The influence of intestinal microbiota on the development of type 1 diabetes
DOI:
https://doi.org/10.12775/JEHS.2024.75.56167Keywords
diabetes, type 1 diabetes, T1D, gut microbiota, gut microbiota and type 1 diabetesAbstract
Introduction and purpose
Type 1 diabetes (T1D) is an autoimmune disease that results in the destruction of pancreatic β cells, which leads to insulin deficiency and hyperglycemia. One significant factor that may influence the development of type 1 diabetes is a change in the intestinal microbiota. This study aim is to present the significance and role of intestinal microbiota in the pathogenesis of T1D. This subject is important, as it offers prospects for new therapeutic solutions, especially given the significant social impact of T1D.
Description
Type 1 diabetes (T1D) causes a number of symptoms and complications, including an increased risk of developing cardiovascular diseases. Diagnosis includes measurements of glucose concentration, glycated hemoglobin, and specific antibodies in the blood. The basic therapy for T1D is insulin replacement therapy. Numerous studies have shown that both the composition and function of the intestinal microbiota are impaired in patients with T1D. It has been observed that an increase in the number of Bacterioides and a decrease in the number of Firmicutes, which are the main microorganisms of the intestinal microbiome, are correlated with a high risk of developing T1D.
Summary
Type 1 Diabetes (T1D) is a serious health problem that affects many people worldwide and the incidence of the disease is constantly increasing. There is a growing number of studies that emphasize the influence of the intestinal microbiota on the development of T1D. It is important to enlarge our knowledge about this disease. Further studies are needed to determine the importance and the role of the intestinal microbiota in the pathogenesis of T1D.
References
Zheng P, Li Z, Zhou Z. Gut microbiome in type 1 diabetes: A comprehensive review. Diabetes Metab Res Rev. 2018 Oct;34(7):e3043. doi: 10.1002/dmrr.3043. Epub 2018 Jul 17. P MID: 29929213; PMCID: PMC6220847
World Health Organization: Definition, diagnosis and clasification of diabetes mellitus and its complications. Raport of a WHO Consultation, Geneva, 1999
Piątek K. Diabetes – the health challenge of the 21st century. Infos zagadnienia społeczno gospodarcze. 2024 Vol. 3, pages 1-4. Polish.
Norris JM, Johnson RK, Stene LC. Type 1 diabetes-early life origins and changing epidemiology. Lancet Diabetes Endocrinol. 2020 Mar;8(3):226-238. doi: 10.1016/S2213-8587(19)30412-7. Epub 2020 Jan 27. PMID: 31999944; PMCID: PMC7332108
Rampanelli E, Nieuwdorp M. Gut microbiome in type 1 diabetes: the immunological perspective. Expert Rev Clin Immunol. 2023 Jan;19(1):93-109. doi: 10.1080/1744666X.2023.2150612. Epub 2022 Nov 28. PMID: 36401835
DiMeglio LA, Evans-Molina C, Oram RA. Type 1 diabetes. Lancet. 2018 Jun 16;391(10138):2449-2462. doi: 10.1016/S0140-6736(18)31320-5. PMID: 29916386; PMCID: PMC6661119.
Henríquez-Tejo R, Cartes-Velásquez R. Impacto psicosocial de la diabetes mellitus tipo 1 en niños, adolescentes y sus familias. Revisión de la literatura [Psychosocial impact of type 1 diabetes mellitus in children, adolescents and their families. Literature review]. Rev Chil Pediatr. 2018 Jun;89(3):391-398. Spanish. doi: 10.4067/S0370-41062018005000507. PMID: 29999147.
Liu Z, Wang H, Yang Z, Lu Y, Zou C. Causal associations between type 1 diabetes mellitus and cardiovascular diseases: a Mendelian randomization study. Cardiovasc Diabetol. 2023 Sep 2;22(1):236. doi: 10.1186/s12933-023-01974-6. PMID: 37659996; PMCID: PMC10475187.
Monaghan M, Helgeson V, Wiebe D. Type 1 diabetes in young adulthood. Curr Diabetes Rev. 2015;11(4):239-50. doi: 10.2174/1573399811666150421114957. PMID: 25901502; PMCID: PMC4526384.
Kueh MTW, Chew NWS, Al-Ozairi E, le Roux CW. The emergence of obesity in type 1 diabetes. Int J Obes (Lond). 2024 Mar;48(3):289-301. doi: 10.1038/s41366-023-01429-8. Epub 2023 Dec 14. PMID: 38092958; PMCID: PMC10896727.
