the role of the microbiota in health and human disease increases, so also do efforts to prevent and treat disease through the modulation of the microbiota. Several strategies are available to us and range from time honored approaches, such as antibiotics and probiotics, to changes in diet, the administration of prebiotics as food supplements, and fecal microbiota transplantation. Of these, diet is perhaps the most pervasive but often ignored modulator of the microbiota, and a failure to recognize its impact complicates the interpretation of many microbiota studies. The impacts of antibiotics on the microbiota are more complex than originally thought and, though antibiotics can be life-saving, their effects on commensal bacterial populations can be clinically significant. Though there have been many studies of, and even more claims made for, probiotics, the majority of available studies suffer from significant deficits in study design and execution and many claims remain to be substantiated. Though holding much promise, the study of prebiotics in human disease is still in its infancy. Possibilities other than the administration of live organisms have been identified through efforts to mine the microbiota for novel therapeutics and include: dead organisms, bacterial components, small molecules elaborated by bacteria, and even bacterial DNA. Accordingly, the term pharmabiotic has been introduced to encompass the full range of therapeutic possibilities that the microbiota offers. C1 Houston Methodist Hosp, Gastroenterol & Hepatol, Lynda K & David M Underwood Ctr Digest Disorders, Houston, TX 77030 USA. Weill Cornell Med Coll, Houston, TX USA. C3 The Methodist Hospital System; The Methodist Hospital - Houston; Cornell University RP Quigley, EMM (通讯作者),Houston Methodist Hosp, Div Gastroenterol & Hepatol, 6550 Fannin St,SM1201, Houston, TX 77030 USA. 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PD JUL PY 2018 VL 24 IS 3 BP 355 EP 366 DI 10.5056/jnm18004 PG 12 WC Gastroenterology & Hepatology; Clinical Neurology WE Science Citation Index Expanded (SCI-EXPANDED) SC Gastroenterology & Hepatology; Neurosciences & Neurology GA GO1FZ UT WOS:000439696400005 PM 29684976 OA Green Submitted, Green Published, gold DA 2023-06-08 ER PT J AU Brunkwall, L Orho-Melander, M AF Brunkwall, Louise Orho-Melander, Marju TI The gut microbiome as a target for prevention and treatment of hyperglycaemia in type 2 diabetes: from current human evidence to future possibilities SO DIABETOLOGIA LA English DT Review DE 16S sequencing; Faecal microbiome; Genetics; Glycaemic control; Gut microbiome; Metagenomics; Metformin; Personalised nutrition; Probiotics; Review; Type 2 diabetes ID GLUCOSE-METABOLISM; WIDE ASSOCIATION; DIET; METAGENOME; INCREASES; RICHNESS; BACTERIA; GENOME; IMPACT; OMICS AB The totality of microbial genomes in the gut exceeds the size of the human genome, having around 500-fold more genes that importantly complement our coding potential. Microbial genes are essential for key metabolic processes, such as the breakdown of indigestible dietary fibres to short-chain fatty acids, biosynthesis of amino acids and vitamins, and production of neurotransmitters and hormones. During the last decade, evidence has accumulated to support a role for gut microbiota (analysed from faecal samples) in glycaemic control and type 2 diabetes. Mechanistic studies in mice support a causal role for gut microbiota in metabolic diseases, although human data favouring causality is insufficient. As it may be challenging to sort the human evidence from the large number of animal studies in the field, there is a need to provide a review of human studies. Thus, the aim of this review is to cover the current and future possibilities and challenges of using the gut microbiota, with its capacity to be modified, in the development of preventive and treatment strategies for hyperglycaemia and type 2 diabetes in humans. We discuss what is known about the composition and functionality of human gut microbiota in type 2 diabetes and summarise recent evidence of current treatment strategies that involve, or are based on, modification of gut microbiota (diet, probiotics, metformin and bariatric surgery). We go on to review some potential future gut-based glucose-lowering approaches involving microbiota, including the development of personalised nutrition and probiotic approaches, identification of therapeutic components of probiotics, targeted delivery of propionate in the proximal colon, targeted delivery of metformin in the lower gut, faecal microbiota transplantation, and the incorporation of genetically modified bacteria that express therapeutic factors into microbiota. Finally, future avenues and challenges for understanding the interplay between human nutrition, genetics and microbial genetics, and the need for integration of human multi-omic data (such as genetics, transcriptomics, epigenetics, proteomics and metabolomics) with microbiome data (such as strain-level variation, transcriptomics, proteomics and metabolomics) to make personalised treatments a successful future reality are discussed. C1 [Brunkwall, Louise; Orho-Melander, Marju] Lund Univ, Dept Clin Sci Malmo, Ctr Diabet, Jan Waldenstroms Gata 35, S-20502 Malmo, Sweden. C3 Lund University RP Orho-Melander, M (通讯作者),Lund Univ, Dept Clin Sci Malmo, Ctr Diabet, Jan Waldenstroms Gata 35, S-20502 Malmo, Sweden. EM marju.orho-melander@med.lu.se FU Swedish Research Council; Swedish Heart and Lung Foundation; Novo Nordic Foundation; Swedish Diabetes Foundation; Region Skane (Skane University Hospital); European Research Council [649021]; Novo Nordisk Fonden [NNF14OC0011049, NNF16OC0021370, NNF17OC0027348, NNF15OC0016320] Funding Source: researchfish FX MO-M is a recipient of grants from the Swedish Research Council, the Swedish Heart and Lung Foundation, the Novo Nordic Foundation, the Swedish Diabetes Foundation, the Region Skane (Skane University Hospital) and the European Research Council (Consolidator grant no. 649021, Orho-Melander). 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Morawska, Iwona Sroka-Oleksiak, Agnieszka Matejko, Bartlomiej Kapusta, Przemyslaw Salamon, Dominika Malecki, Maciej T. Wolkow, Pawel Klupa, Tomasz TI Qualitative Parameters of the Colonic Flora in Patients with HNF1A-MODY Are Different from Those Observed in Type 2 Diabetes Mellitus SO JOURNAL OF DIABETES RESEARCH LA English DT Article ID GUT MICROBIOTA; AKKERMANSIA-MUCINIPHILA; PEPTIDE-1 SECRETION; YOUNG MODY; METAGENOME; DIVERSITY; METFORMIN; BUTYRATE; GLUCOSE; HEALTH AB Background. Type 2 diabetes mellitus (T2DM) is determined by genetic and environmental factors. There have been many studies on the relationship between the composition of the gastrointestinal bacterial flora, T2DM, and obesity. There are no data, however, on the gut microbiome structure in monogenic forms of the disease including Maturity Onset Diabetes of the Young (MODY). Methods. The aim of the investigation was to compare the qualitative parameters of the colonic flora in patients with HNF1A-MODY and T2DM and healthy individuals. 16S sequencing of bacterial DNA isolated from the collected fecal samples using the MiSeq platform was performed. Results. There were significant between-group differences in the bacterial profile. At the phylum level, the amount of Proteobacteria was higher (p = 0.0006) and the amount of Bacteroidetes was lower (p = 0.0005) in T2DM group in comparison to the control group. In HNF1A-MODY group, the frequency of Bacteroidetes was lower than in the control group (p = 0.0143). At the order level, Turicibacterales was more abundant in HNF1A-MODY group than in T2DM group. Conclusions. It appears that there are differences in the gut microbiome composition between patients with HNF1A-MODY and type 2 diabetes. Further investigation on this matter should be conducted. C1 [Mrozinska, Sandra; Szopa, Magdalena; Ludwig-Galezowska, Agnieszka H.; Morawska, Iwona; Matejko, Bartlomiej; Malecki, Maciej T.; Klupa, Tomasz] Jagiellonian Univ, Coll Med, Dept Metab Dis, 15 Kopernika St, PL-31501 Krakow, Poland. [Mrozinska, Sandra; Szopa, Magdalena; Morawska, Iwona; Malecki, Maciej T.; Klupa, Tomasz] Univ Hosp, 36 Kopernika St, PL-31501 Krakow, Poland. [Radkowski, Piotr; Ludwig-Galezowska, Agnieszka H.; Kapusta, Przemyslaw; Wolkow, Pawel] Jagiellonian Univ, Coll Med, Ctr Med Genom OMICRON, 7c Kopernika St, PL-31034 Krakow, Poland. [Gosiewski, Tomasz; Bulanda, Malgorzata; Sroka-Oleksiak, Agnieszka; Salamon, Dominika] Jagiellonian Univ, Coll Med, Dept Microbiol, 18 Czysta St, PL-31121 Krakow, Poland. C3 Jagiellonian University; Collegium Medicum Jagiellonian University; Jagiellonian University; Collegium Medicum Jagiellonian University; Jagiellonian University; Collegium Medicum Jagiellonian University; Jagiellonian University; Collegium Medicum Jagiellonian University RP Klupa, T (通讯作者),Jagiellonian Univ, Coll Med, Dept Metab Dis, 15 Kopernika St, PL-31501 Krakow, Poland.; Klupa, T (通讯作者),Univ Hosp, 36 Kopernika St, PL-31501 Krakow, Poland. EM tomasz.klupa@uj.edu.pl RI Szopa, Magdalena/AAI-7193-2020; Wolkow, Pawel/AAI-4222-2021; Matejko, Bartlomiej/AFK-4579-2022; Salamon, Dominika/ADX-9625-2022; Gosiewski, Tomasz/ABI-5869-2020; Sroka-Oleksiak, Agnieszka/GRS-2686-2022; Matejko, Bartlomiej/K-2280-2014; Gosiewski, Tomasz/GSN-5166-2022; Matejko, Bartlomiej/AAG-3279-2022; Matejko, Bartlomiej/GQO-9967-2022; Klupa, Tomasz/V-9559-2019; Gosiewski, Tomasz/U-3349-2018; Sroka-Oleksiak, Agnieszka/GRE-8475-2022 OI Wolkow, Pawel/0000-0002-9322-5545; Gosiewski, Tomasz/0000-0003-4725-5943; Gosiewski, Tomasz/0000-0003-4725-5943; Matejko, Bartlomiej/0000-0001-6938-352X; Matejko, Bartlomiej/0000-0001-6938-352X; Gosiewski, Tomasz/0000-0003-4725-5943; Sroka-Oleksiak, Agnieszka/0000-0003-4998-279X; Ludwig-Slomczynska, Agnieszka H./0000-0002-0548-4767; Kapusta, Przemyslaw/0000-0003-4467-1175 FU European Union from the European Regional Development Fund; National Science Centre in Poland [DEC-2011/03/D/NZ5/00551]; EFSD New Horizons Programme award FX The authors would like to thank all the patients and their families for taking part in the study. The study was performed as part of the project entitled the Influence of the Dipeptidyl Peptidase-4 Inhibitors on the Quantitative and Qualitative Analyses of the Intestinal Bacterial Flora in Patients with Type 2 Diabetes and in Patients with HNF1A Diabetes which is cofinanced by the European Union from the European Regional Development Fund. The control group was collected and examined in the framework of the project supported by the National Science Centre in Poland no. DEC-2011/03/D/NZ5/00551. The study was also supported by an EFSD New Horizons Programme award. 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Diabetes Res. PY 2016 VL 2016 AR 3876764 DI 10.1155/2016/3876764 PG 9 WC Endocrinology & Metabolism; Medicine, Research & Experimental WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism; Research & Experimental Medicine GA EA0NO UT WOS:000386284300001 OA Green Published, Green Submitted, gold DA 2023-06-08 ER PT J AU Olivier, S Pochard, C Diounou, H Castillo, V Divoux, J Alcantara, J Leclerc, J Guilmeau, S Huet, C Charifi, W Varin, TV Daniel, N Foretz, M Neunlist, M Salomon, BL Ghosh, P Marette, A Rolli-Derkinderen, M Viollet, B AF Olivier, Severine Pochard, Camille Diounou, Hanna Castillo, Vanessa Divoux, Jordane Alcantara, Joshua Leclerc, Jocelyne Guilmeau, Sandra Huet, Camille Charifi, Wafa Varin, Thibault V. Daniel, Noemie Foretz, Marc Neunlist, Michel Salomon, Benoit L. Ghosh, Pradipta Marette, Andre Rolli-Derkinderen, Malvyne Viollet, Benoit TI Deletion of intestinal epithelial AMP-activated protein kinase alters distal colon permeability but not glucose homeostasis SO MOLECULAR METABOLISM LA English DT Article DE AMPK; Intestinal epithelial barrier (IEB); Permeability; Microbiota; Obesity; Metformin ID DIET-INDUCED OBESITY; HIGH-FAT DIET; BARRIER FUNCTION; GUT MICROBIOTA; INFLAMMATION; HEALTH; MICE; PHYSIOLOGY; EXPRESSION; COLITIS AB Objective: The intestinal epithelial barrier (IEB) restricts the passage of microbes and potentially harmful substances from the lumen through the paracellular space, and rupture of its integrity is associated with a variety of gastrointestinal disorders and extra-digestive diseases. Increased IEB permeability has been linked to disruption of metabolic homeostasis leading to obesity and type 2 diabetes. Interestingly, recent studies have uncovered compelling evidence that the AMP-activated protein kinase (AMPK) signaling pathway plays an important role in maintaining epithelial cell barrier function. However, our understanding of the function of intestinal AMPK in regulating IEB and glucose homeostasis remains sparse. Methods: We generated mice lacking the two a1 and a2 AMPK catalytic subunits specifically in intestinal epithelial cells (IEC AMPK KO) and determined the physiological consequences of intestinal-specific deletion of AMPK in response to high-fat diet (HFD)-induced obesity. We combined histological, functional, and integrative analyses to ascertain the effects of gut AMPK loss on intestinal permeability in vivo and ex vivo and on the development of obesity and metabolic dysfunction. We also determined the impact of intestinal AMPK deletion in an inducible mouse model (i-IEC AMPK KO) by measuring IEB function, glucose homeostasis, and the composition of gut microbiota via fecal 16S rRNA sequencing. Results: While there were no differences in in vivo intestinal permeability in WT and IEC AMPK KO mice, ex vivo transcellular and paracellular permeability measured in Ussing chambers was significantly increased in the distal colon of IEC AMPK KO mice. This was associated with a reduction in pSer425 GIV phosphorylation, a marker of leaky gut barrier. However, the expression of tight junction proteins in intestinal epithelial cells and pro-inflammatory cytokines in the lamina propria were not different between genotypes. Although the HFD-fed AMPK KO mice displayed suppression of the stress polarity signaling pathway and a concomitant increase in colon permeability, loss of intestinal AMPK did not exacerbate body weight gain or adiposity. Deletion of AMPK was also not sufficient to alter glucose homeostasis or the acute glucose-lowering action of metformin in control diet (CD)- or HFD-fed mice. CD-fed i-IEC AMPK KO mice also presented higher permeability in the distal colon under homeostatic conditions but, surprisingly, this was not detected upon HFD feeding. Alteration in epithelial barrier function in the i-IEC AMPK KO mice was associated with a shift in the gut microbiota composition with higher levels of Clostridiales and Desulfovibrionales. Conclusions: Altogether, our results revealed a significant role of intestinal AMPK in maintaining IEB integrity in the distal colon but not in regulating glucose homeostasis. Our data also highlight the complex interaction between gut microbiota and host AMPK. m 2021 The Author(s). Published by Elsevier GmbH. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). C1 [Olivier, Severine; Diounou, Hanna; Leclerc, Jocelyne; Guilmeau, Sandra; Huet, Camille; Charifi, Wafa; Foretz, Marc; Viollet, Benoit] Univ Paris, Inst Cochin, CNRS, INSERM, F-75014 Paris, France. [Pochard, Camille; Neunlist, Michel; Rolli-Derkinderen, Malvyne] Univ Nantes, IMAD, TENS, INSERM,Enter Nervous Syst Gut & Brain Dis, Nantes, France. [Castillo, Vanessa; Alcantara, Joshua; Ghosh, Pradipta] Univ Calif San Diego, Dept Cellular & Mol Med, La Jolla, CA 92093 USA. [Divoux, Jordane; Salomon, Benoit L.] Sorbonne Univ, Ctr Immunol & Malad Infect CIMI, CNRS, INSERM, Paris, France. [Varin, Thibault V.; Daniel, Noemie; Marette, Andre] Laval Univ Quebec, Quebec Heart & Lung Res Inst IUCPQ, Quebec City, PQ, Canada. [Varin, Thibault V.; Daniel, Noemie; Marette, Andre] Laval Univ Quebec, Inst Nutr & Funct Foods INAF, Quebec City, PQ, Canada. [Ghosh, Pradipta] Univ Calif San Diego, Dept Med, La Jolla, CA 92093 USA. C3 Centre National de la Recherche Scientifique (CNRS); Institut National de la Sante et de la Recherche Medicale (Inserm); UDICE-French Research Universities; Universite Paris Cite; Institut National de la Sante et de la Recherche Medicale (Inserm); Nantes Universite; University of California System; University of California San Diego; Centre National de la Recherche Scientifique (CNRS); Institut National de la Sante et de la Recherche Medicale (Inserm); UDICE-French Research Universities; Sorbonne Universite; Laval University; Laval University; University of California System; University of California San Diego RP Viollet, B (通讯作者),Inst Cochin, 24 Rue Faubourg St Jacques, F-75014 Paris, France.; Rolli-Derkinderen, M (通讯作者),Fac Med, TENS, 1 Rue Gaston Veil, F-44035 Nantes 1, France. EM malvyne.derkinderen@univ-nantes.fr; benoit.viollet@inserm.fr RI Viollet, Benoit/O-6927-2017; Viollet, Benoit/N-2397-2019; Salomon, Benoit/M-2421-2017; FORETZ, Marc/O-7334-2017 OI Viollet, Benoit/0000-0002-0121-0224; Viollet, Benoit/0000-0002-0121-0224; Castillo, Vanessa/0000-0002-4182-8846; Salomon, Benoit/0000-0001-9673-5578; Daniel, Noemie/0000-0003-4319-0054; FORETZ, Marc/0000-0001-7017-9032; Alcantara, Joshua/0000-0002-7970-8970; Diounou, Hanna/0000-0002-0052-5435 FU Inserm, CNRS, Universite de Paris Descartes; Region Ile-de-France; Agence Nationale de la Recherche [ANR-17-CE15-0030, ANR-19-CE14-0023-01]; Societe Francophone du Diabete; Region Ile-de-France (CORDDIM); National Institutes of Health [CA238042, AI141630, CA100768]; Canadian Institutes for Heart Research (CIHR) [FDN-143247]; Pfizer/CIHR research Chair in the pathogenesis of insulin resistance and cardiovascular diseases FX These studies were supported by grants from Inserm, CNRS, Universite de Paris Descartes, Region Ile-de-France, Agence Nationale de la Recherche (ANR-17-CE15-0030 and ANR-19-CE14-0023-01), and Societe Francophone du Diabete (allocation de recherche SFD-Industrie 2016 Pierre Fabre Medicament). S.O. holds a doctoral fellowship from Region Ile-de-France (CORDDIM). P.G., J.A., and V.C. were supported by the National Institutes of Health (CA238042, AI141630, and CA100768 to P.G). Work was also partly funded by the Canadian Institutes for Heart Research (CIHR) to A.M. (FDN-143247). A.M. was the recipient of a Pfizer/CIHR research Chair in the pathogenesis of insulin resistance and cardiovascular diseases. 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Metab. PD MAY PY 2021 VL 47 AR 101183 DI 10.1016/j.molmet.2021.101183 EA FEB 2021 PG 17 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA RP0BT UT WOS:000641403000002 PM 33548500 OA Green Published, Green Submitted, gold DA 2023-06-08 ER PT J AU Vila, AV Collij, V Sanna, S Sinha, T Imhann, F Bourgonje, AR Mujagic, Z Jonkers, DMAE Masclee, AAM Fu, JY Kurilshikov, A Wijmenga, C Zhernakova, A Weersma, RK AF Vila, Arnau Vich Collij, Valerie Sanna, Serena Sinha, Trishla Imhann, Floris Bourgonje, Arno R. Mujagic, Zlatan Jonkers, Daisy M. A. E. Masclee, Ad A. M. Fu, Jingyuan Kurilshikov, Alexander Wijmenga, Cisca Zhernakova, Alexandra Weersma, Rinse K. TI Impact of commonly used drugs on the composition and metabolic function of the gut microbiota SO NATURE COMMUNICATIONS LA English DT Article ID PROTON PUMP INHIBITORS; IRRITABLE-BOWEL-SYNDROME; IDENTIFICATION; RESISTANCE; ARTHRITIS AB The human gut microbiota has now been associated with drug responses and efficacy, while chemical compounds present in these drugs can also impact the gut bacteria. However, drug-microbe interactions are still understudied in the clinical context, where polypharmacy and comorbidities co-occur. Here, we report relations between commonly used drugs and the gut microbiome. We performed metagenomics sequencing of faecal samples from a population cohort and two gastrointestinal disease cohorts. Differences between users and non-users were analysed per cohort, followed by a meta-analysis. While 19 of 41 drugs are found to be associated with microbial features, when controlling for the use of multiple medications, proton-pump inhibitors, metformin, antibiotics and laxatives show the strongest associations with the microbiome. We here provide evidence for extensive changes in taxonomy, metabolic potential and resistome in relation to commonly used drugs. This paves the way for future studies and has implications for current microbiome studies by demonstrating the need to correct for multiple drug use. Here, via a metagenomics analysis of population-based and disease cohorts, Vich Vila et al. study the impact of 41 commonly used medications on the taxonomic structures, metabolic potential and resistome of the gut microbiome, underscoring the importance of correcting for multiple drug use in microbiome studies. C1 [Vila, Arnau Vich; Collij, Valerie; Imhann, Floris; Bourgonje, Arno R.; Weersma, Rinse K.] Univ Groningen, Dept Gastroenterol & Hepatol, Groningen, Netherlands. [Vila, Arnau Vich; Collij, Valerie; Sanna, Serena; Sinha, Trishla; Imhann, Floris; Bourgonje, Arno R.; Fu, Jingyuan; Kurilshikov, Alexander; Wijmenga, Cisca; Zhernakova, Alexandra; Weersma, Rinse K.] Univ Med Ctr Groningen, Groningen, Netherlands. [Vila, Arnau Vich; Collij, Valerie; Sanna, Serena; Sinha, Trishla; Imhann, Floris; Fu, Jingyuan; Kurilshikov, Alexander; Wijmenga, Cisca; Zhernakova, Alexandra] Univ Groningen, Dept Genet, Groningen, Netherlands. [Mujagic, Zlatan; Jonkers, Daisy M. A. E.; Masclee, Ad A. M.] Maastricht Univ, Div Gastroenterol Hepatol, Med Ctr, Maastricht, Netherlands. C3 University of Groningen; University of Groningen; University of Groningen; Maastricht University RP Weersma, RK (通讯作者),Univ Groningen, Dept Gastroenterol & Hepatol, Groningen, Netherlands.; Weersma, RK (通讯作者),Univ Med Ctr Groningen, Groningen, Netherlands. EM r.k.weersma@umcg.nl RI Fu, Jingyuan/E-8980-2012; Kurilshikov, Alexander/GWC-1519-2022; sanna, serena/H-3009-2019; Fu, Jingyuan/ABE-6868-2020; Wijmenga, Cisca/AAE-7719-2019; Fu, JY/GRR-6179-2022; Sinha, Trishla/GRS-4636-2022; Weersma, Rinse/ABE-3807-2021; Zhernakova, Alexandra/ABA-9372-2020 OI Kurilshikov, Alexander/0000-0003-2541-5627; sanna, serena/0000-0002-3768-1749; Fu, Jingyuan/0000-0001-5578-1236; Wijmenga, Cisca/0000-0002-5635-1614; Sinha, Trishla/0000-0002-0992-7983; Bourgonje, Arno/0000-0001-5754-3821 FU Netherlands Organization for Scientific Research (NWO) [016.136.308, 016.178.056, 864.13.013]; Dutch Digestive Foundation [D16-14]; University of Groningen; Netherlands' Top Institute Food and Nutrition - ERC [GH001, ERC-671274]; Spinoza award (NWO) [SPI 92-266]; ERC [ERC-715772]; CardioVasculair Onderzoek Nederland grant [CVON 2012-03] FX We would like to thank all participants from the three cohorts used in this study for providing their phenotypes and stool samples: LifeLines DEEP, the UMCG IBD cohort and the Maastricht University Medical Center IBS cohort. Furthermore, we thank B.H. Jansen for logistic and laboratory support and the IBD nurses at the UMCG IBD clinic, M.A.Y. Klaassen and L. Bolte, for patient inclusion and collection of the samples. We also thank K. McIntyre, who is employed by the Department of Genetics, UMCG, for English and scientific editing services. R.K.W., A.Z. and J.F. are supported by VIDI grants (016.136.308, 016.178.056 and 864.13.013) from the Netherlands Organization for Scientific Research (NWO). R.K.W. is further supported by a Diagnostics Grant from the Dutch Digestive Foundation (D16-14). A.Z. holds a Rosalind Franklin fellowship from the University of Groningen. Sequencing of the control cohort was funded by a grant from the Netherlands' Top Institute Food and Nutrition GH001 to C.W., who is further supported by an ERC advanced grant (ERC-671274) and a Spinoza award (NWO SPI 92-266). A.Z. is supported by an ERC starting grant (ERC-715772). J.F. and A.Z. are supported by a CardioVasculair Onderzoek Nederland grant (CVON 2012-03). Z.M. holds a Niels Stensen fellowship (from Amsterdam, the Netherlands). 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PD JAN 17 PY 2020 VL 11 IS 1 AR 362 DI 10.1038/s41467-019-14177-z PG 11 WC Multidisciplinary Sciences WE Science Citation Index Expanded (SCI-EXPANDED) SC Science & Technology - Other Topics GA KN1YY UT WOS:000514638400002 PM 31953381 OA Green Published, gold HC Y HP N DA 2023-06-08 ER PT J AU Aggarwal, H Pathak, P Kumar, Y Jagavelu, K Dikshit, M AF Aggarwal, Hobby Pathak, Priya Kumar, Yashwant Jagavelu, Kumaravelu Dikshit, Madhu TI Modulation of Insulin Resistance, Dyslipidemia and Serum Metabolome in iNOS Knockout Mice following Treatment with Nitrite, Metformin, Pioglitazone, and a Combination of Ampicillin and Neomycin SO INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES LA English DT Article DE iNOS(-); -; insulin resistance; dyslipidemia; metabolomic analysis ID L-ARGININE SUPPLEMENTATION; DIET-INDUCED OBESITY; OXIDE SYNTHASE INHIBITOR; GUT MICROBIOTA; OXIDATIVE STRESS; NITRATE SUPPLEMENTATION; ENDOTHELIAL DYSFUNCTION; INORGANIC NITRATE; SKELETAL-MUSCLE; OPHTHALMIC ACID AB Oxidative and nitrosative stress plays a pivotal role in the incidence of metabolic disorders. Studies from this lab and others in iNOS(-/-) mice have demonstrated occurrence of insulin resistance (IR), hyperglycemia and dyslipidemia highlighting the importance of optimal redox balance. The present study evaluates role of nitrite, L-arginine, antidiabetics (metformin, pioglitazone) and antibiotics (ampicillin-neomycin combination, metronidazole) on metabolic perturbations observed in iNOS(-/-) mice. The animals were monitored for glucose tolerance (IPGTT), IR (insulin, HOMA-IR, QUICKI), circulating lipids and serum metabolomics (LC-MS). Hyperglycemia, hyperinsulinemia and IR were rescued by nitrite, antidiabetics, and antibiotics treatments in iNOS(-/-) mice. Glucose intolerance was improved with nitrite, metformin and pioglitazone treatment, while ampicillin-neomycin combination normalised the glucose utilization in iNOS(-/-) mice. Increased serum phosphatidylethanolamine lipids in iNOS(-/-) mice were reversed by metformin, pioglitazone and ampicillin-neomycin; dyslipidemia was however marginally improved by nitrite treatment. The metabolic improvements were associated with changes in selected serum metabolites-purines, ceramide, 10-hydroxydecanoate, glucosaminate, diosmetin, sebacic acid, 3-nitrotyrosine and cysteamine. Bacterial metabolites-hippurate, indole-3-ethanol; IR marker-aminoadipate and oxidative stress marker-ophthalmate were reduced by pioglitazone and ampicillin-neomycin, but not by nitrite and metformin treatment. Results obtained in the present study suggest a crucial role of gut microbiota in the metabolic perturbations observed in iNOS(-/-) mice. C1 [Aggarwal, Hobby; Pathak, Priya; Jagavelu, Kumaravelu; Dikshit, Madhu] CSIR Cent Drug Res Inst, Pharmacol Div, Lucknow 226031, India. [Kumar, Yashwant; Dikshit, Madhu] Translat Hlth Sci & Technol Inst, Noncommunicable Dis Div, Faridabad 121001, India. C3 Council of Scientific & Industrial Research (CSIR) - India; CSIR - Central Drug Research Institute (CDRI); Department of Biotechnology (DBT) India; Translational Health Science & Technology Institute (THSTI) RP Dikshit, M (通讯作者),CSIR Cent Drug Res Inst, Pharmacol Div, Lucknow 226031, India.; Dikshit, M (通讯作者),Translat Hlth Sci & Technol Inst, Noncommunicable Dis Div, Faridabad 121001, India. EM hobby.agg@gmail.com; priyapathak87@gmail.com; y.kumar@thsti.res.in; kumaraveluj@cdri.res.in; drmadhudikshit@gmail.com RI Pathak, Priya/GPC-7456-2022 OI Jagavelu, Kumaravelu/0000-0002-9235-0600; Pathak, Priya/0000-0002-4150-0058 FU JC Bose National fellowship [SB/SE/JCB-017/2015]; THSTI core grant; Indian Council of Medical Research; Council of Scientific and Industrial Research, India FX The present study was supported by JC Bose National fellowship [SB/SE/JCB-017/2015] and THSTI core grant to Madhu Dikshit. Research fellowships to H.A. from Indian Council of Medical Research and P.P. from Council of Scientific and Industrial Research, India are acknowledged. 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J. Mol. Sci. PD JAN PY 2022 VL 23 IS 1 AR 195 DI 10.3390/ijms23010195 PG 19 WC Biochemistry & Molecular Biology; Chemistry, Multidisciplinary WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Chemistry GA YF5GK UT WOS:000741834600001 PM 35008623 OA gold, Green Published DA 2023-06-08 ER PT J AU Al-Jameel, SS AF Al-Jameel, Suhailah S. TI Association of diabetes and microbiota: An update SO SAUDI JOURNAL OF BIOLOGICAL SCIENCES LA English DT Review DE Diabetes; Insulin Resistance; Microbiota; Metagenomics; Inflammation ID HUMAN GUT MICROBIOME; HIGH-FAT DIET; INTESTINAL MICROBIOTA; GLUCOSE-INTOLERANCE; BARIATRIC SURGERY; GASTRIC BYPASS; BLOOD-GLUCOSE; PROBIOTICS; INFLAMMATION; METFORMIN AB Diabetes is an emerging health condition globally and is suggested to have a direct connection with the gut microbiota that determine our metabolic outcomes. Sensitivity to insulin and glucose metabolism is normal in healthy people as compared to those people who cannot maintain their glucose metabolism. One of the reasons of the differences is that healthy people have different microbiome that leads to achieve more short chain fatty acids and make up more branched amino acids, while the gut microbiota of the other group of people are more likely to produce compounds that affects glucose metabolism. Herein, this review will pre-sent the research related to the impact of gut microbes on diabetes carried out in the past decade. The review focus on the relation between gut microbiota and Type-1 Diabetes (T1D), Type-2 Diabetes (T2D), and how gut microbiota could be an alternative therapy for treatment of diabetes. (c) 2021 The Author(s). Published by Elsevier B.V. on behalf of King Saud University. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). C1 [Al-Jameel, Suhailah S.] Imam Abdulrahman Bin Faisal Univ, Coll Sci, Dept Chem, POB 1982, Dammam 31441, Saudi Arabia. C3 Imam Abdulrahman Bin Faisal University RP Al-Jameel, SS (通讯作者),Imam Abdulrahman Bin Faisal Univ, Coll Sci, Dept Chem, POB 1982, Dammam 31441, Saudi Arabia. EM ssaljameel@iau.edu.sa FU Imam Abdulrahman bin Faisal University FX The author thanks Imam Abdulrahman bin Faisal University for their support. 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Biol. Sci. PD AUG PY 2021 VL 28 IS 8 BP 4446 EP 4454 DI 10.1016/j.sjbs.2021.04.041 EA JUL 2021 PG 9 WC Biology WE Science Citation Index Expanded (SCI-EXPANDED) SC Life Sciences & Biomedicine - Other Topics GA TQ6FB UT WOS:000678372600012 PM 34354429 OA gold, Green Published DA 2023-06-08 ER PT J AU Chen, XP Devaraj, S AF Chen, Xinpu Devaraj, Sridevi TI Gut Microbiome in Obesity, Metabolic Syndrome, and Diabetes SO CURRENT DIABETES REPORTS LA English DT Review DE Microbiome; Obesity; Metabolic syndrome; Diabetes; Inflammation; Endotoxin ID INTESTINAL MICROBIOTA; INSULIN-RESISTANCE; IMMUNE-SYSTEM; INFLAMMATION; MICE; METAGENOME; METFORMIN AB Purpose of ReviewObesity and diabetes are worldwide epidemics. There is also a growing body of evidence relating the gut microbiome composition to insulin resistance. The purpose of this review is to delineate the studies linking gut microbiota to obesity, metabolic syndrome, and diabetes.Recent findingsAnimal studies as well as proof of concept studies using fecal transplantation demonstrate the pivotal role of the gut microbiota in regulating insulin resistance states and inflammation.SummaryWhile we still need to standardize methodologies to study the microbiome, there is an abundance of evidence pointing to the link between gut microbiome, inflammation, and insulin resistance, and future studies should be aimed at identifying unifying mechanisms. C1 [Chen, Xinpu; Devaraj, Sridevi] Baylor Coll Med, Dept Pathol & Immunol, 6621 Fannin St, Houston, TX 77030 USA. [Chen, Xinpu; Devaraj, Sridevi] Texas Childrens Hosp, 6621 Fannin St, Houston, TX 77030 USA. C3 Baylor College of Medicine; Baylor College of Medicine RP Devaraj, S (通讯作者),Baylor Coll Med, Dept Pathol & Immunol, 6621 Fannin St, Houston, TX 77030 USA.; Devaraj, S (通讯作者),Texas Childrens Hosp, 6621 Fannin St, Houston, TX 77030 USA. 