Zuogui-Jiangtang-Qinggan-Fang alleviates high-fat diet-induced type 2 diabetes mellitus with non-alcoholic fatty liver disease by modulating gut microbiome-metabolites-short chain fatty acid composition - 08/12/22
, Rong Yu a, b, ⁎ 
Abstract |
Non-alcoholic fatty liver disease (NAFLD) pathogenesis is affected by dysbiosis of the gut microbiome and the metabolites it generates. Therefore, restoring the equilibrium between the gut microbiome and the generated metabolites may have therapeutic potential for the syndrome. Zuogui Jiangtang Qinggan Fang (ZGJTQGF) is a Chinese herbal formulation used clinically to treat type 2 diabetic mellitus (T2DM) and fatty liver disease. However, its pharmacological mechanisms have not been well characterized. This work aimed to evaluate the hepatoprotective mechanism of ZGJTQGF in T2DM with NAFLD mice by incorporating gut microbiota, short-chain fatty acids(SCFAs), and metabolomic analysis, and then to provide strong support for clinical treatment of T2DM with NAFLD. The sequencing of 16 S rRNA revealed that ZGJTQGF therapy modified the composition and abundance of the gut microbiome, raised the level of SCFAs, and restored the intestinal mucosal barrier. The non-targeted metabolomic analysis of liver tissues identified 212 compounds, of which108 were differentially expressed between the HFD and ZGJTQGF groups. Moreover, L-glutamic acid, L-Phenylalanine, Glycine, Taurine, Deoxycholic acid, and citric acid levels were also considerably altered by ZGJTQGF. Our findings suggest that ZGJTQGF ameliorates HFD-induced hepatic steatosis by modulating the gut microbiota composition and its metabolites and boosting the levels of SCFAs. More notably, ZGJTQGF may be a promising medication for preventing and treating NAFLD.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Highlights |
• | Zuogui Jiangtang Qinggan recipe (ZGJTQGF) improves NAFLD in T2DM mice induced by high-fat diet. |
• | ZGJTQGF improves insulin resistance (IR) and glucose/lipid metabolism disorders in T2DM combined NAFLD model mice. |
• | ZGJTQGF increases fatty acid-beta oxidation by activating the expression of AMPK and PGC-1/UPC. |
• | ZGJTQGF alleviates the metabolic disorder of glucose and lipid in T2DM and NAFLD mice by restoring the metabolic disorder of intestinal flora, short chain fatty acids, amino acids, purines, lipids and bile acids. |
Abbreviations : NAFLD, ZGJTQGF, T2DM, SCFAs, HFD, TCM, ITT, OGTT, FINS, TC, TG, HDL-C, LDL-C, ALT, FA, FFA, DNL, ACC, FAO, LSP, GPR − 43, SREBP1-c, SCD-1, LXRα, PPAR-α, UCP1, PGC-1α
Keywords : Zuogui Jiangtang Qinggan Fang, Non-alcoholic fatty liver, Gut microbiome, Non-targeted metabolomics, Short-chain fatty acids, Treatment
Plan
Vol 157
Article 114002- janvier 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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