PMID- 33166187 OWN - NLM STAT- MEDLINE DCOM- 20210208 LR - 20210208 IS - 1522-1555 (Electronic) IS - 0193-1849 (Linking) VI - 320 IP - 1 DP - 2021 Jan 1 TI - Alterations of gut microbiome in patients with type 2 diabetes mellitus who had undergone cholecystectomy. PG - E113-E121 LID - 10.1152/ajpendo.00471.2020 [doi] AB - Patients with type 2 diabetes mellitus (T2DM) have a high risk of developing cholecystic disease. The gut microbiota has been shown to be strongly associated with cholecystectomy and T2DM pathogenesis. However, alterations of the gut microbiome in patients with T2DM who had undergone cholecystectomy remain unexplored. In this study, the gut microbiomes of 14 long-term patients with T2DM who had undergone cholecystectomy (T2DIIC group) and 21 age- and/or sex-matched subjects with new-onset (T2DI group) and long-term (T2DII group) T2DM without cholecystectomy were assessed using 16S rRNA gene sequencing of stool samples. It was found that cholecystectomy could alleviate the decrease in Pielou's evenness and the increase in the relative abundances of the Firmicutes phylum and Lachnospira genus in long-term patients with T2DM compared with T2DII subjects. Moreover, cholecystectomy also significantly increased the relative abundance of the Fusobacteria phylum, as well as that of the Fusobacterium and Bilophila genera. Interestingly, the T2DIIC and T2DI groups showed higher similarities than the T2DII group with respect to patterns of gut microbiota composition and predicted gut metagenomes. In summary, cholecystectomy could partially alleviate long-term diabetes-induced dysbiosis of the gut microbiota composition and function, but alterations in T2DM patient health warrant further study.NEW & NOTEWORTHY The gut microbiome of long-term T2DM patients who had undergone cholecystectomy and age- and/or sex-matched subjects of new-onset and long-term T2DM without cholecystectomy was assessed using 16S rRNA gene sequencing in stool samples. The findings suggest that, cholecystectomy could partially alleviate long-term diabetes-induced dysbiosis of gut microbiome composition and function. FAU - Wei, Bin AU - Wei B AD - College of Pharmaceutical Science & Collaborative Innovation Center of Yangtze River Delta Region Green Pharmaceuticals, Zhejiang University of Technology, Hangzhou, China. FAU - Wang, Yakun AU - Wang Y AD - College of Pharmaceutical Science & Collaborative Innovation Center of Yangtze River Delta Region Green Pharmaceuticals, Zhejiang University of Technology, Hangzhou, China. FAU - Xiang, Shoukui AU - Xiang S AD - Department of Endocrinology, The Third Affiliated Hospital of Soochow University, Changzhou, China. FAU - Jiang, Yan AU - Jiang Y AD - Department of Pharmacy, The Third Affiliated Hospital of Soochow University, Changzhou, China. FAU - Chen, Rong AU - Chen R AD - Department of Pharmacy, The Third Affiliated Hospital of Soochow University, Changzhou, China. FAU - Hu, Nan AU - Hu N AD - Department of Pharmacy, The Third Affiliated Hospital of Soochow University, Changzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20201109 PL - United States TA - Am J Physiol Endocrinol Metab JT - American journal of physiology. Endocrinology and metabolism JID - 100901226 RN - 0 (RNA, Ribosomal, 16S) RN - 9002-71-5 (Thyrotropin) SB - IM MH - Adult MH - Aged MH - Bilophila MH - *Cholecystectomy MH - Computational Biology MH - Diabetes Mellitus, Type 2/*microbiology MH - Feces/microbiology MH - Female MH - Fusobacterium MH - *Gastrointestinal Microbiome MH - Humans MH - Male MH - Middle Aged MH - Postoperative Period MH - RNA, Ribosomal, 16S/metabolism MH - Thyrotropin/pharmacology OTO - NOTNLM OT - 16S rRNA sequencing OT - cholecystectomy OT - gut microbiome OT - long-term type 2 diabetes OT - new-onset type 2 diabetes EDAT- 2020/11/10 06:00 MHDA- 2021/02/09 06:00 CRDT- 2020/11/09 17:10 PHST- 2020/11/10 06:00 [pubmed] PHST- 2021/02/09 06:00 [medline] PHST- 2020/11/09 17:10 [entrez] AID - 10.1152/ajpendo.00471.2020 [doi] PST - ppublish SO - Am J Physiol Endocrinol Metab. 2021 Jan 1;320(1):E113-E121. doi: 10.1152/ajpendo.00471.2020. Epub 2020 Nov 9.