Gut microbiome signatures distinguish type 2 diabetes mellitus from non-alcoholic fatty liver disease
Autor: | GwangPyo Ko, Won Kim, Seoyeon Park, Bon Jeong Ku, Sae Kyung Joo, Hyun Ju You, Jiyeon Si, Giljae Lee, Dong Hyeon Lee |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
endocrine system diseases
BMI body mass index Disease Gut flora Biochemistry Gastroenterology Structural Biology LDL low-density lipoprotein Enterotype biology NASH-CRN non-alcoholic steatohepatitis clinical research network Fatty liver Computer Science Applications Cohort LPS lipopolysaccharide Research Article PICRUSt2 phylogenetic investigation of communities by reconstruction of unobserved states 2 Biotechnology NAFLD non-alcoholic fatty liver disease medicine.medical_specialty FDR false discovery rate NASH non-alcoholic steatohepatitis Biophysics HbA1c glycosylated hemoglobin digestive system MaAsLin2 microbiome multivariable association with linear models 2 Non-alcoholic fatty liver disease (NAFLD) ALT alanine aminotransferase Diabetes mellitus Internal medicine T2D type 2 diabetes mellitus Type 2 diabetes mellitus Genetics medicine NAFL non-alcoholic fatty liver Microbiome FBS fasting blood sugar ComputingMethodologies_COMPUTERGRAPHICS Gut microbiome business.industry Type 2 Diabetes Mellitus nutritional and metabolic diseases Biomarker medicine.disease biology.organism_classification digestive system diseases business FLI fatty liver index TP248.13-248.65 |
Zdroj: | Computational and Structural Biotechnology Journal, Vol 19, Iss, Pp 5920-5930 (2021) Computational and Structural Biotechnology Journal |
ISSN: | 2001-0370 |
Popis: | Graphical abstract Non-alcoholic fatty liver disease (NAFLD) is closely associated with type 2 diabetes mellitus (T2D), and these two metabolic diseases demonstrate bidirectional influences. The identification of microbiome profiles that are specific to liver injury or impaired glucose metabolism may assist understanding of the role of the gut microbiota in the relationship between NAFLD and T2D. Here, we studied a biopsy-proven Asian NAFLD cohort (n = 329; 187 participants with NAFLD, 101 with NAFLD and T2D, and 41 with neither) and identified Enterobacter, Romboutsia, and Clostridium sensu stricto as the principal taxa associated with the severity of NAFLD and T2D, whereas Ruminococcus and Megamonas were specific to NAFLD. In particular, the taxa that were associated with both severe liver pathology and T2D were also significantly associated with markers of diabetes, such as fasting blood glucose and Hb1Ac. Enterotype analysis demonstrated that participants with NAFLD had a significantly higher proportion of Bacteroides and a lower proportion of Ruminococcus than a Korean healthy twin cohort (n = 756). However, T2D could not be clearly distinguished from NAFLD. Analysis of an independent T2D cohort (n = 185) permitted us to validate the T2D-specific bacterial signature identified in the NAFLD cohort. Functional inference analysis revealed that endotoxin biosynthesis pathways were significantly enriched in participants with NAFLD and T2D, compared with those with NAFLD alone. These findings may assist with the development of effective therapeutic approaches for metabolic diseases that are associated with specific bacterial signatures. |
Databáze: | OpenAIRE |
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