Gut microbiota-derived metabolites as central regulators in metabolic disorders

Gut - Tập 70 Số 6 - Trang 1174-1182 - 2021
Allison Agus1,2,3, Karine Clément1,4,2,5, Harry Sokol1,6,2,7
1AP-HP
2Paris Center for Microbiome Medicine (PaCeMM) FHU
3University Paris-Saclay, INRAE, AgroParisTech, Micalis Institute
4Nutrition and Obesity: systemic approach (NutriOmics) research unit, Assistance Publique Hôpitaux de Paris, Pitié-Salpêtrière Hospital
5Sorbonne Universités, INSERM
6Centre de Recherche Saint-Antoine, CRSA, AP-HP, Saint Antoine Hospital, Gastroenterology department
7Sorbonne Universite, INSERM

Tóm tắt

Metabolic disorders represent a growing worldwide health challenge due to their dramatically increasing prevalence. The gut microbiota is a crucial actor that can interact with the host by the production of a diverse reservoir of metabolites, from exogenous dietary substrates or endogenous host compounds. Metabolic disorders are associated with alterations in the composition and function of the gut microbiota. Specific classes of microbiota-derived metabolites, notably bile acids, short-chain fatty acids, branched-chain amino acids, trimethylamine N-oxide, tryptophan and indole derivatives, have been implicated in the pathogenesis of metabolic disorders. This review aims to define the key classes of microbiota-derived metabolites that are altered in metabolic diseases and their role in pathogenesis. They represent potential biomarkers for early diagnosis and prognosis as well as promising targets for the development of novel therapeutic tools for metabolic disorders.

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