Research progress in the role of active components of traditional Chinese medicine in ameliorating type 2 diabetes mellitus by regulating gut microbiota

Abstract:

Type 2 diabetes mellitus (T2DM) stands as a chronic metabolic disorder posing a challenge to global public health, owing to its widespread prevalence. The intricate interplay between gut microbiota and the onset and progression of T2DM, along with the potential therapeutic benefits of modulating gut microbiota, has emerged as a focal point in contemporary research. Recent studies have underscored the capacity of traditional Chinese medicine to ameliorate T2DM by inducing alterations in gut microbiota. Nevertheless, the precise mechanisms underlying the pharmacological actions of traditional Chinese medicine via gut microbiota regulation remain elusive. The diverse bioactive compounds in traditional Chinese medicine play pivotal roles in eliciting its pharmacological effects. This article systematically reviews the advancements in the research concerning the modulation of gut microbiota for T2DM intervention by a spectrum of bioactive components in traditional Chinese medicine, encompassing polysaccharides, alkaloids, flavonoids, saponins, and other compounds. The objective of this review is to furnish a comprehensive theoretical framework supporting the preventive and therapeutic potential of traditional Chinese medicine in T2DM management, thereby significantly contributing to the modernization of traditional Chinese medicine.