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Diabetes Rep. PD DEC PY 2018 VL 18 IS 12 AR 129 DI 10.1007/s11892-018-1104-3 PG 6 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA GX5PV UT WOS:000447802900004 PM 30338410 DA 2023-06-08 ER PT J AU Tian, JX Bai, BB Gao, ZZ Yang, YY Wu, HR Wang, XM Wang, J Li, M Tong, XL AF Tian, Jiaxing Bai, Bingbing Gao, Zezheng Yang, Yingying Wu, Haoran Wang, Xinmiao Wang, Jun Li, Min Tong, Xiaolin TI Alleviation Effects of GQD, a Traditional Chinese Medicine Formula, on Diabetes Rats Linked to Modulation of the Gut Microbiome SO FRONTIERS IN CELLULAR AND INFECTION MICROBIOLOGY LA English DT Article DE gut microbiota; type 2 diabetes mellitus; Chinese herbal medicine; intestinal barrier function; inflammation ID HIGH-FAT DIET; INTESTINAL BARRIER FUNCTION; GEGEN QINLIAN DECOCTION; LACTOBACILLUS-ACIDOPHILUS; INSULIN-RESISTANCE; ADIPOSE-TISSUE; INFLAMMATION; OBESITY; INDIVIDUALS; ACIDS AB Gegen Qinlian Decoction (GQD) is a Chinese herbal medicine that has been reported to significantly decrease blood glucose levels, which is suggested to be related to interactions with the gut microbiota. However, the protective effect of GQD on intestinal barrier function with regard to its influence on the gut microbiota has not been explored to date. In this study, we investigated the role of the gut microbiota in mediating the hypoglycemic mechanism of GQD in type 2 diabetes mellitus (T2DM) rats induced by a single intraperitoneal injection of streptozotocin after 4 weeks of high-fat diet feeding. The T2DM rats were randomly allocated to receive GQD, metformin (Met), or saline for 12 consecutive weeks, and changes in metabolic parameters, intestinal barrier function, and inflammation were investigated. Gut microbiota was analyzed using 16S rRNA gene sequencing from fecal samples, and statistical analyses were performed to correlate microbiota composition with phenotypes of the T2DM rats. GQD administration decreased the levels of blood glucose and inflammatory cytokines, and increased the levels of tight junction proteins. Besides, GQD had a protective effect on islet function, restoring intestinal permeability, and inhibiting inflammation, as evidenced by increases in the levels of serum C-peptide, occludin, and claudin-1 in the colon, and also improved the expression of serum inflammatory factors. In addition, GQD regulated the structure of the gut microbiota by increasing the proportions of short-chain fatty acids-producing and anti-inflammatory bacteria, and decreasing the proportions of conditioned pathogenic bacteria associated with the diabetic phenotype. Overall, these findings suggest that GQD could ameliorate hyperglycemia and protect islet function by regulating the structure of the gut microbiota, thereby restoring intestinal permeability and inhibiting inflammation in T2DM rats. Our study thus suggests that the hypoglycemic mechanism of GQD is mediated by its modulation of the gut microbiota. C1 [Tian, Jiaxing; Gao, Zezheng; Yang, Yingying; Wu, Haoran; Wang, Xinmiao; Li, Min; Tong, Xiaolin] China Acad Chinese Med Sci, Guanganmen Hosp, Dept Endocrinol, Beijing, Peoples R China. [Bai, Bingbing; Wang, Jun] Chinese Acad Sci, Inst Microbiol, CAS Key Lab Pathogen Microbiol & Immunol, Beijing, Peoples R China. C3 China Academy of Chinese Medical Sciences; Guang'anmen Hospital, CACMS; Chinese Academy of Sciences; Institute of Microbiology, CAS RP Li, M; Tong, XL (通讯作者),China Acad Chinese Med Sci, Guanganmen Hosp, Dept Endocrinol, Beijing, Peoples R China.; Wang, J (通讯作者),Chinese Acad Sci, Inst Microbiol, CAS Key Lab Pathogen Microbiol & Immunol, Beijing, Peoples R China. EM junwang@im.ac.cn; limin-72114@163.com; tongxiaolin@vip.163.com RI Yang, Ying/ABD-2481-2022 FU National Natural Science Foundation of China [81430097, 81904187]; Capital Health Development Research Project [CD2020-4-4155]; Outstanding Young Scientific and Technological Talents Program [ZZ13-YQ-026]; CACMS Scientific and Technological Innovation Fund [CI2021A01601]; Open Project of National Facility for Translational Medicine (Shanghai) [TMSK-2021-407] FX This work was partially supported by the National Natural Science Foundation of China (No. 81430097, 81904187), Capital Health Development Research Project (CD2020-4-4155), and the Outstanding Young Scientific and Technological Talents Program (ZZ13-YQ-026). CACMS Scientific and Technological Innovation Fund, CI2021A01601; Open Project of National Facility for Translational Medicine (Shanghai), TMSK-2021-407. 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Cell. Infect. Microbiol. PD OCT 8 PY 2021 VL 11 AR 740236 DI 10.3389/fcimb.2021.740236 PG 11 WC Immunology; Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Immunology; Microbiology GA WM2SD UT WOS:000710939600001 PM 34692563 OA Green Published, gold DA 2023-06-08 ER PT J AU Huang, JN Chen, PG Xiang, YT Liang, QQ Wu, TB Liu, JW Zeng, YY Zeng, HT Liang, XY Zhou, CC AF Huang, Jiana Chen, Peigen Xiang, Yuting Liang, Qiqi Wu, Taibao Liu, Jiawen Zeng, Yanyan Zeng, Haitao Liang, Xiaoyan Zhou, Chuanchuan TI Gut microbiota dysbiosis-derived macrophage pyroptosis causes polycystic ovary syndrome via steroidogenesis disturbance and apoptosis of granulosa cells SO INTERNATIONAL IMMUNOPHARMACOLOGY LA English DT Article DE Disulfiram; Granulosa cells; Gut microbiota; Macrophage pyroptosis; Metformin; Polycystic ovary syndrome ID AKKERMANSIA-MUCINIPHILA; GASDERMIN-D; METFORMIN; WOMEN; INFLAMMASOME; EXPRESSION; MORPHOLOGY; THECA AB Gut microbiota dysbiosis is critical in the etiology of polycystic ovary syndrome (PCOS). However, the mecha-nisms of gut microbiota in PCOS pathogenesis have not been fully elucidated. We aimed to explore the role of gut microbiota-derived macrophage pyroptosis in PCOS. This study conducted dehydroepiandrosterone (DHEA) induced PCOS mice model, 16S rDNA sequencing, western blot, genetic knocking out, transcriptome and translatome profiling, et al. to evaluate the underlying mechanisms. 16S rDNA sequencing showed reduced gut Akkermansia and elevated gram-negative bacteria (Desulfovibrio and Burkholderia) abundances in DHEA induced PCOS mice, which was accompanied by increased serum lipopolysaccharide (LPS). LPS could induce macrophage pyroptosis in mice ovaries, also activated in PCOS. Gasdermin D (GSDMD) is the final executor of macrophage pyroptosis. We demonstrated that Gsdmd knockout in mice could dramatically ameliorate PCOS. Mechanistically, transcriptome and translatome profiling revealed that macrophage pyroptosis disrupted estrogen production and promoted apoptosis of granulosa cells. Interferon (IFN)-gamma, which was elevated in PCOS mice serum and ovaries, enhanced macrophage pyroptosis and exacerbated its effect on estrogen receptor in granulosa cells. Inspiringly, we identified that disulfiram and metformin could augment gut Akkermansia abundance, reduce serum IFN-gamma level, inhibit macrophage pyroptosis in ovaries, therefore ameliorating PCOS. Collectively, this study emphasizes that macrophage pyroptosis, which was induced by gut microbiota dysbiosis and enhanced by IFN-gamma, plays a key role in PCOS pathogenesis through estrogen synthesis dysfunction and apoptosis of granulosa cells. Disulfiram and metformin, which enhanced gut Akkermansia abundance and suppressed macrophage pyroptosis, may be considered as potential therapeutic strategies for PCOS. C1 [Huang, Jiana; Chen, Peigen; Xiang, Yuting; Liang, Qiqi; Wu, Taibao; Liu, Jiawen; Zeng, Yanyan; Zeng, Haitao; Liang, Xiaoyan; Zhou, Chuanchuan] Sun Yat Sen Univ, Affiliated Hosp 6, Reprod Med Ctr, Guangzhou, Guangdong, Peoples R China. C3 Sun Yat Sen University RP Zeng, HT; Liang, XY; Zhou, CC (通讯作者),Sun Yat Sen Univ, Affiliated Hosp 6, Reprod Med Ctr, Guangzhou, Guangdong, Peoples R China. EM zenghtao@mail.sysu.edu.cn; liangxy2@mail.sysu.edu.cn; zhouchch7@mail.sysu.edu.cn RI Chen, Peigen/ABE-6596-2021; liang, xiaoyan/GYJ-5006-2022 OI Chen, Peigen/0000-0002-0843-7739; Xiang, Yuting/0000-0003-2371-4973 FU National Key Research and Devel-opment Program of China [2021YFC2700403]; Na-tional Natural Science Foundation of China [82071713, 81801410]; Medical Scientific Research Foundation of Guang-dong Province [A2021026] FX Funding This work was supported by the National Key Research and Devel-opment Program of China [grant number 2021YFC2700403] ; the Na-tional Natural Science Foundation of China [grant numbers 82071713, 81801410] ; and the Medical Scientific Research Foundation of Guang-dong Province [grant number A2021026] . 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PD JUN PY 2022 VL 107 AR 108717 DI 10.1016/j.intimp.2022.108717 EA MAR 2022 PG 13 WC Immunology; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Immunology; Pharmacology & Pharmacy GA 1C1ML UT WOS:000792891900002 PM 35334358 DA 2023-06-08 ER PT J AU Akash, MSH Fiayyaz, F Rehman, K Sabir, S Rasool, MH AF Akash, Muhammad Sajid Hamid Fiayyaz, Fareeha Rehman, Kanwal Sabir, Shakila Rasool, Muhammad Hidayat TI Gut Microbiota and Metabolic Disorders: Advances in Therapeutic Interventions SO CRITICAL REVIEWS IN IMMUNOLOGY LA English DT Article DE angiopoietin-like 4; fasting induced adipose factor; G protein coupled receptors; short chain fatty acids; fecal microbiota transplantation ID DIET-INDUCED OBESITY; INSULIN-RESISTANCE; BARIATRIC SURGERY; WEIGHT-LOSS; MOLECULAR-MECHANISMS; INDUCED INFLAMMATION; LIPOPROTEIN-LIPASE; OXIDATIVE STRESS; ADIPOSE-TISSUE; HUMAN HEALTH AB Human gut microbiota consist of numerous microorganisms, but the most abundant species are Bacteroides and Firmicutes. Each human possesses a specific gut microbiota, which can be altered by diet, antibiotics, lifestyle, and genetic background. Gut microbiota perform vital functions, but in this article, we aimed to elaborate the effects of modified composition of microbiota on host metabolism. Ligands for G protein coupled receptors (GPCRs) are short-chain fatty acids (SCFAs) located on endocrine glands, epithelial cells, and adipocytes. SCFAs are produced in the distal gut by bacterial fermentation of nondigestible polysaccharides; they induce the various beneficial effects including decrease serum glucose level, insulin resistance, as well as inflammation; and they increase glucagon-like peptide-1 (GLP1) secretion. Fasting-induced adipose factor (FIAF) is suppressed by gut microbiota and results in the increased storage of fatty acids in the adipose tissues and liver. An increased lipopolysaccharide level due to altered gut microflora cause the initiation of inflammation associated with type 2 diabetes mellitus (T2DM). Intestinal dysbiosis and metabolic endotoxemia are considered key mechanisms that seem to be associated with the development of T2DM and obesity. Therapeutic interventions that can be used for the treatment of diabetes include metformin, dietary modulation, probiotics, prebiotics, fecal microbiota transplantation and bariatric surgery. C1 [Akash, Muhammad Sajid Hamid; Fiayyaz, Fareeha; Sabir, Shakila] Govt Coll Univ Faisalabad, Dept Pharmaceut Chem, Faisalabad 38000, Punjab, Pakistan. [Fiayyaz, Fareeha; Rasool, Muhammad Hidayat] Govt Coll Univ Faisalabad, Dept Microbiol, Faisalabad, Punjab, Pakistan. [Rehman, Kanwal] Univ Agr Faisalabad, Dept Pharm, Faisalabad 38000, Pakistan. [Sabir, Shakila] Govt Coll Univ Faisalabad, Dept Pharmacol, Faisalabad, Punjab, Pakistan. C3 Government College University Faisalabad; Government College University Faisalabad; University of Agriculture Faisalabad; Government College University Faisalabad RP Akash, MSH (通讯作者),Govt Coll Univ Faisalabad, Dept Pharmaceut Chem, Faisalabad 38000, Punjab, Pakistan.; Rehman, K (通讯作者),Univ Agr Faisalabad, Dept Pharm, Faisalabad 38000, Pakistan. EM sajidakash@gcuf.du.pk; kanwalakash@gmail.com RI Rehman, Kanwal/P-7727-2014; Akash, Muhammad Sajid Hamid/C-3477-2018; Sabir, Shakila/D-6027-2019 OI Rehman, Kanwal/0000-0001-7873-6681; Akash, Muhammad Sajid Hamid/0000-0002-9446-5233; Sabir, Shakila/0000-0002-7233-3731 FU Higher Education Commission (HEC) of Pakistan [5661/Punjab/NRPU/RD/HEC/2016, 6429/Punjab/NR-PU/RD/HEC/2016, 8365/Punjab/NRPU/RD/HEC/2017] FX This work has been financially supported by the following research grants from the Higher Education Commission (HEC) of Pakistan: 5661/Punjab/NRPU/R&D/HEC/2016, 6429/Punjab/NR-PU/R&D/HEC/2016, and 8365/Punjab/NRPU/R&D/HEC/2017. 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Rev. Immunol. PY 2019 VL 39 IS 4 BP 223 EP 237 DI 10.1615/CritRevImmunol.2019030614 PG 15 WC Immunology WE Science Citation Index Expanded (SCI-EXPANDED) SC Immunology GA KF8AZ UT WOS:000509461000001 PM 32421966 DA 2023-06-08 ER PT J AU Kangwan, N Pratchayasakul, W Kongkaew, A Pintha, K Chattipakorn, N Chattipakorn, SC AF Kangwan, Napapan Pratchayasakul, Wasana Kongkaew, Aphisek Pintha, Komsak Chattipakorn, Nipon Chattipakorn, Siriporn C. TI Perilla Seed Oil Alleviates Gut Dysbiosis, Intestinal Inflammation and Metabolic Disturbance in Obese-Insulin-Resistant Rats SO NUTRIENTS LA English DT Article DE gut microbiota; omega-3 fatty acids; inflammation; insulin resistance; systemic inflammation ID HIGH-FAT DIET; METFORMIN; MICROBIOTA; ENDOTOXEMIA; DISEASE AB Background: High-fat diet (HFD) consumption induced gut dysbiosis, inflammation, obese-insulin resistance. Perilla seed oil (PSO) is a rich source of omega-3 polyunsaturated fatty acids with health promotional effects. However, the effects of PSO on gut microbiota/inflammation and metabolic disturbance in HFD-induced obesity have not been investigated. Therefore, we aimed to compare the effects of different doses of PSO and metformin on gut microbiota/inflammation, and metabolic parameters in HFD-fed rats. Methods: Thirty-six male Wistar rats were fed either a normal diet or an HFD for 24 weeks. At week 13, HFD-fed rats received either 50, 100, and 500 mg/kg/day of PSO or 300 mg/kg/day metformin for 12 weeks. After 24 weeks, the metabolic parameters, gut microbiota, gut barrier, inflammation, and oxidative stress were determined. Results: HFD-fed rats showed gut dysbiosis, gut barrier disruption with inflammation, increased oxidative stress, metabolic endotoxemia, and insulin resistance. Treatment with PSO and metformin not only effectively attenuated gut dysbiosis, but also improved gut barrier integrity and decreased gut inflammation. PSO also decreased oxidative stress, metabolic endotoxemia, and insulin resistance in HFD-fed rats. Metformin had greater benefits than PSO. Conclusion: PSO and metformin had the beneficial effect on attenuating gut inflammation and metabolic disturbance in obese-insulin resistance. C1 [Kangwan, Napapan] Univ Phayao, Sch Med Sci, Div Physiol, Phayao 56000, Thailand. [Pratchayasakul, Wasana; Chattipakorn, Nipon; Chattipakorn, Siriporn C.] Chiang Mai Univ, Fac Med, Cardiac Electrophysiol Res & Training Ctr, Neurophysiol Unit, Chiang Mai 50200, Thailand. [Pratchayasakul, Wasana; Chattipakorn, Nipon; Chattipakorn, Siriporn C.] Chiang Mai Univ, Fac Med, Dept Physiol, Cardiac Electrophysiol Unit, Chiang Mai 50200, Thailand. [Pratchayasakul, Wasana; Chattipakorn, Nipon; Chattipakorn, Siriporn C.] Chiang Mai Univ, Ctr Excellence Cardiac Electrophysiol Res, Chiang Mai 50200, Thailand. [Kongkaew, Aphisek] Chiang Mai Univ, Fac Med, Res Adm Sect, Chiang Mai 50200, Thailand. [Pintha, Komsak] Univ Phayao, Sch Med Sci, Dept Biochem, Phayao 56000, Thailand. [Chattipakorn, Siriporn C.] Chiang Mai Univ, Fac Dent, Dept Oral Biol & Diagnost Sci, Chiang Mai 50200, Thailand. C3 University of Phayao; Chiang Mai University; Chiang Mai University; Chiang Mai University; Chiang Mai University; University of Phayao; Chiang Mai University RP Chattipakorn, SC (通讯作者),Chiang Mai Univ, Fac Med, Cardiac Electrophysiol Res & Training Ctr, Neurophysiol Unit, Chiang Mai 50200, Thailand.; Chattipakorn, SC (通讯作者),Chiang Mai Univ, Fac Med, Dept Physiol, Cardiac Electrophysiol Unit, Chiang Mai 50200, Thailand.; Chattipakorn, SC (通讯作者),Chiang Mai Univ, Ctr Excellence Cardiac Electrophysiol Res, Chiang Mai 50200, Thailand.; Chattipakorn, SC (通讯作者),Chiang Mai Univ, Fac Dent, Dept Oral Biol & Diagnost Sci, Chiang Mai 50200, Thailand. EM napapan.kangwan@gmail.com; wpratchayasakul@gmail.com; moromo046@gmail.com; komsakjo@gmail.com; nchattip@gmail.com; siriporn.c@cmu.ac.th OI Kangwan, Napapan/0000-0002-9184-7850; Chattipakorn, Siriporn/0000-0003-1677-7052; Chattipakorn, Nipon/0000-0003-3026-718X FU Thailand Research Fund [MRG6280240]; Office of the Higher Education Commission [MRG6280240]; Thailand Science Research and Innovation Fund [FF64-UoE034]; University of Phayao [FF64-UoE034]; National Research Council of Thailand; National Research Council of Thailand (NRCT); NSTDA Research Chair Grant from the National Science and Technology Development Agency Thailand; Chiang Mai University Excellence Center Award FX This research was supported by the Thailand Research Fund and Office of the Higher Education Commission, grant number MRG6280240 (N.K.); the Thailand Science Research and Innovation Fund and the University of Phayao, grant number FF64-UoE034 (N.K.); a Senior Research Scholar grant from the National Research Council of Thailand (to S.C.C.); the National Research Council of Thailand (NRCT, toW.P.); an NSTDA Research Chair Grant from the National Science and Technology Development Agency Thailand (N.C.); and a Chiang Mai University Excellence Center Award (to N.C.). 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Dudnik, Elizabeth Goldstein, Daniel A. Zer, Alona TI The Relationship of Diabetes Mellitus to Efficacy of Immune Checkpoint Inhibitors in Patients with Advanced Non-Small Cell Lung Cancer SO ONCOLOGY LA English DT Article DE Non-small cell lung cancer; Metformin; Diabetes; Immune checkpoint inhibitors; Immunotherapy ID GUT MICROBIOME; METFORMIN; SURVIVAL; CHEMOTHERAPY; METAANALYSIS; PREVENTION; RESPONSES; DRUG AB Introduction: Immune checkpoint inhibitors (ICI) are the new standard therapy in patients with metastatic NSCLC (mNSCLC). Metformin, previously associated with improved chemotherapy efficacy in diabetic and nondiabetic cancer patients, was recently associated with increased ICI efficacy. In this study, we aimed to explore the correlations between diabetes mellitus (DM), metformin use, and benefit from ICI in mNSCLC patients. Methods: All mNSCLC patients treated with ICI in our center between February 2015 and April 2018 were identified. Demographic and clinical data were extracted retrospectively. Cox proportional hazards regression, t tests, and chi(2) tests were employed to evaluate associations of progression-free survival (PFS), overall survival (OS), overall response rate (ORR), and disease control rate (DCR), with DM status, metformin use, and HbA1c levels, as appropriate. Results: Of 249 mNSCLC patients treated with ICI, 57 (22.8%) had DM. Thirty-seven (64.9% of all diabetic patients) patients were treated with metformin. A significant negative correlation of DM with PFS and OS was demonstrated (HR 1.5 [1.01-2.06], p = 0.011, and HR 1.5 [1.08-2.08], p = 0.017, respectively). Metformin exposure had no significant correlation with PFS or OS in diabetic mNSCLC patients (HR 1.08 [0.61-1.93], p = 0.79, and HR 1.29 [0.69-2.39], p = 0.42, respectively). There were no differences between groups with respect to ORR and DCR. Conclusion: Our data show a potential negative relationship between DM and ICI efficacy in mNSCLC patients. In contrast to reports with chemotherapy, we found no positive relationship between metformin use and ICI therapy in diabetic patients with mNSCLC. Further studies are needed to evaluate the effect of metformin in nondiabetic mNSCLC patients. C1 [Jacobi, Oded; Landman, Yosef; Reinhorn, Daniel; Icht, Oded; Sternschuss, Michal; Rotem, Ofer; Finkel, Inbar; Allen, Aaron M.; Dudnik, Elizabeth; Goldstein, Daniel A.; Zer, Alona] Rabin Med Ctr, Davidoff Canc Ctr, Petah Tiqwa, Israel. C3 Rabin Medical Center RP Jacobi, O (通讯作者),Rabin Med Ctr, Davidoff Canc Ctr, Petah Tiqwa, Israel. 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Tremaroli, Valentina Caesar, Robert Jensen, Benjamin A. H. Damgaard, Mads T. F. Bahl, Martin I. Licht, Tine R. Hansen, Tue H. Nielsen, Trine Dantoft, Thomas M. Linneberg, Allan Jorgensen, Torben Vestergaard, Henrik Kristiansen, Karsten Franks, Paul W. Hansen, Torben Backhed, Fredrik Pedersen, Oluf CA IMI-DIRECT Consortium TI Aberrant intestinal microbiota in individuals with prediabetes SO DIABETOLOGIA LA English DT Article DE Akkermansia muciniphila; Clostridium; Faecal transfer; Gut microbiota; Hyperglycaemia; Intestinal microbiota; Low-grade inflammation; Prediabetes ID HUMAN GUT MICROBIOME; AKKERMANSIA-MUCINIPHILA; METFORMIN; METAGENOME; BACTERIA; HEALTH; MUCIN AB Aims/hypothesis Individuals with type 2 diabetes have aberrant intestinal microbiota. However, recent studies suggest that metformin alters the composition and functional potential of gut microbiota, thereby interfering with the diabetes-related microbial signatures. We tested whether specific gut microbiota profiles are associated with prediabetes (defined as fasting plasma glucose of 6.1-7.0 mmol/l or HbA(1c) of 42-48 mmol/mol [6.0-6.5%]) and a range of clinical biomarkers of poor metabolic health. Methods In the present case-control study, we analysed the gut microbiota of 134 Danish adults with prediabetes, overweight, insulin resistance, dyslipidaemia and low-grade inflammation and 134 age-and sex-matched individuals with normal glucose regulation. Results We found that five bacterial genera and 36 operational taxonomic units (OTUs) were differentially abundant between individuals with prediabetes and those with normal glucose regulation. At the genus level, the abundance of Clostridium was decreased (mean log(2) fold change -0.64 (SEM 0.23), p(adj) = 0.0497), whereas the abundances of Dorea, [ Ruminococcus], Sutterella and Streptococcus were increased (mean log(2) fold change 0.51 (SEM 0.12), p(adj) = 5 x 10(-4); 0.51 (SEM 0.11), p(adj) = 1 x 10-4; 0.60 (SEM 0.21), p(adj) = 0.0497; and 0.92 (SEM0.21), padj = 4 x 10(-4), respectively). The two OTUs that differed the most were a member of the order Clostridiales (OTU 146564) and Akkermansia muciniphila, which both displayed lower abundance among individuals with prediabetes (mean log(2) fold change -1.74 (SEM0.41), p(adj) = 2 x 10(-3) and -1.65 (SEM0.34), p(adj) = 4 x 10(-4), respectively). Faecal transfer from donors with prediabetes or screen-detected, drug-naive type 2 diabetes to germfree Swiss Webster or conventional C57BL/6 J mice did not induce impaired glucose regulation in recipient mice. Conclusions/interpretation Collectively, our data show that individuals with prediabetes have aberrant intestinal microbiota characterised by a decreased abundance of the genus Clostridium and the mucin-degrading bacterium A. muciniphila. Our findings are comparable to observations in overt chronic diseases characterised by low-grade inflammation. C1 [Allin, Kristine H.; Hansen, Tue H.; Nielsen, Trine; Vestergaard, Henrik; Hansen, Torben; Pedersen, Oluf] Univ Copenhagen, Fac Hlth & Med Sci, Sect Metab Genet, Novo Nordisk Fdn Ctr Basic Metab Res, Blegdamsvej 3B, DK-2200 Copenhagen, Denmark. [Allin, Kristine H.] Bispebjerg & Frederiksberg Hosp, Dept Clin Epidemiol, Copenhagen, Denmark. [Tremaroli, Valentina; Caesar, Robert; Backhed, Fredrik] Univ Gothenburg, Dept Mol & Clin Med, Wallenberg Lab, SE-41345 Gothenburg, Sweden. [Tremaroli, Valentina; Caesar, Robert; Backhed, Fredrik] Univ Gothenburg, Sahlgrenska Ctr Cardiovasc & Metab Res, Gothenburg, Sweden. [Jensen, Benjamin A. H.; Damgaard, Mads T. F.; Kristiansen, Karsten] Univ Copenhagen, Dept Biol, Lab Genom & Mol Biomed, Fac Sci, Copenhagen, Denmark. [Bahl, Martin I.; Licht, Tine R.] Tech Univ Denmark, Natl Food Inst, Lyngby, Denmark. [Dantoft, Thomas M.; Linneberg, Allan; Jorgensen, Torben] Capital Reg Denmark, Res Ctr Prevent & Hlth, Copenhagen, Denmark. [Linneberg, Allan] Rigshosp, Dept Clin Expt Res, Glostrup, Denmark. [Jorgensen, Torben] Univ Copenhagen, Fac Hlth & Med Sci, Dept Publ Hlth, Copenhagen, Denmark. [Jorgensen, Torben] Aalborg Univ, Fac Med, Aalborg, Denmark. [Vestergaard, Henrik] Steno Diabet Ctr Copenhagen, Gentofte, Denmark. [Franks, Paul W.] Lund Univ, Dept Clin Sci, Genet & Mol Epidemiol Unit, Malmo, Sweden. [Franks, Paul W.] Umea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden. [Franks, Paul W.] Harvard TH Chan Sch Publ Hlth, Dept Nutr, Boston, MA USA. [Hansen, Torben] Univ Southern Denmark, Fac Hlth Sci, Odense, Denmark. [Backhed, Fredrik] Univ Copenhagen, Fac Hlth & Med Sci, Sect Metab Receptol & Enteroendocrinol, Novo Nordisk Fdn Ctr Basic Metab Res, Copenhagen, Denmark. [Pedersen, Oluf] Univ Aarhus, Fac Hlth Sci, Aarhus, Denmark. C3 Novo Nordisk Foundation; University of Copenhagen; University of Copenhagen; Bispebjerg Hospital; University of Gothenburg; University of Gothenburg; University of Copenhagen; Technical University of Denmark; Rigshospitalet; University of Copenhagen; Aalborg University; Steno Diabetes Center; Lund University; Umea University; Harvard University; Harvard T.H. Chan School of Public Health; University of Southern Denmark; Novo Nordisk Foundation; University of Copenhagen; Aarhus University RP Allin, KH; Pedersen, O (通讯作者),Univ Copenhagen, Fac Hlth & Med Sci, Sect Metab Genet, Novo Nordisk Fdn Ctr Basic Metab Res, Blegdamsvej 3B, DK-2200 Copenhagen, Denmark.; Allin, KH (通讯作者),Bispebjerg & Frederiksberg Hosp, Dept Clin Epidemiol, Copenhagen, Denmark.; Tremaroli, V (通讯作者),Univ Gothenburg, Dept Mol & Clin Med, Wallenberg Lab, SE-41345 Gothenburg, Sweden.; Tremaroli, V (通讯作者),Univ Gothenburg, Sahlgrenska Ctr Cardiovasc & Metab Res, Gothenburg, Sweden.; Pedersen, O (通讯作者),Univ Aarhus, Fac Hlth Sci, Aarhus, Denmark. EM kristine.allin@regionh.dk; Valentina.Tremaroli@wlab.gu.se; oluf@sund.ku.dk RI Dantoft, Thomas Meinertz/N-2702-2017; Franks, Paul/AAA-3300-2020; Kristiansen, Karsten/J-5148-2014; Nielsen, trine/HJZ-4867-2023; Caesar, Robert/AAX-3205-2020; Jensen, Benjamin A. H./M-4661-2014; Hansen, Tue Haldor/S-7724-2016; Backhed, Fredrik/ABE-6613-2020; Allin, Kristine Højgaard/ABG-3463-2021; Jørgensen, Torben/Z-1335-2018; Pedersen, Oluf/Z-1731-2019; Tremaroli, Valentina/AAE-8001-2019; Pedersen, Oluf/AAG-8015-2020 OI Dantoft, Thomas Meinertz/0000-0001-7437-7052; Kristiansen, Karsten/0000-0002-6024-0917; Nielsen, trine/0000-0002-2066-7895; Jensen, Benjamin A. H./0000-0001-6991-0828; Hansen, Tue Haldor/0000-0001-5948-8993; Backhed, Fredrik/0000-0002-4871-8818; Pedersen, Oluf/0000-0002-3321-3972; Tremaroli, Valentina/0000-0002-9150-4233; Licht, Tine Rask/0000-0002-6399-9574; Hansen, Torben/0000-0001-8748-3831; Franks, Paul/0000-0002-0520-7604; Damgaard, Mads Vargas/0000-0001-8488-2298; Bahl, Martin Iain/0000-0003-1579-8038; Linneberg, Allan/0000-0002-0994-0184; Jorgensen, Torben/0000-0001-9453-2830; Vestergaard, Henrik/0000-0003-3090-269X; Allin, Kristine Hojgaard/0000-0002-6880-5759 FU TrygFonden [7-11-0213]; Novo Nordisk Foundation [NNF15OC0015896]; Danish Council for Independent Research \ Medical Sciences; Innovative Medicines Initiative Joint Undertaking under European Union's Seventh Framework Programme (FP7) [115317]; Lundbeck Foundation [R155-2013-14070]; Danish Diabetes Association; EFPIA companies; Lundbeck Foundation [R155-2013-14070] Funding Source: researchfish FX KHA is supported by grants from The Danish Council for Independent Research vertical bar Medical Sciences and the Danish Diabetes Association. The work leading to this publication has received support from the Innovative Medicines Initiative Joint Undertaking under grant agreement no. 115317 (DIRECT), resources of which are composed of financial contribution from the European Union's Seventh Framework Programme (FP7/2007-2013) and EFPIA companies' in kind contribution. The DanFunD was supported by TrygFonden (7-11-0213), the Lundbeck Foundation (R155-2013-14070) and the Novo Nordisk Foundation (NNF15OC0015896). The Novo Nordisk Foundation Center for Basic Metabolic Research is an independent research centre at the University of Copenhagen that is partially funded by an unrestricted donation from the Novo Nordisk Foundation. The funding sources had no role in the study design, data collection, data analysis, data interpretation or writing of the manuscript. 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The objective of this study is to evaluate the microbiome and metabolic changes after different types of treatment in T2D patients. Materials and Methods: A systematic search of PubMed, Wiley online library, Science Direct, and Cochrane library electronic databases was performed. Randomized controlled clinical trials published in the last five years that included T2D subjects and evaluated the composition of the gut microbiome alongside metabolic outcomes before and after conventional or alternative glucose lowering therapy were selected. Microbiome changes were evaluated alongside metabolic outcomes in terms of bacteria taxonomic hierarchy, intestinal flora biodiversity, and applied intervention. Results: A total of 16 eligible studies involving 1301 participants were reviewed. Four trials investigated oral glucose-lowering treatment, three studies implemented bariatric surgery, and the rest analyzed probiotic, prebiotic, or synbiotic effects. The most common alterations were increased abundance of Firmicutes and Proteobacteria parallel to improved glycemic control. Bariatric surgery, especially Roux-en-Y gastric bypass, led to the highest variety of changed bacteria phyla. Lower diversity post-treatment was the most significant biodiversity result, which was present with improved glycemic control. Conclusions: Anti-diabetic treatment induced the growth of depleted bacteria. A gut microbiome similar to healthy individuals was achieved during some trials. Further research must explore the most effective strategies to promote beneficial bacteria, lower diversity, and eventually reach a non-T2D microbiome.
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Lith. PD OCT PY 2021 VL 57 IS 10 AR 1084 DI 10.3390/medicina57101084 PG 24 WC Medicine, General & Internal WE Science Citation Index Expanded (SCI-EXPANDED) SC General & Internal Medicine GA WT6QE UT WOS:000715986600001 PM 34684121 OA gold, Green Published DA 2023-06-08 ER PT J AU Li, ZT Zhu, L Hu, GA Sun, ZL Zhan, XB Gao, MJ AF Li, Zhi-tao Zhu, Li Hu, Guo-ao Sun, Zheng-long Zhan, Xiao-bei Gao, Min-jie TI Akkermansia muciniphila fermentation culture based on a novel bionic large intestine dynamic digestion model SO FOOD BIOSCIENCE LA English DT Article DE Akkermansia muciniphila; Short-chain fatty acids; Bioreactor; Fermentation ID GUT MICROBIOTA; DIETARY POLYPHENOLS; MUCIN; INFLAMMATION; ASSOCIATION; METFORMIN; GLUCOSE; SPP. AB Akkermansia muciniphila, a member of the human intestinal microflora, is a potential next-generation probiotic. Therefore, the optimization of in vitro culture conditions for A. muciniphila is a promising research direction. In this study, an in vitro fermentation culture of A. muciniphila was implemented using a novel bionic large intestine dynamic digestion model. Compared with static culture, the new bionic large intestine dynamic digestion model achieved 55.37% more biomass, accompanied by the significant growth of metabolites, such as acetic acid, propionic acid, and butyric acid. Moreover, the effects of fructo-oligosaccharide (FOS), blackberry concentrate powder, and metformin on the growth of A. muciniphila were compared. FOS, blackberry concentrate powder, and metformin did not significantly affect biomass growth, but FOS increased butyric acid generation by A. muciniphila by 32%. The outer membrane protein concentrations of A. muciniphila in FOS, polyphenols, and metformin are 30%-37% higher than that in the no added media. Electron microscopy indicated that the strains of the dynamic culture were superior to those of the static culture in terms of diameter and length. This study provides important progress in the industrial application of A. muciniphila as a probiotic. C1 [Li, Zhi-tao; Hu, Guo-ao; Zhan, Xiao-bei; Gao, Min-jie] Jiangnan Univ, Sch Biotechnol, Key Lab Carbohydrate Chem & Biotechnol, Minist Educ, Wuxi 214122, Jiangsu, Peoples R China. [Zhu, Li] Wuxi Galaxy Biotech Co Ltd, Wuxi 214125, Jiangsu, Peoples R China. [Sun, Zheng-long] Chinese Acad Sci, Suzhou Inst Biomed Engn & Technol, Suzhou 215163, Peoples R China. C3 Jiangnan University; Chinese Academy of Sciences; Suzhou Institute of Biomedical Engineering & Technology, CAS RP Zhan, XB; Gao, MJ (通讯作者),Jiangnan Univ, Sch Biotechnol, Key Lab Carbohydrate Chem & Biotechnol, Minist Educ, Wuxi 214122, Jiangsu, Peoples R China. EM xbzhan@yahoo.com; gaominjie@msn.com FU National Key Research and Development Program of China [2017YFD0400302]; National First-Class Discipline Program of Light Industry Technology and Engineering [LITE2018-17]; Priority Academic Program Development of Jiangsu Higher Education Institutions, the 111 Project [111-2-06] FX This work was supported in part by the National Key Research and Development Program of China (2017YFD0400302), the National FirstClass Discipline Program of Light Industry Technology and Engineering (LITE2018-17), and the Priority Academic Program Development of Jiangsu Higher Education Institutions, the 111 Project (No. 111-2-06) is gratefully acknowledged. 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The effects of these drugs can be influenced by intestinal microbiota and vice versa, as these drugs can also influence microbiome composition. However, as there is currently little clinical insight into this bug-drug interaction, our study aimed to evaluate the effects of 12-week treatment with the SGLT2 inhibitor dapagliflozin and sulphonylurea gliclazide on gut microbiome composition in T2D patients treated with metformin. Methods. - A total of 44 patients were randomized to either dapagliflozin or gliclazide treatment for 12 weeks. At baseline and after 12 weeks, faecal samples and 24-h urine were collected. During study visits, anthropometric data were measured and blood samples drawn after an overnight fast. Microbiome composition was determined by 16S rRNA gene sequencing. Plasma glucose, insulin, HbA(1c) and urinary glucose excretion were measured using conventional methods. Results. - While dapagliflozin and gliclazide similarly improved glycaemic control, dapagliflozin reduced and gliclazide increased fasting insulin. Dapagliflozin also greatly increased urinary glucose excretion whereas gliclazide did not, while body mass index, fat mass percentage and waist circumference were reduced by dapagliflozin, but increased by gliclazide. However, neither treatment significantly affected either gut microbiome alpha diversity or composition and, after treatment, no associations were found between microbiome composition and other clinical parameters. Conclusion. - Even though gliclazide and dapagliflozin have different metabolic actions in patients with T2D, neither treatment altered the faecal microbiome, thereby suggesting that the observed metabolic changes are not mediated by their effects on the microbiota. (C) 2019 Published by Elsevier Masson SAS. C1 [van Bommel, E. J. M.; Kramer, M. H. H.; van Raalte, D. H.] Univ Amsterdam, Diabet Ctr, Dept Internal Med, Med Ctr,VUmc, Amsterdam, Netherlands. [Herrema, H.; Davids, M.; Nieuwdorp, M.; van Raalte, D. H.] Univ Amsterdam, Dept Internal & Vasc Med, Med Ctr, AMC, Amsterdam, Netherlands. C3 University of Amsterdam; Vrije Universiteit Amsterdam; University of Amsterdam; Academic Medical Center Amsterdam RP van Bommel, EJM (通讯作者),Univ Amsterdam, Med Ctr, Locat VUmc, De Boelelaan 1117, NL-1081 HV Amsterdam, Netherlands. EM e.vanbommel@amsterdamumc.nl RI Kramer, Mark/GWQ-3502-2022 OI Davids, Mark/0000-0003-3081-9124; Herrema, Hilde/0000-0002-0112-6348; van Raalte, Daniel/0000-0003-2894-6124 FU AstraZeneca FX This trial was funded by AstraZeneca as an investigator-initiated study. The funder had no role in the study design, data analyses or interpretation, or drafting of the manuscript, nor in the decision to submit the manuscript for publication. 