Influence of Gut Microbiota on Subclinical Inflammation and Insulin Resistance

Obesity is the main condition that is correlated with the appearance of insulin resistance, which is the major link among its comorbidities, such as type 2 diabetes, nonalcoholic fatty liver disease, cardiovascular and neurodegenerative diseases, and several types of cancer. Obesity affects a large...

Full description

Saved in:
Bibliographic Details
Main Authors: Bruno Melo Carvalho, Mario Jose Abdalla Saad
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2013/986734
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849691502103494656
author Bruno Melo Carvalho
Mario Jose Abdalla Saad
author_facet Bruno Melo Carvalho
Mario Jose Abdalla Saad
author_sort Bruno Melo Carvalho
collection DOAJ
description Obesity is the main condition that is correlated with the appearance of insulin resistance, which is the major link among its comorbidities, such as type 2 diabetes, nonalcoholic fatty liver disease, cardiovascular and neurodegenerative diseases, and several types of cancer. Obesity affects a large number of individuals worldwide; it degrades human health and quality of life. Here, we review the role of the gut microbiota in the pathophysiology of obesity and type 2 diabetes, which is promoted by a bacterial diversity shift mediated by overnutrition. Whole bacteria, their products, and metabolites undergo increased translocation through the gut epithelium to the circulation due to degraded tight junctions and the consequent increase in intestinal permeability that culminates in inflammation and insulin resistance. Several strategies focusing on modulation of the gut microbiota (antibiotics, probiotics, and prebiotics) are being experimentally employed in metabolic derangement in order to reduce intestinal permeability, increase the production of short chain fatty acids and anorectic gut hormones, and promote insulin sensitivity to counteract the inflammatory status and insulin resistance found in obese individuals.
format Article
id doaj-art-e820a8b7b9a54126b6ed5112aa5347c1
institution DOAJ
issn 0962-9351
1466-1861
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Mediators of Inflammation
spelling doaj-art-e820a8b7b9a54126b6ed5112aa5347c12025-08-20T03:21:01ZengWileyMediators of Inflammation0962-93511466-18612013-01-01201310.1155/2013/986734986734Influence of Gut Microbiota on Subclinical Inflammation and Insulin ResistanceBruno Melo Carvalho0Mario Jose Abdalla Saad1Internal Medicine Department, Faculty of Medical Sciences, FCM, UNICAMP, Rua Tessália Vieira de Camargo, 126 Cidade Universitária Zeferino Vaz, 13083-887 Campinas, SP, BrazilInternal Medicine Department, Faculty of Medical Sciences, FCM, UNICAMP, Rua Tessália Vieira de Camargo, 126 Cidade Universitária Zeferino Vaz, 13083-887 Campinas, SP, BrazilObesity is the main condition that is correlated with the appearance of insulin resistance, which is the major link among its comorbidities, such as type 2 diabetes, nonalcoholic fatty liver disease, cardiovascular and neurodegenerative diseases, and several types of cancer. Obesity affects a large number of individuals worldwide; it degrades human health and quality of life. Here, we review the role of the gut microbiota in the pathophysiology of obesity and type 2 diabetes, which is promoted by a bacterial diversity shift mediated by overnutrition. Whole bacteria, their products, and metabolites undergo increased translocation through the gut epithelium to the circulation due to degraded tight junctions and the consequent increase in intestinal permeability that culminates in inflammation and insulin resistance. Several strategies focusing on modulation of the gut microbiota (antibiotics, probiotics, and prebiotics) are being experimentally employed in metabolic derangement in order to reduce intestinal permeability, increase the production of short chain fatty acids and anorectic gut hormones, and promote insulin sensitivity to counteract the inflammatory status and insulin resistance found in obese individuals.http://dx.doi.org/10.1155/2013/986734
spellingShingle Bruno Melo Carvalho
Mario Jose Abdalla Saad
Influence of Gut Microbiota on Subclinical Inflammation and Insulin Resistance
Mediators of Inflammation
title Influence of Gut Microbiota on Subclinical Inflammation and Insulin Resistance
title_full Influence of Gut Microbiota on Subclinical Inflammation and Insulin Resistance
title_fullStr Influence of Gut Microbiota on Subclinical Inflammation and Insulin Resistance
title_full_unstemmed Influence of Gut Microbiota on Subclinical Inflammation and Insulin Resistance
title_short Influence of Gut Microbiota on Subclinical Inflammation and Insulin Resistance
title_sort influence of gut microbiota on subclinical inflammation and insulin resistance
url http://dx.doi.org/10.1155/2013/986734
work_keys_str_mv AT brunomelocarvalho influenceofgutmicrobiotaonsubclinicalinflammationandinsulinresistance
AT mariojoseabdallasaad influenceofgutmicrobiotaonsubclinicalinflammationandinsulinresistance