Li W, Huang E, Gao S. Type 1 Diabetes Mellitus and Cognitive Impairments: A Systematic Review. J Alzheimers Dis. 2017;57(1):29-36. doi: 10.3233/JAD-161250. PMID: 28222533.
van Duinkerken E, Snoek FJ, de Wit M. The cognitive and psychological effects of living with type 1 diabetes: a narrative review. Diabet Med. 2020 Apr;37(4):555-563. doi: 10.1111/dme.14216. Epub 2019 Dec 27. PMID: 31850538; PMCID: PMC7154747.
Akil AA, Yassin E, Al-Maraghi A, Aliyev E, Al-Malki K, Fakhro KA. Diagnosis and treatment of type 1 diabetes at the dawn of the personalized medicine era. J Transl Med. 2021 Apr 1;19(1):137. doi: 10.1186/s12967-021-02778-6. PMID: 33794915; PMCID: PMC8017850.
Primavera M, Giannini C, Chiarelli F. Prediction and Prevention of Type 1 Diabetes. Front Endocrinol (Lausanne). 2020 Jun 2;11:248. doi: 10.3389/fendo.2020.00248. PMID: 32670194; PMCID: PMC7326081.
Mameli C, Triolo TM, Chiarelli F, Rewers M, Zuccotti G, Simmons KM. Lessons and gaps in the prediction and prevention of type 1 diabetes. Pharmacol Res. 2023 Jul;193:106792. doi: 10.1016/j.phrs.2023.106792. Epub 2023 May 16. PMID: 37201589.
Neu A, Bürger-Büsing J, Danne T, Dost A, Holder M, Holl RW, Holterhus PM, Kapellen T, Karges B, Kordonouri O, Lange K, Müller S, Raile K, Schweizer R, Sengbusch SV, Stachow R, Wagner V, Wiegand S, Ziegler R. Diagnosis, Therapy and Follow-Up of Diabetes Mellitus in Children and Adolescents. Exp Clin Endocrinol Diabetes. 2019 Dec;127(S 01):S39-S72. doi: 10.1055/a-1018-8963. Epub 2019 Dec 20. PMID: 31860926.
Yang K, Yang X, Jin C, Ding S, Liu T, Ma B, Sun H, Zhang J, Li Y. Global burden of type 1 diabetes in adults aged 65 years and older, 1990-2019: population based study. BMJ. 2024 Jun 12;385:e078432. doi: 10.1136/bmj-2023-078432. PMID: 38866425; PMCID: PMC11167563.
Berget C, Messer LH, Forlenza GP. A Clinical Overview of Insulin Pump Therapy for the Management of Diabetes: Past, Present, and Future of Intensive Therapy. Diabetes Spectr. 2019 Aug;32(3):194-204. doi: 10.2337/ds18-0091. PMID: 31462873; PMCID: PMC6695255.
Nwokolo M, Hovorka R. The Artificial Pancreas and Type 1 Diabetes. J Clin Endocrinol Metab. 2023 Jun 16;108(7):1614-1623. doi: 10.1210/clinem/dgad068. PMID: 36734145; PMCID: PMC10271231.
von Scholten BJ, Kreiner FF, Gough SCL, von Herrath M. Current and future therapies for type 1 diabetes. Diabetologia. 2021 May;64(5):1037-1048. doi: 10.1007/s00125-021-05398-3. Epub 2021 Feb 17. PMID: 33595677; PMCID: PMC8012324.
OCHYRA, Łukasz and ŁOPUSZYŃSKA, Anna. The use of stem cells in the treatment of diabetes mellitus and its complications - review. Journal of Education, Health and Sport. Online. 11 June 2024. Vol. 74, p. 51736. [Accessed 27 October 2024]. DOI 10.12775/JEHS.2024.74.51736.
Mirosława Gałecka, Anna M. Basińska, Anna Bartnicka. The importance of intestinal microbiota in shaping human health — implications in the practice of the family physician Forum Medycyny Rodzinnej 2018;12(2):50-59.Polish
Van Hul M, Cani PD, Petitfils C, De Vos WM, Tilg H, El-Omar EM. What defines a healthy gut microbiome? Gut. 2024 Oct 7;73(11):1893-1908. doi: 10.1136/gutjnl-2024-333378. PMID: 39322314; PMCID: PMC11503168.
