» Articles » PMID: 36060752

The Role and Mechanisms of Gut Microbiota in Diabetic Nephropathy, Diabetic Retinopathy and Cardiovascular Diseases

Overview
Journal Front Microbiol
Specialty Microbiology
Date 2022 Sep 5
PMID 36060752
Authors
Affiliations
Soon will be listed here.
Abstract

Type 2 diabetes mellitus (T2DM) and T2DM-related complications [such as retinopathy, nephropathy, and cardiovascular diseases (CVDs)] are the most prevalent metabolic diseases. Intriguingly, overwhelming findings have shown a strong association of the gut microbiome with the etiology of these diseases, including the role of aberrant gut bacterial metabolites, increased intestinal permeability, and pathogenic immune function affecting host metabolism. Thus, deciphering the specific microbiota, metabolites, and the related mechanisms to T2DM-related complications by combined analyses of metagenomics and metabolomics data can lead to an innovative strategy for the treatment of these diseases. Accordingly, this review highlights the advanced knowledge about the characteristics of the gut microbiota in T2DM-related complications and how it can be associated with the pathogenesis of these diseases. Also, recent studies providing a new perspective on microbiota-targeted therapies are included.

Citing Articles

Alterations of the gut microbiota in patients with diabetic nephropathy and its association with the renin-angiotensin system.

Zali F, Absalan A, Bahramali G, Mousavi Nasab S, Esmaeili F, Ejtahed H J Diabetes Metab Disord. 2025; 24(1):69.

PMID: 39989880 PMC: 11842656. DOI: 10.1007/s40200-025-01579-8.


Causal relationship between 412 gut microbiota, 1,400 blood metabolites, and diabetic nephropathy: a randomized Mendelian study.

Cao B, Zhang C, Wang Z, Wang Y Front Endocrinol (Lausanne). 2025; 15:1450428.

PMID: 39897958 PMC: 11782027. DOI: 10.3389/fendo.2024.1450428.


A trend of osteocalcin in diabetes mellitus research: bibliometric and visualization analysis.

Liu Z, Mao Y, Yang K, Wang S, Zou F Front Endocrinol (Lausanne). 2025; 15:1475214.

PMID: 39872315 PMC: 11769813. DOI: 10.3389/fendo.2024.1475214.


The gut-eye axis: from brain neurodegenerative diseases to age-related macular degeneration.

Jin Q, Wang S, Yao Y, Jiang Q, Li K Neural Regen Res. 2024; 20(10):2741-2757.

PMID: 39435619 PMC: 11826455. DOI: 10.4103/NRR.NRR-D-24-00531.


Association between gut microbiota and diabetic nephropathy: a two-sample mendelian randomization study.

Han S, Chen Y, Lu Y, Jia M, Xu Y, Wang Y BMC Endocr Disord. 2024; 24(1):214.

PMID: 39390505 PMC: 11468553. DOI: 10.1186/s12902-024-01746-7.


References
1.
Zhernakova A, Kurilshikov A, Bonder M, Tigchelaar E, Schirmer M, Vatanen T . Population-based metagenomics analysis reveals markers for gut microbiome composition and diversity. Science. 2016; 352(6285):565-9. PMC: 5240844. DOI: 10.1126/science.aad3369. View

2.
Carracher A, Marathe P, Close K . International Diabetes Federation 2017. J Diabetes. 2018; 10(5):353-356. DOI: 10.1111/1753-0407.12644. View

3.
Nagatomo Y, Tang W . Intersections Between Microbiome and Heart Failure: Revisiting the Gut Hypothesis. J Card Fail. 2015; 21(12):973-80. PMC: 4666782. DOI: 10.1016/j.cardfail.2015.09.017. View

4.
Akdis C . Does the epithelial barrier hypothesis explain the increase in allergy, autoimmunity and other chronic conditions?. Nat Rev Immunol. 2021; 21(11):739-751. DOI: 10.1038/s41577-021-00538-7. View

5.
Koutoukidis D, Jebb S, Zimmerman M, Otunla A, Henry J, Ferrey A . The association of weight loss with changes in the gut microbiota diversity, composition, and intestinal permeability: a systematic review and meta-analysis. Gut Microbes. 2022; 14(1):2020068. PMC: 8796717. DOI: 10.1080/19490976.2021.2020068. View