PMID- 32766169 OWN - NLM STAT- MEDLINE DCOM- 20210617 LR - 20210617 IS - 2235-2988 (Electronic) IS - 2235-2988 (Linking) VI - 10 DP - 2020 TI - Interactions Between Gut Microbiota, Host, and Herbal Medicines: A Review of New Insights Into the Pathogenesis and Treatment of Type 2 Diabetes. PG - 360 LID - 10.3389/fcimb.2020.00360 [doi] LID - 360 AB - Herbal medicines (HMs) are a major subset of complementary and alternative medicine. They have been employed for the efficient clinical management of type 2 diabetes mellitus (T2DM) for centuries. However, the related underlying mechanisms still remain to be elucidated. It has been found out that microbiota is implicated in the pathogenesis and treatment of T2DM. An interplay between gut microbiota and host occurs mainly at the gastrointestinal mucosal barrier. The host movements influence the composition and abundance of gut microbiota, whereas gut microbiota in turn modulate the metabolic and immunological activities of the host. Intestinal dysbiosis, endotoxin-induced metabolic inflammation, immune response disorder, bacterial components and metabolites, and decreased production of short-chain fatty acids are considered significant pathogenic mechanisms underlying T2DM. The interaction between gut microbiota and HMs during T2DM treatment has been investigated in human, animal, and in vitro studies. HMs regulate the composition of beneficial and harmful bacteria and decrease the inflammation caused by gut microbiota. Furthermore, the metabolism of gut microbiota modulates HM biotransformation. In this review, we have summarized such research findings, with the aim to improve our understanding of the pathogenesis and potential therapeutic mechanisms of HMs in T2DM and to provide new insights into specific targeted HM-based therapies and drug discovery. CI - Copyright (c) 2020 Zheng, Gou, Zhang, Gao, Wei, Yu, Pang, Tian, Tong and Li. FAU - Zheng, Yujiao AU - Zheng Y AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Graduate School, Beijing University of Chinese Medicine, Beijing, China. FAU - Gou, Xiaowen AU - Gou X AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Graduate School, Beijing University of Chinese Medicine, Beijing, China. FAU - Zhang, Lili AU - Zhang L AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Gao, Hanjia AU - Gao H AD - Graduate School, Beijing University of Chinese Medicine, Beijing, China. FAU - Wei, Yu AU - Wei Y AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Graduate School, Beijing University of Chinese Medicine, Beijing, China. FAU - Yu, Xiaotong AU - Yu X AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Pang, Bing AU - Pang B AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Tian, Jiaxing AU - Tian J AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Tong, Xiaolin AU - Tong X AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Li, Min AU - Li M AD - Molecular Biology Laboratory, Guang'anmen Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20200717 PL - Switzerland TA - Front Cell Infect Microbiol JT - Frontiers in cellular and infection microbiology JID - 101585359 RN - 0 (Fatty Acids, Volatile) SB - IM MH - Animals MH - *Diabetes Mellitus, Type 2/drug therapy MH - Dysbiosis MH - Fatty Acids, Volatile MH - *Gastrointestinal Microbiome MH - Humans MH - *Microbiota PMC - PMC7379170 OTO - NOTNLM OT - bacterial metabolites OT - gut microbiota OT - herbal medicines OT - therapeutic mechanisms OT - type 2 diabetes mellitus EDAT- 2020/08/09 06:00 MHDA- 2021/06/22 06:00 PMCR- 2020/01/01 CRDT- 2020/08/09 06:00 PHST- 2020/02/11 00:00 [received] PHST- 2020/06/10 00:00 [accepted] PHST- 2020/08/09 06:00 [entrez] PHST- 2020/08/09 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fcimb.2020.00360 [doi] PST - epublish SO - Front Cell Infect Microbiol. 2020 Jul 17;10:360. doi: 10.3389/fcimb.2020.00360. eCollection 2020.