Gut Microbiota and Antidiabetic Drugs: Perspectives of Personalized Treatment in Type 2 Diabetes Mellitus.

Gut Microbiota and Antidiabetic Drugs: Perspectives of Personalized Treatment in Type 2 Diabetes Mellitus.
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肠道微生物群与抗糖尿病药物:2型糖尿病个性化治疗的前景

DOI:
10.3389/fcimb.2022.853771
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发表时间:
2022
影响因子:
5.7
通讯作者:
--
中科院分区:
医学2区
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--
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据报道,2 型糖尿病 (T2DM) 患者肠道微生物群的组成和功能发生了变化。最新研究表明,处方抗糖尿病药物会扭曲与 T2DM 相关的肠道微生物群特征。更重要的是,积累的证据支持了肠道微生物群反过来调节抗糖尿病药物的功效和安全性的观点。在这篇综述中,我们重点介绍了肠道微生物群与抗糖尿病药物(包括二甲双胍、α-葡萄糖苷酶抑制剂、胰高血糖素样肽-1受体激动剂、二肽基肽酶-4抑制剂、钠-葡萄糖协同转运蛋白2抑制剂、中药和其他抗糖尿病药物)之间的串扰和相互作用的最新知识,并提出了相应的基于微生物的治疗方法,旨在提供T2DM 的新颖预防策略和个性化治疗目标。
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, α-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.
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