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PD APR PY 2020 VL 46 IS 2 BP 164 EP 168 DI 10.1016/j.diabet.2019.11.005 PG 5 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA LG7IQ UT WOS:000528270300012 PM 31816432 DA 2023-06-08 ER PT J AU Yan, J Li, JJ Xue, QY Xie, SQ Jiang, JJ Li, P Du, B AF Yan, Jing Li, Junjian Xue, Qiuyan Xie, Shiqing Jiang, Jinjin Li, Pan Du, Bing TI Bacillus sp. DU-106 ameliorates type 2 diabetes by modulating gut microbiota in high-fat-fed and streptozotocin-induced mice SO JOURNAL OF APPLIED MICROBIOLOGY LA English DT Article DE Bacillus sp; DU-106; gut microbiota; hyperglycaemic; metformin; probiotics; type 2 diabetes ID LACTOBACILLUS-CASEI CCFM419; MULTI-STRAIN PROBIOTICS; LACTIC-ACID BACTERIA; INSULIN-RESISTANCE; OXIDATIVE STRESS; FAECALIBACTERIUM-PRAUSNITZII; GLYCEMIC CONTROL; HYPERGLYCEMIA; POLYSACCHARIDES; MODEL AB Aims Type 2 diabetes (T2D) is a chronic disease that manifests as endocrine and metabolic disorders that seriously threatening public health. This study aimed to investigate the effects of Bacillus sp. DU-106 on anti-diabetic effects and gut microbiota in C57BL/6J mice fed a high-fat diet and streptozotocin-induced T2D. Methods and Results Bacillus sp. DU-106 was administered to model mice for eight consecutive weeks. Oral administration of Bacillus sp. DU-106 decreased food and water intake and alleviated body weight loss. Moreover, Bacillus sp. DU-106 imparted several health benefits to mice, including balanced blood glucose, alleviation of insulin resistance in T2D mice and an improvement in lipid metabolism. Furthermore, Bacillus sp. DU-106 protected against liver and pancreatic impairment. Additionally, Bacillus sp. DU-106 treatment reshaped intestinal flora by enhancing gut microbial diversity and enriching the abundance of certain functional bacteria. Conclusion Collectively, these findings suggest that Bacillus sp. DU-106 can ameliorate T2D by regulating the gut microbiota. Significance and Impact of Study Therefore, a novel probiotic, Bacillus sp. DU-106 may be a promising therapeutic agent for improving and alleviating T2D in mice. C1 [Yan, Jing; Li, Junjian; Xue, Qiuyan; Xie, Shiqing; Li, Pan; Du, Bing] South China Agr Univ, Coll Food Sci, Wushan Rd 483, Guangzhou 510642, Guangdong, Peoples R China. [Jiang, Jinjin] Guangzhou City Polytech, Guangzhou, Guangdong, Peoples R China. C3 South China Agricultural University RP Du, B (通讯作者),South China Agr Univ, Coll Food Sci, Wushan Rd 483, Guangzhou 510642, Guangdong, Peoples R China. EM dubing@scau.edu.cn FU China Agriculture Research System of MOF and MARA [CARS-21]; Key-Area Research and Development Program of Guangdong Province [2020B020226008]; Natural Science Foundation of Guangdong Province [2020A1515011268]; Guangzhou Science and technology planning project [202102080487] FX The authors thank the China Agriculture Research System of MOF and MARA (grant number: CARS-21), Key-Area Research and Development Program of Guangdong Province (grant number: 2020B020226008), Natural Science Foundation of Guangdong Province (grant number: 2020A1515011268) and Guangzhou Science and technology planning project (grant number: 202102080487) for financial support. 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Appl. Microbiol. PD NOV PY 2022 VL 133 IS 5 BP 3126 EP 3138 DI 10.1111/jam.15773 EA AUG 2022 PG 13 WC Biotechnology & Applied Microbiology; Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Biotechnology & Applied Microbiology; Microbiology GA 5K7HB UT WOS:000842076800001 PM 35951725 OA Bronze DA 2023-06-08 ER PT J AU Xiang, L Wu, QB Osada, H Yoshida, M Pan, WS Qi, JH AF Xiang, Lan Wu, Qiaobei Osada, Hiroyuki Yoshida, Minoru Pan, Wensheng Qi, Jianhua TI Peanut skin extract ameliorates the symptoms of type 2 diabetes mellitus in mice by alleviating inflammation and maintaining gut microbiota homeostasis SO AGING-US LA English DT Article DE peanut skin extract (PSE); gut microbiota; type 2 diabetes; anti-inflammation; mice ID INSULIN-RESISTANCE; POLYPHENOLS; PROTEINS; OBESITY AB In this study, mice with type 2 diabetes mellitus (T2DM) induced by high-fat diet were used to investigate the antidiabetic effect and mechanism of action of peanut skin extract (PSE). Results revealed that the fasting blood glucose, body weight, and food intake of mice with T2DM significantly decreased after they were given PSE. The effects of 80 mg/kg PSE were similar to those of 140 mg/kg metformin (MET). The glucose tolerance and insulin sensitivity of the mice also improved. The composition of intestinal microflora in the mice significantly changed after PSE administration. In particular, no Actinobacteria was detected in the PSE-treated group, and the ratio of Firmicutes to Bacteroidetes was remarkably reduced. PSE also increased the abundance of gut microbiota involved in fatty acid biosynthesis, lipid biosynthesis, and sucrose metabolism. The abundance of gut microbiota related to aminoacyl-tRNA biosynthesis also decreased. Lipopolysaccharide, interleukin (IL)-6, IL-1 beta and tumor necrosis factor-alpha in the blood, liver and adipose tissue were reduced by PSE. Similarly, the mRNA expression levels of IkappaB kinase and nuclear factor kappaB in the hypothalamus were reduced by PSE. These results suggested that PSE and MET elicited significant antidiabetic effects by maintaining gut microbiota and inhibiting inflammation. C1 [Xiang, Lan; Wu, Qiaobei; Qi, Jianhua] Zhejiang Univ, Coll Pharmaceut Sci, Hangzhou, Peoples R China. [Osada, Hiroyuki] RIKEN, Ctr Sustainable Resource Sci, Chem Biol Res Grp, Wako, Saitama, Japan. [Yoshida, Minoru] RIKEN, Ctr Sustainable Resource Sci, Chem Genom Res Grp, Wako, Saitama, Japan. [Yoshida, Minoru] Univ Tokyo, Dept Biotechnol, Bunkyo Ku, Tokyo, Japan. [Yoshida, Minoru] Univ Tokyo, Collaborat Res Inst Innovat Microbiol, Bunkyo Ku, Tokyo, Japan. [Pan, Wensheng] Zhejiang Prov Peoples Hosp, Peoples Hosp, Hangzhou Med Coll, Dept Gastroenterol, Hangzhou, Zhejiang, Peoples R China. C3 Zhejiang University; RIKEN; RIKEN; University of Tokyo; University of Tokyo; Hangzhou Medical College; Zhejiang Provincial People's Hospital RP Xiang, L; Qi, JH (通讯作者),Zhejiang Univ, Coll Pharmaceut Sci, Hangzhou, Peoples R China. EM lxiang@zju.edu.cn; qijianhua@zju.edu.cn RI Yoshida, Minoru/C-8049-2014; Osada, Hiroyuki/AAY-6254-2020 OI Yoshida, Minoru/0000-0002-4376-5674; FU National Key R&D Program of China [2019YFE0100700, 2017YFE0117200]; National Natural Science Foundation of China [21661140001, 21877098, 21572204] FX This work was financially supported by the National Key R&D Program of China (Grant No. 2019YFE0100700, Grant No. 2017YFE0117200), the National Natural Science Foundation of China (Grant No. 21661140001, 21877098, and 21572204) CR Bansode RR, 2012, FOOD CHEM, V135, P1659, DOI 10.1016/j.foodchem.2012.06.034 Cani PD, 2008, DIABETES, V57, P1470, DOI 10.2337/db07-1403 Cani PD, 2007, DIABETES, V56, P1761, DOI 10.2337/db06-1491 Caricilli AM, 2013, NUTRIENTS, V5, P829, DOI 10.3390/nu5030829 Carmody RN, 2015, CELL HOST MICROBE, V17, P72, DOI 10.1016/j.chom.2014.11.010 Chang CJ, 2015, NAT COMMUN, V6, DOI 10.1038/ncomms8489 Fathy SA, 2019, BIOMARKERS, V24, P43, DOI 10.1080/1354750X.2018.1501761 Francisco MLD, 2009, FOOD CHEM, V117, P356, DOI 10.1016/j.foodchem.2009.03.110 Goszcz K, 2017, BRIT J PHARMACOL, V174, P1209, DOI 10.1111/bph.13708 Han LH, 2019, NUTRIENTS, V11, DOI 10.3390/nu11030670 Kastl AJ, 2020, CELL MOL GASTROENTER, V9, P33, DOI 10.1016/j.jcmgh.2019.07.006 Khan N, 2014, NUTRIENTS, V6, P844, DOI 10.3390/nu6020844 Li B, 2020, MOL NUTR FOOD RES, V64, DOI 10.1002/mnfr.201901315 Li K, 2019, FOOD FUNCT, V10, P1915, DOI 10.1039/c8fo02265h Li XW, 2018, MOLECULES, V23, DOI 10.3390/molecules23123245 Liu CX, 2016, CYTOKINE, V86, P100, DOI 10.1016/j.cyto.2016.06.028 Odegaard JI, 2013, SCIENCE, V339, P172, DOI 10.1126/science.1230721 Pandey KB, 2009, OXID MED CELL LONGEV, V2, P270, DOI 10.4161/oxim.2.5.9498 Resmini E, 2009, ACTA DIABETOL, V46, P85, DOI 10.1007/s00592-009-0112-9 Sampson TR, 2016, CELL, V167, P1469, DOI 10.1016/j.cell.2016.11.018 Sanders TH, 2000, J AGR FOOD CHEM, V48, P1243, DOI 10.1021/jf990737b Seedevi P, 2020, SCI REP-UK, V10, DOI 10.1038/s41598-020-57486-w Senn JJ, 2002, DIABETES, V51, P3391, DOI 10.2337/diabetes.51.12.3391 Shi H, 2006, J CLIN INVEST, V116, P3015, DOI 10.1172/JCI28898 Sigal M, 2017, NATURE, V548, P451, DOI 10.1038/nature23642 Tilg H, 2008, TRENDS ENDOCRIN MET, V19, P371, DOI 10.1016/j.tem.2008.08.005 Torisu T, 2007, GENES CELLS, V12, P143, DOI 10.1111/j.1365-2443.2007.01044.x Ueki K, 2004, MOL CELL BIOL, V24, P5434, DOI 10.1128/MCB.24.12.5434-5446.2004 Ueki K, 2004, P NATL ACAD SCI USA, V101, P10422, DOI 10.1073/pnas.0402511101 Wang PC, 2016, CARBOHYD POLYM, V148, P86, DOI 10.1016/j.carbpol.2016.02.060 Xiang L, 2019, OXID MED CELL LONGEV, V2019, DOI 10.1155/2019/2935315 Xiang L, 2016, NUTRIENTS, V8, DOI 10.3390/nu8050256 Yang CS, 2009, NAT REV CANCER, V9, P429, DOI 10.1038/nrc2641 Yang YC, 2013, PLOS ONE, V8, DOI 10.1371/journal.pone.0067755 Zeng YH, 2020, J AGR FOOD CHEM, V68, P4374, DOI 10.1021/acs.jafc.0c00118 Zhang G, 2013, NATURE, V497, P211, DOI 10.1038/nature12143 NR 36 TC 16 Z9 16 U1 5 U2 71 PU IMPACT JOURNALS LLC PI ORCHARD PARK PA 6666 E QUAKER ST, STE 1, ORCHARD PARK, NY 14127 USA SN 1945-4589 J9 AGING-US JI Aging-US PD JUL 31 PY 2020 VL 12 IS 14 BP 13991 EP 14018 PG 28 WC Cell Biology; Geriatrics & Gerontology WE Science Citation Index Expanded (SCI-EXPANDED) SC Cell Biology; Geriatrics & Gerontology GA MY8LU UT WOS:000558669300012 PM 32699185 OA gold, Green Published DA 2023-06-08 ER PT J AU Martinez-Lopez, YE Esquivel-Hernandez, DA Sanchez-Castaneda, JP Neri-Rosario, D Guardado-Mendoza, R Resendis-Antonio, O AF Estrella Martinez-Lopez, Yoscelina Esquivel-Hernandez, Diego A. Paul Sanchez-Castaneda, Jean Neri-Rosario, Daniel Guardado-Mendoza, Rodolfo Resendis-Antonio, Osbaldo TI Type 2 diabetes, gut microbiome, and systems biology: A novel perspective for a new era SO GUT MICROBES LA English DT Review DE Gut microbiome; type 2 diabetes; diet; physical activity; anti-diabetic drugs; high-throughput data; personalized medicine; systems biology; dysbiosis ID PERSONALIZED NUTRITION; INTESTINAL MICROBIOTA; METABOLIC DISEASES; BARIATRIC SURGERY; OBESITY; METFORMIN; INDIVIDUALS; MODULATION; FIBER; METAGENOME AB The association between the physio-pathological variables of type 2 diabetes (T2D) and gut microbiota composition suggests a new avenue to track the disease and improve the outcomes of pharmacological and non-pharmacological treatments. This enterprise requires new strategies to elucidate the metabolic disturbances occurring in the gut microbiome as the disease progresses. To this end, physiological knowledge and systems biology pave the way for characterizing microbiota and identifying strategies in a move toward healthy compositions. Here, we dissect the recent associations between gut microbiota and T2D. In addition, we discuss recent advances in how drugs, diet, and exercise modulate the microbiome to favor healthy stages. Finally, we present computational approaches for disentangling the metabolic activity underlying host-microbiota codependence. Altogether, we envision that the combination of physiology and computational modeling of microbiota metabolism will drive us to optimize the diagnosis and treatment of T2D patients in a personalized way. C1 [Estrella Martinez-Lopez, Yoscelina; Esquivel-Hernandez, Diego A.; Paul Sanchez-Castaneda, Jean; Neri-Rosario, Daniel; Resendis-Antonio, Osbaldo] Inst Nacl Med Genom INMEGEN, Human Syst Biol Lab, Mexico City, DF, Mexico. [Estrella Martinez-Lopez, Yoscelina] Univ Nacl Autonoma Mexico, Programa Doctorado Ciencias Med Odontol & Salud, Ciudad De Mexico, Mexico. [Estrella Martinez-Lopez, Yoscelina; Guardado-Mendoza, Rodolfo] Univ Guanajuato, Metab Res Lab, Dept Med & Nutr, Guanajuato, Mexico. [Paul Sanchez-Castaneda, Jean; Neri-Rosario, Daniel] Univ Nacl Autonoma Mexico, Programa Maestria Ciencias Bioquim, Ciudad De Mexico, Mexico. [Guardado-Mendoza, Rodolfo] Hosp Reg Alta Especialidad Bajio Leon, Res Dept, Guanajuato, Mexico. [Resendis-Antonio, Osbaldo] Univ Nacl Autonoma Mexico, Coordinac Invest Cient Red Apoyo Invest, Ciudad De Mexico, Mexico. C3 Instituto Nacional de Medicina Genomica; Universidad Nacional Autonoma de Mexico; Universidad de Guanajuato; Universidad Nacional Autonoma de Mexico; Universidad Nacional Autonoma de Mexico RP Guardado-Mendoza, R (通讯作者),Univ Guanajuato, Metab Res Lab, Dept Med & Nutr, Guanajuato, Mexico.; Resendis-Antonio, O (通讯作者),Univ Nacl Autonoma Mexico, Ctr Ciencias Complejidad, Perifer Sur 4809, Ciudad De Mexico 14610, Cdmx, Mexico. EM guardamen@gmail.com; oresendis@inmegen.gob.mx RI Esquivel-Hernández, Diego A./AAD-9456-2020 OI Esquivel-Hernández, Diego A./0000-0002-3636-4514; RESENDIS, OSBALDO/0000-0001-5220-541X; Neri Rosario, Daniel/0000-0002-3899-5133; Martinez Lopez, Yoscelina Estrella/0000-0002-9481-3381 FU CONACYT [425859/2020]; PAPIIT-UNAM [IA202720]; National Institute of Genomic Medicine (INMEGEN, Mexico) FX The authors thank the financial support from CONACYT (Grant Ciencia de Frontera 2019, FORDECYT-PRONACES/425859/2020), PAPIIT-UNAM (IA202720), and an internal grant from the National Institute of Genomic Medicine (INMEGEN, Mexico). 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gut microbiota; leaky gut; functional pancreatic beta-cells; short-chain fatty acids (SCFAs); anti-diabetes drugs; type 2 diabetes mellitus (T2DM) ID METFORMIN; RESVERATROL; METAGENOME; SECRETION; ACARBOSE; BARRIER AB In patients with type 2 diabetes mellitus (T2DM), the intestinal flora is out of balance and accompanied by leaky gut. The flora is characterized by an increase in mucus-degrading bacteria and a decrease in fiber-degrading bacteria. Short-chain fatty acids (SCFAs), as the major fiber-degrading bacteria fermentation, not only amelio rate the leaky gut, but also activate GPR43 to increase the mass of functional pancreatic beta-cells and exert anti-inflammation effect. At present, the gut microbiota is considered as the potential target for anti-diabetes drugs, and how to reverse the imbalance of gut microbiota has become a therapeutic strategy for T2DM. This review briefly summarizes the drugs or compounds that have direct or potential therapeutic effects on T2DM by modulating the gut microbiota, including biguanides, isoquinoline alkaloids, stilbene and C7N-aminocyclic alcohols. C1 [Hu, Ruixin; Yuan, Yanting; Liu, Chaolong; Zhou, Ji; Ji, Lixia; Jiang, Guohui] Qing Dao Univ, Sch Pharm, Qingdao, Peoples R China. C3 Qingdao University RP Ji, LX; Jiang, GH (通讯作者),Qing Dao Univ, Sch Pharm, Qingdao, Peoples R China. EM lixiaji@163.com; 13370830026@163.com RI Jiang, Guo/ISR-9858-2023 FU Introduced Talent Project of Qingdao University [80402010104/063-06301104] FX This work was supported by grants from the Introduced Talent Project of Qingdao University (80402010104/063-06301104). 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PD JAN PY 2021 VL 10 IS 1 BP R36 EP R42 DI 10.1530/EC-20-0431 PG 7 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA QV2CT UT WOS:000627785100004 PM 33338029 OA Green Published, gold DA 2023-06-08 ER PT J AU Wu, XS Qian, SM Zhang, J Feng, JQ Luo, K Sun, LC Zhao, L Ran, YL Sun, L Wang, J Xu, FY AF Wu, Xuesong Qian, Senmi Zhang, Jun Feng, Jieqiong Luo, Ke Sun, Lichao Zhao, Liang Ran, Yuliang Sun, Liang Wang, Jing Xu, Fangying TI Lipopolysaccharide promotes metastasis via acceleration of glycolysis by the nuclear factor-kappa B/snail/hexokinase3 signaling axis in colorectal cancer SO CANCER & METABOLISM LA English DT Article DE Lipopolysaccharide; Inflammasome; Caspase-1; NF-κ B; Snail; Hexokinase 3; Colorectal cancer; Metastasis; Glycolysis; Metformin ID NF-KAPPA-B; INFLAMMASOME ACTIVATION; GLUCOSE-METABOLISM; GUT MICROBIOTA; METFORMIN; NLRP3; SNAIL; ASSOCIATION; HEXOKINASE; RECEPTOR AB Background Cancer cell is generally characterized by enhanced glycolysis. Inflammasome activation is interaction with glycolysis. The concentration of lipopolysaccharide (LPS), a classic inflammasome activator, is significantly higher in colorectal cancer tissue than in normal intestinal mucosa. However, the mechanism of LPS on glycolysis and metastasis has not been fully elucidated. This study aimed to investigate the roles of LPS on inflammasome activation, glycolysis, and metastasis, and unravel metformin's potential in treatment of CRC. Methods We detected inflammasome activation and cell motility following LPS exposure in CRC cell lines. Glycolysis analysis was performed, and the key glycolytic rate-limiting enzymes were detected. Dual-luciferase reporter gene assay, co-immunoprecipitation, chromatin immunoprecipitation (ChIP) analysis, and ChIP-reChIP assay were performed to identify the specific mechanisms of LPS on glycolysis. Mouse metastasis models were used to determine the effects of LPS and metformin on metastasis. Correlation analysis of the expression of various molecules was performed in 635 CRC samples from The Cancer Genome Atlas and 83 CRC samples from our lab. Results LPS activates caspase-1 through NF-kappa B and upregulates the expression of Snail and HK3 depending on caspase-1 activation. LPS potentiates migration and invasion depending on accelerated glycolysis, which could be reversed by knockdown of glycolytic rate-limiting enzyme HK3. Nuclear Snail is upregulated by NF-kappa B under LPS treatment and then forms a complex with NF-kappa B, then directly binds to the HK3 promoter region to upregulate the expression of HK3. Metformin suppresses the NF-kappa B/Snail/HK3 signaling axis that is activated by LPS and then inhibits LPS-induced metastasis. In vivo, LPS-treated cells form more metastasis in the lungs of mice, and metformin completely reverses this effect of LPS. Conclusion LPS activates inflammasomes in cancer cells through NF-kappa B and promotes metastasis through glycolysis enhanced by the NF-kappa B/Snail/HK3 signaling pathway in CRC. Metformin could prevent this effect of LPS. C1 [Wu, Xuesong; Qian, Senmi; Zhang, Jun; Sun, Liang; Xu, Fangying] Zhejiang Univ, Sch Med, Affiliated Hosp 2, Dept Pathol & Pathophysiol, Hangzhou, Peoples R China. [Wu, Xuesong; Qian, Senmi; Zhang, Jun; Sun, Liang; Xu, Fangying] Zhejiang Univ, Sch Med, Affiliated Hosp 2, Dept Gen Surg, Hangzhou, Peoples R China. [Wu, Xuesong; Luo, Ke; Sun, Liang; Wang, Jing; Xu, Fangying] Zhejiang Univ, Sch Med, Key Lab Dis Prote Zhejiang Prov, Hangzhou, Peoples R China. [Wu, Xuesong] Zhejiang Univ, Med Sch, Affiliated Hosp 1, Dept Pathol, Hangzhou, Peoples R China. [Feng, Jieqiong] Zhejiang Prov Hosp Chinese Med, Dept Pathol, Hangzhou, Peoples R China. [Luo, Ke; Wang, Jing] Zhejiang Univ, Sch Med, Dept Pathol & Pathophysiol, Hangzhou, Peoples R China. [Sun, Lichao; Ran, Yuliang] Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Mol Oncol, Natl Canc Ctr, Canc Hosp, Beijing, Peoples R China. [Zhao, Liang] Shanghai Baoshan Luodian Hosp, Dept Pharm, Shanghai, Peoples R China. C3 Zhejiang University; Zhejiang University; Zhejiang University; Zhejiang University; Zhejiang Chinese Medical University; Zhejiang University; Chinese Academy of Medical Sciences - Peking Union Medical College; Cancer Institute & Hospital - CAMS; Peking Union Medical College RP Xu, FY (通讯作者),Zhejiang Univ, Sch Med, Affiliated Hosp 2, Dept Pathol & Pathophysiol, Hangzhou, Peoples R China.; Xu, FY (通讯作者),Zhejiang Univ, Sch Med, Affiliated Hosp 2, Dept Gen Surg, Hangzhou, Peoples R China.; Xu, FY (通讯作者),Zhejiang Univ, Sch Med, Key Lab Dis Prote Zhejiang Prov, Hangzhou, Peoples R China. EM xfy@zju.edu.cn RI Wang, Juntao/O-4423-2015 OI Wang, Juntao/0000-0002-1822-2176 FU National Natural Science Foundation of China [81772570]; Natural Science Foundation of Zhejiang Province, China [LY17H160031]; Open Projects of State Key Laboratory of Molecular Oncology [SKLMO-KF2021-17]; Program of Introducing Talents of Discipline to Universities [B13026] FX This work was supported by the grants of the National Natural Science Foundation of China under Grant 81772570, Natural Science Foundation of Zhejiang Province, China (LY17H160031), the Open Projects of State Key Laboratory of Molecular Oncology (SKLMO-KF2021-17), and Program of Introducing Talents of Discipline to Universities under Grant B13026. 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PD MAY 12 PY 2021 VL 9 IS 1 AR 23 DI 10.1186/s40170-021-00260-x PG 16 WC Oncology; Cell Biology WE Science Citation Index Expanded (SCI-EXPANDED) SC Oncology; Cell Biology GA SB0WQ UT WOS:000649724000001 PM 33980323 OA gold, Green Published DA 2023-06-08 ER PT J AU Xie, DD Zhao, XT Chen, MW AF Xie, Dandan Zhao, Xiaotong Chen, Mingwei TI Prevention and treatment strategies for type 2 diabetes based on regulating intestinal flora SO BIOSCIENCE TRENDS LA English DT Review DE type 2 diabetes mellitus; intestinal microbiota; insulin resistance; research progress ID GUT MICROBIOTA; BARIATRIC SURGERY; INSULIN SENSITIVITY; METFORMIN TREATMENT; GLUCOSE; BIFIDOBACTERIA; METABOLISM; INCREASES; IMPACT AB Diabetes along with related comorbidities associated with high disability rates severely threatens human health. The etiology of diabetes is complex. Genetics, environmental factors, eating habits, drug usage, aging, and lack of movement play important roles in the development of diabetes. Intestinal flora is reportedly closely related to the occurrence and development of type 2 diabetes. Herein, we review changes in abundance and proportion of intestinal flora in patients with type 2 diabetes and regulation of intestinal flora through diet, drugs, and surgery to prevent and treat type 2 diabetes. A more appropriate clinical diagnosis and treatment plan could be made considering changes in intestinal flora in the future. C1 [Xie, Dandan; Zhao, Xiaotong; Chen, Mingwei] Anhui Med Univ, Dept Endocrinol, Affiliated Hosp 1, 218 Jixi Rd, Hefei 230032, Anhui, Peoples R China. C3 Anhui Medical University RP Chen, MW (通讯作者),Anhui Med Univ, Dept Endocrinol, Affiliated Hosp 1, 218 Jixi Rd, Hefei 230032, Anhui, Peoples R China. 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Trends PD OCT PY 2021 VL 15 IS 5 BP 313 EP 320 DI 10.5582/bst.2021.01275 PG 8 WC Biology WE Science Citation Index Expanded (SCI-EXPANDED) SC Life Sciences & Biomedicine - Other Topics GA WX4FW UT WOS:000718554600007 PM 34565781 OA gold DA 2023-06-08 ER PT J AU Adeshirlarijaney, A Gewirtz, AT AF Adeshirlarijaney, Aneseh Gewirtz, Andrew T. TI Considering gut microbiota in treatment of type 2 diabetes mellitus SO GUT MICROBES LA English DT Review DE Diabetes; inflammation; microbiota metformin; dietary fiber ID DIET-INDUCED OBESITY; HIGH-FAT DIET; INSULIN-RESISTANCE; FAECALIBACTERIUM-PRAUSNITZII; INTESTINAL MICROBIOTA; METABOLIC SYNDROME; LIPID-METABOLISM; GLUCOSE; METFORMIN; ASSOCIATION AB Advances in the understanding of the pathogenesis of type 2 diabetes mellitus (T2D) have revealed a role for gut microbiota dysbiosis in driving this disease. This suggests the possibility that approaches to restore a healthy host-microbiota relationship might be a means of ameliorating T2D. Indeed, recent studies indicate that many currently used treatments for T2D are reported to impact gut microbiota composition. Such changes in gut microbiota may mediate and/or reflect the efficacy of these interventions. This article outlines the rationale for considering the microbiota as a central determent of development of T2D and, moreover, reviews evidence that impacting microbiota might be germane to amelioration of T2D, both in terms of understanding mechanisms that mediate efficacy of exiting T2D therapies and in developing novel treatments for this disorder. C1 [Adeshirlarijaney, Aneseh; Gewirtz, Andrew T.] Georgia State Univ, Inst Biomed Sci, Atlanta, GA 30303 USA. C3 University System of Georgia; Georgia State University RP Gewirtz, AT (通讯作者),Georgia State Univ, Inst Biomed Sci, Atlanta, GA 30303 USA. EM agewirtz@gsu.edu FU National Institute of Diabetes and Digestive and Kidney Diseases [DK099071] FX This work was supported by the National Institute of Diabetes and Digestive and Kidney Diseases [grant number DK099071]. 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DI 10.1080/19490976.2020.1717719 EA FEB 2020 PG 12 WC Gastroenterology & Hepatology; Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Gastroenterology & Hepatology; Microbiology GA NL4BB UT WOS:000512166500001 PM 32005089 OA gold, Green Published DA 2023-06-08 ER PT J AU Jeong, DY Daily, JW Lee, GH Ryu, MS Yang, HJ Jeong, SY Qiu, JY Zhang, T Park, S AF Jeong, Do Yeon Daily, James W. Lee, Gae Ho Ryu, Myeong Seon Yang, Hee-Jong Jeong, Seong-Yeop Qiu, Jing Yi Zhang, Ting Park, Sunmin TI Short-Term Fermented Soybeans with Bacillus amyloliquefaciens Potentiated Insulin Secretion Capacity and Improved Gut Microbiome Diversity and Intestinal Integrity To Alleviate Asian Type 2 Diabetic Symptoms SO JOURNAL OF AGRICULTURAL AND FOOD CHEMISTRY LA English DT Article DE type 2 diabetes; chungkookjang; Bacillus subtilis; Bacillus amyloliquefaciens; gut microbiome; insulin secretion AB We determined that consuming chungkookjang fermented by Bacillus subtilis (BS) or Bacillus amyloliquefaciens (BA) alleviated hyperglycemia in partially pancreatectomized (Px) rats, an Asian type 2 diabetic (T2D) animal model. Px rats had deteriorated glucose metabolism with decreased glucose-stimulated insulin secretion and insulin sensitivity. Insulin secretion capacity was improved in the ascending order of the Px-control, positive control (3 mg of metformin/kg of body weight), BS (4.5% BS diet), BA (4.5% BA diet), and normal-control (sham-operated rats). BA and BS increased beta-cell mass and decreased malondialdehyde contents and tumor necrosis factor alpha expression in the islets. BA increased hepatic peroxisome proliferator-activated receptor (PPAR)-alpha and PPAR-beta similar to the positive control. Bacillales, Lactobacillales, and Verrucomicrobiales (Akkermensia muciniphila) increased and Enterobacteriales decreased in the BA and BS compared to the Px-control. BA prevented the decrease in the villi area and the number of goblet cells in intestinal tissues. In conclusion, BA improved glucose regulation by potentiating insulin secretion and reducing insulin resistance while maintaining gut mucin contents by improving gut microbiota in lean T2D rats. C1 [Jeong, Do Yeon; Ryu, Myeong Seon; Yang, Hee-Jong; Jeong, Seong-Yeop; Qiu, Jing Yi] Sunchang Res Ctr Fermentat Microbes, Dept Res & Dev, Sunchang 56048, South Korea. [Daily, James W.] Daily Mfg Inc, Dept Res & Dev, Rockwell, NC 28138 USA. [Lee, Gae Ho] Korea Res Inst Analyt Technol KRIAT, Daejeon 34024, South Korea. [Qiu, Jing Yi; Zhang, Ting; Park, Sunmin] Hoseo Univ, Obes Diabet Res Ctr, Dept Food & Nutr, Asan 31499, South Korea. C3 Hoseo University RP Park, S (通讯作者),Hoseo Univ, Obes Diabet Res Ctr, Dept Food & Nutr, Asan 31499, South Korea. EM smpark@hoseo.edu RI Park, Sun/GSD-9620-2022 OI Park, Sunmin/0000-0002-6092-8340 FU Traditional Culture Convergence Research Program through the National Research Foundation of Korea (NRF) - Ministry of Science and Information and Communications Technology (ICT) [NRF-2016M3C1B5907152] FX This study was funded by a grant from the Traditional Culture Convergence Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science and Information and Communications Technology (ICT) (NRF-2016M3C1B5907152). 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Agric. Food Chem. PD NOV 18 PY 2020 VL 68 IS 46 BP 13168 EP 13178 DI 10.1021/acs.jafc.9b07962 PG 11 WC Agriculture, Multidisciplinary; Chemistry, Applied; Food Science & Technology WE Science Citation Index Expanded (SCI-EXPANDED) SC Agriculture; Chemistry; Food Science & Technology GA OW5JM UT WOS:000592922700043 PM 32079403 DA 2023-06-08 ER PT J AU Xourgia, E Papazafiropoulou, A Papanas, N Melidonis, A AF Xourgia, Eleni Papazafiropoulou, Athanasia Papanas, Nikolaos Melidonis, Andreas TI Anti-diabetic treatment leads to changes in gut microbiome SO FRONTIERS IN BIOSCIENCE-LANDMARK LA English DT Article DE Anti-Diabetic Drugs; Dysbiosis; Gut Microbiota; Type 2 Diabetes Mellitus; Review ID HIGH-FAT DIET; INTESTINAL MICROBIOTA; SGLT2 INHIBITORS; METFORMIN; OBESITY; MECHANISM; IMPROVEMENT; METABOLISM; METAGENOME; RECEPTOR AB Numerous micro-organisms naturally reside in the human body assuming a symbiotic, or, at times, even a dysbiotic relationship with the host. These microbial populations are referred to as the human microbiota. Host microbial populations are an important mediator of gastro-intestinal mucosal permeability, bile acid metabolism, short-chain fatty acids synthesis, fermentation of dietary polysaccharides and FXR/TGR5 signaling. Variations in the composition and function of gut microbiota have been observed in type 2 diabetes mellitus, insulin resistance and obesity, as well as in inflammatory bowel diseases. The microbial imbalance induced by such pathological processes is described as dysbiosis. In this review, we describe the pathophysiological links between type 2 diabetes mellitus and gut microbiota, explore the effect of anti-diabetic drugs on gut microbiota and suggest possible therapeutic targets. C1 [Xourgia, Eleni; Papazafiropoulou, Athanasia; Melidonis, Andreas] Tzaneio Gen Hosp Piraeus, Dept Internal Med 1, Diabet Ctr, Piraeus, Greece. [Papanas, Nikolaos] Democritus Univ Thrace, Univ Hosp Alexandroupolis, Dept Internal Med 2, Diabet Ctr, Xanthi, Greece. C3 Democritus University of Thrace RP Papazafiropoulou, A (通讯作者),Tzaneio Gen Hosp Piraeus, Dept Internal Med 1, 1 Zanni & Afentouli St, Athens 18536, Greece.; Papazafiropoulou, A (通讯作者),Tzaneio Gen Hosp Piraeus, Diabet Ctr, 1 Zanni & Afentouli St, Athens 18536, Greece. 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Biosci. PD JAN 1 PY 2019 VL 24 BP 688 EP 699 AR PMID 30844705 DI 10.2741/4743 PG 12 WC Biochemistry & Molecular Biology; Cell Biology WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Cell Biology GA JB8IZ UT WOS:000488812800005 PM 30844705 DA 2023-06-08 ER PT J AU Bronden, A Knop, FK AF Bronden, Andreas Knop, Filip K. TI Gluco-Metabolic Effects of Pharmacotherapy-Induced Modulation of Bile Acid Physiology SO JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM LA English DT Review DE FXR; TGR5; ASBT; bile acid sequestrant; metformin ID GLUCAGON-LIKE PEPTIDE-1; FARNESOID-X-RECEPTOR; TYPE-2 DIABETES-MELLITUS; TRANSPORTER INHIBITOR GSK2330672; NUCLEAR RECEPTOR; OBETICHOLIC ACID; ENTEROHEPATIC CIRCULATION; REDUCES ATHEROSCLEROSIS; INTRAVENOUS METFORMIN; INSULIN-SECRETION AB Context: The discovery and characterization of the bile acid specific receptors farnesoid X receptor (FXR) and Takeda G protein-coupled receptor 5 (TGR5) have facilitated a wealth of research focusing on the link between bile acid physiology and glucose metabolism. Modulation of FXR and TGR5 activation have been demonstrated to affect the secretion of glucagon-like peptide 1, insulin, and glucagon as well as energy expenditure and gut microbiota composition, with potential beneficial effects on glucose metabolism. Evidence Acquisition: A search strategy based on literature searches in on PubMed with various combinations of the key words FXR, TGR5, agonist, apical sodium-dependent bile acid transporter (ASBT), bile acid sequestrant, metformin, and glucose metabolism has been applied to obtain material for the present review. Furthermore, manual searches including scanning of reference lists in relevant papers and conference proceedings have been performed. Evidence Synthesis: This review provides an outline of the link between bile acid and glucose metabolism, with a special focus on the gluco-metabolic impact of treatment modalities with modulating effects on bile acid physiology; including FXR agonists, TGR5 agonists, ASBT inhibitors, bile acid sequestrants, and metformin. Conclusions: Any potential beneficial gluco-metabolic effects of FXR agonists remain to be established, whereas the clinical relevance of TGR5-based treatment modalities seems limited because of substantial safety concerns of TGR5 agonists observed in animal models. The glucose-lowering effects of ASBT inhibitors, bile acid sequestrants, and metformin are at least partly mediated by modulation of bile acid circulation, which might allow an optimization of these bile acid-modulating treatment modalities. C1 [Bronden, Andreas; Knop, Filip K.] Univ Copenhagen, Gentofte Hosp, Ctr Clin Metab Res, DK-2900 Hellerup, Denmark. [Knop, Filip K.] Univ Copenhagen, Fac Hlth & Med Sci, Dept Clin Med, DK-2200 Copenhagen N, Denmark. [Knop, Filip K.] Univ Copenhagen, Fac Hlth & Med Sci, Novo Nordisk Ctr Basic Metab Res, DK-2200 Copenhagen N, Denmark. [Knop, Filip K.] Steno Diabet Copenhagen, DK-2820 Gentofte, Denmark. 