PMID- 36630122 OWN - NLM STAT- Publisher LR - 20240216 IS - 1744-4160 (Electronic) IS - 1381-3455 (Linking) DP - 2023 Jan 11 TI - The predicted mechanisms and evidence of probiotics on type 2 diabetes mellitus (T2DM). PG - 1-16 LID - 10.1080/13813455.2022.2163260 [doi] AB - Type 2 diabetes mellitus (T2DM) is a serious endocrine and metabolic disease that is highly prevalent and causes high mortality and morbidity rates worldwide. This review aims to focus on the potential of probiotics in the management of T2DM and its complications and to summarise the various mechanisms of action of probiotics with respect to T2DM. In this review, experimental studies conducted between 2016 and 2022 were explored. The possible mechanisms of action are based on their ability to modulate the gut microbiota, boost the production of short-chain fatty acids (SCFAs) and glucagon-like peptides, inhibit alpha-glucosidase, elevate sirtuin 1 (SIRT1) levels while reducing fetuin-A levels, and regulate the level of inflammatory cytokines. This review recommends carrying out further studies, especially human trials, to provide robust evidence-based knowledge on the use of probiotics for the treatment of T2DM.IMPACT STATEMENTT2DM is prevalent worldwide causing high rates of morbidity and mortality.Gut microbiota play a significant role in the pathogenesis of T2DM.Probiotics can be used as possible therapeutic tools for the management of T2DM.The possible mechanisms of action of probiotics include modulation of the gut microbiota, production of SCFAs and glucagon-like peptides, inhibition of alpha-glucosidase, raising SIRT1, reducing fetuin-A levels, and regulating the level of inflammatory cytokines. FAU - Bajinka, Ousman AU - Bajinka O AD - Department of Medical Microbiology, Central South University, Changsha, China. AD - China-Africa Research Center of Infectious Diseases, School of Basic Medical Sciences, Central South University, Changsha, China. FAU - Sylvain Dovi, Kodzovi AU - Sylvain Dovi K AD - Department of Occupational and Environmental Health, Xiangya School of Public Health, Central South University, Changsha, P. R. China. FAU - Simbilyabo, Lucette AU - Simbilyabo L AD - Department of Neurosurgery, Xiangya Hospital of Central South University, Changsha, China. FAU - Conteh, Ishmail AU - Conteh I AD - Department of Epidemiology and Health Statistics, Xiangya School of public health central South University, Changsha, P. R. China. FAU - Tan, Yurong AU - Tan Y AD - Department of Medical Microbiology, Central South University, Changsha, China. AD - China-Africa Research Center of Infectious Diseases, School of Basic Medical Sciences, Central South University, Changsha, China. LA - eng PT - Journal Article DEP - 20230111 PL - England TA - Arch Physiol Biochem JT - Archives of physiology and biochemistry JID - 9510153 SB - IM OTO - NOTNLM OT - Probiotics OT - gut microbiota OT - inflammations OT - type 2 diabetes mellitus EDAT- 2023/01/12 06:00 MHDA- 2023/01/12 06:00 CRDT- 2023/01/11 11:33 PHST- 2023/01/11 11:33 [entrez] PHST- 2023/01/12 06:00 [pubmed] PHST- 2023/01/12 06:00 [medline] AID - 10.1080/13813455.2022.2163260 [doi] PST - aheadofprint SO - Arch Physiol Biochem. 2023 Jan 11:1-16. doi: 10.1080/13813455.2022.2163260.