Effect of Probiotic <i>Lactobacillus plantarum</i> Dad-13 on Metabolic Profiles and Gut Microbiota in Type 2 Diabetic Women: A Randomized Double-Blind Controlled Trial
Several pathways link type 2 diabetes (T2D) mellitus to the gut microbiome. By modifying the gut microbiota (GM), probiotics may be useful in the treatment of T2D. <i>Lactobacillus plantarum</i> Dad-13 is an indigenous Indonesian probiotic strain that has colonized the digestive tracts o...
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MDPI AG
2022-09-01
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author | Ninik Rustanti Agnes Murdiati Mohammad Juffrie Endang Sutriswati Rahayu |
author_facet | Ninik Rustanti Agnes Murdiati Mohammad Juffrie Endang Sutriswati Rahayu |
author_sort | Ninik Rustanti |
collection | DOAJ |
description | Several pathways link type 2 diabetes (T2D) mellitus to the gut microbiome. By modifying the gut microbiota (GM), probiotics may be useful in the treatment of T2D. <i>Lactobacillus plantarum</i> Dad-13 is an indigenous Indonesian probiotic strain that has colonized the digestive tracts of healthy Indonesian adults. Furthermore, the GM of Indonesians is dominated by <i>L. plantarum</i>. The probiotic <i>L. plantarum</i> Dad-13 is likely suitable for Indonesians. This study aimed to assess the effect of the probiotic <i>L. plantarum</i> Dad-13 on metabolic profiles and GM of women with T2D in Yogyakarta, Indonesia. Twenty women from each group of forty T2D patients received either a probiotic or a placebo. The probiotic group consumed 1 g skim milk powder containing 10<sup>10</sup> CFU/g <i>L. plantarum</i> daily for 11 weeks. The placebo group received 1 g skim milk powder only daily for 11 weeks. At the start and end of the experiment, anthropometric measures, dietary intake surveys, blood samples, and fecal samples were obtained. The GM analysis of all samples was performed using polymerase chain reaction, and Illumina Novaseq was applied to the selected samples from each group at the beginning and end of the trial. Short-chain fatty acids (SCFAs) were analyzed with gas chromatography. The level of HbA1c in the probiotic group (n:10) significantly decreased from 9.34 ± 2.79% to 8.32 ± 2.04%. However, in comparison with the placebo (n:8), <i>L. plantarum</i> Dad-13 supplementation did not significantly decrease the HbA1c level. No significant change was observed in the fasting blood sugar and total cholesterol levels in either group. The GM analysis showed that <i>L. plantarum</i> Dad-13 supplementation resulted in a considerable increase in the <i>L. plantarum</i> number. No significant changes were observed in the <i>Bifidobacterium</i> and <i>Prevotella</i> populations. In addition, no significant change was observed in the fecal pH and SCFA (e.g., acetic acid, propionate, butyrate, and total SCFA) after supplementation with <i>L. plantarum</i> Dad-13. |
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spelling | doaj.art-8c4ab0449d104bae9402e2c3b4f582cb2023-11-23T17:53:33ZengMDPI AGMicroorganisms2076-26072022-09-01109180610.3390/microorganisms10091806Effect of Probiotic <i>Lactobacillus plantarum</i> Dad-13 on Metabolic Profiles and Gut Microbiota in Type 2 Diabetic Women: A Randomized Double-Blind Controlled TrialNinik Rustanti0Agnes Murdiati1Mohammad Juffrie2Endang Sutriswati Rahayu3Department of Food and Agricultural Product Technology, Faculty of Agricultural Technology, Universitas Gadjah Mada, Jl. Flora No 1 Bulaksumur, Yogyakarta 55281, IndonesiaDepartment of Food and Agricultural Product Technology, Faculty of Agricultural Technology, Universitas Gadjah Mada, Jl. Flora No 1 Bulaksumur, Yogyakarta 55281, IndonesiaFaculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Jl. Farmako Sekip Utara, Yogyakarta 55281, IndonesiaDepartment of Food and Agricultural Product Technology, Faculty