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Clin. Endocrinol. Metab. PD JAN PY 2020 VL 105 IS 1 BP 362 EP 373 DI 10.1210/clinem/dgz025 PG 12 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA KS2XC UT WOS:000518172400034 PM 31630179 OA Bronze DA 2023-06-08 ER PT J AU Ahmed, LA Salem, MB el-Din, SHS El-Lakkany, NM Ahmed, HO Nasr, SM Hammam, OA Botros, SS Saleh, S AF Ahmed, Lamiaa A. Salem, Maha B. el-Din, Sayed H. Seif El-Lakkany, Naglaa M. Ahmed, Hend O. Nasr, Sami M. Hammam, Olfat A. Botros, Sanaa S. Saleh, Samira TI Gut microbiota modulation as a promising therapy with metformin in rats with non-alcoholic steatohepatitis: Role of LPS/TLR4 and autophagy pathways SO EUROPEAN JOURNAL OF PHARMACOLOGY LA English DT Article DE Autophagy; Lactobacillus reuteri; Metronidazole; Non-alcoholic steatohepatitis; Short chain fatty acids ID FATTY LIVER-DISEASE; ACTIVATED PROTEIN-KINASE; LACTOBACILLUS-REUTERI; INSULIN-RESISTANCE; PCR; METRONIDAZOLE; CHOLESTEROL; MODEL; OBESE AB Gut microbiota is a crucial factor in pathogenesis of non-alcoholic steatohepatitis (NASH). Therefore, targeting the gut-liver axis might be a novel therapeutic approach to treat NASH. This study aimed to investigate the therapeutic effects of a probiotic (Lactobacillus reuteri) and metronidazole (MTZ) (an antibiotic against Bacteroidetes) either alone or in combination with metformin (MTF) in experimentally-induced NASH. NASH was induced by feeding rats high fat diet (HFD) for 12 weeks. MTF (150 mg/kg/day) or L. reuteri (2x109 colony forming unit/day) were given orally for 8 weeks; meanwhile, MTZ (15 mg/kg/day, p.o.) was administered for 1 week. Treatment with L. reuteri and MTZ in combination with MTF showed additional benefit compared to MTF alone concerning lipid profile, liver function, oxidative stress, inflammatory and autophagic markers. Furthermore, combined regimen succeeded to modulate acetate: propionate: butyrate ratios as well as Firmicutes and Bacteroidetes fecal contents with improvement of insulin resistance (IR). Yet, the administration of MTF alone failed to normalize Bacteriodetes and acetate contents which could be the reason for its moderate effect. In conclusion, gut microbiota modulation may be an attractive therapeutic avenue against NASH. More attention should be paid to deciphering the crosstalk mechanisms linking gut microbiota to non-alcoholic fatty liver disease (NAFLD) to identify new therapeutic targets for this disease. C1 [Ahmed, Lamiaa A.; Saleh, Samira] Cairo Univ, Fac Pharm, Pharmacol & Toxicol, Cairo, Egypt. [Salem, Maha B.; el-Din, Sayed H. Seif; El-Lakkany, Naglaa M.; Botros, Sanaa S.] Theodor Bilharz Res Inst, Pharmacol, Giza, Egypt. [Ahmed, Hend O.; Nasr, Sami M.] Theodor Bilharz Res Inst, Biochem, Giza, Egypt. [Hammam, Olfat A.] Theodor Bilharz Res Inst, Pathol, Giza, Egypt. C3 Egyptian Knowledge Bank (EKB); Cairo University; Egyptian Knowledge Bank (EKB); Theodor Bilharz Research Institute (TBRI); Egyptian Knowledge Bank (EKB); Theodor Bilharz Research Institute (TBRI); Egyptian Knowledge Bank (EKB); Theodor Bilharz Research Institute (TBRI) RP Ahmed, LA (通讯作者),Fac Pharm, Kasr El Aini St, Cairo 11562, Egypt. EM lamiaa.ahmed@pharma.cu.edu.eg; drmahabadr86@gmail.com; s.seifeldin@tbri.gov.eg; n.ellakkany@tbri.gov.eg; hend.oaa@gmail.com; samitbri@gmail.com; totoali1@hotmail.com; sanaabotros113@gmail.com; samira.saleh@pharma.cu.edu.eg RI El-Lakkany, Naglaa/N-8249-2019; Ahmed, Hend Okasha/AAI-3806-2020; Nasr, Sami/HZK-6433-2023 OI El-Lakkany, Naglaa/0000-0002-5783-9945; Ahmed, Hend Okasha/0000-0003-1125-245X; Nasr, Sami/0000-0001-8683-3131; Botros, Sanaa/0000-0002-4131-0983 FU Theodor Bilharz Research Institute [117/A] FX This work was supported by the internal research project 117/A (PI: Sayed Seif el-Din) for basic and applied research, a grant from Theodor Bilharz Research Institute. 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PD NOV 15 PY 2020 VL 887 AR 173461 DI 10.1016/j.ejphar.2020.173461 PG 13 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA OH6SG UT WOS:000582725000010 PM 32758573 DA 2023-06-08 ER PT J AU Sharma, B Kumar, A Sharma, U Pal, D Prashar, S AF Sharma, Bunty Kumar, Aman Sharma, Ujjawal Pal, Deeksha Prashar, Sourabh TI The Potential Role of Gut Microbiota in the Pathogenesis of Type 2 Diabetes Mellitus via Epigenetics and Inflammasome SO ENDOCRINE METABOLIC & IMMUNE DISORDERS-DRUG TARGETS LA English DT Review DE Microbiota; diabetes mellitus; epigenetics; inflammasome; dysbiosis; gut ID CHAIN FATTY-ACIDS; DNA METHYLATION; INTESTINAL MICROBIOTA; INSULIN-RESISTANCE; METABOLIC SYNDROME; METFORMIN ALTERS; GENE-EXPRESSION; GENOME-WIDE; PROTEIN; OBESITY AB The gut microbiota that comprises over 100 trillion microorganisms with a weight of about 1-2 kg is regarded as one of the most crucial players in the regulation of the metabolic health of host organisms. In recent years, the incidence of type 2 diabetes mellitus (T2DM), characterized by high levels of sugar in the blood, has been exponentially increasing due to obesity and other lifestyle risk factors. It was shown that dysbiosis, change in the overall composition, and diversity of gut microflora can result in T2DM. Conversely, the microbial composition can also influence the epigenetics of the host organism (DNA methylation as well as histone modifications), which might have a potential effect on the metabolic health of the individual. Another mechanism of gut microbiota in the development of T2DM is through the involvement of nucleotide-binding oligomerization domain, Leucine-rich Repeat, and Pyrin domain containing 3 (NLRP3) inflammasome, a part of the innate immune system. NLRP3 inflammasome produces inflammatory cytokines, promoting the secretion of microbial antigens in the intestinal epithelium. 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Immune Disord.-Drug Targets PY 2022 VL 22 IS 14 BP 1331 EP 1343 DI 10.2174/1871530322666220331152809 PG 13 WC Endocrinology & Metabolism; Immunology; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism; Immunology; Pharmacology & Pharmacy GA 6Z8NZ UT WOS:000898027900001 PM 35362379 DA 2023-06-08 ER PT J AU Que, YY Cao, M He, JQ Zhang, Q Chen, QY Yan, CS Lin, AQ Yang, LX Wu, ZZ Zhu, D Chen, FW Chen, ZR Xiao, CX Hou, KJ Zhang, BZ AF Que, Yanyan Cao, Man He, Jianquan Zhang, Qiang Chen, Qiongyun Yan, Changsheng Lin, Aiqiang Yang, Luxi Wu, Zezhen Zhu, Dan Chen, Fengwu Chen, Zhangran Xiao, Chuanxing Hou, Kaijian Zhang, Bangzhou TI Gut Bacterial Characteristics of Patients With Type 2 Diabetes Mellitus and the Application Potential SO FRONTIERS IN IMMUNOLOGY LA English DT Article DE microbiota; meta-analysis; T2DM; probiotics; 16S rRNA sequencing ID INTESTINAL MICROBIOTA; ASSOCIATION; METAGENOME; DYSBIOSIS; METFORMIN; MARKERS; ADULTS AB Type 2 diabetes mellitus (T2DM) is a complex disorder comprehensively influenced by genetic and environmental risk, and research increasingly has indicated the role of microbial dysbiosis in T2DM pathogenesis. However, studies comparing the microbiome characteristics between T2DM and healthy controls have reported inconsistent results. To further identify and describe the characteristics of the intestinal flora of T2DM patients, we performed a systematic review and meta-analysis of stool microbial profiles to discern and describe microbial dysbiosis in T2DM and to explore heterogeneity among 7 studies (600 T2DM cases, 543 controls, 1143 samples in total). Using a random effects model and a fixed effects model, we observed significant differences in beta diversity, but not alpha diversity, between individuals with T2DM and controls. We identified various operational taxonomic unit (OTUs) and bacterial genera with significant odds ratios for T2DM. The T2DM signatures derived from a single study by stepwise feature selection could be applied in other studies. By training on multiple studies, we improved the detection accuracy and disease specificity for T2DM. We also discuss the relationship between T2DM-enriched or T2DM-depleted genera and probiotics and provide new ideas for diabetes prevention and improvement. C1 [Que, Yanyan] Xiamen Univ, Dept Endocrinol, Zhongshan Hosp, Xiamen, Peoples R China. [Cao, Man] Nanchang Univ, Sch Sci, Dept Math, Nanchang, Jiangxi, Peoples R China. [Cao, Man] Nanchang Univ, Sch Sci, Numer Simulat & High Performance Comp Lab, Nanchang, Jiangxi, Peoples R China. [He, Jianquan] Xiamen Univ, Dept Rehabil, Zhongshan Hosp, Xiamen, Peoples R China. [He, Jianquan; Xiao, Chuanxing] Fujian Univ Tradit Chinese Med, Sch Pharm, Fuzhou, Peoples R China. [Zhang, Qiang; Chen, Qiongyun; Yan, Changsheng; Chen, Zhangran; Zhang, Bangzhou] Xiamen Univ, Dept Gastroenterol, Zhongshan Hosp, Xiamen, Peoples R China. [Zhang, Qiang; Chen, Qiongyun; Yan, Changsheng; Yang, Luxi; Chen, Zhangran; Xiao, Chuanxing; Zhang, Bangzhou] Xiamen Univ, Sch Med, Xiamen, Peoples R China. [Lin, Aiqiang] Xiamen Treatgut Biotechnol Co Ltd, Dept Res & Dev, Xiamen, Peoples R China. [Wu, Zezhen; Zhu, Dan; Chen, Fengwu; Hou, Kaijian] Shantou Univ, Longhu Hosp, Dept Endocrine & Metab Dis, Affiliated Hosp 1,Med Coll, Shantou, Peoples R China. [Wu, Zezhen] Shantou Univ, Grad Sch, Med Coll, Shantou, Peoples R China. C3 Xiamen University; Nanchang University; Nanchang University; Xiamen University; Fujian University of Traditional Chinese Medicine; Xiamen University; Xiamen University; Shantou University; Shantou University RP Xiao, CX (通讯作者),Fujian Univ Tradit Chinese Med, Sch Pharm, Fuzhou, Peoples R China.; Chen, ZR; Zhang, BZ (通讯作者),Xiamen Univ, Dept Gastroenterol, Zhongshan Hosp, Xiamen, Peoples R China.; Chen, ZR; Xiao, CX; Zhang, BZ (通讯作者),Xiamen Univ, Sch Med, Xiamen, Peoples R China.; Hou, KJ (通讯作者),Shantou Univ, Longhu Hosp, Dept Endocrine & Metab Dis, Affiliated Hosp 1,Med Coll, Shantou, Peoples R China. 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Immunol. PD AUG 12 PY 2021 VL 12 DI 10.3389/fimmu.2021.722206 PG 11 WC Immunology WE Science Citation Index Expanded (SCI-EXPANDED) SC Immunology GA UN2EZ UT WOS:000693834400001 PM 34484230 OA Green Published, gold DA 2023-06-08 ER PT J AU Luck, H Khan, S Kim, JH Copeland, JK Revelo, XS Tsai, S Chakraborty, M Cheng, K Chan, YT Nohr, MK Clemente-Casares, X Perry, MC Ghazarian, M Lei, H Lin, YH Coburn, B Okrainec, A Jackson, T Poutanen, S Gaisano, H Allard, JP Guttman, DS Conner, ME Winer, S Winer, DA AF Luck, Helen Khan, Saad Kim, Justin H. Copeland, Julia K. Revelo, Xavier S. Tsai, Sue Chakraborty, Mainak Cheng, Kathleen Chan, Yi Tao Nohr, Mark K. Clemente-Casares, Xavier Perry, Marie-Christine Ghazarian, Magar Lei, Helena Lin, Yi-Hsuan Coburn, Bryan Okrainec, Allan Jackson, Timothy Poutanen, Susan Gaisano, Herbert Allard, Johane P. Guttman, David S. Conner, Margaret E. Winer, Shawn Winer, Daniel A. TI Gut-associated IgA(+) immune cells regulate obesity-related insulin resistance SO NATURE COMMUNICATIONS LA English DT Article ID T-CELLS; DENDRITIC CELLS; RETINOIC ACID; B-CELLS; MICROBIOTA; INFLAMMATION; LYMPHOCYTES; INTERLEUKIN-5; MACROPHAGES; GENERATION AB The intestinal immune system is emerging as an important contributor to obesity-related insulin resistance, but the role of intestinal B cells in this context is unclear. Here, we show that high fat diet (HFD) feeding alters intestinal IgA(+) immune cells and that IgA is a critical immune regulator of glucose homeostasis. Obese mice have fewer IgA(+) immune cells and less secretory IgA and IgA-promoting immune mediators. HFD-fed IgA-deficient mice have dysfunctional glucose metabolism, a phenotype that can be recapitulated by adoptive transfer of intestinal-associated pan-B cells. Mechanistically, IgA is a crucial link that controls intestinal and adipose tissue inflammation, intestinal permeability, microbial encroachment and the composition of the intestinal microbiome during HFD. Current glucose-lowering therapies, including metformin, affect intestinal-related IgA(+) B cell populations in mice, while bariatric surgery regimen alters the level of fecal secretory IgA in humans. These findings identify intestinal IgA(+) immune cells as mucosal mediators of whole-body glucose regulation in diet-induced metabolic disease. C1 [Luck, Helen; Khan, Saad; Kim, Justin H.; Tsai, Sue; Chakraborty, Mainak; Cheng, Kathleen; Chan, Yi Tao; Nohr, Mark K.; Clemente-Casares, Xavier; Ghazarian, Magar; Lei, Helena; Lin, Yi-Hsuan; Winer, Daniel A.] Univ Hlth Network, TGRI, Div Cellular & Mol Biol, Diabet Res Grp, Toronto, ON M5G 2C4, Canada. [Luck, Helen; Khan, Saad; Cheng, Kathleen; Chan, Yi Tao; Perry, Marie-Christine; Coburn, Bryan; Winer, Daniel A.] Univ Toronto, Dept Immunol, Toronto, ON M5S 1A8, Canada. [Copeland, Julia K.; Guttman, David S.] Univ Toronto, Ctr Anal Genome Evolut & Funct, Toronto, ON M5S 3B2, Canada. [Revelo, Xavier S.] Univ Minnesota, Dept Integrat Biol & Physiol, Minneapolis, MN 55455 USA. [Revelo, Xavier S.] Univ Minnesota, Ctr Immunol, Minneapolis, MN 55455 USA. [Tsai, Sue; Clemente-Casares, Xavier] Univ Alberta, Dept Med Microbiol & Immunol, Edmonton, AB T6G 2R3, Canada. [Lin, Yi-Hsuan] Chang Gung Univ, Coll Med, Ctr Tradit Chinese Med, Chang Gung Mem Hosp,Sch Tradit Chinese Med, Taoyuan 333, Taiwan. [Lin, Yi-Hsuan] Chang Gung Univ, Coll Med, Grad Inst Clin Med Sci, Taoyuan 333, Taiwan. [Coburn, Bryan] Univ Hlth Network, Dept Med, Div Infect Dis, Toronto, ON M5G 2N2, Canada. [Coburn, Bryan; Poutanen, Susan; Winer, Shawn; Winer, Daniel A.] Univ Toronto, Dept Lab Med & Pathobiol, Toronto, ON M5S 1A8, Canada. [Okrainec, Allan; Jackson, Timothy] Univ Hlth Network, Toronto Western Hosp, Toronto, ON M5T 2S8, Canada. [Okrainec, Allan; Jackson, Timothy] Univ Toronto, Dept Surg, Toronto, ON M5T 1P5, Canada. [Poutanen, Susan; Gaisano, Herbert; Allard, Johane P.] Univ Toronto, Dept Med, Toronto, ON M5S 1A8, Canada. [Poutanen, Susan] Univ Hlth Network, Dept Microbiol, Sinai Hlth Syst, Toronto, ON M5G 2M9, Canada. [Allard, Johane P.] Univ Hlth Network, Toronto Gen Hosp, Toronto, ON M5G 2C4, Canada. [Conner, Margaret E.] Baylor Coll Med, Dept Virol & Microbiol, Houston, TX 77030 USA. [Winer, Shawn] St Michaels Hosp, Dept Lab Med, Toronto, ON M5B 1W8, Canada. [Winer, Daniel A.] Univ Hlth Network, Dept Pathol, 200 Elizabeth St, Toronto, ON M5G 2C4, Canada. [Winer, Daniel A.] Buck Inst Res Aging, 8001 Redwood Blvd, Novato, CA 94945 USA. [Luck, Helen; Khan, Saad; Winer, Daniel A.] 10-352 Toronto Med Discovery Tower,101 Coll St, Toronto, ON M5G 1L7, Canada. C3 University of Toronto; University Health Network Toronto; University of Toronto; University of Toronto; University of Minnesota System; University of Minnesota Twin Cities; University of Minnesota System; University of Minnesota Twin Cities; University of Alberta; Chang Gung Memorial Hospital; Chang Gung University; Chang Gung University; University of Toronto; University Health Network Toronto; University of Toronto; University of Toronto; University Health Network Toronto; University of Toronto; University of Toronto; University of Toronto; Sinai Health System Toronto; Lunenfeld Tanenbaum Research Institute; University Health Network Toronto; University of Toronto; University Health Network Toronto; Toronto General Hospital; Baylor College of Medicine; University of Toronto; Saint Michaels Hospital Toronto; University of Toronto; University Health Network Toronto; Buck Institute for Research on Aging RP Winer, DA (通讯作者),Univ Hlth Network, TGRI, Div Cellular & Mol Biol, Diabet Res Grp, Toronto, ON M5G 2C4, Canada.; Winer, DA (通讯作者),Univ Toronto, Dept Immunol, Toronto, ON M5S 1A8, Canada.; Winer, DA (通讯作者),Univ Toronto, Dept Lab Med & Pathobiol, Toronto, ON M5S 1A8, Canada.; Winer, DA (通讯作者),Univ Hlth Network, Dept Pathol, 200 Elizabeth St, Toronto, ON M5G 2C4, Canada.; Winer, DA (通讯作者),Buck Inst Res Aging, 8001 Redwood Blvd, Novato, CA 94945 USA.; Winer, DA (通讯作者),10-352 Toronto Med Discovery Tower,101 Coll St, Toronto, ON M5G 1L7, Canada. EM dan.winer@uhn.ca RI Okrainec, Allan/AAD-2260-2021; Revelo, Xavier/AAQ-9094-2020; Guttman, David S/A-7839-2011 OI Revelo, Xavier/0000-0002-2754-509X; Guttman, David S/0000-0001-8479-3869; Clemente-Casares, Xavier/0000-0002-8627-4971; Jackson, Timothy/0000-0001-8388-016X; Tsai, Sue/0000-0002-6261-5233; Nohr, Mark Klitgaard/0000-0002-5536-654X; Chakraborty, Mainak/0009-0002-2096-1389; Okrainec, Allan/0000-0003-1117-958X FU Canadian Institutes of Health Research (CIHR) [119414, 142708, 148385]; Diabetes Canada [OG-3-15-5014]; Canadian Liver Foundation (CLF); CIHR [303157]; Canada Research Chair; Ontario Ministry of Innovation Early Researcher Award; Queen Elizabeth II Graduate Scholarship in Science and Technology (QEII-GSST)/Aventis Pasteur; Banting and Best Diabetes Centre (BBDC) Graduate Scholarship; CIHR Canada Graduate Scholarship-Doctoral (CGS-D) Award; UTRS [152465] FX We would like to kindly thank CAGEF at the University of Toronto for the gut microbiota sequencing, STTARR facility for the immunohistochemistry work, and Maryam Alghamdi, Carrie Li, Fariba Abedi, Monica L. Ponta, Aimee Paterson, and Melissa Kissoon for their work related to the bariatric human data, including study setup, patient screening, recruitment, visits, data and sample collections, and processing. This work is supported in part by Canadian Institutes of Health Research (CIHR) grants 119414, 142708, and 148385 (D.A.W.), Diabetes Canada grant OG-3-15-5014 (D.A.W.), and the Canadian Liver Foundation (CLF) (2017 operating grant). The bariatric surgery research is supported by CIHR 303157 and UTRS 152465. D.A.W. is a recipient of a Canada Research Chair, and the Ontario Ministry of Innovation Early Researcher Award. S.K. is a recipient of the Queen Elizabeth II Graduate Scholarship in Science and Technology (QEII-GSST)/Aventis Pasteur, and the Banting and Best Diabetes Centre (BBDC) Graduate Scholarship. H.L. is a recipient of the CIHR Canada Graduate Scholarship-Doctoral (CGS-D) Award. 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Commun. PD AUG 13 PY 2019 VL 10 AR 3650 DI 10.1038/s41467-019-11370-y PG 17 WC Multidisciplinary Sciences WE Science Citation Index Expanded (SCI-EXPANDED) SC Science & Technology - Other Topics GA IQ1OG UT WOS:000480519600003 PM 31409776 OA Green Published, gold DA 2023-06-08 ER PT J AU Wang, FJ Zhao, T Wang, WW Dai, QQ Ma, XH AF Wang, Fujie Zhao, Ting Wang, Weiwei Dai, Qianqian Ma, Xianghua TI Will intestinal flora therapy become a new target in type-2 diabetes mellitus? A review based on 13 clinical trials SO NUTRICION HOSPITALARIA LA English DT Review DE Intestinal flora; T2DM; Therapy ID GUT MICROBIOTA; PROBIOTICS; INDIVIDUALS; METABOLITES; PREVALENCE; METFORMIN; BACTERIA; EXERCISE; ALTERS; ADULTS AB Background: diabetes mellitus (DM) is a chronic disease and its pathogenesis is still inconclusive. Current evidence suggests an association between intestinal flora and type-2 diabetes mellitus (T2DM). In this paper, we summarized the current research, determining whether intestinal flora may become a new method to treat T2DM, and providing a theoretical basis and literature references for the prevention of T2DM based on the regulation of intestinal flora. Method: we carried out a review based on 13 published clinical trials to determine the correlation between T2DM and intestinal flora, and between changes in clinical outcomes and in intestinal flora in the development of T2DM; to assess the pathological mechanisms; and to discuss the treatment of diabetes based on intestinal flora. Results: we found that intestinal flora is involved in the occurrence and development of T2DM. Several pathological mechanisms may be involved in the process, including improving the gut barrier, alleviating inflammation, increasing glucagon-like peptide (GLP) 1 and GLP 2, increasing the production of short-chain fatty acids (SCFAs), and so on. Several measures based on intestinal flora, including exercise, food, specific diets, drugs and probiotics, would be used to treat and even prevent T2DM. Conclusions: high-quality studies are required to better understand the clinical effects of intestinal flora in T2DM. C1 [Wang, Fujie; Zhao, Ting; Wang, Weiwei; Ma, Xianghua] Nanjing Med Univ, Affiliated Hosp 1, Nutr Dept, 300 Guangzhou Rd, Nanjing 210029, Peoples R China. [Dai, Qianqian] Xuzhou Canc Hosp, Nutr Dept, Xuzhou, Jiangsu, Peoples R China. C3 Nanjing Medical University RP Ma, XH (通讯作者),Nanjing Med Univ, Affiliated Hosp 1, Nutr Dept, 300 Guangzhou Rd, Nanjing 210029, Peoples R China. 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Hosp. PD MAR-APR PY 2022 VL 39 IS 2 BP 425 EP 433 DI 10.20960/nh.03866 PG 9 WC Nutrition & Dietetics WE Science Citation Index Expanded (SCI-EXPANDED) SC Nutrition & Dietetics GA 3F3BO UT WOS:000830544300023 PM 34844413 OA gold DA 2023-06-08 ER PT J AU Smits, MM Fluitman, KS Herrema, H Davids, M Kramer, MHH Groen, AK Belzer, C de Vos, WM Cahen, DL Nieuwdorp, M van Raalte, DH AF Smits, Mark M. Fluitman, Kristina S. Herrema, Hilde Davids, Mark Kramer, Mark H. H. Groen, Albert K. Belzer, Clara de Vos, Willem M. Cahen, Djuna L. Nieuwdorp, Max van Raalte, Daniel H. TI Liraglutide and sitagliptin have no effect on intestinal microbiota composition: A 12-week randomized placebo-controlled trial in adults with type 2 diabetes SO DIABETES & METABOLISM LA English DT Article DE Dipeptidyl peptidase 4; DPP-4; Intestinal microbiota; GLP-1; Glucagon-like peptide 1 ID GUT MICROBIOTA; INSULIN SENSITIVITY; INDIVIDUALS AB Aim: Preclinical data suggest that treatment with either glucagon-like peptide (GLP)-1 receptor agonists or dipeptidyl peptidase (DPP)-4 inhibitors could change the intestinal microbiome and thereby contribute to their beneficial (cardio)metabolic effects. Therefore, our study aimed to investigate the effects of these agents on microbiota composition in adults with type 2 diabetes (T2D). Methods: A total of 51 adults with T2D (mean +/- SD: age 62.8 +/- 6.9 years, BMI 31.8 +/- 4.1 kg/m(2), HbA(1c) 7.3 +/- 0.6%) treated with metformin and/or sulphonylureas were included in the 12-week randomized, double-blind trial. Patients were given the GLP-1 receptor agonist liraglutide (1.8 mg sc) or the DPP-4 inhibitor sitagliptin (100 mg), or matching placebos, once daily for 12 weeks. Faecal samples were collected at baseline and at 12 weeks after the start of the intervention. Microbiota analyses were performed by 16S rRNA gene-sequencing analysis. Bile acids were measured in faeces and plasma. Results: Liraglutide decreased HbA(1c) by 1.3% (95% CI: -1.7 to -0.9) and tended to reduce body weight (-1.7 kg, 95% CI: -3.6 to 0.3), but increased faecal secondary bile acid deoxycholic acid. Sitagliptin lowered HbA(1c) by 0.8% (95% CI: -1.4 to -0.4) while body weight remained stable (-0.8 kg, 95% CI: -2.7 to 1.0), but increased faecal levels of cholic acid, chenodeoxycholic acid and ursodeoxycholic acid. However, neither liraglutide nor sitagliptin affected either alpha or beta diversity of the intestinal microbiota, nor were changes in microbial composition related to clinical parameters. Conclusion: These data suggest that the beneficial effects of liraglutide and sitagliptin on glucose metabolism, body weight and bile acids, when used as add-on therapies to metformin or sulphonylureas, are not linked to changes in the intestinal microbiota (NCT01744236). (C) 2021 The Authors. Published by Elsevier Masson SAS. C1 [Smits, Mark M.; Fluitman, Kristina S.; Kramer, Mark H. H.; Nieuwdorp, Max; van Raalte, Daniel H.] Amsterdam Univ Med Ctr, Diabet Ctr, Dept Internal Med, Locat VUmc, De Boelelaan 1117,Room ZH 4A65, NL-1081 HV Amsterdam, Netherlands. [Herrema, Hilde; Davids, Mark; Groen, Albert K.; Nieuwdorp, Max] Amsterdam Univ Med Ctr, Dept Vasc Med, Locat AMC, Amsterdam, Netherlands. [Belzer, Clara; de Vos, Willem M.] Wageningen Univ, Lab Microbiol, Wageningen, Netherlands. [de Vos, Willem M.] Univ Helsinki, Haartman Inst, Dept Bacteriol & Immunol, Dept Vet Biosci & RPU Immunobiol, Helsinki, Finland. [Cahen, Djuna L.] Erasmus MC, Dept Gastroenterol & Hepatol, Rotterdam, Netherlands. C3 Wageningen University & Research; University of Helsinki; Erasmus University Rotterdam; Erasmus MC RP Smits, MM (通讯作者),Amsterdam Univ Med Ctr, Diabet Ctr, Dept Internal Med, Locat VUmc, De Boelelaan 1117,Room ZH 4A65, NL-1081 HV Amsterdam, Netherlands. EM mm.smits1@amsterdamumc.nl RI Kramer, Mark/GWQ-3502-2022; Smits, Mark/E-6573-2014; Belzer, Clara/P-6500-2018 OI Smits, Mark/0000-0001-8236-8842; Belzer, Clara/0000-0001-6922-836X; van Raalte, Daniel/0000-0003-2894-6124; Herrema, Hilde/0000-0002-0112-6348; Fluitman, Kristina/0000-0002-8579-369X; Davids, Mark/0000-0003-3081-9124 FU European Commission [282521] FX The research leading to the present results was funded by the Seventh Framework Programme (FP7/2007-2013) of the European Commission under grant n 282521 (the SAFEGUARD project). Also, Novo Nordisk kindly provided the prefilled liraglutide and matching placebo pens. 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PD SEP PY 2021 VL 47 IS 5 AR 101223 DI 10.1016/j.diabet.2021.101223 PG 8 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA WQ5SY UT WOS:000713877100005 PM 33429063 OA Green Published, hybrid DA 2023-06-08 ER PT J AU Pedersen, C Gallagher, E Horton, F Ellis, RJ Ijaz, UZ Wu, HH Jaiyeola, E Diribe, O Duparc, T Cani, PD Gibson, GR Hinton, P Wright, J La Ragione, R Robertson, MD AF Pedersen, Camilla Gallagher, Edith Horton, Felicity Ellis, Richard J. Ijaz, Umer Z. Wu, Huihai Jaiyeola, Etana Diribe, Onyinye Duparc, Thibaut Cani, Patrice D. Gibson, Glenn R. Hinton, Paul Wright, John La Ragione, Roberto Robertson, M. Denise TI Host-microbiome interactions in human type 2 diabetes following prebiotic fibre (galacto-oligosaccharide) intake SO BRITISH JOURNAL OF NUTRITION LA English DT Article DE Prebiotic supplements; Diabetes; Gut microbiota; Intestinal permeability; Endotoxaemia ID GUT MICROBIOTA; RESISTANT STARCH; INSULIN-RESISTANCE; BLOOD-GLUCOSE; OBESITY; WOMEN; ENDOTOXEMIA; CONSUMPTION; FRUCTOOLIGOSACCHARIDES; SUPPLEMENTATION AB Aberrant microbiota composition and function have been linked to several pathologies, including type 2 diabetes. In animal models, prebiotics induce favourable changes in the intestinal microbiota, intestinal permeability (IP) and endotoxaemia, which are linked to concurrent improvement in glucose tolerance. This is the first study to investigate the link between IP, glucose tolerance and intestinal bacteria in human type 2 diabetes. In all, twenty-nine men with well-controlled type 2 diabetes were randomised to a prebiotic (galacto-oligosaccharide mixture) or placebo (maltodextrin) supplement (5.5 g/d for 12 weeks). Intestinal microbial community structure, IP, endotoxaemia, inflammatory markers and glucose tolerance were assessed at baseline and post intervention. IP was estimated by the urinary recovery of oral Cr-51-EDTA and glucose tolerance by insulin-modified intravenous glucose tolerance test. Intestinal microbial community analysis was performed by high-throughput next-generation sequencing of 16S rRNA amplicons and quantitative PCR. Prebiotic fibre supplementation had no significant effects on clinical outcomes or bacterial abundances compared with placebo; however, changes in the bacterial family Veillonellaceae correlated inversely with changes in glucose response and IL-6 levels (r-0.90, P=0.042 for both) following prebiotic intake. The absence of significant changes to the microbial community structure at a prebiotic dosage/length of supplementation shown to be effective in healthy individuals is an important finding. We propose that concurrent metformin treatment and the high heterogeneity of human type 2 diabetes may have played a significant role. The current study does not provide evidence for the role of prebiotics in the treatment of type 2 diabetes. C1 [Pedersen, Camilla; Wu, Huihai; Jaiyeola, Etana; Diribe, Onyinye; Wright, John; La Ragione, Roberto; Robertson, M. Denise] Univ Surrey, Fac Hlth & Med Sci, Guildford GU2 7XH, Surrey, England. [Gallagher, Edith; Horton, Felicity; Hinton, Paul] Royal Surrey Cty Hosp, Med Phys Nucl Med, Guildford GU2 7XX, Surrey, England. [Ellis, Richard J.] Anim & Plant Hlth Agcy, Addlestone KT15 3NB, Surrey, England. [Ijaz, Umer Z.] Univ Glasgow, Sch Engn, Glasgow G12 8LT, Lanark, Scotland. [Duparc, Thibaut; Cani, Patrice D.] Catholic Univ Louvain, Louvain Drug Res Inst, B-1200 Brussels, Belgium. [Gibson, Glenn R.] Univ Reading, Dept Food & Nutr Sci, Reading RG6 6AP, Berks, England. [Wright, John] Royal Surrey Cty Hosp, CEDAR Ctr, Guildford GU2 7XX, Surrey, England. C3 University of Surrey; Royal Surrey County Hospital; Animal & Plant Health Agency UK; University of Glasgow; Universite Catholique Louvain; University of Reading; Royal Surrey County Hospital RP Robertson, MD (通讯作者),Univ Surrey, Fac Hlth & Med Sci, Guildford GU2 7XH, Surrey, England. EM m.robertson@surrey.ac.uk RI Ijaz, Umer Zeeshan Z/F-3583-2014; La Ragione, Roberto M/Q-9916-2017; Gibson, Glenn R/A-9595-2009; Ellis, Richard/A-9176-2008; D., Cani Patrice/M-8055-2016 OI Ijaz, Umer Zeeshan Z/0000-0001-5780-8551; La Ragione, Roberto M/0000-0001-5861-613X; Ellis, Richard/0000-0002-2690-9090; D., Cani Patrice/0000-0003-2040-2448; Christensen, Camilla/0000-0002-3253-124X; Thibaut, DUPARC/0000-0002-6058-4656 FU EFSD clinical research grant; National Institute for Health Research Clinical Research Network: Kent, Surrey and Sussex; Natural Environment Research Council [NE/L011956/1] Funding Source: researchfish; NERC [NE/L011956/1] Funding Source: UKRI FX This study was funded by an EFSD clinical research grant. The research was supported by the National Institute for Health Research Clinical Research Network: Kent, Surrey and Sussex. 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PD DEC PY 2016 VL 116 IS 11 BP 1869 EP 1877 DI 10.1017/S0007114516004086 PG 9 WC Nutrition & Dietetics WE Science Citation Index Expanded (SCI-EXPANDED) SC Nutrition & Dietetics GA EI7ZX UT WOS:000392724800003 PM 27974055 OA Green Accepted, Bronze, Green Published DA 2023-06-08 ER PT J AU Gu, CY Yang, Y Xiang, H Li, S Liang, LN Sui, H Zhan, LB Lu, XG AF Gu, Chunyan Yang, Ye Xiang, Hong Li, Shu Liang, Lina Sui, Hua Zhan, Libin Lu, Xiaoguang TI Deciphering bacterial community changes in zucker diabetic fatty rats based on 16S rRNA gene sequences analysis SO ONCOTARGET LA English DT Article DE type 2 diabetes; zucker diabetic fatty rat; gastrointestinal microbe; 16S rRNA; microbial communities; Pathology Section ID HUMAN GUT MICROBIOTA; DIET-INDUCED OBESITY; LEPTIN RECEPTOR; BIFIDOBACTERIUM-ANIMALIS; WEIGHT-GAIN; DISEASE; HEALTH; MICE; RESISTANCE; METFORMIN AB The aim of the present pilot study was deciphering bacterial community changes in Zucker diabetic fatty rats (ZDF rats), a model of type 2 diabetes. Recent studies unmasked that the status of gastrointestinal tract microbiota has a marked impact on nutrition-related syndromes such as obesity and type-2 diabetes (T2D). In this study, samples taken from the gastrointestinal tracts (GI tracts) of ZDF and their lean littermates (ZL rats) were subjected to 16S rRNA gene sequence-based analysis to examine the characteristic bacterial communities, including those located in the stomach, duodenum, jejunum, ileum, cecum and feces. Results revealed that the Firmicutes/Bacteroidetes ratio was increased and greater numbers of Lactobacillus were detected along GI tracts in ZDF rats compared to ZL rats. In conclusion, this work is the first study to systematically characterize bacterial communities along ZDF rat GI tract and provides substantial evidence supporting a prospective strategy to alter the GI microbial communities improving obesity and T2D. C1 [Gu, Chunyan; Yang, Ye; Zhan, Libin] Nanjing Univ Chinese Med, Basic Med Coll, Nanjing, Jiangsu, Peoples R China. [Xiang, Hong; Li, Shu; Zhan, Libin] Dalian Med Univ, Affiliated Hosp 2, Dalian, Liaoning, Peoples R China. [Lu, Xiaoguang] Dalian Univ, Zhongshan Hosp, Dept Emergency Med, Dalian, Liaoning, Peoples R China. [Liang, Lina; Sui, Hua] Dalian Med Univ, Inst Integrat Med, Dalian, Liaoning, Peoples R China. C3 Nanjing University of Chinese Medicine; Dalian Medical University; Dalian University; Dalian Medical University RP Zhan, LB (通讯作者),Nanjing Univ Chinese Med, Basic Med Coll, Nanjing, Jiangsu, Peoples R China.; Zhan, LB (通讯作者),Dalian Med Univ, Affiliated Hosp 2, Dalian, Liaoning, Peoples R China.; Lu, XG (通讯作者),Dalian Univ, Zhongshan Hosp, Dept Emergency Med, Dalian, Liaoning, Peoples R China. EM zlbnj@njucm.edu.cn; dllxg100@126.com RI yang, yang/GWB-9426-2022; Lang, Ming/HIK-0758-2022; YANG, YE/F-4987-2015 OI YANG, YE/0000-0003-0228-5102 FU National Nature Science Foundation of China [81230084]; Specialized Research Fund for the Doctoral Program of Higher Education of China [20132105130001] FX This study was supported by grants from the National Nature Science Foundation of China (No. 81230084), by the Specialized Research Fund for the Doctoral Program of Higher Education of China (20132105130001). 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ELEGANS; IN-VITRO; 1ST YEAR; HOST AB Broad-spectrum antibiotics target multiple gram-positive and gram-negative bacteria, and can collaterally damage the gut microbiota. Yet, our knowledge of the extent of damage, the antibiotic activity spectra, and the resistance mechanisms of gut microbes is sparse. This limits our ability to mitigate microbiome-facilitated spread of antibiotic resistance. In addition to antibiotics, non-antibiotic drugs affect the human microbiome, as shown by metagenomics as well as in vitro studies. Microbiome-drug interactions are bidirectional, as microbes can also modulate drugs. Chemical modifications of antibiotics mostly function as antimicrobial resistance mechanisms, while metabolism of non-antibiotics can also change the drugs' pharmacodynamic, pharmacokinetic, and toxic properties. Recent studies have started to unravel the extensive capacity of gut microbes to metabolize drugs, the mechanisms, and the relevance of such events for drug treatment. These findings raise the question whether and to which degree these reciprocal drug-microbiome interactions will differ across individuals, and how to take them into account in drug discovery and precision medicine. This review describes recent developments in the field and discusses future study areas that will benefit from systems biology approaches to better understand the mechanistic role of the human gut microbiota in drug actions. C1 [Zimmermann, Michael; Patil, Kiran Raosaheb; Typas, Athanasios] European Mol Biol Lab, Struct & Computat Biol Unit, Heidelberg, Germany. [Patil, Kiran Raosaheb] Univ Cambridge, MRC, Toxicol Unit, Cambridge, England. [Typas, Athanasios] European Mol Biol Lab, Genome Biol Unit, Heidelberg, Germany. [Maier, Lisa] Univ Tubingen, Interfac Inst Microbiol & Infect Med, Tubingen, Germany. [Maier, Lisa] Univ Tubingen, Cluster Excellence Controlling Microbes Fight Inf, Tubingen, Germany. C3 European Molecular Biology Laboratory (EMBL); University of Cambridge; European Molecular Biology Laboratory (EMBL); Eberhard Karls University of Tubingen; Eberhard Karls University of Tubingen RP Zimmermann, M (通讯作者),European Mol Biol Lab, Struct & Computat Biol Unit, Heidelberg, Germany.; Maier, L (通讯作者),Univ Tubingen, Interfac Inst Microbiol & Infect Med, Tubingen, Germany.; Maier, L (通讯作者),Univ Tubingen, Cluster Excellence Controlling Microbes Fight Inf, Tubingen, Germany. EM michael.zimmermann@embl.de; l.maier@uni-tuebingen.de RI Maier, Lisa/ABH-1893-2021; Patil, Kiran Raosaheb/B-9709-2009 OI Maier, Lisa/0000-0002-6473-4762; Zimmermann, Michael/0000-0002-5797-3589; Typas, Athanasios/0000-0002-0797-9018; Patil, Kiran Raosaheb/0000-0002-6166-8640 FU German Research Foundation (Emmy-Noether Program, CMFI Cluster of Excellence) [EXE 2124]; ERC CoG uCARE; UK Medical Research Council [MC_UU_00025/11]; Daimler-und-Benz-Stiftung; MRC [MC_UU_00025/11] Funding Source: UKRI FX The authors acknowledge funding from the German Research Foundation (Emmy-Noether Program, CMFI Cluster of Excellence (EXE 2124)) to L.M., from ERC CoG uCARE to A.T., from UK Medical Research Council (project no. MC_UU_00025/11) to K.R.P., and from the Daimler-und-Benz-Stiftung to M. Z. 