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Changes in the gut bacteriome upon gluten-free diet intervention do not mediate beta cell preservation.

Diabetologia
January 1, 2023
Vit Neuman et al. (12 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tHuman Study
Study Details

Study Goal

The researchers aimed to determine whether a gluten-free diet (GFD) affects gut bacteriome composition and function, and if these changes mediate GFD's protective effects on beta cell function in children with type 1 diabetes.

Results Summary

The study found that GFD altered gut bacteriome composition (e.g., decreased Bifidobacterium, increased Roseburia) but did not affect alpha or beta diversity. These changes were unrelated to beta cell loss, suggesting GFD's protective effects occur through other pathways. Gut permeability remained unchanged.

Population

45 children (aged 10.2 ± 3.3 years) with recent-onset type 1 diabetes.

Effective Dosage

Not specified (self-selected dietary intervention).

Duration

12 months (with assessments at 3-month intervals).

Interactions

None mentioned.

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
gluten-free diet (GFD)
increase
beta cell function
children with childhood type 1 diabetes
-
protected
#1
gluten-free diet (GFD)
change
gut bacteriome composition
children with childhood type 1 diabetes
-
was associated with changes
#2
gluten-free diet (GFD)
change
gut bacteriome functional capacity
children with childhood type 1 diabetes
-
was associated with changes
#3
gluten-free diet (GFD)
change
bacteriome community composition
children with childhood type 1 diabetes
-
changed
#4
gluten-free diet (GFD)
decrease
Bifidobacterium genus
children with childhood type 1 diabetes
3.3-fold
decrease
#5
gluten-free diet (GFD)
increase
Roseburia genus
children with childhood type 1 diabetes
2.4-fold
increase
#6
gluten-free diet (GFD)
no change
within-sample (alpha) diversity
children with childhood type 1 diabetes
-
did not change
#7
gluten-free diet (GFD)
no change
pace of beta cell loss
children with childhood type 1 diabetes
-
did not show any association
#8
gluten-free diet (GFD)
no change
faecal metabolome profile ordination
children with childhood type 1 diabetes
-
did not associate with
#9
gluten-free diet (GFD)
no change
gut permeability
children with childhood type 1 diabetes
-
no indication of changes
#10
gluten-free diet (GFD)
no change
pace of beta cell capacity loss
children with childhood type 1 diabetes
-
were unrelated to
#11
gluten-free diet (GFD)
increase
beta cell function
children with childhood type 1 diabetes
-
moderately protective effect
#12
Abstract

AIMS/HYPOTHESIS: We previously detected indications that beta cell function is protected by gluten-free diet (GFD) introduced shortly after the onset of childhood type 1 diabetes. The present aim was to assess whether GFD was associated with changes in the gut bacteriome composition and in its functional capacity, and whether such changes mediated the observed effects of GFD on beta cell function. METHODS: Forty-five children (aged 10.2 ± 3.3 years) were recruited into a self-selected intervention trial primarily focused on determining the role of GFD on beta cell preservation ( ClinicalTrials.gov NCT02867436). Stool samples were collected prior to the dietary intervention and then at 3-month intervals. A total of 128 samples from the GFD group and 112 from the control group were analysed for bacteriome 16S rDNA community profiles, the bacteriome functional capacity was predicted using PICRUSt2 and actual gut metabolome profiles measured using NMR. Intestinal permeability was assessed using serum zonulin concentrations at 1, 6 and 12 months and lactulose/mannitol tests at the end of intervention. Dietary questionnaires were used to ensure that the dietary intervention did not result in differences in energy or nutrient intake. RESULTS: The bacteriome community composition changed during the intervention with GFD: of abundant genera, a 3.3-fold decrease was noted for Bifidobacterium genus (adjusted p=1.4 × 10-4 in a DESeq2 model, p=0.026 in generalised estimating equations model), whereas a 2.4-fold increase was observed in Roseburia (adjusted p=0.02 in DESeq2 model, p=0.002 in generalised estimating equations model). The within-sample (alpha) diversity did not change, and there was no statistically significant clustering of GFD samples in the ordination graphs of beta diversity. Neither of the genera changes upon GFD intervention showed any association with the pace of beta cell loss (p>0.50), but of the remaining taxa, several genera of Bacteroidaceae family yielded suggestive signals. The faecal metabolome profile ordination correlated with that of bacteriomes but did not associate with GFD or categories of beta cell preservation. There was no indication of changes in gut permeability. CONCLUSIONS/INTERPRETATION: The bacteriome reacted to GFD, but the changes were unrelated to the pace of beta cell capacity loss. The previously observed moderately protective effect of GFD is therefore mediated through other pathways.

Medical Subject Headings (MeSH)
ChildHumansDiet, Gluten-Free
Study Links
Quality Scores
Safety85
Efficacy60/10
Quality75/10
Citation Metrics
Total Citations4
Citations/Year2.0
Relative Citation Ratio0.64
NIH Percentile34.6%
Research Impact Scores
APT Score0.25
Weight Score2.54
Normalized Score0.73
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