Can fecal microbiota transplantations modulate autoimmune responses in type 1 diabetes?

Immunol Rev. 2024 Aug;325(1):46-63. doi: 10.1111/imr.13345. Epub 2024 May 16.

Abstract

Type 1 diabetes (T1D) is a chronic autoimmune disease targeting insulin-producing pancreatic beta cells. T1D is a multifactorial disease incorporating genetic and environmental factors. In recent years, the advances in high-throughput sequencing have allowed researchers to elucidate the changes in the gut microbiota taxonomy and functional capacity that accompany T1D development. An increasing number of studies have shown a role of the gut microbiota in mediating immune responses in health and disease, including autoimmunity. Fecal microbiota transplantations (FMT) have been largely used in murine models to prove a causal role of the gut microbiome in disease progression and have been shown to be a safe and effective treatment in inflammatory human diseases. In this review, we summarize and discuss recent research regarding the gut microbiota-host interactions in T1D, the current advancement in therapies for T1D, and the usefulness of FMT studies to explore microbiota-host immunity encounters in murine models and to shape the course of human type 1 diabetes.

Keywords: fecal microbiota transplantation; microbiota; type 1 diabetes.

Publication types

  • Review

MeSH terms

  • Animals
  • Autoimmunity*
  • Diabetes Mellitus, Type 1* / immunology
  • Diabetes Mellitus, Type 1* / microbiology
  • Diabetes Mellitus, Type 1* / therapy
  • Disease Models, Animal*
  • Fecal Microbiota Transplantation*
  • Gastrointestinal Microbiome* / immunology
  • Humans
  • Mice