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PD MAR PY 2021 VL 17 IS 3 AR e10116 DI 10.15252/msb.202010116 PG 15 WC Biochemistry & Molecular Biology WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology GA RH6TL UT WOS:000636348400008 PM 33734582 OA Green Published, gold DA 2023-06-08 ER PT J AU Zhang, L Luo, J Li, XQ Guo, SJ Shi, DY AF Zhang, Liang Luo, Jiao Li, Xiangqian Guo, Shuju Shi, Dayong TI 16S rRNA Sequencing and Metagenomics Study of Gut Microbiota: Implications of BDB on Type 2 Diabetes Mellitus SO MARINE DRUGS LA English DT Article DE BDB; marine red alga; type 2 diabetes mellitus; gut microbiota; 16S rRNA sequencing; metagenomics ID CHAIN FATTY-ACIDS; AKKERMANSIA-MUCINIPHILA; RHODOMELA-CONFERVOIDES; BROMOPHENOLS; METFORMIN; ALTERS; TARGET; FUTURE AB Gut microbiota has a critical role in metabolic diseases, including type 2 diabetes mellitus (T2DM). 3-bromo-4,5-bis(2,3-dibromo-4,5-dihydroxybenzyl)-1,2-benzenediol (BDB) is a natural bromophenol isolated from marine red alga Rhodomela confervoides. Our latest research showed that BDB could alleviate T2DM in diabetic BKS db mice. To find out whether BDB modulates the composition of the gut microbiota during T2DM treatment, 24 BKS db diabetic mice were randomly grouped to receive BDB (n = 6), metformin (n = 6), or the vehicle (n = 6) for 7 weeks in a blinded manner. Non-diabetic BKS mice (n = 6) were used as normal control. Diabetic mice treated with BDB or metformin demonstrated significant reductions in fasting blood glucose (FBG) levels compared with the vehicle-treated mice in the 7th week. Pyrosequencing of the V3-V4 regions of the 16S rRNA gene revealed the changes of gut microbiota in response to BDB treatment. The result demonstrated short-chain acid (SCFA) producing bacteria Lachnospiraceae and Bacteroides were found to be significantly more abundant in the BDB and metformin treated group than the vehicle-treatment diabetic group. Remarkably, at the genus levels, Akkermansia elevated significantly in the BDB-treatment group. Metagenomic results indicated that BDB may alleviate the metabolic disorder of diabetic mice by promoting propanoate metabolism and inhibiting starch and sucrose metabolism, amino sugar and nucleotide sugar metabolism. In conclusion, our study suggests that the anti-diabetic effect of BDB is closely related to the modulating structure of gut microbiota and the improvement of functional metabolism genes of intestinal microorganisms. C1 [Zhang, Liang; Guo, Shuju] Chinese Acad Sci, Inst Oceanol, Key Lab Expt Marine Biol, 7 Nanhai Rd, Qingdao 266071, Peoples R China. [Zhang, Liang; Guo, Shuju] Natl Lab Marine Sci & Technol, Lab Marine Drugs & Bioprod Qingdao, Qingdao 266000, Peoples R China. [Zhang, Liang; Guo, Shuju] Univ Chinese Acad Sci, Sch Earth & Planetary, Beijing 100049, Peoples R China. [Luo, Jiao] Qingdao Univ, Sch Publ Hlth, Qingdao 266071, Peoples R China. [Li, Xiangqian; Shi, Dayong] Shandong Univ, State Key Lab Microbial Technol, 72 Binhai Rd, Qingdao 266237, Peoples R China. C3 Chinese Academy of Sciences; Institute of Oceanology, CAS; Laoshan Laboratory; Chinese Academy of Sciences; University of Chinese Academy of Sciences, CAS; Qingdao University; Shandong University RP Guo, SJ (通讯作者),Chinese Acad Sci, Inst Oceanol, Key Lab Expt Marine Biol, 7 Nanhai Rd, Qingdao 266071, Peoples R China.; Guo, SJ (通讯作者),Natl Lab Marine Sci & Technol, Lab Marine Drugs & Bioprod Qingdao, Qingdao 266000, Peoples R China.; Guo, SJ (通讯作者),Univ Chinese Acad Sci, Sch Earth & Planetary, Beijing 100049, Peoples R China.; Shi, DY (通讯作者),Shandong Univ, State Key Lab Microbial Technol, 72 Binhai Rd, Qingdao 266237, Peoples R China. EM z11172627930@163.com; luojiao2012@163.com; lixiangqian@sdu.edu.cn; guoshuju@qdio.ac.cn; shidayong@sdu.edu.cn RI Guo, shuju/IAR-3466-2023 FU National Natural Science Foundation of China [817033540, 81803344]; Shandong Provincial Natural Science Foundation for Distinguished Young Scholars [JQ201722]; Taishan scholar Youth Project of Shandong province; Qingdao Marine Biomedical Science and Technology Innovation Center Project [2017-CXZX01-1-1, 2017-CXZX01-3-9]; NSFC-Shan-dong Joint Fund [U1706213]; National Program for Support of Top-notch Young Professionals; Key research and development plan (soft science) project of Shandong province [2019RKE27018] FX This work was supported by the National Natural Science Foundation of China (817033540, 81803344), Shandong Provincial Natural Science Foundation for Distinguished Young Scholars (JQ201722), Taishan scholar Youth Project of Shandong province, Qingdao Marine Biomedical Science and Technology Innovation Center Project (2017-CXZX01-1-1, 2017-CXZX01-3-9), NSFC-Shan-dong Joint Fund (U1706213), National Program for Support of Top-notch Young Professionals, Key research and development plan (soft science) project of Shandong province (2019RKE27018). 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Drugs PD SEP PY 2020 VL 18 IS 9 AR 469 DI 10.3390/md18090469 PG 17 WC Chemistry, Medicinal; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA OF5LP UT WOS:000581249300001 PM 32957565 OA gold, Green Published DA 2023-06-08 ER PT J AU Sobhonslidsuk, A Chanprasertyothin, S Pongrujikorn, T Kaewduang, P Promson, K Petraksa, S Ongphiphadhanakul, B AF Sobhonslidsuk, Abhasnee Chanprasertyothin, Suwannee Pongrujikorn, Tanjitti Kaewduang, Piyaporn Promson, Kwannapa Petraksa, Supanna Ongphiphadhanakul, Boonsong TI The Association of Gut Microbiota with Nonalcoholic Steatohepatitis in Thais SO BIOMED RESEARCH INTERNATIONAL LA English DT Article ID FATTY LIVER-DISEASE; OBESE; EPIDEMIOLOGY; PATHOGENESIS; METFORMIN AB Objectives. Nonalcoholic steatohepatitis (NASH) can progress to advanced fibrosis; the link between intestinal bacterial overgrowth and NASH has been proposed. Gut microbiota may promote inflammation and provoke disease progression. We evaluated gut microbiota pattern in NASH and its influencing factors. Methods. A case-controlled study with sixteen NASH and eight control subjects was done. We performed DNA extraction from stool samples and bacterial 16S rRNA sequencing using MiSeq (TM). The sequences were clustered into operational taxonomic units using Quantitative Insights Into Microbial Ecology software. We calculated relative abundances, determined alpha diversity, obtained beta diversity by principal coordinate analysis, and conducted the partial least-squares regression model. Results. The relative abundance of Bacteroidetes tended to be higher in NASH group. The Bacteroidetes/Firmicutes (B/F) ratio was significantly elevated in NASH patients. The pattern of gut microbiota in NASH was clearly separated from that of control subjects. Factors influencing the separation of NASH from control subjects were age, diabetes, body mass index, Bacteroidetes phylum, metformin, Actinobacteria, Verrucomicrobia, Thermotogae, and Caldithrix and Bacteroidetes/Firmicutes ratio. Conclusions. Bacteroidetes phylum (Bacteroides and Prevotella genus) is abundant in NASH subjects, who exhibited an elevated B/F ratio. NASH patients showed a specific pattern of gut microbiota independent of diabetes or metformin use. C1 [Sobhonslidsuk, Abhasnee; Kaewduang, Piyaporn; Promson, Kwannapa; Petraksa, Supanna] Mahidol Univ, Ramathibodi Hosp, Fac Med, Div Gastroenterol & Hepatol,Dept Med, Bangkok, Thailand. [Chanprasertyothin, Suwannee; Pongrujikorn, Tanjitti] Mahidol Univ, Ramathibodi Hosp, Fac Med, Off Res Acad & Innovat, Bangkok, Thailand. [Ongphiphadhanakul, Boonsong] Mahidol Univ, Ramathibodi Hosp, Fac Med, Div Endocrinol,Dept Med, Bangkok, Thailand. C3 Mahidol University; Mahidol University; Mahidol University RP Sobhonslidsuk, A (通讯作者),Mahidol Univ, Ramathibodi Hosp, Fac Med, Div Gastroenterol & Hepatol,Dept Med, Bangkok, Thailand. EM abhasnee.sob@mahidol.ac.th RI chanprasertyothin, suwannee/R-3025-2019 OI Sobhonslidsuk, Abhasnee/0000-0002-3730-5532 FU Faculty of Medicine, Ramathibodi Hospital, Mahidol University FX This study was funded by the Faculty of Medicine, Ramathibodi Hospital, Mahidol University. 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Int. PY 2018 VL 2018 AR 9340316 DI 10.1155/2018/9340316 PG 8 WC Biotechnology & Applied Microbiology; Medicine, Research & Experimental WE Science Citation Index Expanded (SCI-EXPANDED) SC Biotechnology & Applied Microbiology; Research & Experimental Medicine GA FS7XU UT WOS:000422623800001 PM 29682571 OA gold, Green Published DA 2023-06-08 ER PT J AU Li, LY Huang, GX Chen, TB Lin, H Xu, RY Cheng, JY Hu, Y Dai, WB Dong, GT AF Li, Leyu Huang, Guoxin Chen, Tingbo Lin, Hui Xu, Ruiyan Cheng, Jinyan Hu, Ying Dai, Weibo Dong, Gengting TI Fufang Fanshiliu Decoction Revealed the Antidiabetic Effect through Modulating Inflammatory Response and Gut Microbiota Composition SO EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE LA English DT Article ID AKKERMANSIA-MUCINIPHILA; METFORMIN AB Background. Diabetes mellitus brings serious threats and financial burdens to human beings worldwide. Fufang Fanshiliu decoction (FFSLD), a traditional Chinese medicine formula showing great antidiabetic effects, has been used in clinics for many years. Objective. This study aims to explore the underlying therapeutic mechanisms of FFSLD in Type II diabetes mellitus (T2DM). Methods. Sprague-Dawley rats induced by high-fat diet feeding combined with streptozotocin injection were used to establish the T2DM model. All rats were randomly divided into 6 groups: control, model, metformin, high dosage, middle dosage, and low dosage of FFSLD. After 4 weeks of treatment, serum, intestinal mucosa, and fecal samples were collected for further analysis. ELISA was used to detect the diabetic-related serum indicators and proinflammation cytokines. Gene or protein expressions of mitogen-activated protein kinase (MAPK), interleukin 1 beta (IL-1 beta), transforming growth factor-beta (TGF-beta), and tumor necrosis factor-alpha (TNF-alpha) in intestinal mucosa were analyzed by quantitative real-time polymerase chain reaction (RT-PCR) or western blot. 16s rRNA gene sequencing was used to detect the changes of gut microbiome in these groups. Intestinal gut microbiota (GM) composition was further analyzed according to the sequencing libraries. Results. FFSLD effectively recovered the diabetic-related biochemical indexes by reducing fasting blood glucose (FBG), total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), insulin, and increasing high-density lipoprotein cholesterol (HDL-C). Furthermore, FFSLD significantly ameliorated the abnormal levels of proinflammation cytokines including IL-1 beta, IL-6, TNF-alpha, and TGF-beta. In addition, the GM compositions of rats in control, model, and FFSLD treated groups were different. FFSLD significantly increased the relative abundance of Lactobacillus, Akkermansia, and Proteus, and reduced the relative abundance of Alistipes, Desulfovibrio, and Helicobacter. Moreover, these changed bacteria were closely related to the diabetic-related serum indicators and proinflammatory cytokines. Conclusion. These results suggest that FFSLD alleviates diabetic symptoms in T2DM rats through regulating GM composition and inhibiting inflammatory response, which clarify the therapeutic mechanism of FFSLD on T2DM and provide a theoretical basis for its further clinical application. C1 [Li, Leyu; Lin, Hui; Xu, Ruiyan; Cheng, Jinyan; Hu, Ying; Dai, Weibo; Dong, Gengting] Zhongshan Hosp Tradit Chinese Med, Pharmacol Lab, Zhongshan, Guangdong, Peoples R China. [Huang, Guoxin] Shantou Cent Hosp, Clin Res Ctr, Shantou, Guangdong, Peoples R China. [Chen, Tingbo] Zhongshan Torch Polytech, Coll Hlth Ind, Zhongshan, Guangdong, Peoples R China. RP Dai, WB; Dong, GT (通讯作者),Zhongshan Hosp Tradit Chinese Med, Pharmacol Lab, Zhongshan, Guangdong, Peoples R China. EM lileyu@139.com; hgvxin@163.com; ctb1257@163.com; 1176849823@qq.com; 54237982@qq.com; 582398837@qq.com; 64460266@qq.com; daiweibo007@163.com; donggengting@163.com FU project of Guangdong Basic and Applied Basic Research Foundation [2022A1515011307]; project of Administration of Traditional Chinese Medicine of Guangdong Province of China [20182170]; project of Science and Technology Bureau of Zhongshan, Guangdong, China [2018B1010, 2019B1044]; Guangdong doctoral workstation FX This work was supported by the project of Guangdong Basic and Applied Basic Research Foundation (no. 2022A1515011307), project of Administration of Traditional Chinese Medicine of Guangdong Province of China (no. 20182170), project of Science and Technology Bureau of Zhongshan, Guangdong, China (no. 2018B1010 and 2019B1044). It was also supported by the funds of Guangdong doctoral workstation. 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Owing to the emerging role of the gut microbiome in obesity and T2D, the interaction between gut microbes and anti-diabetic drugs and its influence on drugs' functions remains of immediate research interest. On one hand, drugs can manipulate gut microbiome composition and metabolic capacity. Conversely, the metabolic activities of the microbiome and its metabolites can also influence drug metabolism and effects. Hence, understanding this bi-directional drug-microbiome interaction and how it influences the clinical outcomes of antidiabetic drugs can pave the way to develop next-generation strategies to ameliorate diabetes. This review presents evidences demonstrating the putative interactions between anti-diabetic drugs and the gut microbiome, and discusses the potential of microbiome modulators to manipulate drug-microbiome interactions and the drug metabolism. (c) 2018 The Authors. Published by Elsevier B.V. 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Medicine; Research & Experimental Medicine GA HI8AK UT WOS:000456677400064 PM 30553752 OA Green Published, gold DA 2023-06-08 ER PT J AU Liu, GM Bei, J Liang, L Yu, GY Li, L Li, QH AF Liu, Guimei Bei, Jia Liang, Li Yu, Guoyong Li, Lu Li, Quanhong TI Stachyose Improves Inflammation through Modulating Gut Microbiota of High-Fat Diet/Streptozotocin-Induced Type 2 Diabetes in Rats SO MOLECULAR NUTRITION & FOOD RESEARCH LA English DT Article DE gut microbiota; inflammatory cytokines; metformin; stachyose; type 2 diabetes ID ALPHA-GALACTO-OLIGOSACCHARIDES; GROWTH; PURIFICATION; BACTEROIDES; METAGENOME; GLUCOSE; OBESITY AB ScopeThe present study is undertaken to assess the effects of stachyose (STS) on type 2 diabetes in rats and changes in the gut microbiota compared to metformin (MET). Methods and resultsThe type 2 diabetic model is successfully established via a high-fat diet /streptozotocin in Wistar rats, and STS or MET is administered for 4 weeks. Blood is collected to analyze biochemical parameters, pancreas for mRNA expression of related gene, and contents of colon for gut microbiota. STS or MET decreases serum LPS, mRNA expression of IL-6, and tumor necrosis factor- (TNF-). In addition, STS and MET show a similar shifting of the structure of the gut microbiota and a selective enrichment of key species. At the genus level, STS shows selective enrichment of Phascolarctobacterium, Bilophila, Oscillospira, Turicibacter, and SMB5, but MET demonstrates a selective effect on Sutterella, Prevotella, 02d06, and rc4. The correlation analysis indicates that STS and MET decrease IL-6 and TNF- and increase Akt/PI3K expression, which are relative to key species of gut microbiota. ConclusionSTS decreases pancreatic mRNA expression of IL-6 and TNF- via key species of gut microbiota. The mechanism of this effect is similar to that of MET. C1 [Liu, Guimei; Liang, Li; Yu, Guoyong; Li, Quanhong] China Agr Univ, Coll Food Sci & Nutr Engn, Beijing Adv Innovat Ctr Food Nutr & Human Hlth, Beijing, Peoples R China. [Liu, Guimei; Bei, Jia; Liang, Li; Yu, Guoyong; Li, Lu; Li, Quanhong] Natl Engn Res Ctr Fruit & Vegetable Proc, Beijing, Peoples R China. [Liu, Guimei; Bei, Jia; Liang, Li; Yu, Guoyong; Li, Lu; Li, Quanhong] Beijing Key Lab Food Nonthermal Proc, Beijing, Peoples R China. C3 China Agricultural University RP Li, QH (通讯作者),China Agr Univ, Coll Food Sci & Nutr Engn, Beijing Adv Innovat Ctr Food Nutr & Human Hlth, Beijing, Peoples R China.; Li, QH (通讯作者),Natl Engn Res Ctr Fruit & Vegetable Proc, Beijing, Peoples R China.; Li, QH (通讯作者),Beijing Key Lab Food Nonthermal Proc, Beijing, Peoples R China. EM quanhong_li@hotmail.com FU Ministry of Agriculture of People's Republic of China [201303112]; Beijing Advanced Innovation Center for Food Nutrition and Human Health FX This project was supported by the fund for agro-scientific research in the public interest (Project No. 201303112) from Ministry of Agriculture of People's Republic of China. We would like to thank Beijing Advanced Innovation Center for Food Nutrition and Human Health for supporting the opening fund. 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Nutr. Food Res. PD MAR PY 2018 VL 62 IS 6 AR 1700954 DI 10.1002/mnfr.201700954 PG 8 WC Food Science & Technology WE Science Citation Index Expanded (SCI-EXPANDED) SC Food Science & Technology GA GA6PA UT WOS:000428454100003 PM 29341443 DA 2023-06-08 ER PT J AU Hashimoto, Y Nakajima, H Hata, S Miyoshi, T Hosomi, Y Majima, S Nakanishi, N Senmaru, T Osaka, T Okada, H Ushigome, E Hamaguchi, M Asano, M Yamazaki, M Fukui, M AF Hashimoto, Yoshitaka Nakajima, Hanako Hata, Shinnosuke Miyoshi, Tomoki Hosomi, Yukako Majima, Saori Nakanishi, Naoko Senmaru, Takafumi Osaka, Takafumi Okada, Hiroshi Ushigome, Emi Hamaguchi, Masahide Asano, Mai Yamazaki, Masahiro Fukui, Michiaki TI Effect of probiotics, Bifidobacterium bifidum G9-1, on gastrointestinal symptoms in patients with type 2 diabetes mellitus: study protocol for open-label, single-arm, exploratory research trial (Big STAR study) SO JOURNAL OF CLINICAL BIOCHEMISTRY AND NUTRITION LA English DT Article DE type 2 diabetes; biguanides; probiotics; gut microbiota; gastrointestinal complications; constipation; diarrhea ID GUT MICROBIOTA; METAGENOME; TRANSIT AB Metformin is associated with risks of gastrointestinal complications in patients with type 2 diabetes. In contrast, probiotic Bifidobacterium bifidum G9-1 (BBG9-1) could improve the symptoms of diarrhea caused by metformin in animal models. Thus, the primary outcome of this study will be the effect of the probiotic BBG9-1 on gastrointestinal symptoms, including diarrhea, in patients with type 2 diabetes who use metformin. This open label, single-arm, and exploratory study will examine 40 patients with type 2 diabetes who use metformin and have symptoms of constipation or diarrhea. After the baseline examination (objective 1), patients will be administered probiotic BBG9-1 for 10 2 weeks. Then, examinations will be performed (objective 2). The primary outcome will be changes in the symptoms of constipation or diarrhea from objective 1 to objective 2. Secondary outcomes will include changes in gut microbiota, and correlations between changes in fecal properties and biomarkers, including HbA1c level and body mass index. This is the first study to investigate the effect of probiotic BBG9-1 on the change in the symptom of constipation or diarrhea in patients with type 2 diabetes who use metformin. C1 [Hashimoto, Yoshitaka; Nakajima, Hanako; Hata, Shinnosuke; Miyoshi, Tomoki; Hosomi, Yukako; Majima, Saori; Nakanishi, Naoko; Senmaru, Takafumi; Osaka, Takafumi; Okada, Hiroshi; Ushigome, Emi; Hamaguchi, Masahide; Asano, Mai; Yamazaki, Masahiro; Fukui, Michiaki] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Endocrinol & Metab, Kamigyo Ku, Kyoto 6028566, Japan. C3 Kyoto Prefectural University of Medicine RP Fukui, M (通讯作者),Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Endocrinol & Metab, Kamigyo Ku, Kyoto 6028566, Japan. EM michiaki@koto.kpu-m.ac.jp RI Hashimoto, Yoshitaka/AAH-8503-2020 OI Hashimoto, Yoshitaka/0000-0002-8794-0550 FU Biofermin Pharmaceutical Co., Ltd. FX This study, including the article processing charge, will be funded by Biofermin Pharmaceutical Co., Ltd. No drugs will be donated or funded by the sponsor. No funding bodies had any role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. 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Elizabeth Alm, Eric Resendis-Antonio, Osbaldo Guardado-Mendoza, Rodolfo TI Progressive Shifts in the Gut Microbiome Reflect Prediabetes and Diabetes Development in a Treatment-Naive Mexican Cohort SO FRONTIERS IN ENDOCRINOLOGY LA English DT Article DE type 2 diabetes; microbiome; Mexico; metformin; deep phenotyping ID WIDE ASSOCIATION; INSULIN SENSITIVITY; GLUCOSE-TOLERANCE; COLORECTAL-CANCER; PANCREATIC-ISLET; TYPE-2; GENETICS; QUESTIONNAIRE; REPLICATION; METAGENOME AB Type 2 diabetes (T2D) is a global epidemic that affects more than 8% of the world's population and is a leading cause of death in Mexico. Diet and lifestyle are known to contribute to the onset of T2D. However, the role of the gut microbiome in T2D progression remains uncertain. Associations between microbiome composition and diabetes are confounded by medication use, diet, and obesity. Here we present data on a treatment-naive cohort of 405 Mexican individuals across varying stages of T2D severity. Associations between gut bacteria and more than 200 clinical variables revealed a defined set of bacterial genera that were consistent biomarkers of T2D prevalence and risk. Specifically, gradual increases in blood glucose levels, beta cell dysfunction, and the accumulation of measured T2D risk factors were correlated with the relative abundances of four bacterial genera. In a cohort of 25 individuals, T2D treatment-predominantly metformin-reliably returned the microbiome to the normoglycemic community state. Deep clinical characterization allowed us to broadly control for confounding variables, indicating that these microbiome patterns were independent of common T2D comorbidities, like obesity or cardiovascular disease. Our work provides the first solid evidence for a direct link between the gut microbiome and T2D in a critically high-risk population. In particular, we show that increased T2D risk is reflected in gradual changes in the gut microbiome. Whether or not these T2D-associated changes in the gut contribute to the etiology of T2D or its comorbidities remains to be seen. C1 [Diener, Christian; Tejero, M. Elizabeth; Resendis-Antonio, Osbaldo] Inst Nacl Med Genom INMEGEN, Computat Genom, Mexico City, DF, Mexico. [Diener, Christian] Inst Syst Biol, Gibbons Lab, Seattle, WA USA. [Reyes-Escogido, Maria de Lourdes; Jimenez-Ceja, Lilia M.; Gomez-Navarro, Claudia M.; Guardado-Mendoza, Rodolfo] Univ Guanajuato, Dept Med & Nutr, Metab Res Lab, Leon, Mexico. [Matus, Mariana; Chu, Nathaniel D.; Zhong, Vivian; Alm, Eric] MIT, Ctr Microbiome Informat & Therapeut, 77 Massachusetts Ave, Cambridge, MA 02139 USA. [Resendis-Antonio, Osbaldo] Univ Nacl Autonoma Mexico, Human Syst Biol Lab, Coordinac Invest Cient Red Apoyo Invest, Mexico City, DF, Mexico. [Guardado-Mendoza, Rodolfo] Hosp Reg Alta Especialidad Bajio, Res Dept, Leon, Mexico. C3 Instituto Nacional de Medicina Genomica; Institute for Systems Biology (ISB); Universidad de Guanajuato; Massachusetts Institute of Technology (MIT); Universidad Nacional Autonoma de Mexico RP Resendis-Antonio, O (通讯作者),Inst Nacl Med Genom INMEGEN, Computat Genom, Mexico City, DF, Mexico.; Guardado-Mendoza, R (通讯作者),Univ Guanajuato, Dept Med & Nutr, Metab Res Lab, Leon, Mexico.; Resendis-Antonio, O (通讯作者),Univ Nacl Autonoma Mexico, Human Syst Biol Lab, Coordinac Invest Cient Red Apoyo Invest, Mexico City, DF, Mexico.; Guardado-Mendoza, R (通讯作者),Hosp Reg Alta Especialidad Bajio, Res Dept, Leon, Mexico. EM oresendis@inmegen.gob.mx; rguardado@ugto.mx RI RESENDIS, OSBALDO/ADE-5280-2022; Diener, Christian/X-9574-2019; REYES ESCOGIDO, MARIA DE LOURDES/D-4633-2016 OI RESENDIS, OSBALDO/0000-0001-5220-541X; Diener, Christian/0000-0002-7476-0868; REYES ESCOGIDO, MARIA DE LOURDES/0000-0003-4181-9621; Tejero, Maria Elizabeth/0000-0001-5611-2309 FU CONACYT (Grant Ciencia de Frontera 2019) [FORDECYT-PRONACES/425859/2020]; National Institute of Genomic Medicine (INMEGEN, Mexico); University of Guanajuato [010/2014, 018/2015, 1098/2016]; MIT International Science and Technology Initiatives (MISTI-2015-2016); CONACYT FX The authors thank the financial support from CONACYT (Grant Ciencia de Frontera 2019, FORDECYT-PRONACES/425859/2020), an internal grant of the National Institute of Genomic Medicine (INMEGEN, Mexico), a grant from the University of Guanajuato (RG-M, Grants 010/2014, 018/2015, and 1098/2016), and the MIT International Science and Technology Initiatives (MISTI-2015-2016). CG-N received a Ph.D. scholarship from the CONACYT. 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Endocrinol. PD JAN 8 PY 2021 VL 11 AR 602326 DI 10.3389/fendo.2020.602326 PG 13 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA PU9FW UT WOS:000609604100001 PM 33488518 OA Green Published, gold, Green Submitted DA 2023-06-08 ER PT J AU Barengolts, E Green, SJ Eisenberg, Y Akbar, A Reddivari, B Layden, BT Dugas, L Chlipala, G AF Barengolts, Elena Green, Stefan J. Eisenberg, Yuval Akbar, Arfana Reddivari, Bharathi Layden, Brian T. Dugas, Lara Chlipala, George TI Gut microbiota varies by opioid use, circulating leptin and oxytocin in African American men with diabetes and high burden of chronic disease SO PLOS ONE LA English DT Article ID CATION TRANSPORTER 1; INTESTINAL MICROBIOTA; BETA-GLUCURONIDASES; METFORMIN; LACTOBACILLUS; ASSOCIATION; OBESITY; STRESS; EXPRESSION; PROBIOTICS AB Objective The gut microbiota is known to be related to type 2 diabetes (T2D), psychiatric conditions, and opioid use. In this study, we tested the hypothesis that variability in gut microbiota in T2D is associated with psycho-metabolic health. Methods A cross-sectional study was conducted among African American men (AAM) (n = 99) that were outpatients at a Chicago VA Medical Center. The main outcome measures included fecal microbiota ecology (by 16S rRNA gene sequencing), psychiatric disorders including opioid use, and circulating leptin and oxytocin as representative hormone biomarkers for obesity and psychological pro-social behavior. Results The study subjects had prevalent overweight/obesity (78%), T2D (50%) and co-morbid psychiatric (65%) and opioid use (45%) disorders. In the analysis of microbiota, the data showed interactions of opioids, T2D and metformin with Bifidobacterium and Prevotella genera. The differential analysis of Bifidobacterium stratified by opioids, T2D and metformin, showed significant interactions among these factors indicating that the effect of one factor was changed by the other (FDR-adjusted p [q] < 0.01). In addition, the pair-wise comparison showed that participants with T2D not taking metformin had a significant 6.74 log2 fold increase in Bifidobacterium in opioid users as compared to non-users (q = 2.2 x 10(-8)). Since metformin was not included in this pair-wise comparison, the significant 'q' suggested association of opioid use with Bifidobacterium abundance. The differences in Bifidobacterium abundance could possibly be explained by opioids acting as organic cation transporter 1 (OCT1) inhibitors. Analysis stratified by lower and higher leptin and oxytocin (divided by the 50th percentile) in the subgroup without T2D showed lower Dialister in High-Leptin vs. Low-Leptin (p = 0.03). Contrary, the opposite was shown for oxytocin, higher Dialister in High-Oxytocin vs. Low-Oxytocin (p = 0.04). Conclusions The study demonstrated for the first time that Bifidobacterium and Prevotella abundance was affected by interactions of T2D, metformin and opioid use. Also, in subjects without T2D Dialister abundance varied according to circulating leptin and oxytocin. C1 [Barengolts, Elena; Eisenberg, Yuval; Akbar, Arfana; Reddivari, Bharathi; Layden, Brian T.] Univ Illinois, Med Ctr, Dept Med, Chicago, IL 60607 USA. [Barengolts, Elena; Layden, Brian T.] Jesse Brown VA Med Ctr, Dept Med, Chicago, IL 60612 USA. [Green, Stefan J.] Univ Illinois, DNA Serv Facil, Res Resources Ctr, Chicago, IL USA. [Akbar, Arfana; Reddivari, Bharathi] Jesse Brown VA Med Ctr, Div Res & Dev, Chicago, IL USA. [Dugas, Lara] Loyola Univ, Dept Publ Hlth Sci, Maywood, IL 60153 USA. [Chlipala, George] Univ Illinois, Core Res Informat, Res Resources Ctr, Chicago, IL USA. C3 University of Illinois System; University of Illinois Chicago; University of Illinois Chicago Hospital; US Department of Veterans Affairs; Veterans Health Administration (VHA); Jesse Brown VA Medical Center; University of Illinois System; University of Illinois Chicago; University of Illinois Chicago Hospital; US Department of Veterans Affairs; Veterans Health Administration (VHA); Jesse Brown VA Medical Center; Loyola University Chicago; University of Illinois System; University of Illinois Chicago; University of Illinois Chicago Hospital RP Barengolts, E (通讯作者),Univ Illinois, Med Ctr, Dept Med, Chicago, IL 60607 USA.; Barengolts, E (通讯作者),Jesse Brown VA Med Ctr, Dept Med, Chicago, IL 60612 USA. 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Social Science Citation Index (SSCI) SC Science & Technology - Other Topics GA GA8ZI UT WOS:000428630000018 PM 29596446 OA gold, Green Published, Green Submitted DA 2023-06-08 ER PT J AU Garcia-Beltran, C Malpique, R Carbonetto, B Gonzalez-Torres, P Henares, D Brotons, P Munoz-Almagro, C Lopez-Bermejo, A de Zegher, F Ibanez, L AF Garcia-Beltran, Cristina Malpique, Rita Carbonetto, Belen Gonzalez-Torres, Pedro Henares, Desiree Brotons, Pedro Munoz-Almagro, Carmen Lopez-Bermejo, Abel de Zegher, Francis Ibanez, Lourdes TI Gut microbiota in adolescent girls with polycystic ovary syndrome: Effects of randomized treatments SO PEDIATRIC OBESITY LA English DT Article DE gut microbiota; hepatic fat; metformin; PCOS; pioglitazone; spironolactone ID ASSOCIATION; METABOLISM; DIAGNOSIS AB Background Girls with obesity and polycystic ovary syndrome (PCOS) and women with PCOS have altered gut microbiota. Objective To study the gut microbiota composition of girls with PCOS without obesity (age, 15.8 years; body mass index [BMI] 25 kg/m(2)) and the effects of randomized treatments with an oral contraceptive (OC, N = 15) or with spironolactone-pioglitazone-metformin (SPIOMET, N = 15) for 1 year. Thirty-one age-matched girls served as controls. Methods 16S ribosomal subunit gene amplicon sequencing was performed in stool samples from all subjects; samples from 23 out of 30 girls with PCOS (OC, N = 12; SPIOMET, N = 11) were available for analysis post-treatment. Clinical and endocrine-metabolic variables were measured before and after intervention. Results Girls with PCOS had decreased diversity alpha, altered microbiota pattern and taxonomic profile with more abundance ofFamily XI(P= .002), and less abundance of familyPrevotellaceae(P= .0006) the genusPrevotella(P= .0001) andSenegalimassilia(P < .0001), as compared to controls.Family XIabundance related positively to hepato-visceral fat (R = 0.453;P= .0003). SPIOMET treatment, but not OC, normalized the abundance ofFamily XI.Prevotellaceae,PrevotellaandSenegalimassiliaabundance remained unchanged after either treatment. Conclusion SPIOMET's spectrum of normalizing effects in girls with PCOS is herewith broadened as to includeFamily XIabundance in gut microbiota. C1 [Garcia-Beltran, Cristina; Malpique, Rita; Ibanez, Lourdes] Univ Barcelona, Endocrinol Dept, Hosp St Joan Deu, Pediat Res Inst, Passeig St Joan Deu,2, Barcelona 08950, Spain. [Garcia-Beltran, Cristina; Malpique, Rita; Ibanez, Lourdes] ISCIII, Ctr Invest Biomed Red Diabet & Enfermedades Metab, Madrid, Spain. [Carbonetto, Belen; Gonzalez-Torres, Pedro] Micro Syst SL, Barcelona Biomed Res Pk PRBB, Barcelona, Spain. [Henares, Desiree; Brotons, Pedro; Munoz-Almagro, Carmen] Hosp St Joan Deu, Pediat Res Inst, Mol Microbiol Dept, Barcelona, Spain. [Henares, Desiree; Brotons, Pedro; Munoz-Almagro, Carmen] ISCIII, Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid, Spain. [Brotons, Pedro; Munoz-Almagro, Carmen] Univ Int Catalunya, Sch Med, Barcelona, Spain. [Lopez-Bermejo, Abel] Girona Inst Biomed Res IDIBGI, Pediat Endocrinol Res Grp, Girona, Spain. [Lopez-Bermejo, Abel] Dr Josep Trueta Hosp, Girona, Spain. [de Zegher, Francis] Univ Leuven, Dept Dev & Regenerat, Leuven, Belgium. C3 University of Barcelona; CIBER - Centro de Investigacion Biomedica en Red; CIBERDEM; Instituto de Salud Carlos III; Pompeu Fabra University; University of Barcelona; CIBER - Centro de Investigacion Biomedica en Red; CIBERESP; Instituto de Salud Carlos III; Universitat Internacional de Catalunya (UIC); Universitat de Girona; Girona University Hospital Dr. Josep Trueta; Institut d'Investigacio Biomedica de Girona (IDIBGI); Universitat de Girona; Girona University Hospital Dr. Josep Trueta; KU Leuven RP Ibanez, L (通讯作者),Univ Barcelona, Endocrinol Dept, Hosp St Joan Deu, Pediat Res Inst, Passeig St Joan Deu,2, Barcelona 08950, Spain. EM libanez@hsjdbcn.org RI Ibanez, Lourdes/F-8316-2014; Muñoz-Almagro, Carmen/HNR-8695-2023; Malpique, Rita MMSM/M-2404-2015; Henares Bonilla, Desiree/K-2543-2017 OI Ibanez, Lourdes/0000-0003-4595-7191; Malpique, Rita MMSM/0000-0002-5282-6790; Garcia Beltran, Cristina/0000-0001-6720-7936; Lopez-Bermejo, Abel/0000-0002-5828-8911; Henares Bonilla, Desiree/0000-0003-2631-2718; Carbonetto, Maria Belen/0000-0002-2784-5324 FU Ministerio de Ciencia e Innovacion, Instituto de Salud Carlos III; Fondo Europeo de Desarrollo Regional (FEDER) [PI15/01078] FX Cristina Garcia-Beltran, Rita Malpique and Lourdes Ibanez are Clinical Investigators of CIBERDEM (Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas, ISC III, Madrid, Spain). Abel Lopez-Bermejo is a Clinical Investigator of the I3 Fund for Scientific Research (Ministry of Science and Innovation, Spain). This study was supported by the Ministerio de Ciencia e Innovacion, Instituto de Salud Carlos III, and by the Fondo Europeo de Desarrollo Regional (FEDER) (PI15/01078). 