Discussion on the microscopic syndrome differentiation of phlegm syndrome in metabolic syndrome based on gut microbiota associated with lipid metabolism
Theoretical Studies|更新时间:2023-12-08
|
Discussion on the microscopic syndrome differentiation of phlegm syndrome in metabolic syndrome based on gut microbiota associated with lipid metabolism
Journal of Beijing University of Traditional Chinese MedicineVol. 46, Issue 11, Pages: 1517-1522(2023)
作者机构:
1.福建中医药大学中医学院 福州 350122
2.福建省2011中医健康管理协同创新中心
3.福建省中医健康状态辨识重点实验室
4.福建中医药大学附属人民医院内分泌科
作者简介:
Prof. LI Candong, Ph.D., Doctoral Supervisor. College of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, No.1, Qiuyang Road, Minhou District, Fuzhou 350122. E-mail: fjzylcd@126.com
基金信息:
National Natural Science Foundation of China(82204977;U22A20376)
XIA Shujie, MI Lifen, SHEN Shanyi, et al. Discussion on the microscopic syndrome differentiation of phlegm syndrome in metabolic syndrome based on gut microbiota associated with lipid metabolism[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(11): 1517-1522.
DOI:
XIA Shujie, MI Lifen, SHEN Shanyi, et al. Discussion on the microscopic syndrome differentiation of phlegm syndrome in metabolic syndrome based on gut microbiota associated with lipid metabolism[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(11): 1517-1522.DOI: 10.3969/j.issn.1006-2157.2023.11.006.
Discussion on the microscopic syndrome differentiation of phlegm syndrome in metabolic syndrome based on gut microbiota associated with lipid metabolism
Metabolic syndrome is a cluster of metabolic disorders associated with obesity
hyperglycemia
hypertension
and dyslipidemia. Central obesity is an important initiating factor and clinical manifestation of metabolic syndrome
while an imbalance in the intestinal flora can induce metabolic inflammation and insulin resistance. Lipid metabolism disorder also plays an important role in the occurrence and development of metabolic syndrome. Phlegm is an important pathological factor of metabolic syndrome that correlates with the intestinal microbiota and lipid metabolism disorders. Therefore
this paper systematically investigated the pathological mechanisms underlying metabolic syndrome with phlegm syndrome from the perspective of "intestinal microbiota-lipid metabolism"
and proposed that metabolic syndrome with phlegm syndrome is closely related to lipid metabolism disorder mediated by intestinal microbiota. Combining the two diseases and machine learning furthers our understanding of the biological basis of metabolic syndrome with phlegm syndrome and provides a mechanism for microscopically differentiating the syndromes
acting as a theoretical reference for scientific research into disease prognoses and treatment targets.
MCCRACKEN E , MONAGHAN M , SREENIVASAN S . Pathophysiology of the metabolic syndrome [J]. Clin Dermatol , 2018 , 36 ( 1 ): 14 - 20 .
KANEKO K , YATSUYA H , LI Y , et al . Risk and population attributable fraction of metabolic syndrome and impaired fasting glucose for the incidence of type 2 diabetes mellitus among middle-aged Japanese individuals: Aichi Worker’s Cohort Study [J]. J Diabetes Investig , 2020 , 11 ( 5 ): 1163 - 1169 .
POWELL-WILEY TM , POIRIER P , BURKE LE , et al . Obesity and Cardiovascular Disease:A Scientific Statement From the American Heart Association [J]. Circulation , 2021 , 143 ( 21 ): 984 - 1010 .
POWELL EE , WONG VW , RINELLA M . Non-alcoholic fatty liver disease [J]. Lancet , 2021 , 397 ( 10290 ): 2212 - 2224 .
BISHEHSARI F , VOIGT RM , KESHAVARZIAN A . Circadian rhythms and the gut microbiota: from the metabolic syndrome to cancer [J]. Nat Rev Endocrinol , 2020 , 16 ( 12 ): 731 - 739 .
LIU JF , LIU QP , LI ZW , et al . Prevalence of Metabolic Syndrome and Risk Factors Among Chinese Adults: Results from a Population-Based Study - Beijing, China, 2017-2018 [J]. China CDC Wkly , 2022 , 4 ( 29 ): 640 - 645 .
HIRODE G , WONG RJ . Trends in the Prevalence of Metabolic Syndrome in the United States, 2011-2016 [J]. JAMA , 2020 , 23 ( 24 ): 2526 - 2528 .
YAO F , BO YC , ZHAO LY , et al . Prevalence and Influencing Factors of Metabolic Syndrome among Adults in China from 2015 to 2017 [J/OL]. Nutrients , 2021 , 13 ( 12 ): 4475 [ 2023-03-01 ]. https://www.mdpi.com/2072-6643/13/12/4475 .
