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. 2024 Aug 24;16(17):2838. doi: 10.3390/nu16172838

Table 2.

BPs with therapeutic potential against T2DM.

Bioactive Polysaccharides Monosaccharide Composition and Molecular Weight (Mw) Dosage Study Approaches Major Findings Mode of Action–Gut Microbiota References
Acidic tea polysaccharides Mw: 3.9285 × 104 Da 200, 400, and 800 mg/kg High-fat diet-streptozotocin-induced rat models Improved plasma and liver lipid metabolism Increased Bifidobacterium, Blautia, Dorea, and Oscillospira, and reduction in Desulfovibrio and Lactobacillus; Improved secondary BA biosynthesis and primary BA biosynthesis [230]
White hyacinth bean polysaccharides Composed of glucose, rhamnose, galactonic acid, galactose, xylose, and arabinose in the molar ratio of 23.23:6.2:5.09:2.76:2.4:0.48; Mw: 2.3 × 105 Da 100 mg/kg High fat and high sugar induced T2DM rat model Reduction of blood glucose levels and improvement of intestinal impairment Increased gut microbiota diversity and F/B ratio; Enriched Allobaculum, Eubacterium, Anarrobiospirillum, and Holdemania; Increased cecal SCFA level [164]
Fu brick tea polysaccharides Composed of arabinose (57.4%), rhamnose (25.2%), galactose (5.1%), mannose (3.3%), galacturonic acid (3.9%) and glucuronic acid (3.1%); Mw: >8000 Da 200 and 400 mg/kg High-fat diet-streptozotocin-induced rat models Relieved dyslipidemia (i.e., TC, TG, LDL-C, and HDL-C), IR, and pancreas oxidative stress Increased Ruminococcus and Lactobacillus; Reduced Prevotella and Faecalibaculum; Elevated colonic SCFA levels [176]
Fructus mori polysaccharides Mw: 102.22 kDa, 8.71 kDa, and 5.62 kDa 600 mg/kg High-fat diet-streptozotocin-induced T2DM mice model Suppressed intestinal inflammation and oxidative stress; Enhanced the intestinal barrier function Inhibiting endotoxin-producing Shigella and promoting Allobaculum and Bifidobacterium [177]
Dendrobium officinale polysaccharides β-glucan;
Mw: 8000~12,000 Da
400 mg/kg/d High-fat diet-induced T2DM mice model Ameliorating IR; Fortifies intestinal barrier function Favorable growth-promoting effects on Parabacteroides distasonis; Increased nicotinic acid level [227]
Auricularia auricula polysaccharides Composed of fucose, galactose, glucose, mannose, and glucuronic acid 200 mg/kg/d High-fat diet-streptozotocin-induced T2DM mice model Reduced fasting blood glucose level; Stabilized the weight Decreased the abundance of Enterorhabdus, Desulfovibrio, and Helicobacter, and increased the abundance of beneficial genera such as Alloprevotella, Faecalibaculum, Dubosiella [224]
Sargassum fusiforme fucoidan High sulfate (14.55%) and rich in fucose (55.67%) and galactose (20.83%); Mw: 205.8 kDa 40 mg/kg/d High-fat diet-streptozotocin-induced T2DM mice model Decreased fasting blood glucose, improved glucose tolerance, decreased oxidative stress Enriched Bacteroides, Faecalibacterium, and Blautia; Increased levels of (R)-carnitine and choline in the colon [165]
Auricularia auricula-judae polysaccharides Composed of mannose (62%), glucose (12.6%), galactose (4%), rhamnose (13.1%), xylose (4%) and fucose (3.8%) 50 and 100 mg/kg High-fat diet-streptozotocin-induced T2DM mice model Decreased inflammation, liver injury, and IR; Improved glycolipid metabolism disorders by regulating the AKT and AMPK pathways Elevated gut microbiota diversity; Increased Lactobacillus and Bacteroides; Decreased Clostridium and Allobaculum; Affected the amino acid metabolism and glycolipid metabolism pathways [225]