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PD APR PY 2021 VL 16 IS 4 AR e12734 DI 10.1111/ijpo.12734 EA SEP 2020 PG 11 WC Pediatrics WE Science Citation Index Expanded (SCI-EXPANDED) SC Pediatrics GA QS9HO UT WOS:000573357500001 PM 32989872 DA 2023-06-08 ER PT J AU Meng, XL Ma, JN Kang, AN Kang, SY Jung, HW Park, YK AF Meng, Xianglong Ma, Junnan Kang, An Na Kang, Seok Yong Jung, Hyo Won Park, Yong-Ki TI A Novel Approach Based on Metabolomics Coupled With Intestinal Flora Analysis and Network Pharmacology to Explain the Mechanisms of Action of Bekhogainsam Decoction in the Improvement of Symptoms of Streptozotocin-Induced Diabetic Nephropathy in Mice SO FRONTIERS IN PHARMACOLOGY LA English DT Article DE Bekhogainsam decoction; diabetic nephropathy; metabolomics; gut microbiota; network pharmacology ID ANEMARRHENA-ASPHODELOIDES; GLYCYRRHIZIN; RHIZOME; PATHWAYS; MEDICINE; PKC AB Bekhogainsam decoction (BHID), a representative prescription for the treatment of diabetes mellitus (DM) and diabetic complications in both traditional Korean and Chinese medicine, was examined for its ability to ameliorate diabetic nephropathy (DN), and its mechanism of action was evaluated by metabolomics, gut microbiota, and network pharmacology. In this study, male specific pathogen-free C57BL/6 mice were intraperitoneally injected with streptozotocin (STZ, 100 mg/kg) once per day for 3 days consecutively, and were then orally administered BHID at 100 and 500 mg/kg, and metformin at 250 mg/kg once per day for 4 weeks. Our results showed that the administration of BHID to mice with STZ-induced DN prevented physiological and serological changes, structural damage, and kidney dysfunction. Based on a metabolomics test with serum, the profoundly altered metabolites in the BHID treatment group were identified. Thirty-six BHID-related proteins and four signaling pathways, including valine, leucine, and isoleucine biosynthesis, nicotinate and nicotinamide metabolism, tryptophan metabolism, and alanine, aspartate, and glutamate metabolism pathways, were explored. Principal coordinates analysis (PCoA) of the gut microbiota revealed that BHID treatment significantly affected the flora composition. In addition, the network pharmacology analysis revealed that BHID acted through phosphatidylinositol-3-kinase/protein kinase B (PI3K/Akt) and MAPK-related protein targets. Our findings on the anti-DN effects of BHID and its mechanism of action, from the perspective of systems biology, have provided scientific evidence to support the clinical treatment of patients with diabetes, and implied that BHID has the potential to prevent the progression of DN. C1 [Meng, Xianglong; Ma, Junnan; Kang, An Na; Kang, Seok Yong; Jung, Hyo Won; Park, Yong-Ki] Dongguk Univ, Dept Herbol, Coll Korean Med, Gyeongju, South Korea. [Meng, Xianglong] Shanxi Univ Chinese Med, Coll Chinese Mat Med & Food Engn, Expt Teaching Ctr, Jinzhong, Peoples R China. [Kang, Seok Yong; Jung, Hyo Won; Park, Yong-Ki] Dongguk Univ, Korean Med R&D Ctr, Gyeongju, South Korea. C3 Dongguk University; Shanxi University of Chinese Medicine; Dongguk University RP Jung, HW; Park, YK (通讯作者),Dongguk Univ, Dept Herbol, Coll Korean Med, Gyeongju, South Korea.; Jung, HW; Park, YK (通讯作者),Dongguk Univ, Korean Med R&D Ctr, Gyeongju, South Korea. EM tenzing2@hanmail.net; yongki@dongguk.ac.kr RI Meng, Xiang-Long/GXV-5867-2022 FU Basic Science Research Program through the National Research Foundation of Korea (NRF) - Ministry of Education [2016R1D1A2B01012117, 2016R1D1A1B04935601] FX This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (Grant No. 2016R1D1A2B01012117 & 2016R1D1A1B04935601). 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Pharmacol. PD MAY 21 PY 2020 VL 11 AR 633 DI 10.3389/fphar.2020.00633 PG 19 WC Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Pharmacology & Pharmacy GA LW8MZ UT WOS:000539398900001 PM 32508632 OA Green Published, gold DA 2023-06-08 ER PT J AU Liu, WH Luo, ZY Zhou, JC Sun, B AF Liu, Wenhui Luo, Zhiying Zhou, Jiecan Sun, Bao TI Gut Microbiota and Antidiabetic Drugs: Perspectives of Personalized Treatment in Type 2 Diabetes Mellitus SO FRONTIERS IN CELLULAR AND INFECTION MICROBIOLOGY LA English DT Review DE gut microbiota; antidiabetic drugs; type 2 diabetes mellitus; efficacy and safety; personalized therapeutic targets ID DOUBLE-BLIND; STRUCTURAL MODULATION; INTESTINAL MICROBIOTA; METFORMIN ALTERS; BODY-WEIGHT; GLUCAGON; ACID; IMPROVEMENT; METABOLISM; INSULIN AB Alterations in the composition and function of the gut microbiota have been reported in patients with type 2 diabetes mellitus (T2DM). Emerging studies show that prescribed antidiabetic drugs distort the gut microbiota signature associated with T2DM. Even more importantly, accumulated evidence provides support for the notion that gut microbiota, in turn, mediates the efficacy and safety of antidiabetic drugs. In this review, we highlight the current state-of-the-art knowledge on the crosstalk and interactions between gut microbiota and antidiabetic drugs, including metformin, alpha-glucosidase inhibitors, glucagon-like peptide-1 receptor agonists, dipeptidyl peptidase-4 inhibitors, sodium-glucose cotransporter 2 inhibitors, traditional Chinese medicines and other antidiabetic drugs, as well as address corresponding microbial-based therapeutics, aiming to provide novel preventative strategies and personalized therapeutic targets in T2DM. C1 [Liu, Wenhui; Luo, Zhiying; Sun, Bao] Cent South Univ, Xiangya Hosp 2, Dept Pharm, Changsha, Peoples R China. [Liu, Wenhui; Luo, Zhiying; Sun, Bao] Cent South Univ, Inst Clin Pharm, Changsha, Peoples R China. [Zhou, Jiecan] Univ South China, Affiliated Hosp 1, Inst Clin Med, Hengyang, Peoples R China. C3 Central South University; Central South University; University of South China RP Sun, B (通讯作者),Cent South Univ, Xiangya Hosp 2, Dept Pharm, Changsha, Peoples R China.; Sun, B (通讯作者),Cent South Univ, Inst Clin Pharm, Changsha, Peoples R China. EM scy_csu2016@csu.edu.cn FU National Natural Science Foundation of China [82104307, 82003872]; Natural Science Foundation of Hunan Province [2021JJ40865, 2021JJ40847, 2020JJ5513] FX Funding This work was supported by grants from National Natural Science Foundation of China (No. 82104307, 82003872), Natural Science Foundation of Hunan Province (No. 2021JJ40865, 2021JJ40847, 2020JJ5513). 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Cell. Infect. Microbiol. PD MAY 31 PY 2022 VL 12 AR 853771 DI 10.3389/fcimb.2022.853771 PG 12 WC Immunology; Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Immunology; Microbiology GA 2C5EC UT WOS:000810890700001 PM 35711668 OA Green Published, gold DA 2023-06-08 ER PT J AU Tian, RP Hong, JH Zhao, JJ Zhou, DY Liu, YC Jiao, ZS Song, J Zhang, Y Meng, LZ Yu, M AF Tian, Ruiping Hong, Jiahui Zhao, Jingjie Zhou, Dengyuan Liu, Yangchen Jiao, Zhenshan Song, Jian Zhang, Yu Meng, Lingzhang Yu, Ming TI Overall Structural Alteration of Gut Microbiota and Relationships with Risk Factors in Patients with Metabolic Syndrome Treated with Inulin Alone and with Other Agents: An Open-Label Pilot Study SO MEDIATORS OF INFLAMMATION LA English DT Article AB Objective. The relative contribution of some products with prebiotic effects, such as inulin, together with medications specific to the human gut microbiome has not been comprehensively studied. The present study determined the potential for manipulating populations in the gut microbiome using inulin alone and combined with other agents in individuals with metabolic syndrome (MetS). The study also assessed whether there is relationship variability in multiple clinical parameters in response to intervention with the changes in the gut milieu. Participants/Methods. This single-centre, single-blinded, randomised community-based pilot trial randomly assigned 60 patients (mean age, 46.3 y and male, 43%) with MetS to receive either inulin, inulin+traditional Chinese medicine (TCM), or inulin+metformin for 6 months. Lipid profiles, blood glucose, and uric acid (UA) levels were analysed in venous blood samples collected after overnight fast of 8 h at baseline and at the end of the follow-up period. Microbiota from stool samples were taxonomically analysed using 16S RNA amplicon sequencing, and an integrative analysis was conducted on microbiome and responsiveness data at 6 months. Results. The results of 16S rRNA sequencing showed that inulin resulted in a higher proportion of Bacteroides at the endpoint compared with inulin+TCM and inulin+metformin (p=0.024). More Romboutsia (p=0.043), Streptococcus (p < 0.001), and Holdemanella (p=0.011) were found in inulin+TCM and inulin+metformin samples. We further identified gut microbiota relationships with lipids, UA, and glucose that impact the development of MetS. Conclusion. Among the groups, inulin alone or combined with metformin or TCM altered specific gut microbiota taxa but not the general diversity. Accordingly, we analysed metabolites associated with microbiota that might provide more information about intrinsic differences. Consequently, a reliable method could be developed for treating metabolic syndrome in the future. C1 [Tian, Ruiping; Hong, Jiahui; Yu, Ming] Tianjin Med Univ, Sch Publ Hlth, Dept Nutr & Food Hyg, Tianjin, Peoples R China. [Zhao, Jingjie] Youjiang Med Univ Nationalities, Affiliated Hosp, Life Sci & Clin Res Ctr, Baise, Guangxi, Peoples R China. [Zhou, Dengyuan; Liu, Yangchen] Community Hlth Serv Ctr Zhongbei Town, Dept Gen Family Med, Xiqing Dist, Tianjin, Peoples R China. [Jiao, Zhenshan; Zhang, Yu] Tianjin Acad Tradit Chinese Med Affiliated Hosp, Dept Dermatol, Tianjin, Peoples R China. [Song, Jian; Meng, Lingzhang] Youjiang Med Univ Nationalities, Ctr Syst Inflammat Res CSIR, Sch Preclin Med, Baise, Guangxi, Peoples R China. C3 Tianjin Medical University; Youjiang Medical University for Nationalities; Youjiang Medical University for Nationalities RP Yu, M (通讯作者),Tianjin Med Univ, Sch Publ Hlth, Dept Nutr & Food Hyg, Tianjin, Peoples R China.; Zhang, Y (通讯作者),Tianjin Acad Tradit Chinese Med Affiliated Hosp, Dept Dermatol, Tianjin, Peoples R China.; Meng, LZ (通讯作者),Youjiang Med Univ Nationalities, Ctr Syst Inflammat Res CSIR, Sch Preclin Med, Baise, Guangxi, Peoples R China. EM tianzhiyi8814@qq.com; 184222487@qq.com; jingjie.zhao@ymun.edu.cn; 18502661352@163.com; 13752245386@163.com; 17336909976@189.cn; songj@uni-muenster.de; niuniuzy7375@aliyun.com; lingzhang.meng@ymun.edu.cn; minnieyu@tmu.edu.cn RI Song, Jian/Q-5216-2018 OI Song, Jian/0000-0002-2459-7046; Meng, Lingzhang/0000-0003-4536-8709; , Jian/0000-0003-2159-9190; Zhang, Yu/0000-0001-9317-2466; Zhao, Jingjie/0000-0002-1582-2053; Hong, Jiahui/0000-0003-0255-8756 FU Tianjin Municipal Science and Technology Planning Project [17ZXMFSY00030] FX AcknowledgmentsThis study was supported by the Tianjin Municipal Science and Technology Planning Project (#17ZXMFSY00030). 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PD AUG PY 2020 VL 77 IS 8 BP 1363 EP 1372 DI 10.1007/s00284-020-01992-7 EA APR 2020 PG 10 WC Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Microbiology GA MF1PB UT WOS:000528088300001 PM 32318863 DA 2023-06-08 ER PT S AU Rowan, S Taylor, A AF Rowan, Sheldon Taylor, Allen BE Ash, JD Anderson, RE LaVail, MM Rickman, CB Hollyfield, JG Grimm, C TI The Role of Microbiota in Retinal Disease SO RETINAL DEGENERATIVE DISEASES: MECHANISMS AND EXPERIMENTAL THERAPY SE Advances in Experimental Medicine and Biology LA English DT Article; Proceedings Paper CT 17th International Symposium on Retinal Degeneration (RD) CY SEP 19-24, 2016 CL Kyoto, JAPAN SP Fdn Fighting Blindness, BrightFocus Fdn, Pro Retina, Fritz Tobler Fdn, Harrington Discovery Inst DE Gut microbiome; Oral microbiome; Microbiota; Gut dysbiosis; Age-related macular degeneration; Diabetic retinopathy; Glaucoma; Uveitis; Glycemic index; Gut-retina axis ID HELICOBACTER-PYLORI INFECTION; GUT MICROBIOTA; OPEN-ANGLE; METFORMIN; PATHOGENESIS; ASSOCIATION; METAGENOME; GLAUCOMA; HEALTH; IMPACT AB The ten years since the first publications on the human microbiome project have brought enormous attention and insight into the role of the human microbiome in health and disease. Connections between populations of microbiota and ocular disease are now being established, and increased accessibility to microbiome research and insights into other diseases is expected to yield enormous information in the coming years. With the characterization of the ocular microbiome, important insights have already been made regarding corneal and conjunctival tissues. Roles for non-ocular microbiomes in complex retinal diseases are now being evaluated. For example, the gut microbiome has been implicated in the pathogenesis of uveitis. This short review will summarize the few studies linking gut or oral microbiota to diabetic retinopathy (DR), glaucoma, and age-related macular degeneration (AMD). We will also conjecture where the most significant findings still remain to be elucidated. Finally, we will propose the gut-retina axis, related but distinct from the gut-brain axis. C1 [Rowan, Sheldon; Taylor, Allen] Tufts Univ, USDA, JM Human Nutr Res Ctr Aging HNRCA, Boston, MA 02111 USA. [Rowan, Sheldon; Taylor, Allen] Tufts Univ, Sch Med, Dept Ophthalmol, Boston, MA 02111 USA. [Taylor, Allen] Tufts Univ, Friedman Sch Nutr Sci & Policy, Boston, MA 02111 USA. C3 Tufts University; United States Department of Agriculture (USDA); Tufts University; Tufts University RP Rowan, S (通讯作者),Tufts Univ, USDA, JM Human Nutr Res Ctr Aging HNRCA, Boston, MA 02111 USA.; Rowan, S (通讯作者),Tufts Univ, Sch Med, Dept Ophthalmol, Boston, MA 02111 USA. 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PY 2018 VL 1074 BP 429 EP 435 DI 10.1007/978-3-319-75402-4_53 PG 7 WC Cell Biology; Medicine, Research & Experimental; Ophthalmology WE Conference Proceedings Citation Index - Science (CPCI-S); Science Citation Index Expanded (SCI-EXPANDED) SC Cell Biology; Research & Experimental Medicine; Ophthalmology GA BK8XP UT WOS:000443968600054 PM 29721973 DA 2023-06-08 ER PT J AU El-Din, SHS Salem, MB El-Lakkany, NM Hammam, OA Nasr, SM Okasha, H Ahmed, LA Saleh, S Botros, SS AF El-Din, Sayed H. Seif Salem, M. B. El-Lakkany, N. M. Hammam, O. A. Nasr, S. M. Okasha, H. Ahmed, L. A. Saleh, S. Botros, S. S. TI Early intervention with probiotics and metformin alleviates liver injury in NAFLD rats via targeting gut microbiota dysbiosis and p-AKT/mTOR/LC-3II pathways SO HUMAN & EXPERIMENTAL TOXICOLOGY LA English DT Article DE Autophagy; dysbiosis; inflammation; Lactobacillus reuteri; NAFLD ID INSULIN-RESISTANCE; DISEASE; OBESE; PCR; AUTOPHAGY; EPIDEMIOLOGY; MODULATION; BACTERIA; IMPROVES; GLUCOSE AB Non-alcoholic fatty liver disease (NAFLD) constitutes a major health problem worldwide and intimately links with obesity and diabetes. This study aimed to explore the therapeutic impact of early treatment with metformin (MTF) alone or in combination with Lactobacillus reuteri DSM 17938 (L. reuteri) + metronidazole (MTZ) in male Sprague Dawley rats with high-fat diet (HFD)-induced NAFLD. Hepatic steatosis was induced by feeding rats HFD for 6 weeks. MTF (150 mg/kg/day) or L. reuteri (2 x 10(9) colony forming unit/day) were given orally for 4 weeks; meanwhile, MTZ (15 mg/kg/day, p.o.) was administered for 1 week. Administration of L. reuteri + MTZ in combination with MTF produced a superior effect concerning insulin resistance (IR), lipid profile, liver function, oxidative stress, inflammatory and autophagic markers than using each treatment alone. Besides, this combination resulted in disappearance of steatosis, inflammation and vacuolation within hepatic architecture. Moreover, it normalized short chain fatty acids (SCFAs) as well as Firmicutes and Bacteroidetes faecal contents. In conclusion, early treatment with L. reuteri + MTZ in combination with MTF could prevent NAFLD progression and liver injury through targeting gut dysbiosis, inflammation and autophagic pathways. C1 [El-Din, Sayed H. Seif; Salem, M. B.; El-Lakkany, N. M.; Botros, S. S.] Theodor Bilharz Res Inst, Pharmacol Dept, Giza, Egypt. [Hammam, O. A.] Theodor Bilharz Res Inst, Pathol Dept, 1 El Nile St,Imbaba POB 30, Giza 12411, Egypt. [Nasr, S. M.; Okasha, H.] Theodor Bilharz Res Inst, Biochem Dept, Giza, Egypt. [Ahmed, L. A.; Saleh, S.] Cairo Univ, Fac Pharm, Pharmacol & Toxicol Dept, Cairo, Egypt. C3 Egyptian Knowledge Bank (EKB); Theodor Bilharz Research Institute (TBRI); Egyptian Knowledge Bank (EKB); Theodor Bilharz Research Institute (TBRI); Egyptian Knowledge Bank (EKB); Theodor Bilharz Research Institute (TBRI); Egyptian Knowledge Bank (EKB); Cairo University RP El-Din, SHS (通讯作者),Theodor Bilharz Res Inst, Pathol Dept, 1 El Nile St,Imbaba POB 30, Giza 12411, Egypt. EM s.seifeldin@tbri.gov.eg RI Ahmed, Hend Okasha/AAI-3806-2020; Nasr, Sami/HZK-6433-2023; Seif el-Din, Sayed/I-6797-2015 OI Ahmed, Hend Okasha/0000-0003-1125-245X; Nasr, Sami/0000-0001-8683-3131; Seif el-Din, Sayed/0000-0002-0357-3467; Hammam, Olfat/0000-0002-4965-5804; Botros, Sanaa/0000-0002-4131-0983 FU Theodor Bilharz Research Institute [117/A] FX The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work is supported by the internal research project 117/A (PI: SH Seif el-Din) for basic and applied research, a grant from Theodor Bilharz Research Institute. 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However, dysbiosis is not a well-defined condition. A variety of different dysbiosis indexes have been suggested and applied, but their underlying methodologies, as well as the cohorts and conditions for which they have been developed, differ considerably. To date, no comprehensive overview and comparison of all the different methodologies and applications of such indexes is available. Here, we list all types of dysbiosis indexes identified in the literature, introduce their methodology, group them into categories, and discuss their potential descriptive and clinical applications as well as their limitations. Thus, our focus is not on the implications of dysbiosis for disease but on the methodological approaches available to determine and quantify this condition. C1 [Wei, Shaodong; Bahl, Martin Iain; Licht, Tine Rask] Tech Univ Denmark, Natl Food Inst, Lyngby, Denmark. [Baunwall, Simon Mark Dahl; Hvas, Christian Lodberg] Aarhus Univ Hosp, Dept Hepatol & Gastroenterol, Aarhus, Denmark. 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Environ. Microbiol. PD JUN PY 2021 VL 87 IS 11 AR e00395-21 DI 10.1128/AEM.00395-21 PG 13 WC Biotechnology & Applied Microbiology; Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Biotechnology & Applied Microbiology; Microbiology GA SK0KO UT WOS:000655912400015 PM 33741632 OA hybrid, Green Published DA 2023-06-08 ER PT J AU Hussain, N Naeem, M Pinato, DJ AF Hussain, Nadiya Naeem, Muntaha Pinato, David J. TI Concomitant medications and immune checkpoint inhibitor therapy for cancer: causation or association? SO HUMAN VACCINES & IMMUNOTHERAPEUTICS LA English DT Article DE antibiotics; corticosteroids; proton pump inhibitors; opioids; metformin; cancer immunotherapy; immune checkpoint inhibitors ID PROTON PUMP INHIBITORS; GUT MICROBIOTA; EFFICACY; RISK AB The majority of cancer patients assume concomitant medications for the treatment of cancer-related symptoms or co-morbidities. As immune checkpoint inhibitors expand in the treatment of a widening range of malignancies, drug-drug interactions have become an area of increasing interest due to the potential for some concomitant medications to exert immune-modulatory effects and influence outcomes from immunotherapy. Here, we review the evidence supporting this association across selected drug classes including antibiotics, proton pump inhibitors, metformin, and opioids. C1 [Hussain, Nadiya; Naeem, Muntaha; Pinato, David J.] Imperial Coll London, Hammersmith Hosp, Dept Surg & Canc, London, England. C3 Imperial College London RP Pinato, DJ (通讯作者),Imperial Ctr Translat & Expt Med ICTEM, Dept Surg & Canc, 72 Du Cane Rd, London W12 0NN, England. EM david.pinato@imperial.ac.uk RI Pinato, David James/ABB-3719-2020 OI Pinato, David James/0000-0002-3529-0103; Naeem, Muntaha/0000-0001-5279-8331 FU Wellcome Trust Strategic Fund [PS3416] FX DJP is supported by grant funding from the Wellcome Trust Strategic Fund [PS3416]. 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PD JAN 2 PY 2021 VL 17 IS 1 BP 55 EP 61 DI 10.1080/21645515.2020.1769398 EA JUN 2020 PG 7 WC Biotechnology & Applied Microbiology; Immunology WE Science Citation Index Expanded (SCI-EXPANDED) SC Biotechnology & Applied Microbiology; Immunology GA QB5WC UT WOS:000547331900001 PM 32574106 OA Green Published, Bronze DA 2023-06-08 ER PT J AU Wang, DM Pham, VT Steinert, RE Zhernakova, A Fu, JY AF Wang, Daoming Pham, Van T. Steinert, Robert E. Zhernakova, Alexandra Fu, Jingyuan TI Microbial vitamin production mediates dietary effects on diabetic risk SO GUT MICROBES LA English DT Article DE Human gut microbiome; vitamin metabolism; cardiometabolic health; diabetes; exposures; fruit intake ID GUT MICROBIOTA; METFORMIN; ASSOCIATION; RIBOFLAVIN; DEFICIENCY; INHIBITOR; IMPACT AB Adequate levels of essential vitamins are important for the prevention of diabetes. While the main efforts to address this are currently focused on the intake of vitamin supplements, improving and maintaining intrinsic vitamin production capacity, which is determined by gut microbes, has received insufficient attention. In this study, we systematically investigated the relationship between gut microbial vitamin production and factors related to diabetes and cardiometabolic health in a deeply phenotyped cohort, Lifelines-DEEP (N = 1,135). We found that blood glucose-related factors, lipids, circulating inflammation, and fecal short-chain fatty acids are associated with gut microbial vitamin production. Use of laxatives and metformin are associated with increased levels of vitamin B1/B6 biosynthesis pathways. We further reveal a mediatory role for microbial vitamin B1/B2 production on the influence of fruit intake on diabetes risk. This study provides preliminary evidence for microbiome-targeted vitamin metabolism interventions to promote health. C1 [Wang, Daoming; Zhernakova, Alexandra; Fu, Jingyuan] Univ Groningen, Univ Med Ctr Groningen, Dept Genet, NL-9713 AV Groningen, Netherlands. [Wang, Daoming; Fu, Jingyuan] Univ Groningen, Univ Med Ctr Groningen, Dept Pediat, NL-9713 AV Groningen, Netherlands. [Pham, Van T.; Steinert, Robert E.] DSM Nutr Prod Ltd, Global R&D Ctr Human Nutr & Care HNC, Basel, Switzerland. [Steinert, Robert E.] Univ Hosp Zurich, Dept Surg, Div Visceral & Transplantat Surg, Zurich, Switzerland. [Fu, Jingyuan] Univ Groningen, Univ Med Ctr Groningen, Dept Genet, NL-9713 AV Groningen, Netherlands. [Fu, Jingyuan] Univ Groningen, Univ Med Ctr Groningen, Dept Pediat, NL-9713 AV Groningen, Netherlands. C3 University of Groningen; University of Groningen; DSM NV; University of Zurich; University Zurich Hospital; University of Groningen; University of Groningen RP Fu, JY (通讯作者),Univ Groningen, Univ Med Ctr Groningen, Dept Genet, NL-9713 AV Groningen, Netherlands.; Fu, JY (通讯作者),Univ Groningen, Univ Med Ctr Groningen, Dept Pediat, NL-9713 AV Groningen, Netherlands. EM j.fu@umcg.nl RI Wang, Daoming/CAI-2445-2022; Steinert, Robert E/A-7770-2011 OI Wang, Daoming/0000-0003-4623-8527; Fu, Jingyuan/0000-0001-5578-1236 FU Dutch Heart Foundation IN-CONTROL; ERC Consolidator grant [CVON2018-27]; NWO-VICI grant [101001678]; Netherlands Organ-on-Chip Initiative [VI.C.202.022, 715772]; NWO Gravitation project - Ministry of Education, Culture and Science of the government of The Netherlands; ERC Starting Grant [016.178.056]; NWO Gravitation grant Exposome-NL [024.003.001]; [024.004.017] FX J.F. is supported by the Dutch Heart Foundation IN-CONTROL (CVON2018-27), the ERC Consolidator grant (grant agreement No. 101001678), NWO-VICI grant VI.C.202.022, and the Netherlands Organ-on-Chip Initiative, an NWO Gravitation project (024.003.001) funded by the Ministry of Education, Culture and Science of the government of The Netherlands. A.Z. is supported by the Dutch Heart Foundation IN-CONTROL (CVON2018-27), the ERC Starting Grant 715772, NWO-VIDI grant 016.178.056, and the NWO Gravitation grant Exposome-NL (024.004.017). 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Type 2 diabetes is a metabolic disorder that has become a major threat to public health. The objective of this study was to investigate the hypoglycemic effect of Hypericum attenuatum Choisy extracts (HaC) on T2DM mice and modulatory effect of HaC on composition of intestinal microflora. T2DM mice were treated with HaC for 5 weeks. HaC could modulate fasting blood glucose, improve hepatic insulin sensitivity and promote hepatic glycogen storage by activating IRS1/PI3K/AKT pathway. Moreover, HaC regulated dysfunctional lipid metabolism and reduced inflammation in T2DM mice. Additionally, HaC treatment could modulate the compositions of gut microbiota in small intestine and colon with the altered abundances of Firmicutes, Bacteroidetes and Proteobacteria. Meanwhile, HaC treatment could augment short chain fatty acids contents. These results demonstrate that H. attenuatum Choisy may be a potential therapy for the treatment of T2DM. C1 [Jin, Du-Xin; He, Jun-Fang] Tianjin Univ Sci & Technol, Coll Biotechnol, Minist Educ, Key Lab Ind Fermentat Microbiol, Tianjin 300457, Peoples R China. [Jin, Du-Xin; He, Jun-Fang] Tianjin Univ Sci & Technol, Coll Biotechnol, Tianjin Key Lab Ind Microbiol, Tianjin 300457, Peoples R China. [Jin, Du-Xin; He, Jun-Fang; Luo, Xue-Gang; Zhang, Tong-Cun] State Key Lab Food Nutr & Safety, Tianjin 300457, Peoples R China. C3 Tianjin University Science & Technology; Tianjin University Science & Technology RP Luo, XG; Zhang, TC (通讯作者),State Key Lab Food Nutr & Safety, Tianjin 300457, Peoples R China. EM luoxuegang@hotmail.com; tony@tust.edu.cn RI Zhang, tong/IAP-2587-2023; Zhang, Tong/HGC-1090-2022 FU National Key Research and Development Program of China [2017YF0400304]; Natural Science Foundation of Tianjin [18JCZDJC33800]; Young Teachers' Innovation Fund of Tianjin University of Science and Technology [2016LG06] FX This work was supported by the National Key Research and Development Program of China (2017YF0400304), the Natural Science Foundation of Tianjin (No. 18JCZDJC33800) and the Young Teachers' Innovation Fund of Tianjin University of Science and Technology (No. 2016LG06). 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PD JAN PY 2019 VL 52 BP 479 EP 491 DI 10.1016/j.jff.2018.11.031 PG 13 WC Food Science & Technology; Nutrition & Dietetics WE Science Citation Index Expanded (SCI-EXPANDED) SC Food Science & Technology; Nutrition & Dietetics GA HH4KR UT WOS:000455691800052 DA 2023-06-08 ER PT J AU Therdtatha, P Song, YY Tanaka, M Mariyatun, M Almunifah, M Manurung, NEP Indriarsih, S Lu, Y Nagata, K Fukami, K Ikeda, T Lee, YK Rahayu, ES Nakayama, J AF Therdtatha, Phatthanaphong Song, Yayi Tanaka, Masaru Mariyatun, Mariyatun Almunifah, Maisaroh Manurung, Nancy Eka Putri Indriarsih, Siska Lu, Yi Nagata, Koji Fukami, Katsuya Ikeda, Tetsuo Lee, Yuan-Kun Rahayu, Endang Sutriswati Nakayama, Jiro TI Gut Microbiome of Indonesian Adults Associated with Obesity and Type 2 Diabetes: A Cross-Sectional Study in an Asian City, Yogyakarta SO MICROORGANISMS LA English DT Article DE gut microbiome; bile acids; dietary habits; obesity; type 2 diabetes ID CHAIN FATTY-ACIDS; CHILDREN; RECEPTOR; SUCCINATE; IMPACT; RISK; CLASSIFICATION; BACTEROIDES; HOMEOSTASIS; METFORMIN AB Indonesia is a developing country facing the national problem of the growing obesity and diabetes in its population due to recent drastic dietary and lifestyle changes. To understand the link between the gut microbiome, diet, and health of Indonesian people, fecal microbiomes and metabolomes of 75 Indonesian adults in Yogyakarta City, including obese people (n = 21), type 2 diabetes (T2D) patients (n = 25), and the controls (n = 29) were characterized together with their dietary and medical records. Variations of microbiomes showed a triangular distribution in the principal component analysis, driven by three dominant bacterial genera, namely Bacteroides, Prevotella, and Romboutsia. The Romboutsia-driven microbiome, characterized by low bacterial diversity and high primary bile acids, was associated with fat-driven obesity. The Bacteroides-driven microbiome, which counteracted Prevotella but was associated with Ruminococcaceae concomitantly increased with high-carbohydrate diets, showed positive correlation with T2D indices but negative correlation with body mass index. Notably, Bacteroides fragilis was increased in T2D patients with a decrease in fecal conjugated bile acids, particularly tauroursodeoxycholic acid (TUDCA), a farnesoid X receptor (FXR) antagonist with anti-diabetic activity, while these features disappeared in patients administered metformin. These results indicate that the gut microbiome status of Indonesian adults is differently associated with obesity and T2D under their varied dietary habits. C1 [Therdtatha, Phatthanaphong; Song, Yayi; Tanaka, Masaru; Nakayama, Jiro] Kyushu Univ, Fac Agr, Dept Biosci & Biotechnol, Nishi Ku, 744 Motooka, Fukuoka 8190395, Japan. [Mariyatun, Mariyatun; Almunifah, Maisaroh; Manurung, Nancy Eka Putri; Indriarsih, Siska; Rahayu, Endang Sutriswati] Univ Gadjah Mada, Fac Agr Technol, Yogyakarta 55281, Indonesia. [Lu, Yi; Nagata, Koji] Univ Tokyo, Grad Sch Agr & Life Sci, Dept Appl Biol Chem, Bunkyo Ku, 1-1-1 Yayoi, Tokyo 1138657, Japan. [Fukami, Katsuya] Kyushu Univ, Mat Management Ctr, Nishi Ku, 744 Motooka, Fukuoka 8190395, Japan. [Ikeda, Tetsuo] Kyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, 3-1-1 Maidashi, Fukuoka 8128582, Japan. [Ikeda, Tetsuo] Fukuoka Dent Coll, Endoscopy & Endoscop Surg, Sawara Ku, 2-15-1 Tamura, Fukuoka 8140193, Japan. [Lee, Yuan-Kun] Natl Univ Singapore, Dept Microbiol & Immunol, 5 Sci Dr 2, Singapore 117545, Singapore. C3 Kyushu University; Gadjah Mada University; University of Tokyo; Kyushu University; Kyushu University; Fukuoka Dental College (FDC); National University of Singapore RP Nakayama, J (通讯作者),Kyushu Univ, Fac Agr, Dept Biosci & Biotechnol, Nishi Ku, 744 Motooka, Fukuoka 8190395, Japan. EM vo_21851@hotmail.com; lana745143663@gmail.com; msr456852@gmail.com; maria_slimshady@yahoo.com; almunifah@gmail.com; nancyekaputri@gmail.com; siskaindriarsih@gmail.com; ly22999@hotmail.com; aknagata@mail.ecc.u-tokyo.ac.jp; kfukami@mmc.kyushu-u.ac.jp; t-ikeda@surg2.med.kyushu-u.ac.jp; micleeyk@nus.edu.sg; endangsrahayu@ugm.ac.id; nakayama@agr.kyushu-u.ac.jp OI Eka Putri Manurung, Nancy/0000-0002-5182-7433; Nagata, Koji/0000-0002-4704-0603; Song, Yayi/0000-0001-7875-4265 FU JSPS KAKENHI [JP 17H04620, 20KK0130]; Mishima Kaiun Memorial Foundation; Kieikai Research Foundation; Japanese Government (MEXT); Grants-in-Aid for Scientific Research [20KK0130] Funding Source: KAKEN FX This study was supported by JSPS KAKENHI Grant Numbers JP 17H04620 and 20KK0130 (to J.N.), by Mishima Kaiun Memorial Foundation (to J.N.), and by Kieikai Research Foundation (to J.N.), and by the Japanese Government (MEXT) scholarship students (to P.T.). 