LEMIEUX I , DESPRÉS JP . Metabolic Syndrome: Past, Present and Future [J/OL]. Nutrients , 2020 , 12 ( 11 ): 3501 [ 2023-03-01 ]. https://www.mdpi.com/2072-6643/12/11/3501 .
XIA SJ , CAI J , CHEN JX , et al . Factor and Cluster Analysis for TCM Syndromes of Real-World Metabolic Syndrome at Different Age Stage [J/OL]. Evid Based Complement and Alternat Med , 2020 , 2020 : 7854325 [ 2023-03-01 ]. https://www.hindawi.com/journals/ecam/2020/7854325/ .
XIA SJ , GAO BZ , WANG SH , et al . Modeling of diagnosis for metabolic syndrome by integrating symptoms into physiochemical indexes [J/OL]. Biomed Pharmacother , 2021 , 137 ( 1 ): 111367 [ 2023-03-01 ]. https://www.sciencedirect.com/science/article/pii/S0753332221001529?via%3Dihub .
FAHED G , AOUN L , BOU ZERDAN M , et al . Metabolic Syndrome: Updates on Pathophysiology and Management in 2021 [J/OL]. Int J Mol Sci , 2022 , 23 ( 2 ): 786 [ 2023-03-01 ]. https://www.mdpi.com/1422-0067/23/2/786 .
CATRYSSE L , VAN LOO G . Inflammation and the Metabolic Syndrome: The Tissue-Specific Functions of NF-κB [J]. Trends Cell Biol , 2017 , 27 ( 6 ): 417 - 429 .
ECKEL RH , ALBERTI KGMM , GRUNDY SM , et al . The metabolic syndrome [J]. The Lancet , 2005 , 365 ( 9468 ): 1415 - 1428 .
WU JY , WANG K , WANG XM , et al . The role of the gut microbiome and its metabolites in metabolic diseases [J]. Protein Cell , 2021 , 12 ( 5 ): 360 - 373 .
VALLIANOU N , STRATIGOU T , CHRISTODOULATOS GS , et al . Understanding the Role of the Gut Microbiome and Microbial Metabolites in Obesity and Obesity-Associated Metabolic Disorders: Current Evidence and Perspectives [J]. Curr Obes Rep , 2019 , 8 ( 3 ): 317 - 332 .
MAIFELD A , BARTOLOMAEUS H , LÖBER U , et al . Fasting alters the gut microbiome reducing blood pressure and body weight in metabolic syndrome patients [J/OL]. Nat Commun , 2021 , 12 ( 1 ): 1970 [ 2023-03-01 ]. https://www.nature.com/articles/s41467-021-22097-0 .
SINGER-ENGLAR T , BARLOW G , MATHUR R . Obesity, diabetes, and the gut microbiome: an updated review [J]. Expert Rev Gastroenterol Hepatol , 2019 , 13 ( 1 ): 3 - 15 .
YU Y , RAKA F , ADELI K . The Role of the Gut Microbiota in Lipid and Lipoprotein Metabolism [J/OL]. J Clin Med , 2019 , 8 ( 12 ): 2227 [ 2023-03-01 ]. https://www.mdpi.com/2077-0383/8/12/2227 .
CANFORA EE , JOCKEN JW , BLAAK EE . Short-chain fatty acids in control of body weight and insulin sensitivity [J]. Nat Rev Endocrinol , 2015 , 11 ( 10 ): 577 - 591 .
MASOODI M , GASTALDELLI A , HYÖTYLÄINEN T , et al . Metabolomics and lipidomics in NAFLD: biomarkers and non-invasive diagnostic tests [J]. Nat Rev Gastroenterol Hepatol , 2021 , 18 ( 12 ): 835 - 856 .
Analysis of traditional Chinese medicine syndromes and constitution characteristics in patients with angina pectoris of coronary heart disease across different metabolic-weight types
Activation of the AMPK/PGC-1α signaling pathway by Tianjing Huazhuo Formula attenuates renal fibrosis via lipid metabolism regulation in CKD mice model∗
Mechanism of Qishen Yiqi Dropping Pills in regulating gut microbiota and ROS/TXNIP/NLRP3 signaling pathway to improve chronic heart failure in rats
Exploration of the pathogenesis of metabolic syndrome based on the theory of " yang transforming qi and yin shaping up body"
Characteristics of traditional Chinese medicine pattern distribution of metabolic syndrome based on latent class analysis and latent structure analysis
Related Author
LI Mengru
LI Wen
SUN Yifei
TIAN Yanan
BI Yingfei
SU Jiaming
LIU Hongfang
GUO Yan
Related Institution
Tianjin University of Traditional Chinese Medicine
National Clinical Research Center for Chinese Medicine
First Teaching Hospital of Tianjin University of Traditional Chinese Medicine
Beijing Hospital of Integrated Traditional Chinese and Western Medicine
Key Laboratory of Internal Medicine of Traditional Chinese Medicine,Ministry of Education