PMID- 36386943 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221118 IS - 2296-861X (Print) IS - 2296-861X (Electronic) IS - 2296-861X (Linking) VI - 9 DP - 2022 TI - Effect of natural polyphenols in Chinese herbal medicine on obesity and diabetes: Interactions among gut microbiota, metabolism, and immunity. PG - 962720 LID - 10.3389/fnut.2022.962720 [doi] LID - 962720 AB - With global prevalence, metabolic diseases, represented by obesity and type 2 diabetes mellitus (T2DM), have a huge burden on human health and medical expenses. It is estimated that obese population has doubled in recent 40 years, and population with diabetes will increase 1.5 times in next 25 years, which has inspired the pursuit of economical and effective prevention and treatment methods. Natural polyphenols are emerging as a class of natural bioactive compounds with potential beneficial effects on the alleviation of obesity and T2DM. In this review, we investigated the network interaction mechanism of "gut microbial disturbance, metabolic disorder, and immune imbalance" in both obesity and T2DM and systemically summarized their multiple targets in the treatment of obesity and T2DM, including enrichment of the beneficial gut microbiota (genera Bifidobacterium, Akkermansia, and Lactobacillus) and upregulation of the levels of gut microbiota-derived metabolites [short-chain fatty acids (SCFAs)] and bile acids (BAs). Moreover, we explored their effect on host glucolipid metabolism, the AMPK pathway, and immune modulation via the inhibition of pro-inflammatory immune cells (M1-like Mvarphis, Th1, and Th17 cells); proliferation, recruitment, differentiation, and function; and related cytokines (TNF-alpha, IL-1beta, IL-6, IL-17, and MCP-1). We hope to provide evidence to promote the clinical application of natural polyphenols in the management of obesity and T2DM. CI - Copyright (c) 2022 Chen, Gao, Ding, Tang, Zhang, Zhai, Xie, Jin, Zhao and Liu. FAU - Chen, Keyu AU - Chen K AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Graduate School, Beijing University of Chinese Medicine, Beijing, China. FAU - Gao, Zezheng AU - Gao Z AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Ding, Qiyou AU - Ding Q AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Graduate School, Beijing University of Chinese Medicine, Beijing, China. FAU - Tang, Cheng AU - Tang C AD - College of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, China. FAU - Zhang, Haiyu AU - Zhang H AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Zhai, Tiangang AU - Zhai T AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Graduate School, Beijing University of Chinese Medicine, Beijing, China. FAU - Xie, Weinan AU - Xie W AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Graduate School, Beijing University of Chinese Medicine, Beijing, China. FAU - Jin, Zishan AU - Jin Z AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - Graduate School, Beijing University of Chinese Medicine, Beijing, China. FAU - Zhao, Linhua AU - Zhao L AD - Institute of Metabolic Diseases, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Liu, Wenke AU - Liu W AD - Department of Endocrinology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. LA - eng PT - Journal Article PT - Review DEP - 20221028 PL - Switzerland TA - Front Nutr JT - Frontiers in nutrition JID - 101642264 PMC - PMC9651142 OTO - NOTNLM OT - gut microbiota OT - inflammation OT - natural polyphenols OT - obesity OT - traditional Chinese medicine 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- 2022/11/18 06:00 MHDA- 2022/11/18 06:01 PMCR- 2022/01/01 CRDT- 2022/11/17 11:51 PHST- 2022/06/06 00:00 [received] PHST- 2022/09/20 00:00 [accepted] PHST- 2022/11/17 11:51 [entrez] PHST- 2022/11/18 06:00 [pubmed] PHST- 2022/11/18 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fnut.2022.962720 [doi] PST - epublish SO - Front Nutr. 2022 Oct 28;9:962720. doi: 10.3389/fnut.2022.962720. eCollection 2022.