Auricularia auricula-judae polysaccharides Composed of arabinose, mannose, galactose, and xylose with a molar ratio of 15.59:1.52:4.76:1.0 200 mg/kg High-fat diet-induced hyperlipidemia rat model Reduced the levels of total cholesterol and LDL-C Enriched several lower-abundance SCFA-producing bacteria such as Flavonifractor and Clostridium cluster IV [231]
Ganoderma lucidum polysaccharides Composed of arabinose (5.32%), galactose (5.47%),
glucose (57.63%),
xylose (0.84%),
mannose (25.41%),
ribose (1.95%) and rhamnose (3.38%)
500 and 1000 mg/kg High-fat diet-streptozotocin-induced T2DM mice model Repaired islet cells and increased insulin secretion, promoted the liver synthesis and storage of glycogen; Improved antioxidant enzymes and IR Decreased the F/B ratio; Enriched Lactobacillus, Bacteroides, and Ruminococcaceae; Decreased the release of endotoxins [228]
Ganoderma lucidum polysaccharides Composed of mannose, glucose, galactose, rhamnose, and arabinose in the molar ratio of 3.16:16.17:3.74:1.65:1; Mw: 13.7 kDa 400 mg/kg High-fat diet-streptozotocin-induced T2DM rat model Decreased in the levels of fasting blood glucose and insulin Reduced Aerococcus, Ruminococcus, Corynebacterium, and Proteus, and increased Blautia, Dehalobacterium, Parabacteroides, and Bacteroides; Restored the disturbed amino acids metabolism, carbohydrates metabolism [229]
Lycium barbarum polysaccharides Composed of carbohydrates (62.27%), uronic acid (25.03%), and protein (2.92%); Mw: 3.5 kDa 50, 100, or 200 mg/kg High-fat diet-streptozotocin-induced T2DM rat model Alleviated the symptoms of hyperglycemia, hyperlipidemia, and IR; boosted the activities of CAT, SOD, and GSH-Px and reduced inflammation Increasing Bacteroides, Ruminococcaceae_UCG-014, Intestinimonas, Mucispirillum, Ruminococcaceae_UCG-009 and decreasing Allobaculum, Dubosiella, Romboutsia; Increased SCFA production and decreased LPS [232]
Lycium barbarum L. polysaccharides Composed of rhamnose (8.37%), glucuronic acid (2.21%), glucose (7.95%), galactose (26.38%), xylose (7.91%) and arabinose (47.18%); Mw: 38.54 kDa 200 mg/kg High-fat diet-streptozotocin-induced diabetes mice model Improved fasting blood glucose and glycated hemoglobin level and beta-cell function; guarded the intestinal barrier function Induced Allobaculum [233]
Dendrobium officinale leaf polysaccharides Composed of glucose, mannose, glucuronic acid, and galactose at a molar ratio of 3.2:2.6:1.0:0.7; Mw: 9.91 kDa 200 mg/kg High-fat diet-streptozotocin-induced T2DM mice model Ameliorated hyperglycemia, inhibited IR, reduced lipid concentration Decreased the F/B ratio; Increased Lactobacillus, Bifidobacterium, and Akkermansia; Increased colonic SCFA levels [234]
Morchella esculenta polysaccharides Composed of mannose (5.77%), glucose (81.35%), galactose (3.543%) and arabinose (8.99%) 200, 400, and 600 mg/kg High-fat diet-streptozotocin-induced T2DM mice model Regulated hyperglycemia and hyperlipidemia and improved insulin sensitivity; Improved intestinal permeability Increased Lactobacillus, decreased Corynebacterium, and Facklamia; Increased indole biosynthesis and secondary BA biosynthesis gene expression [235]
Astragalus membranaceus polysaccharides Mw: >3000 Da 400 mg/kg High-fat diet-streptozotocin-induced T2DM mice model Improved glycolipid metabolism disorders, inflammation and oxidative stress levels, and organ injury; Improved intestinal barrier Inhibited Shigella and promoted Allobaculum and Lactobacillus [236]
