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Comment
. 2018 Jan;15(1):1-4.
doi: 10.1038/cmi.2017.54. Epub 2017 Jul 10.

Diet as a strategy for type 1 diabetes prevention

Affiliations
Comment

Diet as a strategy for type 1 diabetes prevention

Flavia Prodam et al. Cell Mol Immunol. 2018 Jan.
No abstract available

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
The gut microbiota is influenced by several factors, including maternal nutrition, type of delivery, age, genetic background, hygienic conditions, antibiotic treatments and precocious diet factors. It influences the mucosal immune response and the integrity of the mucosal barrier, with effects on systemic immunity and inflammation. This is partly due to the production of signaling metabolites targeting endocrine, neuronal and immune cells of the gut and liver and influences of lipid and glucose metabolism. BCAAs, branched-chain amino acids; SCFAs, short-chain fatty acids.
Figure 2
Figure 2
Non-obese diabetic (NOD) mice are an animal model of T1DM. The disease is influenced by the gut microbiota. Disease onset is preceded by the development of inflammatory infiltration, which is rich with T cells, in the pancreatic islets (insulitis). Diets that release high amounts of two SCFAs, acetate (FED-A) or butyrate (FED-B), in the gut substantially prevent the onset of disease in NOD mice. The acetate-enriched diet predominantly acts by decreasing activation of the autoimmune effector T cells, and it is associated with an increase in Bacteroides. The above effects are minimal or absent from the FED-B mice. By contrast, these mice show an expansion of Treg cells, which protect the integrity of the mucosal barrier, by increasing the expression of occludin in tight junctions in the colon.

Comment on

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