Lactobacillus GG is associated with mucin genes expressions in type 2 diabetes mellitus: a randomized, placebo-controlled trial.

Purpose: Recent studies indicate that dysbiosis of gut microbiota and low-grade inflammation are important pathogenic determinants of type two diabetes mellitus (T2DM). The aim of this study is to investigate the effects of Lactobacillus GG on glycemic control, lipid profile, inflammatory parameters...

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Publicado en:European Journal of Nutrition Vol. 62; no. 5; pp. 2155 - 2165
Autores principales: Eliuz Tipici, Beyza, Coskunpinar, Ender, Altunkanat, Derya, Cagatay, Penbe, Omer, Beyhan, Palanduz, Sukru, Satman, Ilhan, Aral, Ferihan
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Springer Nature Aug2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2023
      vid: 62
      iid: 5
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00394-023-03139-3
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        atl: Lactobacillus GG is associated with mucin genes expressions in type 2 diabetes mellitus: a randomized, placebo-controlled trial.
      aug:
        au:
          Eliuz Tipici, Beyza
          Coskunpinar, Ender
          Altunkanat, Derya
          Cagatay, Penbe
          Omer, Beyhan
          Palanduz, Sukru
          Satman, Ilhan
          Aral, Ferihan
        affil: Department of Pediatrics, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
      sug:
        subj:
          Probiotics Therapeutic Use
          Lactobacillus Metabolism
          Diabetes Mellitus, Type 2 Drug Therapy
          Glycemic Control
          Lipids
          Inflammation Mediators
          Gene Expression
          Human
          Randomized Controlled Trials
          Random Assignment
          Turkiye
          Middle Age
          Male
          Female
          Adult
          Anthropometry
          Diet Records
          Blood Glucose Blood
          Proteins
          Dietary Fiber
          Cholesterol
          Funding Source
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Male
          Female
      ab: Purpose: Recent studies indicate that dysbiosis of gut microbiota and low-grade inflammation are important pathogenic determinants of type two diabetes mellitus (T2DM). The aim of this study is to investigate the effects of Lactobacillus GG on glycemic control, lipid profile, inflammatory parameters, and some gene expression levels in individuals with T2DM. Methods: In a randomized, placebo-controlled trial, 34 women, aged 30–60 years with T2DM consumed daily probiotics or placebo for 8 weeks. The probiotic group consumed 10 × 109 Cfu/day Lactobacillus rhamnosus GG ATCC 53,103 (LGG), approved by the TR Ministry of Food, Agriculture, and Livestock. Anthropometric measurements, food diary, fasting blood, and fecal samples were taken at baseline and post-treatment. Results: Fasting blood glucose was significantly decreased in probiotic (p = 0.049) and placebo (p = 0.028), but there was no difference between the groups. In the probiotic group, no significant difference was observed in HbA1c, fructosamine, lipid profile, and inflammatory variables compared to baseline. In this group, with LGG supplementation, mucin 2 and 3A (MUC2 and MUC3A) gene expressions increased more than ninefolds (p = 0.046 and p = 0.008, respectively) at post-treatment. Meanwhile, there was no significant change in any of the gene expressions in the placebo group. There was no significant difference in energy, protein, dietary fiber, and cholesterol intakes between placebo and probiotic groups during the study. However, daily fat intake (p = 0.003), body weight (p = 0.014), and body fat (p = 0.015) in the probiotic group were significantly decreased. Conclusion: In this study, the effects of a single probiotic strain were investigated for 8 weeks. At the end of the study, although there was no finding that clearly reflected on the glycemic parameters of T2DM, its beneficial effects on the expression of mucin genes, which are responsible for weight loss and protection of intestinal barrier functions, cannot be denied. Further studies are needed to reveal the importance of these findings. Clinical trial registration: ID: NCT05066152, October 4, 2021 retrospectively registered in ClinicalTrials.gov PRS web site.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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