The effect of metformin combined with liraglutide on gut microbiota of Chinese patients with type 2 diabetes / El efecto de la metformina combinada con liraglutida sobre la microbiota intestinal de pacientes chinos con diabetes tipo 2
Int. microbiol
; 27(1): 265-276, Feb. 2024. graf
Article
in English
| IBECS
| ID: ibc-230259
Responsible library:
ES1.1
Localization: ES15.1 - BNCS
ABSTRACT
Background:
Metformin (MET) is a first-line therapy for type-2 diabetes mellitus (T2DM). Liraglutide (LRG) is a glucagon-like peptide-1 receptor agonist used as a second-line therapy in combination with MET.Methods:
We performed a longitudinal analysis comparing the gut microbiota of overweight and/or pre-diabetic participants (NCP group) with that of each following their progression to T2DM diagnosis (UNT group) using 16S ribosomal RNA gene sequencing of fecal bacteria samples. We also examined the effects of MET (MET group) and MET plus LRG (MET+LRG group) on the gut microbiota of these participants following 60 days of anti-diabetic drug therapy in two parallel treatment arms.Results:
In the UNT group, the relative abundances of Paraprevotella (P = 0.002) and Megamonas (P = 0.029) were greater, and that of Lachnospira (P = 0.003) was lower, compared with the NCP group. In the MET group, the relative abundance of Bacteroides (P = 0.039) was greater, and those of Paraprevotella (P = 0.018), Blautia (P = 0.001), and Faecalibacterium (P = 0.005) were lower, compared with the UNT group. In the MET+LRG group, the relative abundances of Blautia (P = 0.005) and Dialister (P = 0.045) were significantly lower than in the UNT group. The relative abundance of Megasphaera in the MET group was significantly greater than in the MET+LRG group (P = 0.041).Conclusions:
Treatment with MET and MET+LRG results in significant alterations in gut microbiota, compared with the profiles of patients at the time of T2DM diagnosis. These alterations differed significantly between the MET and MET+LRG groups, which suggests that LRG exerted an additive effect on the composition of gut microbiota.(AU)
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
RNA, Ribosomal, 16S
/
Diabetes Mellitus, Type 2
/
Liraglutide
/
Gastrointestinal Microbiome
/
Metformin
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Int. microbiol
Year:
2024
Document type:
Article
Institution/Affiliation country:
Changzhi Medical College Affiliated Heji Hospital/China
/
Changzhi Medical College/China
/
Second Hospital of Shanxi Medical University/China