of Agricultural Technology, Universitas Gadjah Mada, Jl. Flora No 1 Bulaksumur, Yogyakarta 55281, IndonesiaSeveral pathways link type 2 diabetes (T2D) mellitus to the gut microbiome. By modifying the gut microbiota (GM), probiotics may be useful in the treatment of T2D. <i>Lactobacillus plantarum</i> Dad-13 is an indigenous Indonesian probiotic strain that has colonized the digestive tracts of healthy Indonesian adults. Furthermore, the GM of Indonesians is dominated by <i>L. plantarum</i>. The probiotic <i>L. plantarum</i> Dad-13 is likely suitable for Indonesians. This study aimed to assess the effect of the probiotic <i>L. plantarum</i> Dad-13 on metabolic profiles and GM of women with T2D in Yogyakarta, Indonesia. Twenty women from each group of forty T2D patients received either a probiotic or a placebo. The probiotic group consumed 1 g skim milk powder containing 10<sup>10</sup> CFU/g <i>L. plantarum</i> daily for 11 weeks. The placebo group received 1 g skim milk powder only daily for 11 weeks. At the start and end of the experiment, anthropometric measures, dietary intake surveys, blood samples, and fecal samples were obtained. The GM analysis of all samples was performed using polymerase chain reaction, and Illumina Novaseq was applied to the selected samples from each group at the beginning and end of the trial. Short-chain fatty acids (SCFAs) were analyzed with gas chromatography. The level of HbA1c in the probiotic group (n:10) significantly decreased from 9.34 ± 2.79% to 8.32 ± 2.04%. However, in comparison with the placebo (n:8), <i>L. plantarum</i> Dad-13 supplementation did not significantly decrease the HbA1c level. No significant change was observed in the fasting blood sugar and total cholesterol levels in either group. The GM analysis showed that <i>L. plantarum</i> Dad-13 supplementation resulted in a considerable increase in the <i>L. plantarum</i> number. No significant changes were observed in the <i>Bifidobacterium</i> and <i>Prevotella</i> populations. In addition, no significant change was observed in the fecal pH and SCFA (e.g., acetic acid, propionate, butyrate, and total SCFA) after supplementation with <i>L. plantarum</i> Dad-13.https://www.mdpi.com/2076-2607/10/9/1806probioticanthropometricSCFApH fecalHbA1c |
spellingShingle | Ninik Rustanti Agnes Murdiati Mohammad Juffrie Endang Sutriswati Rahayu Effect of Probiotic <i>Lactobacillus plantarum</i> Dad-13 on Metabolic Profiles and Gut Microbiota in Type 2 Diabetic Women: A Randomized Double-Blind Controlled Trial Microorganisms probiotic anthropometric SCFA pH fecal HbA1c |
title | Effect of Probiotic <i>Lactobacillus plantarum</i> Dad-13 on Metabolic Profiles and Gut Microbiota in Type 2 Diabetic Women: A Randomized Double-Blind Controlled Trial |
title_full | Effect of Probiotic <i>Lactobacillus plantarum</i> Dad-13 on Metabolic Profiles and Gut Microbiota in Type 2 Diabetic Women: A Randomized Double-Blind Controlled Trial |
title_fullStr | Effect of Probiotic <i>Lactobacillus plantarum</i> Dad-13 on Metabolic Profiles and Gut Microbiota in Type 2 Diabetic Women: A Randomized Double-Blind Controlled Trial |
title_full_unstemmed | Effect of Probiotic <i>Lactobacillus plantarum</i> Dad-13 on Metabolic Profiles and Gut Microbiota in Type 2 Diabetic Women: A Randomized Double-Blind Controlled Trial |
title_short | Effect of Probiotic <i>Lactobacillus plantarum</i> Dad-13 on Metabolic Profiles and Gut Microbiota in Type 2 Diabetic Women: A Randomized Double-Blind Controlled Trial |
title_sort | effect of probiotic i lactobacillus plantarum i dad 13 on metabolic profiles and gut microbiota in type 2 diabetic women a randomized double blind controlled trial |
topic | probiotic anthropometric SCFA pH fecal HbA1c |
url | https://www.mdpi.com/2076-2607/10/9/1806 |
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