2型糖尿病肠道菌群研究进展

2型糖尿病是一种常见的慢性消耗性疾病,其发病机制十分复杂,流行病学研究表明,肥胖、高热量饮食、体力活动不足及年龄增大是2型糖尿病最主要的环境因素。它是一种以胰岛素抵抗和胰岛素分泌不足为特征的代谢性疾病。肠道菌群作为进入人体的一个重要环境因素,肠道微生物的菌群变化影响宿主能量物质的吸收,调节肠道的分泌功能和非特异性免疫功能,从营养、代谢、疾病等各方面与我们生命活动相关。肠道菌群已成为我们身体的一部分,影响宿主的免疫,在肥胖、糖尿病、代谢综合征等疾病中都具有非常重要的作用。     

益生菌的应用现状和发展前景

益生菌是一类严格选择的，如果给予足够的量，能够为宿主带来健康益处的活性微生物。常见的具有益生功能的微生物，包括传统益生菌乳酸菌(lactic acid bacteria)和酵母菌(Saccharomyces)等，以及下一代益生菌普拉梭菌(Faecalibacterium prausnitzii)、脆弱拟杆菌(Bacteroides fragilis)、嗜黏蛋白阿克曼菌(Akkermansia muciniphila)和普雷沃氏菌(Prevotella copri)等。益生菌与人体健康之间存在密切的关系，这些微生物可通过肠道刺激胃肠道反应或直接作用于口腔、阴道、皮肤等其他部位以调节宿主健康。因此，它们在食品、种植业、畜牧业以及医疗领域中得到广泛应用，成为改善宿主健康的有力工具。本文对乳酸菌等传统益生菌以及嗜黏蛋白阿克曼菌等下一代益生菌的功能的开发与应用进行了综述，总结了这几种益生菌在食品生产、疾病治疗以及农业生产等方面的应用潜力，展望了益生菌资源研究与应用的发展趋势，以期为研究新老益生菌功能的开发与应用提供参考。     

肠道微生物及其代谢产物与宿主脂质代谢研究进展

近年来,肠道微生物与宿主脂质代谢研究受到国内外的广泛关注.首先,肠道微生物多样性和组成在脂肪代谢紊乱动物模型、肥胖患者中均发生显著改变,而利用粪菌移植、益生菌以及营养干预重塑肠道菌群结构可以调控宿主脂质代谢.本文重点介绍了肠道微生物与宿主脂代谢的联系,并从短链脂肪酸、胆汁酸、氨基酸、内毒素和微生物节律等方面探讨了肠道微...     

嗜黏蛋白阿克曼菌在疾病中的保护性作用及机制研究进展

嗜黏蛋白阿克曼菌(Akkermansia muciniphila,Akk)是人类肠道正常存在的常见共生菌,丰度约占肠菌的1%-3%。Akk是极少数已知在肠道平衡态下仍能引发T细胞依赖性免疫作用的肠菌,提示该菌可能参与正常肠道免疫耐受过程。疾病和模型动物研究表明,Akk在改善宿主代谢功能和免疫应答方面具有重要作用,近期引起广泛关注。目前相关研究大多集中在Akk与疾病的相关性上,尚无系统阐述其作用机制的研究。本文对Akk与人体几大重要系统疾病和免疫之间的关联及其作用机制进行论述,以期为Akk的有效利用提供证据和思路。     

肠道微生物及益生菌治疗对2型糖尿病的影响

2型糖尿病(type 2 diabetes mellitus,T2DM)是严重影响人类身体健康和生活质量的慢性疾病。研究发现其与肠道微生物的组成密切相关。随着目前肠道微生物的作用受到广泛关注,我们对2型糖尿病患者肠道菌群的变化有了更深入了解,许多功能强大的有益菌如阿克曼氏菌、柔嫩梭菌被发现,并发现由多种厌氧菌产生的不同短链脂肪酸对2型糖尿病患者的有益影响。补充有益菌和摄入益生菌制剂等通过调节肠道微生物群可能对预防和治疗2型糖尿病有效,但由于肠道微生物的复杂性和益生菌的局限性,需要进一步研究来评估益生菌的最佳剂量反应效应,并应用多组学方法提高基于微生物干预的个性化治疗,缓解和治疗2型糖尿病等代谢疾病。     

