PMID- 35711668 OWN - NLM STAT- MEDLINE DCOM- 20220620 LR - 20220716 IS - 2235-2988 (Electronic) IS - 2235-2988 (Linking) VI - 12 DP - 2022 TI - Gut Microbiota and Antidiabetic Drugs: Perspectives of Personalized Treatment in Type 2 Diabetes Mellitus. PG - 853771 LID - 10.3389/fcimb.2022.853771 [doi] LID - 853771 AB - Alterations in the composition and function of the gut microbiota have been reported in patients with type 2 diabetes mellitus (T2DM). Emerging studies show that prescribed antidiabetic drugs distort the gut microbiota signature associated with T2DM. Even more importantly, accumulated evidence provides support for the notion that gut microbiota, in turn, mediates the efficacy and safety of antidiabetic drugs. In this review, we highlight the current state-of-the-art knowledge on the crosstalk and interactions between gut microbiota and antidiabetic drugs, including metformin, alpha-glucosidase inhibitors, glucagon-like peptide-1 receptor agonists, dipeptidyl peptidase-4 inhibitors, sodium-glucose cotransporter 2 inhibitors, traditional Chinese medicines and other antidiabetic drugs, as well as address corresponding microbial-based therapeutics, aiming to provide novel preventative strategies and personalized therapeutic targets in T2DM. CI - Copyright (c) 2022 Liu, Luo, Zhou and Sun. FAU - Liu, Wenhui AU - Liu W AD - Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, China. AD - Institute of Clinical Pharmacy, Central South University, Changsha, China. FAU - Luo, Zhiying AU - Luo Z AD - Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, China. AD - Institute of Clinical Pharmacy, Central South University, Changsha, China. FAU - Zhou, Jiecan AU - Zhou J AD - Institute of Clinical Medicine, The First Affiliated Hospital, University of South China, Hengyang, China. FAU - Sun, Bao AU - Sun B AD - Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, China. AD - Institute of Clinical Pharmacy, Central South University, Changsha, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220531 PL - Switzerland TA - Front Cell Infect Microbiol JT - Frontiers in cellular and infection microbiology JID - 101585359 RN - 0 (Blood Glucose) RN - 0 (Hypoglycemic Agents) SB - IM MH - Blood Glucose MH - *Diabetes Mellitus, Type 2/complications/drug therapy MH - *Gastrointestinal Microbiome MH - Humans MH - Hypoglycemic Agents/pharmacology/therapeutic use MH - Precision Medicine PMC - PMC9194476 OTO - NOTNLM OT - antidiabetic drugs OT - efficacy and safety OT - gut microbiota OT - personalized therapeutic targets OT - type 2 diabetes mellitus COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/06/18 06:00 MHDA- 2022/06/22 06:00 PMCR- 2022/01/01 CRDT- 2022/06/17 02:30 PHST- 2022/01/13 00:00 [received] PHST- 2022/05/04 00:00 [accepted] PHST- 2022/06/17 02:30 [entrez] PHST- 2022/06/18 06:00 [pubmed] PHST- 2022/06/22 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fcimb.2022.853771 [doi] PST - epublish SO - Front Cell Infect Microbiol. 2022 May 31;12:853771. doi: 10.3389/fcimb.2022.853771. eCollection 2022.