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Al-Ghalith, G. A. Gregoire, M. Chapelet, G. Javaudin, F. Dailly, E. Batard, E. Knights, D. Montassier, E. TI Systematic review: human gut dysbiosis induced by non-antibiotic prescription medications SO ALIMENTARY PHARMACOLOGY & THERAPEUTICS LA English DT Review AB Background: Global prescription drug use has been increasing continuously for decades. The gut microbiome, a key contributor to health status, can be altered by prescription drug use, as antibiotics have been repeatedly described to have both short-term and long-standing effects on the intestinal microbiome. Aim: To summarise current findings on non-antibiotic prescription-induced gut microbiome changes, focusing on the most frequently prescribed therapeutic drug categories. Methods: We conducted a systematic review by first searching in online databases for indexed articles and abstracts in accordance with PRISMA guidelines. Studies assessing the intestinal microbiome alterations associated with proton pump inhibitors (PPIs), metformin, nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, statins and antipsychotics were included. We only included studies using culture-independent molecular techniques. Results: Proton pump inhibitors and antipsychotic medications are associated with a decrease in diversity in the gut microbiome, whereas opioids were associated with an increase in diversity. Metformin and NSAIDs were not associated with significant changes in diversity. diversity was found to be significantly altered with all drugs, except for NSAIDs. PPI use was linked to a decrease in Clotridiales and increase in Actinomycetales, Micrococcaceae and Streptococcaceae, which are changes previously implicated in dysbiosis and increased susceptibility to Clostridium difficile infection. Consistent results showed that PPIs, metformin, NSAIDs, opioids and antipsychotics were either associated with increases in members of class Gammaproteobacteria (including Enterobacter, Escherichia, Klebsiella and Citrobacter), or members of family Enterococcaceae, which are often pathogens isolated from bloodstream infections in critically ill patients. We also found that antipsychotic treatment, usually associated with an increase in body mass index, was marked by a decreased ratio of Bacteroidetes:Firmicutes in the gut microbiome, resembling trends seen in obese patients. Conclusions: Non-antibiotic prescription drugs have a notable impact on the overall architecture of the intestinal microbiome. Further explorations should seek to define biomarkers of dysbiosis induced by specific drugs, and potentially tailor live biotherapeutics to counter this drug-induced dysbiosis. Many other frequently prescribed drugs should also be investigated to better understand the link between these drugs, the microbiome and health status. C1 [Le Bastard, Q.; Gregoire, M.; Chapelet, G.; Javaudin, F.; Dailly, E.; Batard, E.; Montassier, E.] Univ Nantes, Inst Rech Sante 2, MiHAR Lab, Nantes, France. [Al-Ghalith, G. A.; Knights, D.] Univ Minnesota, Biotechnol Inst, St Paul, MN 55108 USA. [Al-Ghalith, G. A.; Knights, D.] Univ Minnesota, Dept Comp Sci & Engn, Minneapolis, MN USA. C3 Nantes Universite; University of Minnesota System; University of Minnesota Twin Cities; University of Minnesota System; University of Minnesota Twin Cities RP Montassier, E (通讯作者),Univ Nantes, Inst Rech Sante 2, MiHAR Lab, Nantes, France. EM emmanuel.montassier@chu-nantes.fr RI LE BASTARD, Quentin/AAF-1498-2021; Javaudin, François/AAN-9610-2020; Montassier, Emmanuel/AAH-4602-2020; Grégoire, Matthieu/E-4014-2018 OI LE BASTARD, Quentin/0000-0001-6930-0720; Grégoire, Matthieu/0000-0003-1232-5761; Dailly, Eric/0000-0002-5400-335X; Batard, Eric/0000-0002-1927-228X NR 0 TC 124 Z9 126 U1 2 U2 53 PU WILEY PI HOBOKEN PA 111 RIVER ST, HOBOKEN 07030-5774, NJ USA SN 0269-2813 EI 1365-2036 J9 ALIMENT PHARM THER JI Aliment. Pharmacol. Ther. PD FEB PY 2018 VL 47 IS 3 BP 332 EP 345 DI 10.1111/apt.14451 PG 14 WC Gastroenterology & Hepatology; Pharmacology & Pharmacy WE Science Citation Index Expanded (SCI-EXPANDED) SC Gastroenterology & Hepatology; Pharmacology & Pharmacy GA FS2CP UT WOS:000419586100002 PM 29205415 OA Bronze DA 2023-06-08 ER PT J AU Zhao, LJ Lou, HX Peng, Y Chen, SH Zhang, YL Li, XB AF Zhao, Lijuan Lou, Hongxiang Peng, Ying Chen, Shihong Zhang, Yulong Li, Xiaobo TI Comprehensive relationships between gut microbiome and faecal metabolome in individuals with type 2 diabetes and its complications SO ENDOCRINE LA English DT Article DE Gut microbiota; Faecal metabolites; Short chain fatty acid; Correlation; Type 2 diabetes ID SERUM METABOLOME; WEIGHT; OBESITY; IMPACT; ACIDS; INFLAMMATION; ASSOCIATION; METAGENOME; SIGNATURES; MELLITUS AB Purpose As the treatment regimens such as metformin could confound the correlation between type 2 diabetes (T2D) and gut microbiome, we should revisit the relationship between gut microbiota and T2D patients who are not currently treated with metformin. Methods The study recruited 65 T2D patients: 49 with and 16 without diabetic complications, and 35 healthy controls. We sequenced the 16S rRNA V3-V4 region of gut microbiota and detected metabolites based on liquid chromatography mass spectrometry (LC/MS) and gas chromatography mass spectrometry (GC/MS) in faecal samples. Results The composition of both the gut microbiota and faecal metabolites changed significantly with T2D patients. The abundance of Proteobacteria and the ratio of Firmicutes/Bacteroidetes were higher in T2D patients than healthy subjects, and the short chain fatty acids (SCFAs), bile acids and lipids of T2D patients were significantly disordered. Moreover, the abundances of certain SCFA-producing bacteria (Lachnospiraceae and Ruminococcaceae etc.) were significantly increased in T2D patients, while the faecal SCFAs concentrations were significantly decreased. It's suggested that the role of SCFA-producing bacteria was not simply to produce SCFAs. Then we identified 44 microbial modules to explore the correlations between the gut microbiota and metabolic traits. Specially, most modules including certain SCFA-producing bacteria were comprehensively correlated to body mass index, the levels of blood glucose, blood pressure, blood cholesterol and faecal bile acids and lipids. Conclusions Our study identified the relationships between the gut microbiota and faecal metabolites, and provided a resource for future studies to understand host-gut microbiota interactions in T2D. C1 [Zhao, Lijuan; Peng, Ying; Zhang, Yulong; Li, Xiaobo] Shanghai Jiao Tong Univ, Sch Pharm, 800 Dongchuan Rd, Shanghai 200240, Peoples R China. [Lou, Hongxiang] Shandong Univ, Sch Pharmaceut Sci, Minist Educ, Key Lab Chem Biol, 44 Wenhuaxi Rd, Jinan 250012, Shandong, Peoples R China. [Chen, Shihong] Shandong Univ, Hosp 2, Dept Endocrinol, 247 Beiyuan Rd, Jinan 250033, Shandong, Peoples R China. C3 Shanghai Jiao Tong University; Shandong University; Shandong University RP Li, XB (通讯作者),Shanghai Jiao Tong Univ, Sch Pharm, 800 Dongchuan Rd, Shanghai 200240, Peoples R China. EM xbli@sjtu.edu.cn OI Li, Xiaobo/0000-0002-7500-9275 FU National Natural Science Foundation of China [81673588] FX This study was funded by the National Natural Science Foundation of China (No. 81673588). 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Its specialization in mucin degradation makes it a key microorganism that maintains intestinal mucosal barrier function. As an unique representative strain of the phylum Verrucomicrobia that can be cultured in vitro, A. muciniphila is much easier to detect by metagenomic analysis of intestinal flora. In the past few years, A. muciniphila has been getting increasing attention for the positive correlation between its intestinal colonization and host homeostatic metabolism. In this review, we summarize the relationship between A. muciniphila and host health and diseases, especially focusing on metabolic diseases and related mechanisms, as well as the natural food and drug-derived substrates affecting its colonization in the host, expecting to provide evidence and clues for the development of drugs targeting A. muciniphila. C1 [Zhou Ji-Chao; Zhang Xiao-Wei] Chinese Acad Med Sci & Peking Union Med Coll, Inst Mat Med, State Key Lab Bioact Subst & Funct Nat Med, Mol Immunol & Pharmacol Grp, Beijing 100000, Peoples R China. C3 Chinese Academy of Medical Sciences - Peking Union Medical College; Peking Union Medical College RP Zhang, XW (通讯作者),Chinese Acad Med Sci & Peking Union Med Coll, Inst Mat Med, State Key Lab Bioact Subst & Funct Nat Med, Mol Immunol & Pharmacol Grp, Beijing 100000, Peoples R China. EM zhxw@imm.ac.cn FU National Key R&D Program of China [2017YFA0205400]; National Natural Science Foundation of China [81773800]; National Drug Innovation Major Project of China [2018ZX09711001-003-009]; Chinese Academy of Medical Sciences (CAMS) Innovation Fund for Medical Sciences [2016-I2M-1-010] FX This work was supported by the National Key R&D Program of China (No. 2017YFA0205400), the National Natural Science Foundation of China (No. 81773800), National Drug Innovation Major Project of China (No. 2018ZX09711001-003-009), Chinese Academy of Medical Sciences (CAMS) Innovation Fund for Medical Sciences (No. 2016-I2M-1-010). 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TI Estrogen gut microbiome axis: Physiological and clinical implications SO MATURITAS LA English DT Review DE Estrobolome; Phytoestrogen; Dysbiosis; Cancer; Fertility; Metabolic syndrome ID BARIATRIC SURGERY; GLUCOSE-METABOLISM; ENDOMETRIAL HYPERPLASIA; SOY ISOFLAVONES; CANCER-RISK; WOMEN; RECEPTORS; OBESITY; SEX; METFORMIN AB Low levels of gonadal circulating estrogen observed in post-menopausal women can adversely impact a diverse range of physiological factors, with clinical implications for brain cognition, gut health, the female reproductive tract and other aspects of women's health. One of the principal regulators of circulating estrogens is the gut microbiome. This review aims to shed light on the role of the gut microbiota in estrogen-modulated disease. The gut microbiota regulates estrogens through secretion of P-glucuronidase, an enzyme that deconjugates estrogens into their active forms. When this process is impaired through dysbiosis of gut microbiota, characterized by lower microbial diversity, the decrease in deconjugation results in a reduction of circulating estrogens. The alteration in circulating estrogens may contribute to the development of conditions discussed herein: obesity, metabolic syndrome, cancer, endometrial hyperplasia, endometriosis, polycystic ovary syndrome, fertility, cardiovascular disease (CVD) and cognitive function. The bi-directional relationship between the metabolic profile (including estrogen levels) and gut microbiota in estrogen-driven disease will also be discussed. Promising therapeutic interventions manipulating the gut microbiome and the metabolic profile of estrogen driven disease, such as bariatric surgery and metformin, will be detailed. Modulation of the microbiome composition subsequently impacts the metabolic profile, and vice versa, and has been shown to alleviate many of the estrogen-modulated disease states. 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Obstetrics & Gynecology WE Science Citation Index Expanded (SCI-EXPANDED) SC Geriatrics & Gerontology; Obstetrics & Gynecology GA FD6UR UT WOS:000407663900008 PM 28778332 OA Bronze HC Y HP N DA 2023-06-08 ER PT J AU Montenegro, RM Ponte, CMM Castelo, MHCG Silveira, ACD Fernandes, VO D'Alva, CB Oliveira, LFV Hristov, AD Bandeira, SP Paiva, GED Levi, JE AF Montenegro, Renan Magalhaes, Jr. Melo Ponte, Clarisse Mourao Costa Gurgel Castelo, Maria Helane de Oliveira Silveira, Alessandro Conrado Fernandes, Virginia Oliveira D'Alva, Catarina Brasil Valter Oliveira, Luiz Felipe Hristov, Angelica Domingues Bandeira, Silviane Praciano da Cruz Paiva, Grayce Ellen Levi, Jose Eduardo TI Reduced gut microbiota diversity in patients with congenital generalized lipodystrophy SO DIABETOLOGY & METABOLIC SYNDROME LA English DT Article DE Gut microbiota; Diabetes; Lipodystrophy ID LEPTIN RECEPTOR; OBESITY; DIET; DYSBIOSIS; METFORMIN; CLASSIFICATION; ADIPONECTIN; MOTILITY; ALTERS; IMPACT AB Background Previous studies suggest intestinal dysbiosis is associated with metabolic diseases. However, the causal relationship between them is not fully elucidated. Gut microbiota evaluation of patients with congenital generalized lipodystrophy (CGL), a disease characterized by the absence of subcutaneous adipose tissue, insulin resistance, and diabetes since the first years of life, could provide insights into these relationships. Methods A cross-sectional study was conducted with patients with CGL (n = 17) and healthy individuals (n = 17). The gut microbiome study was performed by sequencing the 16S rRNA gene through High-Throughput Sequencing (BiomeHub Biotechnologies, Brazil). Results The median age was 20.0 years old, and 64.7% were female. There was no difference between groups in pubertal stage, BMI, ethnicity, origin (rural or urban), delivery, breastfeeding, caloric intake, macronutrient, or fiber consumption. Lipodystrophic patients presented a lower alpha diversity (Richness index: 54.0 versus 67.5; p = 0.008). No differences were observed in the diversity parameters when analyzing the presence of diabetes, its complications, or the CGL subtype. Conclusion In this study, we demonstrate for the first time a reduced gut microbiota diversity in individuals with CGL. Dysbiosis was present despite dietary treatment and was also observed in young patients. Our findings allow us to speculate that the loss of intestinal microbiota diversity may be due to metabolic abnormalities present since the first years of life in CGL. Longitudinal studies are needed to confirm these findings, clarifying the possible causal link between dysbiosis and insulin resistance in humans. C1 [Montenegro, Renan Magalhaes, Jr.; Melo Ponte, Clarisse Mourao; Costa Gurgel Castelo, Maria Helane; Fernandes, Virginia Oliveira; D'Alva, Catarina Brasil; da Cruz Paiva, Grayce Ellen] Fed Univ Ceara Ebserh, Univ Hosp, Fortaleza, CE, Brazil. [Melo Ponte, Clarisse Mourao; Costa Gurgel Castelo, Maria Helane; de Oliveira Silveira, Alessandro Conrado; Hristov, Angelica Domingues; Bandeira, Silviane Praciano; Levi, Jose Eduardo] DASA, Sao Paulo, SP, Brazil. [de Oliveira Silveira, Alessandro Conrado] Univ Reg Blumenau, Blumenau, SC, Brazil. [Valter Oliveira, Luiz Felipe] BiomeHub, Florianopolis, SC, Brazil. [Melo Ponte, Clarisse Mourao; Costa Gurgel Castelo, Maria Helane] Christus Univ Ctr, Fortaleza, CE, Brazil. C3 Universidade Regional de Blumenau (FURB) RP Ponte, CMM (通讯作者),Fed Univ Ceara Ebserh, Univ Hosp, Fortaleza, CE, Brazil.; Ponte, CMM (通讯作者),DASA, Sao Paulo, SP, Brazil.; Ponte, CMM (通讯作者),Christus Univ Ctr, Fortaleza, CE, Brazil. EM clarisse.ponte@unicrhistus.edu.br FU INCT (National Institute of Science and Technology) for Diabetes and Obesity - CNPq [465693/2014-8]; FAPESP [2014/50907-5]; BiomeHub; DASA, Brazil FX This work was supported by INCT (National Institute of Science and Technology) for Diabetes and Obesity - CNPq Grant number 465693/2014-8 and FAPESP Grant number 2014/50907-5. This work was partially supported by BiomeHub and DASA, Brazil. 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PD SEP 24 PY 2022 VL 14 IS 1 AR 136 DI 10.1186/s13098-022-00908-8 PG 12 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA 4T0OS UT WOS:000857828900001 PM 36153588 OA gold, Green Published DA 2023-06-08 ER PT J AU Zhao, JD Li, Y Sun, M Yu, CJ Li, JY Wang, SH Yang, D Guo, CL Du, X Zhang, WJ Cheng, RD Diao, XC Fang, ZH AF Zhao, Jin-Dong Li, Yan Sun, Min Yu, Chan-Juan Li, Jia-Yun Wang, Si-Hai Yang, Di Guo, Cheng-Lin Du, Xue Zhang, Wen-Jin Cheng, Ruo-Dong Diao, Xiao-Chuan Fang, Zhao-Hui TI Effect of berberine on hyperglycaemia and gut microbiota composition in type 2 diabetic Goto-Kakizaki rats SO WORLD JOURNAL OF GASTROENTEROLOGY LA English DT Article DE Type 2 diabetes mellitus; Amelioration of hyperglycaemia; Modulation of gut microbiota; Berberine; Metformin; Goto-Kakizaki rats ID BETA-CELL; GK RAT; METFORMIN; SAFETY; PATHOGENESIS; AKKERMANSIA; METAGENOME; MELLITUS AB BACKGROUND A recent investigation showed that the prevalence of type 2 diabetes mellitus (T2DM) is 12.8% among individuals of Han ethnicity. Gut microbiota has been reported to play a central role in T2DM. Goto-Kakizaki (GK) rats show differences in gut microbiota compared to non-diabetic rats. Previous studies have indicated that berberine could be successfully used to manage T2DM. We sought to understand its hypoglycaemic effect and role in the regulation of the gut microbiota. AIM To determine whether berberine can regulate glucose metabolism in GK rats via the gut microbiota. METHODS GK rats were acclimatized for 1 wk. The GK rats were randomly divided into three groups and administered saline (Mo), metformin (Me), or berberine (Be). The observation time was 8 wk, and weight, fasting blood glucose (FBG), insulin, and glucagon-like peptide-1 (GLP-1) were measured. Pancreatic tissue was observed for pathological changes. Additionally, we sequenced the 16S rRNA V3-V4 region of the gut microbiota and analysed the structure. RESULTS Compared with the Mo group, the Me and Be groups displayed significant differences in FBG (P < 0.01) and GLP-1 (P < 0.05). A significant decrease in weight and homeostatic model assessment-insulin resistance was noted in the Be group compared with those in the Me group (P < 0.01). The pancreatic islets of the Me- and Be-treated rats showed improvement in number, shape, and necrosis compared with those of Mo-treated rats. A total of 580 operational taxonomic units were obtained in the three groups. Compared to the Mo group, the Me and Be groups showed a shift in the structure of the gut microbiota. Correlation analysis indicated that FBG was strongly positively correlated with Clostridia_UCG-014 (P < 0.01) and negatively correlated with Allobaculum (P < 0.01). Body weight showed a positive correlation with Desulfovibrionaceae (P < 0.01) and a negative correlation with Akkermansia (P < 0.01). Importantly, our results demonstrated that Me and Be could significantly decrease Bacteroidetes (P < 0.01) and the Bacteroidetes/Firmicutes ratio (P < 0.01). Furthermore, Muribaculaceae (P < 0.01; P < 0.05) was significantly decreased in the Me and Be groups, and Allobaculum (P < 0.01) was significantly increased. CONCLUSION Berberine has a substantial effect in improving metabolic parameters and modulating the gut microbiota composition in T2DM rats. C1 [Zhao, Jin-Dong; Yu, Chan-Juan; Li, Jia-Yun; Wang, Si-Hai; Yang, Di; Guo, Cheng-Lin; Du, Xue; Zhang, Wen-Jin; Cheng, Ruo-Dong; Diao, Xiao-Chuan; Fang, Zhao-Hui] Anhui Univ Chinese Med, Affiliated Hosp 1, Dept Endocrinol, 117 Meishan Rd, Hefei 230031, Anhui, Peoples R China. [Li, Yan] Anhui Univ Chinese Med, Affiliated Hosp 1, Dept Infect Dis, Hefei 230031, Anhui, Peoples R China. [Sun, Min] Anhui Univ, Sch Life Sci, Hefei 230039, Anhui, Peoples R China. C3 Anhui University of Chinese Medicine; Anhui University of Chinese Medicine; Anhui University RP Fang, ZH (通讯作者),Anhui Univ Chinese Med, Affiliated Hosp 1, Dept Endocrinol, 117 Meishan Rd, Hefei 230031, Anhui, Peoples R China. EM fangzhaohui1111@163.com RI SUN, MIN/GQZ-7245-2022 FU National Natural Science Foundation of China [81603574, 81774286]; National Key Research and Development Program [2018YFC1704202, 2020YFE0201800]; University Scientific Research Projects of Anhui [KJ2020A0401, KJ2019A0442]; Province Science Foundation of Anhui [1708085QH213] FX Supported by National Natural Science Foundation of China, No. 81603574 and No. 81774286; National Key Research and Development Program, No. 2018YFC1704202 and No. 2020YFE0201800; University Scientific Research Projects of Anhui, No. KJ2020A0401 and No. KJ2019A0442; and Province Science Foundation of Anhui, No. 1708085QH213. 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Gastroenterol. PD FEB 28 PY 2021 VL 27 IS 8 BP 708 EP 724 DI 10.3748/wjg.v27.i8.708 PG 17 WC Gastroenterology & Hepatology WE Science Citation Index Expanded (SCI-EXPANDED) SC Gastroenterology & Hepatology GA QV3PN UT WOS:000627887300004 PM 33716449 OA hybrid, Green Published DA 2023-06-08 ER PT J AU Zou, B Yang, WL Tang, Y Hou, YF Tang, TT Qu, SL AF Zou, Bu Yang, Wenling Tang, Ying Hou, Yangfeng Tang, Tingting Qu, Shunlin TI Intestinal microbiota-farnesoid X receptor axis in metabolic diseases SO CLINICA CHIMICA ACTA LA English DT Review DE Intestinal microbiota; Farnesoid X receptor; Metabolic disease; Bile salt hydrolase; Metformin ID BILE-ACID METABOLISM; GUT MICROBIOTA; FXR; MICE; STEATOHEPATITIS; DEFICIENCY; CROSSTALK; IMPACT AB Studies have demonstrated that intestinal microbiota is associated with various metabolic diseases including obesity, nonalcoholic fatty liver, and insulin resistance. Farnesoid X receptor (FXR), also known as the bile acid receptor, belongs to the nuclear receptor superfamily, which is involved in the regulation of bile acid, glucose, and lipid metabolism. Researchers have found that intestinal microbiota can regulate FXR activity by affecting bile acid composition, and then regulate the balance of in vivo metabolism. The intestinal microbiota-FXR axis may be an ideal drug target for metabolic diseases. This review summarizes the latest research on the intestinal microbiota /FXR axis, hoping to provide a theoretical basis for further research and clinical application. C1 [Zou, Bu; Yang, Wenling; Tang, Ying; Hou, Yangfeng; Tang, Tingting; Qu, Shunlin] Univ South China, Inst Cardiovasc Dis, Hunan Int Sci & Technol Cooperat Base Arterioscle, Key Lab Arteriosclerol Hunan Prov,Pathophysiol De, Hengyang City 421001, Hunan, Peoples R China. [Zou, Bu; Tang, Ying; Hou, Yangfeng] Univ South China, Hengyang Med Coll, Clin Dept, Hengyang City 421001, Hunan, Peoples R China. [Yang, Wenling] Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Cardiol, Wuhan 430022, Peoples R China. C3 University of South China; University of South China; Huazhong University of Science & Technology RP Qu, SL (通讯作者),Univ South China, Inst Cardiovasc Dis, Hunan Int Sci & Technol Cooperat Base Arterioscle, Key Lab Arteriosclerol Hunan Prov,Pathophysiol De, Hengyang City 421001, Hunan, Peoples R China. EM qushunlin78@126.com OI Hou, Yangfeng/0000-0002-5341-7999; Zou, Bu/0000-0003-4609-5917 FU National Natural Science Foundation of China [81670424]; Key Scientific Research Fund of Hunan Provincial Education Department [15A166]; Scientific Research Fund of Hunan Provincial Health and Family Planning Commission [B2016087]; Hunan College Students Innovation and Entrepreneurship Training Program [S20191055035, X2019131]; project of State Administration of Work Safety [hunan-0013-2016AQ] FX This work was supported by grants from the National Natural Science Foundation of China (81670424), the Key Scientific Research Fund of Hunan Provincial Education Department (15A166), the Scientific Research Fund of Hunan Provincial Health and Family Planning Commission (B2016087), the project of State Administration of Work Safety (hunan-0013-2016AQ) and the Hunan College Students Innovation and Entrepreneurship Training Program (S20191055035; X2019131). 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Acta PD OCT PY 2020 VL 509 BP 167 EP 171 DI 10.1016/j.cca.2020.06.006 PG 5 WC Medical Laboratory Technology WE Science Citation Index Expanded (SCI-EXPANDED) SC Medical Laboratory Technology GA NK4YF UT WOS:000566737800026 PM 32505776 DA 2023-06-08 ER PT J AU Gouaref, I Detaille, D Wiernsperger, N Khan, NA Leverve, X Koceir, EA AF Gouaref, Ines Detaille, Dominique Wiernsperger, Nicolas Khan, Naim Akhtar Leverve, Xavier Koceir, Elhadj-Ahmed TI The desert gerbil Psammomys obesus as a model for metformin-sensitive nutritional type 2 diabetes to protect hepatocellular metabolic damage: Impact of mitochondrial redox state SO PLOS ONE LA English DT Article ID BETA-CELL FUNCTION; FATTY-ACID; GLUCOSE-6-PHOSPHATE HYDROLYSIS; GLUCOSE-PRODUCTION; GUT MICROBIOTA; BODY-WEIGHT; FOOD-INTAKE; RATS; GLUCONEOGENESIS; INSULIN AB Introduction While metformin (MET) is the most widely prescribed antidiabetic drug worldwide, its beneficial effects in Psammomys obesus (P. obesus), a rodent model that mimics most of the metabolic features of human diabetes, have not been explored thoroughly. Here, we sought to investigate whether MET might improve insulin sensitivity, glucose homeostasis, lipid profile as well as cellular redox and energy balance in P. obesus maintained on a high energy diet (HED). Materials and methods P. obesus gerbils were randomly assigned to receive either a natural diet (ND) consisting of halophytic plants (control group) or a HED (diabetic group) for a period of 24 weeks. MET (50 mg/kg per os) was administered in both animal groups after 12 weeks of feeding, i.e., the time required for the manifestation of insulin resistance in P. obesus fed a HED. Parallel in vitro experiments were conducted on isolated hepatocytes that were shortly incubated (30 min) with MET and energetic substrates (lactate + pyruvate or alanine, in the presence of octanoate). Results In vivo, MET lowered glycemia, glycosylated haemoglobin, circulating insulin and fatty acid levels in diabetic P. obesus. It also largely reversed HED-induced hepatic lipid alterations. In vitro, MET increased glycolysis but decreased both gluconeogenesis and ketogenesis in the presence of glucogenic precursors and medium-chain fatty acid. Importantly, these changes were associated with an increase in cytosolic and mitochondrial redox states along with a decline in respiration capacity. Conclusions MET prevents the progression of insulin resistance in diabetes-prone P. obesus, possibly through a tight control of gluconeogenesis and fatty acid beta-oxidation depending upon mitochondrial function. While the latter is increasingly becoming a therapeutic issue in diabetes, the gut microbiota is another promising target that would need to be considered as well. C1 [Gouaref, Ines; Koceir, Elhadj-Ahmed] Univ Sci & Technol Houari Boumediene, Bioenerget & Intermediary Metab Team, Lab Biol & Organism Physiol, Inst Biol Sci, BP 32, Algiers, Algeria. [Detaille, Dominique] Univ Bordeaux, Rhythmol & Heart Modeling Inst, Bordeaux, France. [Wiernsperger, Nicolas] INSERM, U1060, CarMeN Lab, Villeurbanne, France. [Khan, Naim Akhtar] UBFC, Physiol Nutr & Toxicol, INSERM, U1236, Dijon, France. [Leverve, Xavier] Univ Grenoble Alpes, LBFA, INSERM, U1055, Grenoble, France. C3 University Science & Technology Houari Boumediene; UDICE-French Research Universities; Universite de Bordeaux; Institut National de la Sante et de la Recherche Medicale (Inserm); UDICE-French Research Universities; Universite Claude Bernard Lyon 1; Institut Agro; AgroSup Dijon; Institut National de la Sante et de la Recherche Medicale (Inserm); Universite de Bourgogne; Institut National de la Sante et de la Recherche Medicale (Inserm); UDICE-French Research Universities; Communaute Universite Grenoble Alpes; Universite Grenoble Alpes (UGA) RP Koceir, EA (通讯作者),Univ Sci & Technol Houari Boumediene, Bioenerget & Intermediary Metab Team, Lab Biol & Organism Physiol, Inst Biol Sci, BP 32, Algiers, Algeria. EM e.koceir@gmail.com OI KOCEIR, Elhadj-Ahmed/0000-0003-1345-2535; Khan, Naim Akhtar/0000-0002-8930-9332 FU German Federal Ministry of Education and Research (BMBF) [01EZ0816, 01EZ0818, 13EZ0817]; Deutsche Herzstiftung e.V. [S/05/12] FX This work was financially supported by a grant from the German Federal Ministry of Education and Research (BMBF; grant-ID 01EZ0816, 01EZ0818 and 13EZ0817), and in part by the Deutsche Herzstiftung e.V. (S/05/12, Y-X, Ye). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. 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The associations that can be identified by MWAS are not limited to the identification of taxa that are more or less abundant, as is the case with taxonomic approaches, but additionally include the identification of microbial functions that are enriched or depleted. In this Review, we summarize recent findings from MWAS and discuss how these findings might inform the prevention, diagnosis and treatment of human disease in the future. Furthermore, we highlight the need to better characterize the biology of many of the bacteria that are found in the human microbiota as an essential step in understanding how bacterial strains that have been identified by MWAS are associated with disease. C1 [Wang, Jun] ICarbonX, Shahe Ind Zone, 4018 Qiaoxiang Rd, Shenzhen 518083, Peoples R China. [Wang, Jun; Jia, Huijue] BGI Shenzhen, Shenzhen Key Lab Human Commensal Microorganisms &, Shenzhen 518083, Peoples R China. C3 Beijing Genomics Institute (BGI) RP Wang, J (通讯作者),ICarbonX, Shahe Ind Zone, 4018 Qiaoxiang Rd, Shenzhen 518083, Peoples R China.; Wang, J (通讯作者),BGI Shenzhen, Shenzhen Key Lab Human Commensal Microorganisms &, Shenzhen 518083, Peoples R China. EM wangjun@icarbonx.com; jiahuijue@genomics.cn RI Jia, Huijue/M-3991-2015; Xiao, Liang/L-5614-2016 OI Jia, Huijue/0000-0002-3592-126X; Xiao, Liang/0000-0003-0836-4397 FU Natural Science Foundation of China [30890032, 30725008, 30811130531]; Shenzhen Municipal Government of China [JSGG20140702161403250, DRC-SZ[2015]162, CXB201108250098A]; Danish Strategic Research Council [2106-07-0021]; Danish Natural Science Research Council; Solexa project [272-07-0196] FX This study was supported by the Natural Science Foundation of China (grants 30890032, 30725008 and 30811130531), the Shenzhen Municipal Government of China (grants JSGG20140702161403250, DRC-SZ[2015]162 and CXB201108250098A), the Danish Strategic Research Council (grant 2106-07-0021) and the Ole ROmer grant from the Danish Natural Science Research Council and Solexa project (272-07-0196). The authors thank their colleagues at BGI, Shenzhen, China, especially J. Li, Z. Lan, S. Liang, H. Xie, D. Zhang, X. Luo, M. Arumugam and K. Kristiansen, for their help in the preparation of this Review. The authors also thank Y. Xie at Michigan State University, East Lansing, USA, for helpful discussions regarding this manuscript. 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Rev. Microbiol. PD AUG PY 2016 VL 14 IS 8 BP 508 EP 522 DI 10.1038/nrmicro.2016.83 PG 15 WC Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Microbiology GA DS1RV UT WOS:000380376300009 PM 27396567 HC Y HP N DA 2023-06-08 ER PT J AU Stenman, LK Waget, A Garret, C Briand, F Burcelin, R Sulpice, T Lahtinen, S AF Stenman, Lotta K. Waget, Aurelie Garret, Celine Briand, Francois Burcelin, Remy Sulpice, Thierry Lahtinen, Sampo TI Probiotic B420 and prebiotic polydextrose improve efficacy of antidiabetic drugs in mice SO DIABETOLOGY & METABOLIC SYNDROME LA English DT Article DE Bifidobacteria; Diabetes; Gastroenterology; Obesity; Mice; Metformin; Probiotics; Prebiotics; Sitagliptin ID HIGH-FAT-DIET; TYPE-2 DIABETES-MELLITUS; METABOLIC ENDOTOXEMIA; INDUCED OBESITY; GUT MICROBIOTA; INSULIN SENSITIVITY; GLUCOSE-INTOLERANCE; MOUSE MODEL; INFLAMMATION; MECHANISMS AB Background: Gut microbiota is now known to control glucose metabolism. Previous studies have shown that probiotics and prebiotics may improve glucose metabolism, but their effects have not been studied in combination with drug therapy. The aim of this study was to investigate whether probiotics and prebiotics combined with drug therapy affect diabetic outcomes. Methods: Two different study designs were used to test gut microbiota modulating treatments with metformin (MET) or sitagliptin (SITA) in male C57Bl/6J mice. In Design 1, diabetes was induced with four-week feeding with a ketogenic, 72 kcal% fat diet with virtually no carbohydrates. Mice were then randomly divided into four groups (n = 10 in each group): (1) vehicle, (2) Bifidobacterium animalis ssp. lactis 420 (B420) (10(9) CFU/day), (3) MET (2 mg/mL in drinking water), or (4) MET + B420 (same doses as in the MET and B420 groups). After another 4 weeks, glucose metabolism was assessed with a glucose tolerance test. Fasting glucose, fasting insulin and HOMA-IR were also assessed. In Design 2, mice were fed the same 72 kcal% fat diet to induce diabetes, but they were simultaneously treated within their respective groups (n = 8 in each group): (1) non-diabetic healthy control, (2) vehicle, (3) SITA [ 3 mg/(kg*day)] (4) SITA with prebiotic polydextrose (PDX) (0.25 g/day), (5) SITA with B420 (109 CFU/day), and (6) SITA + PDX + B420. Glucose metabolism was assessed at 4 weeks, and weight development was monitored for 6 weeks. Results: In Design 1, with low-dose metformin, mice treated with B420 had a significantly lower glycemic response (area under the curve) (factorial experiment, P = 0.002) and plasma glucose concentration (P = 0.02) compared to mice not treated with B420. In Design 2, SITA + PDX reduced glycaemia in the oral glucose tolerance test significantly more than SITA only (area under the curve reduced 28 %, P < 0.0001). In addition, B420, PDX or B420+PDX, together with SITA, further decreased fasting glucose concentrations compared to SITA only (-19.5, -40 and -49 %, respectively, P < 0.01 for each comparison). The effect of PDX may be due to its ability to increase portal vein GLP-1 concentrations together with SITA (P = 0.0001 compared to vehicle) whereas SITA alone had no statistically significant effect compared to vehicle (P = 0.14). Conclusions: This study proposes that combining probiotics and/or prebiotics with antidiabetic drugs improves glycemic control and insulin sensitivity in mice. Mechanisms could be related to incretin secretion. C1 [Stenman, Lotta K.; Lahtinen, Sampo] DuPont Nutr & Hlth, Act Nutr, Kantvik 02460, Finland. [Waget, Aurelie; Garret, Celine; Burcelin, Remy] Hop Rangueil, INSERM1048, Inst Malad Metab & Cardiovasc Rangueil, F-31432 Toulouse, France. [Briand, Francois; Sulpice, Thierry] Physiogenex SAS, Prologue Biotech, Labege, France. C3 CHU de Toulouse; Universite de Toulouse; Universite Toulouse III - Paul Sabatier RP Stenman, LK (通讯作者),DuPont Nutr & Hlth, Act Nutr, Sokeritehtaantie 20, Kantvik 02460, Finland. EM lotta.stenman@dupont.com RI BRIAND, FRANCOIS/AAS-3030-2020; burcelin, remy/M-6013-2014 FU DuPont NH; Merck Sharp and Dohme Laboratories FX DuPont N&H partly funded this study and provided the probiotic and prebiotic ingredients. This work was also partially supported by grants from the Merck Sharp and Dohme Laboratories to RB. 