Dendrobium officinale polysaccharides Composed of mannose and glucose at a molar ratio of 3.45:1 200 mg/kg High fat and high sugar and streptozotocin-induced prediabetic mice model Improved glucose, IR, and lipid metabolism Decreased F/B ratio; Increased Bifidobacterium and Lactobacillus and decreased Colidextribacter, Helicobacter, and Mucispirillum; Increased intestinal SCFAs level and decreased LPS level [237]
Huanglian polysaccharides Composed of glucuronic acid, glucose, galactose, and arabinose, with a molar ratio of 1.0:4.4:2.4:0.6; Mw: 12.1 kDa 200 mg/kg High-fat diet-streptozotocin-induced T2DM mice model Improved hyperglycemia, IR, blood lipid levels, and β-cell function Increased Akkermansia, and decreased Aerococcus, Providencia, Pseudochrobactrum; Increased fecal butyrate level [238]
Laminaria japonica polysaccharides Composed of fucose, galactose, glucose, and mannuronic acid, with a molar ratio of 0.848:0.097:0.039:0.016; Mw: 7.32 kDa 100 or 200 mg/kg High fat and high sugar and streptozotocin-induced diabetic mice model Reduced fasting blood glucose levels, insulin levels, and inflammatory factors Increased Candidatus_Saccharimonas, Shinella, Akkermansia, and Ochrobactrum; Increased cecal SCFA level [239]
Black quinoa polysaccharides Composed of mannose (0.560%), ribose (0.418%), rhamnose (0.467%), glucuronide (1.889%), galacturonic acid (0.388%), glucose (91.169%), galactose (2.512%), xylose (0.305%), arabinose (2.031%), and fucose (0.262%); Mw: 8.087 kDa 400 or 800 mg/kg High-fat diet-streptozotocin-induced T2DM mice model Ameliorated blood glucose and lipid levels and improved oxidative stress levels and liver injury levels Decreased F/B ratio; Increased Dubosiella, Akkermansia, Faecalibaculum, and Allobaculum; Increased cecal SCFA level [240]
Phellinus linteus polysaccharides - 300 mg/kg High fat and high sugar and streptozotocin-induced T2DM rat model Promoted the secretion of GLP-1, stimulated insulin secretion, and reduced blood glucose Increased Bacteroides, Parabacteroides, and Alistioes; Increased intestinal SCFAs production and promoted conjugated BAs decomposition and the transformation of primary BAs to secondary BAs [241]
Tegillarca granosa polysaccharides Composed of mannose, glucosamine, rhamnose, glucuronic acid, galactosamine, glucose, galactose, xylose, and fucose, with a molar ratio of 1:1.38:0.87:0.53:0.52:5.37:1.38:1.05:2.40; Mw: 5.1 kDa 200 or 400 mg/kg High-fat diet-streptozotocin-induced T2DM mice model Improved dyslipidemia and disorders in glucolipid metabolism, enhanced insulin sensitivity by activating the PI3K/Akt signaling pathway Increased Allobaculum, Lachnospiraceae_NK4A136_group, Akkermansia, and Bifidobacterium; Increased fecal butyrate level [242]
Glycyrrhiza uralensis polysaccharides Composed of galactose, xylose, mannose, and glucose, with a molar ratio of 1:0.22:1.2:0.22 400 mg/kg High-fat diet-streptozotocin-induced T2DM mice model Ameliorated hyperglycemia, IR, oxidative stress, enhanced gut barrier function, and reduced liver lipid levels Increased Akkermansia, Lactobacillus, Romboutsia, and Faecalibaculum, decreased Bacteroides, Escherichia-Shigella, and Clostridium sensu stricto 1 [243]

Notes: T2DM, Type 2 diabetes mellitus; IR, insulin resistance; TG, triglyceride; TC, total cholesterol; LDL-C, low-density lipoprotein cholesterol; SCFAs, short-chain fatty acids; LPS, lipopolysaccharide; BAs, bile acids; CAT, catalase; SOD, superoxide dismutase; GSH-Px, glutathione peroxidase; GLP-1, glucagon-like peptide-1; AMPK, Adenosine 5′-monophosphate (AMP)-activated protein kinase; AKT, protein kinase B; F/B ratio, the ratio of Firmicutes to Bacteroidetes.