PMID- 33338029 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210306 IS - 2049-3614 (Print) IS - 2049-3614 (Electronic) IS - 2049-3614 (Linking) VI - 10 IP - 1 DP - 2021 Jan TI - New insights into the links between anti-diabetes drugs and gut microbiota. PG - R36-R42 LID - EC-20-0431 [pii] LID - 10.1530/EC-20-0431 [doi] AB - In patients with type 2 diabetes mellitus (T2DM), the intestinal flora is out of balance and accompanied by leaky gut. The flora is characterized by an increase in mucus-degrading bacteria and a decrease in fiber-degrading bacteria. Short-chain fatty acids (SCFAs), as the major fiber-degrading bacteria fermentation, not only ameliorate the leaky gut, but also activate GPR43 to increase the mass of functional pancreatic beta-cells and exert anti-inflammation effect. At present, the gut microbiota is considered as the potential target for anti-diabetes drugs, and how to reverse the imbalance of gut microbiota has become a therapeutic strategy for T2DM. This review briefly summarizes the drugs or compounds that have direct or potential therapeutic effects on T2DM by modulating the gut microbiota, including biguanides, isoquinoline alkaloids, stilbene and C7N-aminocyclic alcohols. FAU - Hu, Ruixin AU - Hu R AD - School of pharmacy, Qing Dao University, Qingdao, China. FAU - Yuan, Yanting AU - Yuan Y AD - School of pharmacy, Qing Dao University, Qingdao, China. FAU - Liu, Chaolong AU - Liu C AD - School of pharmacy, Qing Dao University, Qingdao, China. FAU - Zhou, Ji AU - Zhou J AD - School of pharmacy, Qing Dao University, Qingdao, China. FAU - Ji, Lixia AU - Ji L AD - School of pharmacy, Qing Dao University, Qingdao, China. FAU - Jiang, Guohui AU - Jiang G AD - School of pharmacy, Qing Dao University, Qingdao, China. LA - eng PT - Journal Article PT - Review PL - England TA - Endocr Connect JT - Endocrine connections JID - 101598413 PMC - PMC7923145 OTO - NOTNLM OT - anti-diabetes drugs OT - functional pancreatic beta-cells OT - gut microbiota OT - leaky gut OT - short-chain fatty acids (SCFAs) OT - type 2 diabetes mellitus (T2DM) EDAT- 2020/12/19 06:00 MHDA- 2020/12/19 06:01 PMCR- 2020/12/17 CRDT- 2020/12/18 17:10 PHST- 2020/12/09 00:00 [received] PHST- 2020/12/17 00:00 [accepted] PHST- 2020/12/19 06:00 [pubmed] PHST- 2020/12/19 06:01 [medline] PHST- 2020/12/18 17:10 [entrez] PHST- 2020/12/17 00:00 [pmc-release] AID - EC-20-0431 [pii] AID - 10.1530/EC-20-0431 [doi] PST - ppublish SO - Endocr Connect. 2021 Jan;10(1):R36-R42. doi: 10.1530/EC-20-0431.