The Interplay between Immune System and Microbiota in Diabetes.

Mediators Inflamm

Centro Malattie Endocrine e Metaboliche, UOC Endocrinologia e Diabetologia, Fondazione Policlinico Universitario A. Gemelli IRCCS and Istituto Patologia Speciale Medica e Semeiotica Medica, Università Cattolica del Sacro Cuore, Rome, Italy.

Published: July 2020

AI Article Synopsis

  • Diabetes is a group of metabolic diseases, primarily characterized by high blood sugar levels, and influenced by immune system factors like inflammation and autoimmunity.
  • The rise in diabetes cases correlates with changes in diet and gut microbiota, suggesting that alterations in gut bacteria may play a role in diabetes development.
  • Recent studies highlight the connection between gut microbiota and immune responses, indicating that these changes in gut bacteria may trigger diabetes in individuals who are already at risk.

Article Abstract

Diabetes is not a single and homogeneous disease, but a cluster of metabolic diseases characterized by the common feature of hyperglycemia. The pathogenesis of type 1 diabetes (T1D) and type 2 diabetes (T2D) (and all other intermediate forms of diabetes) involves the immune system, in terms of inflammation and autoimmunity. The past decades have seen an increase in all types of diabetes, accompanied by changes in eating habits and consequently a structural evolution of gut microbiota. It is likely that all these events could be related and that gut microbiota alterations might be involved in the immunomodulation of diabetes. Thus, gut microbiota seems to have a direct, even causative role in mediating connections between the environment, food intake, and chronic disease. As many conditions that increase the risk of diabetes modulate gut microbiota composition, it is likely that immune-mediated reactions, induced by alterations in the composition of the microbiota, can act as facilitators for the onset of diabetes in predisposed subjects. In this review, we summarize recent evidence in the field of gut microbiota and the role of the latter in modulating the immune reactions involved in the pathogenesis of diabetes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7012204PMC
http://dx.doi.org/10.1155/2019/9367404DOI Listing

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