The Modulation of Gut Microbiota Composition in the Pathophysiology of Gestational Diabetes Mellitus: A Systematic Review
General gut microbial dysbiosis in diabetes mellitus, including gestational diabetes mellitus (GDM), has been reported in a large body of literature. However, evidence investigating the association between specific taxonomic classes and GDM is lacking. Thus, we performed a systematic review of peer-...
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MDPI AG
2021-10-01
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| Online Access: | https://www.mdpi.com/2079-7737/10/10/1027 |
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| author | Thubasni Kunasegaran Vinod R. M. T. Balasubramaniam Valliammai Jayanthi T. Arasoo Uma Devi Palanisamy Amutha Ramadas |
| author_facet | Thubasni Kunasegaran Vinod R. M. T. Balasubramaniam Valliammai Jayanthi T. Arasoo Uma Devi Palanisamy Amutha Ramadas |
| author_sort | Thubasni Kunasegaran |
| collection | DOAJ |
| description | General gut microbial dysbiosis in diabetes mellitus, including gestational diabetes mellitus (GDM), has been reported in a large body of literature. However, evidence investigating the association between specific taxonomic classes and GDM is lacking. Thus, we performed a systematic review of peer-reviewed observational studies and trials conducted among women with GDM within the last ten years using standard methodology. The National Institutes of Health (NIH) quality assessment tools were used to assess the quality of the included studies. Fourteen studies investigating microbial interactions with GDM were found to be relevant and included in this review. The synthesis of literature findings demonstrates that Bacteroidetes, Proteobacteria, Firmicutes, and Actinobacteria phyla, such as <i>Desulfovibrio</i>, Ruminococcaceae, <i>P. distasonis,</i> Enterobacteriaceae, <i>Collinsella</i>, and <i>Prevotella,</i> were positively associated with GDM. In contrast, <i>Bifidobacterium</i> and <i>Faecalibacterium</i>, which produce butyrate, are negatively associated with GDM. These bacteria were associated with inflammation, adiposity, and glucose intolerance in women with GDM. Lack of good diet management demonstrated the alteration of gut microbiota and its impact on GDM glucose homeostasis. The majority of the studies were of good quality. Therefore, there is great potential to incorporate personalized medicine targeting microbiome modulation through dietary intervention in the management of GDM. |
| first_indexed | 2024-03-10T06:43:21Z |
| format | Article |
| id | doaj.art-50b22f74b6644565ab943aa3c41debb5 |
| institution | Directory Open Access Journal |
| issn | 2079-7737 |
| language | English |
| last_indexed | 2024-03-10T06:43:21Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biology |
| spelling | doaj.art-50b22f74b6644565ab943aa3c41debb52023-11-22T17:28:40ZengMDPI AGBiology2079-77372021-10-011010102710.3390/biology10101027The Modulation of Gut Microbiota Composition in the Pathophysiology of Gestational Diabetes Mellitus: A Systematic ReviewThubasni Kunasegaran0Vinod R. M. T. Balasubramaniam1Valliammai Jayanthi T. Arasoo2Uma Devi Palanisamy3Amutha Ramadas4Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 47500, MalaysiaJeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 47500, MalaysiaJeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 47500, MalaysiaJeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 47500, MalaysiaJeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 47500, MalaysiaGeneral gut microbial dysbiosis in diabetes mellitus, including gestational diabetes mellitus (GDM), has been reported in a large body of literature. However, evidence investigating the association between specific taxonomic classes and GDM is lacking. Thus, we performed a systematic review of peer-reviewed observational studies and trials conducted among women with GDM within the last ten years using standard methodology. The National Institutes of Health (NIH) quality assessment tools were used to assess the quality of the included studies. Fourteen studies investigating microbial interactions with GDM were found to be relevant and included in this review. The synthesis of literature findings demonstrates that Bacteroidetes, Proteobacteria, Firmicutes, and Actinobacteria phyla, such as <i>Desulfovibrio</i>, Ruminococcaceae, <i>P. distasonis,</i> Enterobacteriaceae, <i>Collinsella</i>, and <i>Prevotella,</i> were positively associated with GDM. In contrast, <i>Bifidobacterium</i> and <i>Faecalibacterium</i>, which produce butyrate, are negatively associated with GDM. These bacteria were associated with inflammation, adiposity, and glucose intolerance in women with GDM. Lack of good diet management demonstrated the alteration of gut microbiota and its impact on GDM glucose homeostasis. The majority of the studies were of good quality. Therefore, there is great potential to incorporate personalized medicine targeting microbiome modulation through dietary intervention in the management of GDM.https://www.mdpi.com/2079-7737/10/10/1027microbiome16S rRNAmetagenomicsgestational diabetes mellitus |
| spellingShingle | Thubasni Kunasegaran Vinod R. M. T. Balasubramaniam Valliammai Jayanthi T. Arasoo Uma Devi Palanisamy Amutha Ramadas The Modulation of Gut Microbiota Composition in the Pathophysiology of Gestational Diabetes Mellitus: A Systematic Review Biology microbiome 16S rRNA metagenomics gestational diabetes mellitus |
| title | The Modulation of Gut Microbiota Composition in the Pathophysiology of Gestational Diabetes Mellitus: A Systematic Review |
| title_full | The Modulation of Gut Microbiota Composition in the Pathophysiology of Gestational Diabetes Mellitus: A Systematic Review |
| title_fullStr | The Modulation of Gut Microbiota Composition in the Pathophysiology of Gestational Diabetes Mellitus: A Systematic Review |
| title_full_unstemmed | The Modulation of Gut Microbiota Composition in the Pathophysiology of Gestational Diabetes Mellitus: A Systematic Review |
| title_short | The Modulation of Gut Microbiota Composition in the Pathophysiology of Gestational Diabetes Mellitus: A Systematic Review |
| title_sort | modulation of gut microbiota composition in the pathophysiology of gestational diabetes mellitus a systematic review |
| topic | microbiome 16S rRNA metagenomics gestational diabetes mellitus |
| url | https://www.mdpi.com/2079-7737/10/10/1027 |
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