肠道微生态在营养与健康领域的研究进展

人体肠道拥有庞大而复杂的共生微生态,其群落的稳定状态影响机体的能量吸收、物质代谢及免疫调节等功能。肠道微生态的失衡与肥胖、抑郁症、糖尿病及相关代谢疾病的发生发展存在因果关系,但具体作用机制仍不明晰。肠道微生态与宿主之间存在完整的代谢系统并不断进行丰富的代谢交换,共同应对环境变化因素并影响宿主健康。饮食调控可干预宿主微生态的组成与数量,改善人体代谢。本文分别从膳食纤维、益生菌、粪菌移植、后生素等方面对肠道菌群进行个体化、精准、靶向的干预肠道微生物领域的相关研究,对多组学联合应用于微生物领域的组成和变化规律进行深层揭示。未来的研究热点应聚焦肠道干预方式的远期影响和安全性,控制并消除过程中的可能变异,制定精准高效的干预路径,为慢病防控与健康促进提供医学证据。     

Faecalibacterium prausnitzii与人类疾病关系的研究进展

Faecalibacterium prausnitzii(F.prausnitzii)是定植于哺乳动物胃肠道中的共生菌,同时也是健康成人肠道菌群中最丰富的细菌之一。本研究主要对F.prausnitzii与人体代谢性疾病如肥胖、糖尿病及宿主的消化道疾病如炎症性疾病、结肠癌等疾病的相关研究现状进行综述,着重讨论了F.prausnitzii作为潜在益生菌在肠道疾病中的重要作用,进而通过使用益生菌或者改变肠道内F.prausnitzii的数量达到预防或治疗肥胖、糖尿病及肠道疾病的目的。     

人体肠道微生物多样性和功能研究进展

人体肠道中庞大而复杂的微生物群落对人体自身代谢表型有深远的影响.肠道微生物群落在亚种或菌株水平上表现出极大的多样性.利用微生物分子生态学、元基因组学和代谢组学研究方法,发现肠道微生物与宿主表现出共进化的特点,肠道微生物群落及其基因组为宿主提供了互补的遗传和代谢功能,表现出互惠共生关系.但是,肠道微生物群落中影响宿主代谢表型的关键功能菌鉴定及其作用模式问题仍然悬而未决,综合运用多种高通量研究方法和多维数据分析方法可能成为解决这个问题的突破口.     

肠道菌群在代谢手术改善肥胖代谢性疾病中的研究进展

肥胖不仅是体内脂肪细胞的增加,而且是机体代谢状态的异常改变,导致肥胖患者出现2型糖尿病、非酒精性脂肪性肝病、心血管疾病和多囊卵巢综合征等代谢紊乱性疾病。代谢手术在减重的同时,能够治疗和缓解由肥胖导致的相关疾病。对代谢手术改善肥胖及其合并症的机制研究发现,肠道微生物在术后显著改变,这促使肠道菌群及其代谢产物（短链脂肪酸和胆汁酸）等成为代谢手术改善代谢效应机制研究的热点。随着粪菌移植和口服益生菌治疗肥胖及其合并症的报道,进一步验证了肠道菌群在改善肥胖及其相关并发症中发挥有益作用。本综述将总结肠道菌群在代谢手术领域中的最新研究进展。     

果蝇肠道共生菌对宿主作用的研究进展

肠道共生菌是动物体内的重要组成部分,在宿主的生长发育和健康等方面发挥着重要作用,近年来已成为国内外的研究热点.果蝇作为研究肠道微生物菌群功能的优秀模型,在肠道共生菌与宿主关系研究方面已取得许多重要进展.在本文中,我们首先对果蝇肠道微生物的组成和特征作了总结,然后对果蝇肠道共生菌在其生长发育、营养与代谢、行为反应、寿命以...     

