Nat Med:粪便微生物移植结合纤维补充可改善严重肥胖和代谢综合征患者的胰岛素敏感性

2021-07-09 xiaozeng MedSci原创

肥胖和代谢综合征是21世纪最严重的健康流行病之一,其相关治疗策略的疗效有限、耐受性差且成本高。

肥胖和代谢综合征是21世纪最严重的健康流行病之一,其相关治疗策略的疗效有限、耐受性差且成本高。如针对肠道微生物组的粪便微生物移植(FMT)等新技术也为该流行病的治疗提供了新的可能性。

最近的具有里程碑意义的研究表明,代谢综合征患者在接受了来自瘦的健康人的FMT后能够改善患者的代谢水平,但效果不一致且较短。

该研究主要测试了每日补充纤维作为FMT疗法的辅助手段来调节心脏代谢结果的作用。研究人员开展了一项对接受口服FMT的严重肥胖和代谢综合征患者的双盲随机试验,以测试高发酵(HF)和低发酵(LF)纤维补充剂 的效果。

研究流程图

共有70名参与者被随机的分配到FMT-HF(n=17)、FMT-LF(n=17)、HF(n=17)和 LF(n=19)四个组。该试验的主要结局为使用稳态模型(胰岛素敏感指数:HOMA2-IR/IS)评估胰岛素敏感性从基线到6周的变化。

干预组血糖参数的变化

结果显示,在6周后,只有FMT-LF组患者的HOMA2-IR指数显著改善。在治疗期间,FMT-HF组、HF组和LF组的HOMA2-IR指数并无差异。进一步的研究发现,该干预措施安全且耐受性良好,并无治疗引起的严重不良事件的发生。


总而言之,该研究结果揭示,通过单剂量口服FMT结合每日低发酵纤维补充剂可改善严重肥胖和代谢综合征患者的胰岛素敏感性。


原始出处:

Mocanu, V., Zhang, Z., Deehan, E.C. et al. Fecal microbial transplantation and fiber supplementation in patients with severe obesity and metabolic syndrome: a randomized double-blind, placebo-controlled phase 2 trial. Nat Med (05 July 2021).

 

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  5. 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encodeId=ff0014320924d, content=<a href='/topic/show?id=f9b9e9124a8' target=_blank style='color:#2F92EE;'>#综合征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79124, encryptionId=f9b9e9124a8, topicName=综合征)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sat Jul 10 16:18:26 CST 2021, time=2021-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1466974, encodeId=dcca14669e417, content=<a href='/topic/show?id=edd5e630426' target=_blank style='color:#2F92EE;'>#粪便#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76304, encryptionId=edd5e630426, topicName=粪便)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=03cc6863823, createdName=Homburg, createdTime=Sat Jul 10 16:18:26 CST 2021, time=2021-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1611134, encodeId=5e841611134b4, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Sat Jul 10 16:18:26 CST 2021, time=2021-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1750234, encodeId=c0981e5023498, content=<a href='/topic/show?id=be7c8385345' target=_blank style='color:#2F92EE;'>#胰岛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83853, encryptionId=be7c8385345, topicName=胰岛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7a536274692, createdName=baoya, createdTime=Sat Jan 22 20:18:26 CST 2022, time=2022-01-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=997749, encodeId=e67099e74910, content=👍👍👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210703/9c448fe1b3b54fd7bc9477662f4861bb/4bdadad22bfd46f2921aabb4c40265d3.jpg, createdBy=a8d81938466, createdName=weigq, createdTime=Fri Jul 09 05:25:47 CST 2021, time=2021-07-09, status=1, ipAttribution=)]
    2021-07-10 Homburg
  8. [GetPortalCommentsPageByObjectIdResponse(id=1825300, encodeId=d5f7182530038, content=<a href='/topic/show?id=702a5065860' target=_blank style='color:#2F92EE;'>#微生物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50658, encryptionId=702a5065860, topicName=微生物)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0b7c20, createdName=wjcjjian, createdTime=Sun Oct 03 11:18:26 CST 2021, time=2021-10-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1885292, encodeId=8026188529242, content=<a href='/topic/show?id=3b2112532d8' target=_blank style='color:#2F92EE;'>#Nat#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12532, encryptionId=3b2112532d8, topicName=Nat)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2e6f107, 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  9. 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authenticateStatus=null, createdAvatar=, createdBy=03cc6863823, createdName=Homburg, createdTime=Sat Jul 10 16:18:26 CST 2021, time=2021-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1611134, encodeId=5e841611134b4, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Sat Jul 10 16:18:26 CST 2021, time=2021-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1750234, encodeId=c0981e5023498, content=<a href='/topic/show?id=be7c8385345' target=_blank style='color:#2F92EE;'>#胰岛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83853, encryptionId=be7c8385345, topicName=胰岛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7a536274692, createdName=baoya, createdTime=Sat Jan 22 20:18:26 CST 2022, time=2022-01-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=997749, encodeId=e67099e74910, content=👍👍👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210703/9c448fe1b3b54fd7bc9477662f4861bb/4bdadad22bfd46f2921aabb4c40265d3.jpg, createdBy=a8d81938466, createdName=weigq, createdTime=Fri Jul 09 05:25:47 CST 2021, time=2021-07-09, status=1, ipAttribution=)]
    2022-01-22 baoya
  10. 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