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Metab. Syndr. PD SEP 12 PY 2015 VL 7 AR 75 DI 10.1186/s13098-015-0075-7 PG 9 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA CR0RO UT WOS:000361031100001 PM 26366205 OA Green Published, gold DA 2023-06-08 ER PT J AU Baxter, NT Lesniak, NA Sinani, H Schloss, PD Koropatkin, NM AF Baxter, Nielsen T. Lesniak, Nicholas A. Sinani, Hamide Schloss, Patrick D. Koropatkin, Nicole M. TI The Glucoamylase Inhibitor Acarbose Has a Diet-Dependent and Reversible Effect on the Murine Gut Microbiome SO MSPHERE LA English DT Article DE acarbose; gut microbiota; starch ID CHAIN FATTY-ACIDS; RUMINOCOCCUS-BROMII; GLUCOSE-TOLERANCE; RESISTANT STARCH; SEQUENCE DATA; LARGE-BOWEL; BUTYRATE; FIBER; BIFIDOBACTERIA; DEGRADATION AB Acarbose is a safe and effective medication for type 2 diabetes that inhibits host glucoamylases to prevent starch digestion in the small intestines and thus decrease postprandial blood glucose levels. This results in an increase in dietary starch in the distal intestine, where it becomes food for the gut bacterial community. Here, we examined the effect of acarbose therapy on the gut community structure in mice fed either a high-starch (HS) or high-fiber diet rich in plant polysaccharides (PP). The fecal microbiota of animals consuming a low dose of acarbose (25 ppm) was not significantly different from that of control animals that did not receive acarbose. However, a high dose of acarbose (400 ppm) with the HS diet resulted in a substantial change to the microbiota structure. Most notably, the HS diet with a high dose of acarbose lead to an expansion of the Bacteroidaceae and Bifidobacteriaceae and a decrease in the Verrucomicrobiaceae (such as Akkermansia muciniphila) and the Bacteroidales S24-7. Once acarbose treatment ceased, the community composition quickly reverted to mirror that of the control group, suggesting that acarbose does not irreversibly alter the gut community. The high dose of acarbose in the PP diet resulted in a distinct community structure with increased representation of Bifidobacteriaceae and Lachnospiraceae. Short-chain fatty acids (SCFAs) measured from stool samples were increased, especially butyrate, as a result of acarbose treatment in both diets. These data demonstrate the potential of acarbose to change the gut community structure and increase beneficial SCFA output in a diet-dependent manner. IMPORTANCE The gut microbial community has a profound influence on host physiology in both health and disease. In diabetic individuals, the gut microbiota can affect the course of disease, and some medications for diabetes, including metformin, seem to elicit some of their benefits via an interaction with the microbiota. Here, we report that acarbose, a glucoamylase inhibitor for type 2 diabetes, changes the murine gut bacterial community structure in a reversible and diet-dependent manner. In both high-starch and high-fiber diet backgrounds, acarbose treatment results in increased short-chain fatty acids, particularly butyrate, as measured in stool samples. As we learn more about how human disease is affected by the intestinal bacterial community, the interplay between medications such as acarbose and the diet will become increasingly important to evaluate. C1 [Baxter, Nielsen T.; Lesniak, Nicholas A.; Sinani, Hamide; Schloss, Patrick D.; Koropatkin, Nicole M.] Univ Michigan, Sch Med, Dept Microbiol & Immunol, Ann Arbor, MI 48109 USA. [Baxter, Nielsen T.] Elanco Anim Hlth, Greenfield, IN USA. C3 University of Michigan System; University of Michigan RP Koropatkin, NM (通讯作者),Univ Michigan, Sch Med, Dept Microbiol & Immunol, Ann Arbor, MI 48109 USA. EM nkoropat@umich.edu OI Schloss, Patrick/0000-0002-6935-4275 FU University of Michigan Gastrointestinal Peptides Research Center [DK 034933]; Host Microbiome Initiative at the University of Michigan Medical School FX This work was supported by funds from a pilot/feasibility grant from the University of Michigan Gastrointestinal Peptides Research Center (DK 034933) awarded to N.M.K., as well as the Host Microbiome Initiative at the University of Michigan Medical School. 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Ismail, NAM Razalli, NH Gnanou, JV Ali, RAR AF Hasain, Zubaidah Mokhtar, Norfilza Mohd Kamaruddin, Nor Azmi Ismail, Nor Azlin Mohamed Razalli, Nurul Huda Gnanou, Justin Vijay Ali, Raja Affendi Raja TI Gut Microbiota and Gestational Diabetes Mellitus: A Review of Host-Gut Microbiota Interactions and Their Therapeutic Potential SO FRONTIERS IN CELLULAR AND INFECTION MICROBIOLOGY LA English DT Review DE gut microbiota; gestational diabetes; probiotics; host microbial interactions; short-chain fatty acids ID CHAIN FATTY-ACIDS; DIET-INDUCED OBESITY; INSULIN SENSITIVITY; INFLAMMATORY CYTOKINES; INTESTINAL MICROBIOTA; DOUBLE-BLIND; BODY-WEIGHT; FOLLOW-UP; PROBIOTICS; PREGNANCY AB Gestational diabetes mellitus (GDM) is defined as impaired glucose tolerance recognized during pregnancy. GDM is associated with metabolic disorder phenotypes, such as obesity, low-grade inflammation, and insulin resistance. Following delivery, nearly half of the women with a history of GDM have persistent postpartum glucose intolerance and an increased risk of developing type 2 diabetes mellitus (T2DM), as much as 7-fold. The alarming upward trend may worsen the socioeconomic burden worldwide. Accumulating evidence strongly associates gut microbiota dysbiosis in women with GDM, similar to the T2DM profile. Several metagenomics studies have shown gut microbiota, such as Ruminococcaceae,Parabacteroides distasonis, andPrevotella, were enriched in women with GDM. These microbiota populations are associated with metabolic pathways for carbohydrate metabolism and insulin signaling, suggesting a potential "gut microbiota signature" in women with GDM. Furthermore, elevated expression of serum zonulin, a marker of gut epithelial permeability, during early pregnancy in women with GDM indicates a possible link between gut microbiota and GDM. Nevertheless, few studies have revealed discrepant results, and the interplay between gut microbiota dysbiosis and host metabolism in women with GDM is yet to be elucidated. Lifestyle modification and pharmacological treatment with metformin showed evidence of modulation of gut microbiota and proved to be beneficial to maintain glucose homeostasis in T2DM. Nonetheless, post-GDM women have poor compliance toward lifestyle modification after delivery, and metformin treatment remains controversial as a T2DM preventive strategy. We hypothesized modulation of the composition of gut microbiota with probiotics supplementation may reverse postpartum glucose intolerance in post-GDM women. In this review, we addressed gut microbiota dysbiosis and the possible mechanistic links between the host and gut microbiota in women with GDM. Furthermore, this review highlights the potential therapeutic use of probiotics in post-GDM women as a T2DM preventive strategy. C1 [Hasain, Zubaidah; Mokhtar, Norfilza Mohd] Univ Kebangsaan Malaysia, Fac Med, Dept Physiol, Cheras, Malaysia. [Hasain, Zubaidah] Natl Def Univ Malaysia, Fac Med, Kuala Lumpur, Malaysia. [Mokhtar, Norfilza Mohd; Razalli, Nurul Huda; Ali, Raja Affendi Raja] Univ Kebangsaan Malaysia, Fac Med, GUT Res Grp, Kuala Lumpur, Malaysia. [Kamaruddin, Nor Azmi] Univ Kebangsaan Malaysia, Fac Med, Dept Med, Endocrine Unit, Cheras, Malaysia. [Ismail, Nor Azlin Mohamed] Univ Kebangsaan Malaysia, Fac Med, Dept Obstet & Gynecol, Kuala Lumpur, Malaysia. [Razalli, Nurul Huda] Univ Kebangsaan Malaysia, Fac Hlth Sci, Dietet Program, Kuala Lumpur, Malaysia. [Gnanou, Justin Vijay] Int Med Univ, Sch Med, Bukit Jalil, Malaysia. [Ali, Raja Affendi Raja] Univ Kebangsaan Malaysia, Fac Med, Dept Med, Gastroenterol Unit, Cheras, Malaysia. C3 Universiti Kebangsaan Malaysia; Universiti Pertahanan Nasional Malaysia; Universiti Kebangsaan Malaysia; Universiti Kebangsaan Malaysia; Universiti Kebangsaan Malaysia; Universiti Kebangsaan Malaysia; International Medical University Malaysia; Universiti Kebangsaan Malaysia RP Mokhtar, NM (通讯作者),Univ Kebangsaan Malaysia, Fac Med, Dept Physiol, Cheras, Malaysia.; Mokhtar, NM; Ali, RAR (通讯作者),Univ Kebangsaan Malaysia, Fac Med, GUT Res Grp, Kuala Lumpur, Malaysia.; Ali, RAR (通讯作者),Univ Kebangsaan Malaysia, Fac Med, Dept Med, Gastroenterol Unit, Cheras, Malaysia. EM norfilza@ppukm.ukm.edu.my; draffendi@ppukm.ukm.edu.my RI Mokhtar, Norfilza Mohd/AAK-8196-2020; Hasain, Zubaidah/HHD-1313-2022 OI Mokhtar, Norfilza Mohd/0000-0002-4863-100X; FU Universiti Kebangsaan Malaysia Research University Fund [AP-2017-008/2]; B-Crobes Marketing (M) Sdn Bhd. FX This study was supported by the Universiti KebangsaanMalaysia Research University Fund (AP-2017-008/2) in collaboration with B-Crobes Marketing (M) Sdn Bhd. The open access publication fees is paid by the Faculty of Medicine, Universiti Kebangsaan Malaysia. 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Cell. Infect. Microbiol. PD MAY 15 PY 2020 VL 10 AR 188 DI 10.3389/fcimb.2020.00188 PG 19 WC Immunology; Microbiology WE Science Citation Index Expanded (SCI-EXPANDED) SC Immunology; Microbiology GA MV9YH UT WOS:000556703900001 PM 32500037 OA Green Published, gold DA 2023-06-08 ER PT J AU Wang, JY Chen, PW Cao, QY Wang, W Chang, X AF Wang, Junyan Chen, Peiwen Cao, Qiuyu Wang, Wei Chang, Xing TI Traditional Chinese Medicine Ginseng Dingzhi Decoction Ameliorates Myocardial Fibrosis and High Glucose-Induced Cardiomyocyte Injury by Regulating Intestinal Flora and Mitochondrial Dysfunction SO OXIDATIVE MEDICINE AND CELLULAR LONGEVITY LA English DT Article ID HEART-FAILURE; REPERFUSION INJURY; PRESSURE-OVERLOAD; BAX INHIBITOR-1; QUALITY-CONTROL; INFLAMMASOME; MITOPHAGY; HOMEOSTASIS; DYNAMICS AB Myocardial fibrosis refers to the pathological changes of heart structure and morphology caused by various reasons of myocardial damage. It has become an important challenge in the later clinical treatment of acute myocardial infarction/ischemic cardiomyopathy or diabetes complicated with heart failure. Ginseng Dingzhi Decoction (GN), a Chinese herbal medicine, can reduce heart failure and protect cardiomyocytes. We infer that this may be related to the interaction with intestinal microbiota and mitochondrial homeostasis. The regulatory mechanism of GN on gut microbiota and mitochondria has not yet been elucidated. The intestinal microbiota was analyzed by the 16S rRNA gene; the fecal samples were sequenced and statistically analyzed to determine the changes of microbiota in the phenotype of heart failure rats. In addition, GN can regulate the microbial population that increases the proportion of short-chain fatty acids and anti-inflammatory bacteria and reduces the proportion of conditional pathogens to diabetic phenotype. The results suggest that GN may improve myocardial injury by regulating intestinal flora. Our data also show that stress-type heart failure caused by TAC (transverse aortic constriction) is accompanied by severe cardiac hypertrophy, reduced cardiac function, redox imbalance, and mitochondrial dysfunction. However, the use of GN intervention can significantly reduce heart failure and myocardial hypertrophy, improve heart function and improve myocardial damage, and maintain the mitochondrial homeostasis and redox of myocardial cells under high glucose stimulation. Interestingly, through in vitro experiments after TMBIM6 siRNA treatment, the improvement effect of GN on cell damage and the regulation of mitochondrial homeostasis were eliminated. TMBIM6 can indirectly regulate mitophagy and mitochondrial homeostasis to attenuate myocardial damage and confirms the regulatory effect of GN on mitophagy and mitochondrial homeostasis. We further intervened cardiomyocytes in high glucose through metformin (MET) and GN combination therapy. Research data show that MET and GN combination therapy can improve the level of mitophagy and protect cardiomyocytes. Our findings provide novel mechanistic insights for the treatment of diabetes combined with myocardial injury (myocardial fibrosis) and provide a pharmacological basis for the study of the combination of Chinese medicine and conventional diabetes treatment drugs. C1 [Wang, Junyan; Cao, Qiuyu; Wang, Wei] Guangzhou Univ Chinese Med, Sch Pharmaceut Sci, Guangzhou 510006, Peoples R China. [Chen, Peiwen] Guangzhou Univ Chinese Med, Clin Med Sch 1, Guangzhou 510405, Peoples R China. [Chang, Xing] Chinese Acad Tradit Chinese Med, Guanganmen Hosp, Beijing 100053, Peoples R China. C3 Guangzhou University of Chinese Medicine; Guangzhou University of Chinese Medicine; China Academy of Chinese Medical Sciences; Guang'anmen Hospital, CACMS RP Wang, W (通讯作者),Guangzhou Univ Chinese Med, Sch Pharmaceut Sci, Guangzhou 510006, Peoples R China.; Chang, X (通讯作者),Chinese Acad Tradit Chinese Med, Guanganmen Hosp, Beijing 100053, Peoples R China. EM wangwei26960@126.com; xingchang_tcm@outlook.com RI Chang, Xing/AAQ-3281-2021 OI Chang, Xing/0000-0002-3788-9881; wang, jun yan/0000-0002-2048-2225 FU China Postdoctoral Science Foundation [2021M700966] FX This study was supported by the China Postdoctoral Science Foundation (2021M700966). 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Alterations of bile acid metabolism and gut microbiota have been reported to play vital roles in intestinal carcinogenesis. About trillions of bacteria have inhabited in the human gut and maintained the balance of host metabolism. Bile acids are one of numerous metabolites that are synthesized in the liver and further metabolized by the gut microbiota, and are essential in maintaining the normal gut microbiota and lipid digestion. Multiple receptors such as FXR, GPBAR1, PXR, CAR and VDR act as sensors of bile acids have been reported. In this review, we mainly discussed interplay between bile acid metabolism and gut microbiota in intestinal carcinogenesis. We then summarized the critical role of bile acids receptors involving in CRC, and also addressed the rationale of multiple interventions for CRC management by regulating bile acids-microbiota axis such as probiotics, metformin, ursodeoxycholic acid and fecal microbiota transplantation. 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Cancer PD APR 1 PY 2020 VL 146 IS 7 BP 1780 EP 1790 DI 10.1002/ijc.32563 EA JUL 2019 PG 11 WC Oncology WE Science Citation Index Expanded (SCI-EXPANDED) SC Oncology GA KG5VV UT WOS:000479418200001 PM 31291465 OA Bronze DA 2023-06-08 ER PT J AU Yin, W Zhang, SQ Pang, WL Chen, XJ Wen, J Hou, J Wang, C Song, LY Qiu, ZM Liang, PT Yuan, JL Yang, ZS Bian, Y AF Yin, Wen Zhang, Si-Qi Pang, Wen-Lin Chen, Xiao-Jiao Wen, Jing Hou, Jiong Wang, Cui Song, Li-Yun Qiu, Zhen-Ming Liang, Peng-Tao Yuan, Jia-Li Yang, Zhong-Shan Bian, Yao TI Tang-Ping-San Decoction Remodel Intestinal Flora and Barrier to Ameliorate Type 2 Diabetes Mellitus in Rodent Model SO DIABETES METABOLIC SYNDROME AND OBESITY-TARGETS AND THERAPY LA English DT Article DE type 2 diabetes mellitus; tang-ping-san decoction; gut microbiota; glycolipid metabolism; insulin resistance ID GUT MICROBIOTA; INSULIN-RESISTANCE; AKKERMANSIA-MUCINIPHILA; OBESITY; INFLAMMATION; PREVENTION; STEATOSIS; METFORMIN; CURCUMIN; DISEASE AB Purpose: Type 2 diabetes mellitus (T2DM) is a complex genetic disease associated with genetic and environmental factors. Previous studies have shown that changes in the gut microbiota may affect the development of host metabolic diseases and promote the progression of T2DM. Tang-ping-san (TPS) decoction can effectively treat T2DM. However, its specific mechanisms must be evaluated. Patients and Methods: In the present study, we established an animal model of T2DM using a high-fat diet (HFD) with intraperitoneal injection streptozotocin injection. Results: The therapeutic effect of TPS decoction on T2DM in mice was initially evaluated. TPS decoction was found to improve hyperglycemia, hyperlipidemia, insulin resistance, and pathological liver, pancreatic, and colon changes. Moreover, it reduced the proin-flammatory cytokine levels. Based on 16SrRNA sequencing, TPS decoction reduced the Fitmicutes/Bacteroidetes ratio at the phylum level. At the genus level, it increased the relative abundances of Akkermansia, Muribaculaceae, and the Eubacterium coprostanoligenes group and decreased the relative abundance of Fusobacterium, Escherichia coli, Dubosiella, and Helicobacter. Conclusion: TPS decoction improves T2DM and liver function and reduces the risk of hyperglycemia, hyperlipidemia, insulin resistance, pathological organ changes, and inflammatory reactions. The mechanism of TPS decoction in T2DM can be correlated with the reversal of gut microbiota dysfunction and repair of the intestinal mucosal barrier. C1 [Yin, Wen; Zhang, Si-Qi; Pang, Wen-Lin; Chen, Xiao-Jiao; Wen, Jing; Hou, Jiong; Wang, Cui; Song, Li-Yun; Qiu, Zhen-Ming; Liang, Peng-Tao; Yuan, Jia-Li; Yang, Zhong-Shan; Bian, Yao] Yunnan Univ Chinese Med, Yunnan Prov Key Lab Mol Biol Sinomed, Kunming, Yunnan, Peoples R China. [Yang, Zhong-Shan; Bian, Yao] Yunnan Univ Chinese Med, Kunming, Yunnan, Peoples R China. C3 Yunnan University of Chinese Medicine; Yunnan University of Chinese Medicine RP Yang, ZS; Bian, Y (通讯作者),Yunnan Univ Chinese Med, Yunnan Prov Key Lab Mol Biol Sinomed, Kunming, Yunnan, Peoples R China.; Yang, ZS; Bian, Y (通讯作者),Yunnan Univ Chinese Med, Kunming, Yunnan, Peoples R China. EM yangzhongshan@ynutcm.edu.cn; 1345538930@qq.com OI Yang, ZhongShan/0000-0002-5270-0119 FU National Natural Science Foundation of China [81860646]; Yunnan Provincial Science and Technology Department [202201AS070084, 202101AZ070001-012, 2019FI016, 202005AC160058, 202105AF150031, YB220309, 30170104891] FX Acknowledgments This research was supported by National Natural Science Foundation of China (81860646) and a grant from Yunnan Provincial Science and Technology Department (202201AS070084, 202101AZ070001-012, 2019FI016, 202005AC160058, 202105AF150031, YB220309, 30170104891) . 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Syndr. Obes. PY 2022 VL 15 BP 2563 EP 2581 DI 10.2147/DMSO.S375572 PG 19 WC Endocrinology & Metabolism WE Science Citation Index Expanded (SCI-EXPANDED) SC Endocrinology & Metabolism GA 3Y7YF UT WOS:000843937400001 PM 36035516 OA gold, Green Published DA 2023-06-08 ER PT J AU Gabel, SA Duff, MR Pedersen, LC DeRose, EF Krahn, JM Howell, EE London, RE AF Gabel, Scott A. Duff, Michael R. Pedersen, Lars C. DeRose, Eugene F. Krahn, Juno M. Howell, Elizabeth E. London, Robert E. TI A Structural Basis for Biguanide Activity SO BIOCHEMISTRY LA English DT Article ID ONE-CARBON METABOLISM; DIHYDROFOLATE-REDUCTASE; HOMOCYSTEINE LEVELS; LIGAND-BINDING; METFORMIN; FOLATE; DRUG; INHIBITORS; MECHANISM; GLUCOSE AB Metformin is the most commonly prescribed treatment for type II diabetes and related disorders; however, molecular insights into its mode(s) of action have been limited by an absence of structural data. Structural considerations along with a growing body of literature demonstrating its effects on one-carbon metabolism suggest the possibility of folate mimicry and anti-folate activity. Motivated by the growing recognition that anti-diabetic biguanides may act directly upon the gut microbiome, we have determined structures of the complexes formed between the anti-diabetic biguanides (phenformin, buformin, and metformin) and Escherichia coli dihydrofolate reductase (ecDHFR) based on nuclear magnetic resonance, crystallographic, and molecular modeling studies. Interligand Overhauser effects indicate that metformin can form ternary complexes with p-aminobenzoyl-L-glutamate (pABG) as well as other ligands that occupy the region of the folate-binding site that interacts with pABG; however, DHFR inhibition is not cooperative. The biguanides competitively inhibit the activity of ecDHFR, with the phenformin inhibition constant being 100-fold lower than that of metformin. 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insulin sensitivity; L-arabinose; oxidative stress; serum lipid ID GLUCOSE-METABOLISM; INTESTINAL SUCRASE; OXIDATIVE STRESS; METFORMIN; INSULIN; MICE; GLUCONEOGENESIS; INCREASES; SUCROSE; TARGETS AB L-arabinose is a good and healthy food additive. This study was conducted to investigate the effect of L-arabinose in a mouse model of type 2 diabetes mellitus (T2DM) induced by exposure to a high-fat diet (HFD) and streptozotocin (STZ). The model mice received L-arabinose at 20 and 60 mg (kg body weight [bw])(-1)d(-1), metformin at 300 mg (kg bw)(-1)d(-1) (positive control) or sterile water (control) via oral gavage. Compared with the model group, mice treated with L-arabinose exhibited attenuated symptoms of diabetes mellitus, including a slower rate of body weight loss, increased homeostasis model assessment of beta-cell function index levels, decreased blood glucose, alleviation of steatosis, and repair of pancreatic islet cells. L-arabinose also exerted an anti-inflammatory effect and partially mitigated dyslipidemia. A 16S-rRNA sequence analysis of the gut microbiota revealed that at the phylum level, treatment with L-arabinose significantly reduced the ratio of Firmicutes to Bacteroidetes due to a decreased relative abundance of Firmicutes; at the genus level, it reversed the increase in the relative abundance of Allobaculum and the decrease abundance of Oscillospira caused by exposure to an HFD and STZ. And the model mice received L-arabinose at 20 mg (kg bw)(-1)d(-1) had a better effect on improving T2DM than the high-dose group supplemented L-arabinose at 60 mg (kg bw)(-1)d(-1). These results strongly suggest L-arabinose as an excellent candidate supplement to prevent or treat T2DM. Practical applications L-arabinose, xylitol and sucralose are well-known substitutes for sucrose. L-arabinose has been reported to have beneficial effects on hyperglycemia, glycemic index, and fat accumulation. In this study, we found that low-dose (20 mg (kg bw)(-1)d(-1)) supplementation of L-arabinose significantly improved glucose intolerance and gut microbiota incoordination in T2DM caused by HFD and STZ. C1 [Shen, Dan; Lu, Yingjian; Tian, Shuhua; Ma, Shaotong; Sun, Jing; Hu, Qiaobin; Pang, Xinyi; Li, Xiangfei] Nanjing Univ Finance & Econ, Coll Food Sci & Engn, Nanjing 210023, Peoples R China. C3 Nanjing University of Finance & Economics RP Li, XF (通讯作者),Nanjing Univ Finance & Econ, Coll Food Sci & Engn, Nanjing 210023, Peoples R China. 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Food Biochem. PD DEC PY 2021 VL 45 IS 12 AR e13991 DI 10.1111/jfbc.13991 EA NOV 2021 PG 14 WC Biochemistry & Molecular Biology; Food Science & Technology WE Science Citation Index Expanded (SCI-EXPANDED) SC Biochemistry & Molecular Biology; Food Science & Technology GA XL5YY UT WOS:000718204300001 PM 34778991 OA gold DA 2023-06-08 ER PT J AU Wei, NA Lu, JM Lin, ZB Wang, XY Cai, MM Jiang, SY Chen, XY Zhu, SL Zhang, D Cui, L AF Wei, Nana Lu, Jinmiao Lin, Zhibing Wang, Xiaoyu Cai, Mengmeng Jiang, Shengyao Chen, Xiaoyu Zhu, Shilan Zhang, Dong Cui, Li TI Systemic Evaluation of the Effect of Diabetes Mellitus on Breast Cancer in a Mouse Model SO FRONTIERS IN ONCOLOGY LA English DT Article DE diabetes mellitus; breast cancer; gut microbiome; tumor microenvironment; amino acid metabolism ID INTESTINAL MICROBIOTA; NECK-CANCER; RISK; GUT; TRANSPLANTATION; METFORMIN; CELLS; EPIDEMIOLOGY; METABOLISM; CHEMOKINES AB Breast cancer complicated with diabetes mellitus (DM) is a common disease. To evaluate the effect of preexisting DM on breast cancer progression without drug interference, we used a streptozotocin (STZ)-induced type 2 diabetes mellitus BALB/c mouse model. We found that 4T1 breast cancer complicated with DM decreased the mouse survival time compared with 4T1-bearing mice. The diversity of gut microbiome was affected by DM. The infiltration of mucosal-associated invariant T cell (MAIT), CD8+ T cell, and CD4+ T cell in the tumor was significantly decreased in the DM-4T1 group compared with the 4T1 group. The transcriptome data of tumor tissues indicated that the expressions of inflammatory C-C chemokine- and metabolism-related genes were greatly changed. The abnormal expression of these genes may be related with the decreased T-cell infiltration in DM-4T1. In conclusion, the gut microbiome and tumor microenvironment of diabetic breast cancer patients have unique features. The effect of diabetes on breast cancer should be considered in the treatment for diabetic breast cancer patients. C1 [Lin, Zhibing; Wang, Xiaoyu; Jiang, Shengyao; Zhang, Dong; Cui, Li] Shanghai Jiao Tong Univ, Sch Agr & Biol, Shanghai Key Lab Vet Biotechnol, Shanghai, Peoples R China. [Wei, Nana] EastChina Normal Univ, Key Lab Adolescent Hlth Assessment & Exercise Inte, Minist Educ, Shanghai, Peoples R China. [Lu, Jinmiao; Cai, Mengmeng; Chen, Xiaoyu; Zhu, Shilan] Chinese Acad Agr Sci, Shanghai Vet Res Inst, Lab Qual & Safety Risk Assessment Anim Products Bi, Key Lab Anim Parasitol,Minist Agr,Minist Educ, Shanghai, Peoples R China. C3 Shanghai Jiao Tong University; Chinese Academy of Agricultural Sciences; Shanghai Veterinary Research Institute, CAAS; Ministry of Agriculture & Rural Affairs RP Cui, L (通讯作者),Shanghai Jiao Tong Univ, Sch Agr & Biol, Shanghai Key Lab Vet Biotechnol, Shanghai, Peoples R China. 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Oncol. PD APR 29 PY 2022 VL 12 AR 829798 DI 10.3389/fonc.2022.829798 PG 10 WC Oncology WE Science Citation Index Expanded (SCI-EXPANDED) SC Oncology GA 1G7KA UT WOS:000796021700001 PM 35578660 OA gold, Green Published DA 2023-06-08 ER PT J AU Wang, WX Sang, SM AF Wang, Weixin Sang, Shengmin TI Biotransformation of Barley Phenolamide by Mice and the Human Gut Microbiota and Quantitative Analysis of the Major Metabolites in Mice SO MOLECULAR NUTRITION & FOOD RESEARCH LA English DT Article DE barley; gut microbiota; metabolites; metformin; p-coumaroylagmatine ID INSULIN SENSITIVITY; ARGININE AB Scope This study investigates the metabolism of p-coumaroylagmatine (pCAA), one of the phenolamides in barley, in mice, and by human gut microbiota, and measures the concentrations of its main metabolites in mice. Methods and results Nine major metabolites are identified from fecal and urinary samples collected from pCAA treated mice via analysis of their LC chromatograms and tandem mass spectra compared to the commercial and synthesized standards. These nine metabolites are generated through four different biotransformation pathways: double bond reduction, amide bond hydrolyzation, cleavage of guanidine, and oxidation of guanidine. Furthermore, interindividual differences in the formation of dihydro-pCAA (M3), high and low metabolizers, are observed in human in vitro intestinal microbial conversion. Moreover, significant amount of pCAA is detected in mice (29.33 +/- 1.58 mu mol g(-1) in feces and 2020.44 +/- 130.07 mu M in urine), and the concentrations of agmatine (M1) are increased to 177.6 times and 3.2 times in mouse feces and urine, respectively. Conclusion This study demonstrates that pCAA is metabolized in mice and by human gut microbiota to generate potential bioactive metabolites through four major metabolic pathways. pCAA and its metabolites have the potential to be used as the exposure biomarkers to reflect the intake of whole grain barley. C1 [Wang, Weixin; Sang, Shengmin] North Carolina Agr & Tech State Univ, Ctr Excellence Postharvest Technol, Lab Funct Foods & Human Hlth, North Carolina Res Campus,500 Laureate Way, Kannapolis, NC 28081 USA. C3 University of North Carolina; North Carolina A&T State University RP Sang, SM (通讯作者),North Carolina Agr & Tech State Univ, Ctr Excellence Postharvest Technol, Lab Funct Foods & Human Hlth, North Carolina Res Campus,500 Laureate Way, Kannapolis, NC 28081 USA. EM ssang@ncat.edu RI Sang, Shengmin/AFK-9982-2022 OI Sang, Shengmin/0000-0002-5005-3616 FU United States Department of Agriculture (USDA) National Institute of Food and Agriculture (NIFA) [2018-67001-28265] FX This work was supported by funding from The United States Department of Agriculture (USDA) National Institute of Food and Agriculture (NIFA) grant 2018-67001-28265 to S.S. 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Nutr. Food Res. PD JUL PY 2022 VL 66 IS 13 AR 2200134 DI 10.1002/mnfr.202200134 EA MAY 2022 PG 11 WC Food Science & Technology WE Science Citation Index Expanded (SCI-EXPANDED) SC Food Science & Technology GA 2Q1CE UT WOS:000796752400001 PM 35532207 DA 2023-06-08 ER PT J AU Cabreiro, F Gems, D AF Cabreiro, Filipe Gems, David TI Worms need microbes too: microbiota, health and aging in Caenorhabditis elegans SO EMBO MOLECULAR MEDICINE LA English DT Article DE aging; C; elegans; metformin; microbiota; type-2 diabetes ID LIFE-SPAN EXTENSION; TYPE-2 DIABETES-MELLITUS; C.-ELEGANS; GUT MICROBIOTA; DIETARY RESTRICTION; CALORIC RESTRICTION; GERM-FREE; BACTERIAL PROLIFERATION; STRESS RESISTANCE; VIRULENCE FACTORS AB Many animal species live in close association with commensal and symbiotic microbes (microbiota). Recent studies have revealed that the status of gastrointestinal tract microbiota can influence nutrition-related syndromes such as obesity and type-2 diabetes, and perhaps aging. These morbidities have a profound impact in terms of individual suffering, and are an increasing economic burden to modern societies. Several theories have been proposed for the influence of microbiota on host metabolism, but these largely remain to be proven. In this article we discuss how microbiota may be manipulated (via pharmacology, diet, or gene manipulation) in order to alter metabolism, immunity, health and aging in the host. The nematode Caenorhabditis elegans in combination with one microbial species is an excellent, defined model system to investigate the mechanisms of host-microbiota interactions, particularly given the combined power of worm and microbial genetics. We also discuss the multifaceted nature of the worm-microbe relationship, which likely encompasses predation, commensalism, pathogenicity and necromeny. C1 [Cabreiro, Filipe] UCL, Inst Hlth Ageing, London, England. UCL, Res Dept Genet Evolut & Environm, London, England. 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PD SEP PY 2013 VL 5 IS 9 BP 1300 EP 1310 DI 10.1002/emmm.201100972 PG 11 WC Medicine, Research & Experimental WE Science Citation Index Expanded (SCI-EXPANDED) SC Research & Experimental Medicine GA 209TN UT WOS:000323783000003 PM 23913848 OA Green Published DA 2023-06-08 ER PT J AU Zhang, XY Fang, ZW Zhang, CF Xia, HH Jie, ZY Han, XY Chen, YL Ji, LN AF Zhang, Xiuying Fang, Zhiwei Zhang, Chunfang Xia, Huihua Jie, Zhuye Han, Xueyao Chen, Yingli Ji, Linong TI Effects of Acarbose on the Gut Microbiota of Prediabetic Patients: A Randomized, Double-blind, Controlled Crossover Trial SO DIABETES THERAPY LA English DT Article DE Acarbose; Cardiovascular disease; Gut microflora; Prediabetes; Type 2 diabetes ID IMPAIRED GLUCOSE-TOLERANCE; LIFE-STYLE INTERVENTION; DIET-INDUCED OBESITY; DIALISTER-PNEUMOSINTES; SP-NOV.; LACTOBACILLUS-CASEI; METFORMIN; INFLAMMATION; PREVENTION; SIGNATURES AB Introduction: The alpha-glucosidase inhibitor acarbose is an efficacious medicine for the treatment and prevention of type 2 diabetes mellitus (T2DM). However, the response of gut microbiota to acarbose is important, as the microbiota may have a critical role in the development of metabolic diseases, and acarbose is metabolized exclusively within the gastrointestinal tract. We explored the changes in the proportion and diversity of gut microbiota before and after treatment with acarbose in patients with prediabetes. Methods: We designed a randomized, double-blind, controlled crossover trial in which 52 Chinese patients with prediabetes by an oral glucose tolerance test (OGTT) with a BMI of 18-35 kg/m(2) were randomly allocated to treatment with acarbose or placebo. Gut microbiota characterizations were determined with16SrDNA-basedhigh-throughput sequencing. Results: Of the 52 participants who entered the study, 40 (76.9%) completed the protocol. On the basis of the operational taxonomic unit (OTU) profiles, a total of 107 OTUs were significantly altered after acarbose treatment, with 76 (71%) assigned to the order of Clostridiales. Ruminococcaceae (15 OTUs) and Lachnospiraceae (22 OTUs) decreased in response to acarbose, and 48 OTUs increased by 12.8-fold, including Lactobacillaceae (8 of 9 belonging to Lactobacillus), Ruminococcaceae (6 of 11 belonging to Faecalibacterium), and Veillonellaceae (8 of 15 belonging to Dialister). At genera level, five flourished after treatment with acarbose, including Lactobacillus and Dialister, while Butyricicoccus, Phascolarctobacterium, and Ruminococcus were inhibited. Conclusion: This study suggests that the benefits of acarbose for T2DM may correlate with the selective modulation of the gut microbiota. C1 [Zhang, Xiuying; Han, Xueyao; Chen, Yingli; Ji, Linong] Peking Univ, Peoples Hosp, Diabet Ctr, Dept Endocrinol & Metab, Beijing 100044, Peoples R China. [Fang, Zhiwei] Jianghan Univ, Inst Syst Biol, Wuhan 430056, Peoples R China. [Zhang, Chunfang] Peking Univ, Peoples Hosp, Dept Clin Epidemiol, Beijing 100044, Peoples R China. [Xia, Huihua; Jie, Zhuye] BGI Shenzhen, Shenzhen 518083, Peoples R China. C3 Peking University; Jianghan University; Peking University; Beijing Genomics Institute (BGI) RP Ji, LN (通讯作者),Peking Univ, Peoples Hosp, Diabet Ctr, Dept Endocrinol & Metab, Beijing 100044, Peoples R China. EM jiln@bjmu.edu.cn RI Linong, Ji/AAB-6543-2020 FU National High Technology Research and Development Program (863 Program) [2012AA02A509]; National Key Basic Research Program of China (973 Program) [2011CB504000]; Beijing Science and Technology Committee [D131100005313008] FX This work was supported through a grant from the National High Technology Research and Development Program (863 Program, 2012AA02A509). National Key Basic Research Program of China (973 Program, 2011CB504000), and Beijing Science and Technology Committee Funding (D131100005313008). We thank all the participants for agreeing to join this study. We are grateful to the staff at PKU Diabetes Centre for their assistance with subject recruitment, conducting the clinical protocol, and laboratory testing. We are indebted to the technicians of BGI-Shenzhen for their practical work in this study. 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We hypothesized that the consumption of acid hydrolyzed silk peptides (SPs) alleviates hyperglycemia by improving insulin sensitivity and subsequently normalizing glucose-stimulated insulin secretion in T2DM. We investigated this hypothesis in a partial pancreatectomized (Px) rat model. Px rats was assigned randomly to the following six groups and fed assigned diet for 8 weeks: the Px-control (0.5 g/kg/day dextrin), the SP-L (0.05 g/kg/day), the SP-M (0.1 g/kg/day), the SP-H (0.5 g/kg/day), the positive-control (40 mg/kg/day metformin), or the normal-control (sham-operated rats; 0.5 g/kg/day dextrin). SPs contained high levels of glycine, alanine, and serine. We found SPs dose-dependently increased food efficiency and body weight gain in Px rats. Animals in the Px-control group rats exhibited lower glucose metabolism, as evidenced by impaired glucose-stimulated insulin secretion coupled with impaired insulin sensitivity, and reduced bone mineral density (BMD) and lean body mass (LBM), compared to the normal-control. SPs and metformin similarly partially protected against Px-induced BMD loss in the lumbar spine and femur. Px-induced decreases in LBM were dose-dependently prevented by SPs, and muscle forces in the SP-M and SP-H groups were maintained at the normal-control level. Glucose tolerance was dose-dependently improved by SPs as determined by oral glucose tolerance and oral maltose tolerance tests, and glucose tolerances were similar in the SP-H and positive-control groups. Insulin tolerance, an index of insulin sensitivity, was dose-dependently enhanced by SPs, and the SP-H group exhibited better insulin tolerance than the positive-control group as determined by intraperitoneal insulin sensitivity testing. Insulin secretory capacity assessed using a hyperglycemic clamp improved in the following order: Px-control