Singh RK, Chang HW, Yan D, Lee KM, Ucmak D, Wong K, Abrouk M, Farahnik B, Nakamura M, Zhu TH, Bhutani T, Liao W. Influence of diet on the gut microbiome and implications for human health. J Transl Med. 2017 Apr 8;15(1):73. doi:10.1186/s12967-017-1175-y. PMID: 28388917; PMCID: PMC5385025.
Bibbò S, Dore MP, Pes GM, Delitala G, Delitala AP. Is there a role for gut microbiota in type 1 diabetes pathogenesis? Ann Med. 2017 Feb;49(1):11-22. doi: 10.1080/07853890.2016.1222449. Epub 2016 Nov 29. PMID: 27499366
Calabrese Cinzia Myriam, Valentini Alessia, Calabrese Giorgio. Gut Microbiota and Type 1 Diabetes Mellitus: The Effect of Mediterranean Diet. Front. Nutr., 13 January 2021 Sec. Nutrition and Metabolism Volume 7 – 2020. https://doi.org/10.3389/fnut.2020.612773
Lo Conte M, Antonini Cencicchio M, Ulaszewska M, Nobili A, Cosorich I, Ferrarese R, Massimino L, Andolfo A, Ungaro F, Mancini N, Falcone M. A diet enriched in omega-3 PUFA and inulin prevents type 1 diabetes by restoring gut barrier integrity and immune homeostasis in NOD mice. Front Immunol. 2023 Jan 13;13:1089987. doi: 10.3389/fimmu.2022.1089987. PMID: 36713378; PMCID: PMC9880528.
Vatanen, T., Franzosa, E.A., Schwager, R. et al. The human gut microbiome in early-onset type 1 diabetes from the TEDDY study. Nature 562, 589–594 (2018). https://doi.org/10.1038/s41586-018-0620-2
Mokhtari P, Metos J, Anandh Babu PV. Impact of type 1 diabetes on the composition and functional potential of gut microbiome in children and adolescents: possible mechanisms, current knowledge, and challenges. Gut Microbes. 2021 Jan-Dec;13(1):1-18. doi: 10.1080/19490976.2021.1926841. PMID: 34101547; PMCID: PMC8205092.
Mullaney JA, Stephens JE, Costello ME, Fong C, Geeling BE, Gavin PG, Wright CM, Spector TD, Brown MA, Hamilton-Williams EE. Type 1 diabetes susceptibility alleles are associated with distinct alterations in the gut microbiota. Microbiome. 2018 Feb 17;6(1):35. doi: 10.1186/s40168-018-0417-4. Erratum in: Microbiome. 2018 Mar 20;6(1):51. doi: 10.1186/s40168-018-0438-z. PMID: 29454391; PMCID: PMC5816355.
Del Chierico F, Rapini N, Deodati A, Matteoli MC, Cianfarani S, Putignani L. Pathophysiology of Type 1 Diabetes and Gut Microbiota Role. Int J Mol Sci. 2022 Nov 24;23(23):14650. doi: 10.3390/ijms232314650. PMID: 36498975; PMCID: PMC9737253.
Elhag DA, Kumar M, Al Khodor S. Exploring the Triple Interaction between the Host Genome, the Epigenome, and the Gut Microbiome in Type 1 Diabetes. Int J Mol Sci. 2020 Dec 24;22(1):125. doi: 10.3390/ijms22010125. PMID: 33374418; PMCID: PMC7795494.
Yuan X, Wang R, Han B, Sun C, Chen R, Wei H, Chen L, Du H, Li G, Yang Y, Chen X, Cui L, Xu Z, Fu J, Wu J, Gu W, Chen Z, Fang X, Yang H, Su Z, Wu J, Li Q, Zhang M, Zhou Y, Zhang L, Ji G, Luo F. Functional and metabolic alterations of gut microbiota in children with new-onset type 1 diabetes. Nat Commun. 2022 Oct 26;13(1):6356. doi: 10.1038/s41467-022-33656-4. PMID: 36289225; PMCID: PMC9606127.
Bielka W, Przezak A, Pawlik A. The Role of the Gut Microbiota in the Pathogenesis of Diabetes. Int J Mol Sci. 2022 Jan 1;23(1):480. doi: 10.3390/ijms23010480. PMID: 35008906; PMCID: PMC8745411
Paun A, Yau C, Danska JS. The Influence of the Microbiome on Type 1 Diabetes. J Immunol. 2017 Jan 15;198(2):590-595. doi: 10.4049/jimmunol.1601519. PMID: 28069754.
