Prebiotics Progress Shifts in the Intestinal Microbiome That Benefits Patients with Type 2 Diabetes Mellitus

Hypoglycemic medications that could be co-administered with prebiotics and functional foods can potentially reduce the burden of metabolic diseases such as Type 2 Diabetes Mellitus (T2DM). The efficacy of drugs such as metformin and sulfonylureas can be enhanced by the activity of the intestinal mic...

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Main Authors: Luis Vitetta, Nick N. Gorgani, Gemma Vitetta, Jeremy D. Henson
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/13/9/1307
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author Luis Vitetta
Nick N. Gorgani
Gemma Vitetta
Jeremy D. Henson
author_facet Luis Vitetta
Nick N. Gorgani
Gemma Vitetta
Jeremy D. Henson
author_sort Luis Vitetta
collection DOAJ
description Hypoglycemic medications that could be co-administered with prebiotics and functional foods can potentially reduce the burden of metabolic diseases such as Type 2 Diabetes Mellitus (T2DM). The efficacy of drugs such as metformin and sulfonylureas can be enhanced by the activity of the intestinal microbiome elaborated metabolites. Functional foods such as prebiotics (e.g., oligofructose) and dietary fibers can treat a dysbiotic gut microbiome by enhancing the diversity of microbial niches in the gut. These beneficial shifts in intestinal microbiome profiles include an increased abundance of bacteria such as <i>Faecalibacterium prauznitzii</i>, <i>Akkermancia muciniphila</i>, <i>Roseburia species</i>, and <i>Bifidobacterium</i> species. An important net effect is an increase in the levels of luminal SCFAs (e.g., butyrate) that provide energy carbon sources for the intestinal microbiome in cross-feeding activities, with concomitant improvement in intestinal dysbiosis with attenuation of inflammatory sequalae and improved intestinal gut barrier integrity, which alleviates the morbidity of T2DM. Oligosaccharides administered adjunctively with pharmacotherapy to ameliorate T2DM represent current plausible treatment modalities.
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spelling doaj.art-cb7b7800caf54d49b1a458747d09715b2023-11-19T09:45:08ZengMDPI AGBiomolecules2218-273X2023-08-01139130710.3390/biom13091307Prebiotics Progress Shifts in the Intestinal Microbiome That Benefits Patients with Type 2 Diabetes MellitusLuis Vitetta0Nick N. Gorgani1Gemma Vitetta2Jeremy D. Henson3Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, AustraliaOzStar Therapeutics Pty Ltd., Pennant Hills, NSW 2120, AustraliaGold Coast University Hospital, Southport, QLD 4215, AustraliaPrince of Wales Clinical School, University of New South Wales, Sydney, NSW 2052, AustraliaHypoglycemic medications that could be co-administered with prebiotics and functional foods can potentially reduce the burden of metabolic diseases such as Type 2 Diabetes Mellitus (T2DM). The efficacy of drugs such as metformin and sulfonylureas can be enhanced by the activity of the intestinal microbiome elaborated metabolites. Functional foods such as prebiotics (e.g., oligofructose) and dietary fibers can treat a dysbiotic gut microbiome by enhancing the diversity of microbial niches in the gut. These beneficial shifts in intestinal microbiome profiles include an increased abundance of bacteria such as <i>Faecalibacterium prauznitzii</i>, <i>Akkermancia muciniphila</i>, <i>Roseburia species</i>, and <i>Bifidobacterium</i> species. An important net effect is an increase in the levels of luminal SCFAs (e.g., butyrate) that provide energy carbon sources for the intestinal microbiome in cross-feeding activities, with concomitant improvement in intestinal dysbiosis with attenuation of inflammatory sequalae and improved intestinal gut barrier integrity, which alleviates the morbidity of T2DM. Oligosaccharides administered adjunctively with pharmacotherapy to ameliorate T2DM represent current plausible treatment modalities.https://www.mdpi.com/2218-273X/13/9/1307prebioticsintestinal microbiomeshort chain fatty acidsbutyratefunctional foodsType 2 Diabetes Mellitus
spellingShingle Luis Vitetta
Nick N. Gorgani
Gemma Vitetta
Jeremy D. Henson
Prebiotics Progress Shifts in the Intestinal Microbiome That Benefits Patients with Type 2 Diabetes Mellitus
Biomolecules
prebiotics
intestinal microbiome
short chain fatty acids
butyrate
functional foods
Type 2 Diabetes Mellitus
title Prebiotics Progress Shifts in the Intestinal Microbiome That Benefits Patients with Type 2 Diabetes Mellitus
title_full Prebiotics Progress Shifts in the Intestinal Microbiome That Benefits Patients with Type 2 Diabetes Mellitus
title_fullStr Prebiotics Progress Shifts in the Intestinal Microbiome That Benefits Patients with Type 2 Diabetes Mellitus
title_full_unstemmed Prebiotics Progress Shifts in the Intestinal Microbiome That Benefits Patients with Type 2 Diabetes Mellitus
title_short Prebiotics Progress Shifts in the Intestinal Microbiome That Benefits Patients with Type 2 Diabetes Mellitus
title_sort prebiotics progress shifts in the intestinal microbiome that benefits patients with type 2 diabetes mellitus
topic prebiotics
intestinal microbiome
short chain fatty acids
butyrate
functional foods
Type 2 Diabetes Mellitus
url https://www.mdpi.com/2218-273X/13/9/1307
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AT gemmavitetta prebioticsprogressshiftsintheintestinalmicrobiomethatbenefitspatientswithtype2diabetesmellitus
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