下一代益生菌Akk菌的研究进展

Akk菌(Akkermansia muciniphila)是具有巨大发展潜力的下一代益生菌,被广泛认为是改善炎症性肠病、肠易激综合征、糖尿病、肥胖症和渐冻症等疾病的一种新的潜在候选菌。近年来,随着人们对肠道共生菌重视程度的加深和各种组学技术的发展,Akk菌迅速成为益生菌研究领域的热点。然而,目前国内外有关Akk菌最新研究进展的归纳总结仍较少。因此,本文对近十年国内外有关Akk菌取得的最新研究进展进行综述,从Akk菌对宿主健康的调控作用,Akk菌的分离、鉴定和培养,以及Akk菌研究面临的挑战、机遇和前景等几方面进行阐述,以期为国内外同行对Akk菌的进一步深入研究和开发提供参考。     

Akkermansia muciniphila alleviates high-fat-diet-related metabolic-associated fatty liver disease by modulating gut microbiota and bile acids

It has been reported that Akkermansia muciniphila improves host metabolism and reduces inflammation; however, its potential effects on bile acid metabolism and metabolic patterns in metabolic-associated fatty liver disease (MAFLD) are unknown. In this study, we have analysed C57BL/6 mice under three feeding conditions: (i) a low-fat diet group (LP), (ii) a high-fat diet group (HP) and (iii) a high-fat diet group supplemented with A. muciniphila (HA). The results found that A. muciniphila administration relieved weight gain, hepatic steatosis and liver injury induced by the high-fat diet. A. muciniphila altered the gut microbiota with a decrease in Alistipes, Lactobacilli, Tyzzerella, Butyricimonas and Blautia, and an enrichment of Ruminiclostridium, Osclibacter, Allobaculum, Anaeroplasma and Rikenella. The gut microbiota changes correlated significantly with bile acids. Meanwhile, A. muciniphila also improved glucose tolerance, gut barriers and adipokines dysbiosis. Akkermansia muciniphila regulated the intestinal FXR-FGF15 axis and reshaped the construction of bile acids, with reduced secondary bile acids in the caecum and liver, including DCA and LCA. These findings provide new insights into the relationships between probiotics, microflora and metabolic disorders, highlighting the potential role of A. muciniphila in the management of MAFLD.     

A review of a potential and promising probiotic candidate—Akkermansia muciniphila

Akkermansia muciniphila, a common colonizer in the intestinal mucus layer of humans, has gradually been considered as promising candidate for the next-generation probiotic, given its physiological benefits from animal and human studies. This article comprehensively reviewed A. muciniphila from the published peer-reviewed articles in the aspects of its role in the host physiology and commonly consumed food that can boost its abundance, which should provide useful and fundamental information for scientists and engineers and even ordinary consumers. Akkermansia muciniphila is not only a crucial biomarker that indicates the physiology of human beings but also has huge potential to become a probiotic given its physiological benefits in various clinical scenarios. Current barriers in terms of regulations, necessity for large-scale clinical experiments and production feasibility need to be resolved before A. muciniphila can be widely applied as the next-generation probiotic.     

Nutrient-specific proteomic analysis of the mucin degrading bacterium Akkermansia muciniphila

Akkermansia muciniphila is a prominent mucin-degrading bacterium that acts as a keystone species in regulating the human gut microbiota. Despite recently increasing research into this bacterium and its relevance to human health, a high-resolution database of its functional proteins remains scarce. Here, we provide a proteomic overview of A. muciniphila grown in different nutrient conditions ranging from defined to complex. Of 2318 protein-coding genes in the genome, we identified 841 (40%) that were expressed at the protein level. Overall, proteins involved in energy production and carbohydrate metabolism indicate that A. muciniphila relies mainly on the Embden-Meyerhof-Parnas pathway, and produces short-chain fatty acids through anaerobic fermentation in a nutrient-specific manner. Moreover, this bacterium possesses a broad repertoire of glycosyl hydrolases, together with putative peptidases and sulfatases, to cleave O-glycosylated mucin. Of them, putative mucin-degrading enzymes (Amuc_1220, Amuc_1120, Amuc_0052, Amuc_0480, and Amuc_0060) are highly abundant in the mucin-supplemented media. Furthermore, A. muciniphila uses mucin-derived monosaccharides as sources of energy and cell wall biogenesis. Our dataset provides nutrient-dependent global proteomes of A. muciniphila ATCC BAA-835 to offer insights into its metabolic functions that shape the composition of the human gut microbiota via mucin degradation.     

Effect of Metformin on Metabolic Improvement and Gut Microbiota

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.     