Luo M, Sun M, Wang T, Zhang S, Song X, Liu X, Wei J, Chen Q, Zhong T, Qin J. Gut microbiota and type 1 diabetes: a two-sample bidirectional Mendelian randomization study. Front Cell Infect Microbiol. 2023 May 29;13:1163898. doi: 10.3389/fcimb.2023.1163898. PMID: 37313342; PMCID: PMC10258312.
Zhou H, Sun L, Zhang S, Zhao X, Gang X, Wang G. Evaluating the Causal Role of Gut Microbiota in Type 1 Diabetes and Its Possible Pathogenic Mechanisms. Front Endocrinol (Lausanne). 2020 Mar 24;11:125. doi: 10.3389/fendo.2020.00125. PMID: 32265832; PMCID: PMC7105744.
Leiva-Gea I, Sánchez-Alcoholado L, Martín-Tejedor B, Castellano-Castillo D, Moreno-Indias I, Urda-Cardona A, Tinahones FJ, Fernández-García JC, Queipo-Ortuño MI. Gut Microbiota Differs in Composition and Functionality Between Children With Type 1 Diabetes and MODY2 and Healthy Control Subjects: A Case-Control Study. Diabetes Care. 2018 Nov;41(11):2385-2395. doi: 10.2337/dc18-0253. Epub 2018 Sep 17. PMID: 30224347.
Miranda MCG, Oliveira RP, Torres L, Aguiar SLF, Pinheiro-Rosa N, Lemos L, et al. Frontline Science: Abnormalities in the gut mucosa of non-obese diabetic mice precede the onset of type 1 diabetes. J Leukoc Biol. (2019) 106:513–29. doi: 10.1002/JLB.3HI0119-024RR
Harbison JE, Roth-Schulze AJ, Giles LC, Tran CD, Ngui KM, Penno MA, Thomson RL, Wentworth JM, Colman PG, Craig ME, Morahan G, Papenfuss AT, Barry SC, Harrison LC, Couper JJ. Gut microbiome dysbiosis and increased intestinal permeability in children with islet autoimmunity and type 1 diabetes: A prospective cohort study. Pediatr Diabetes. 2019 Aug;20(5):574-583. doi: 10.1111/pedi.12865. Epub 2019 May 20. PMID: 31081243.
Fasano A. All disease begins in the (leaky) gut: role of zonulin-mediated gut permeability in the pathogenesis of some chronic inflammatory diseases. F1000Res. 2020 Jan 31;9:F1000 Faculty Rev-69. doi: 10.12688/f1000research.20510.1. PMID: 32051759; PMCID: PMC6996528.
Wang W, Uzzau S, Goldblum SE, Fasano A. Human zonulin, a potential modulator of intestinal tight junctions. J Cell Sci. 2000 Dec;113 Pt 24:4435-40. doi: 10.1242/jcs.113.24.4435. PMID: 11082037
Mønsted MØ, Falck ND, Pedersen K, Buschard K, Holm LJ, Haupt-Jorgensen M. Intestinal permeability in type 1 diabetes: An updated comprehensive overview. J Autoimmun. 2021 Aug;122:102674. doi: 10.1016/j.jaut.2021.102674. Epub 2021 Jun 25. PMID: 34182210.
Serek P, Oleksy-Wawrzyniak M. The Effect of Bacterial Infections, Probiotics and Zonulin on Intestinal Barrier Integrity. Int J Mol Sci. 2021 Oct 21;22(21):11359. doi: 10.3390/ijms222111359. PMID: 34768787; PMCID: PMC8583036.
Del Chierico F, Conta G, Matteoli MC, Fierabracci A, Reddel S, Macari G, Gardini S, Guarrasi V, Levi Mortera S, Marzano V, Vernocchi P, Sciubba F, Marini F, Deodati A, Rapini N, Cianfarani S, Miccheli A, Putignani L. Gut Microbiota Functional Traits, Blood pH, and Anti-GAD Antibodies Concur in the Clinical Characterization of T1D at Onset. Int J Mol Sci. 2022 Sep 6;23(18):10256. doi: 10.3390/ijms231810256. PMID: 36142163; PMCID: PMC9499637.
Siljander H, Honkanen J, Knip M. Microbiome and type 1 diabetes. EBioMedicine. 2019 Aug;46:512-521. doi: 10.1016/j.ebiom.2019.06.031. Epub 2019 Jun 27. PMID: 31257149; PMCID: PMC6710855.
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