Table 1.
Role of gut microbiota in T1D
Function | Phenotype | References |
---|---|---|
Alteration of intestinal permeability | Increased ratio of Bacteroidetes vs Firmicutes | Ref 64, 65f, 66 |
Modified tight junction | Ref 61, 67, 68, 69 | |
Modified mucosal immunity | Impaired GALT development Modified innate immunity: | Ref 71 |
1) TLR2 | Ref 79 | |
2) TLR5 | Ref 78, 82 | |
3) TLR9 | Ref 77 | |
Modified adaptive immunity: | ||
1) Affecting T cells: | ||
i) Treg | Ref 27, 53, 72, 80, 84, 86, 87 | |
ii) Th1 vs Th2 | Ref 53, 74, 75 | |
iii) Th17 | Ref 53, 76, 77, 79, 94, 95 | |
2) Affecting B cell function | Ref 73, 75, 92 | |
Therapies targeting gut microbiota | Manipulation gut flora at early life prevents T1D; | Ref 38, 92, 104, 106, 107 |
Long-term supplement of probiotics prevents T1D; | Ref 92, 108 | |
Administration of genetically modified bacteria reverses T1D. | Ref 109, 110 |
GALT: Gut-associated lymphoid tissue