Extracellular Vesicles Derived from Gut Microbiota,Especially Akkermansia muciniphila,Protect the Progression of Dextran Sulfate Sodium-Induced Colitis

Gut microbiota play an important part in the pathogenesis of mucosal inflammation, such as inflammatory bowel disease (IBD). However, owing to the complexity of the gut microbiota, our understanding of the roles of commensal and pathogenic bacteria in the maintenance of immune homeostasis in the gut is evolving only slowly. Here, we evaluated the role of gut microbiota and their secreting extracellular vesicles (EV) in the development of mucosal inflammation in the gut. Experimental IBD model was established by oral application of dextran sulfate sodium (DSS) to C57BL/6 mice. The composition of gut microbiota and bacteria-derived EV in stools was evaluated by metagenome sequencing using bacterial common primer of 16S rDNA. Metagenomics in the IBD mouse model showed that the change in stool EV composition was more drastic, compared to the change of bacterial composition. Oral DSS application decreased the composition of EV from Akkermansia muciniphila and Bacteroides acidifaciens in stools, whereas increased EV from TM7 phylum, especially from species DQ777900_s and AJ400239_s. In vitro pretreatment of A. muciniphila-derived EV ameliorated the production of a pro-inflammatory cytokine IL-6 from colon epithelial cells induced by Escherichia coli EV. Additionally, oral application of A. muciniphila EV also protected DSS-induced IBD phenotypes, such as body weight loss, colon length, and inflammatory cell infiltration of colon wall. Our data provides insight into the role of gut microbiota-derived EV in regulation of intestinal immunity and homeostasis, and A. muciniphila-derived EV have protective effects in the development of DSS-induced colitis.     

黏蛋白阿克曼菌辅助治疗恶性肿瘤的研究进展

恶性肿瘤是威胁人类健康的全球重大公共卫生问题,多种方法联合,特别是以靶向治疗联合免疫治疗为主的治疗手段,在一定程度延缓了恶性肿瘤的发展,提高了患者的近期生存率,但这些治疗方法并不能覆盖所有患者,远期疗效仍然有限。因此,如何提高患者的生存质量和远期生存率,降低死亡率,成为当前亟待解决的关键问题。近年来越来越多的研究显示肠道微生物的分布与恶性肿瘤的发生、发展密切相关,或可成为治疗恶性肿瘤的新辅助方法,特别是嗜黏蛋白阿克曼菌（Akkermansia muciniphila）的报道较多,然而,关于该菌在恶性肿瘤辅助治疗中安全性和有效性的文献报道尚不多见。因此,本文旨在通过收集近年来嗜黏蛋白阿克曼菌在恶性肿瘤方面的文献,将其研究成果和应用结果进行归纳、分析,以期为临床综合治疗提供一定的药物选择。     

不同配方益生菌在高脂饮食诱导小鼠肥胖发生中的差异化作用

【目的】基于肠道微生物与宿主代谢的相互关系,研究不同配方的益生菌对小鼠肥胖的影响。【方法】50只C57BL/6J雄性小鼠随机平均分成10组,分别给予正常饲料、高脂饲料以及高脂饲料加8种不同配方的益生菌产品(50亿CFU/只),所有动物连续喂养9周,每周测量小鼠体重1次。最后一周测定空腹血糖、葡萄糖耐量试验(glucose tolerance test,GTT)、血脂相关指标,称取内脏重量,并留取小鼠盲肠内容物,提取小鼠肠道菌群总DNA,利用16S rDNA测序检测相关细菌含量。【结果】部分益生菌可引起小鼠体重增速加快,而部分益生菌可减缓小鼠肥胖和降低内脏脂肪重量,同时缓解高血脂症。丹尼斯克品牌益生菌配方组小鼠肠道中厚壁菌/拟杆菌比例(F/B)是正常饮食组的22.8倍,Akkermansia muciniphila(Akkermansia)细菌含量几乎为0;而菌拉丁品牌益生菌配方组小鼠F/B比例与正常饲料饮食组类似,Akkermansia含量为0.5%,为正常饮食对照组小鼠的一半左右。【结论】益生菌可影响小鼠体重和代谢,但不同配方的益生菌效果截然相反。特定的益生菌配方对肥胖和高血脂的改善可能是由于其选用的菌株本身的特性以及菌株之间的相互配比能够降低小鼠肠道中F/B比例以及升高Akkermansia的含量所带来的。此研究为进一步开发可改善代谢的益生菌产品提供了参考。