<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">clinmed</journal-id><journal-title-group><journal-title xml:lang="ru">Клиническая медицина</journal-title><trans-title-group xml:lang="en"><trans-title>Clinical Medicine (Russian Journal)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0023-2149</issn><issn pub-type="epub">2412-1339</issn><publisher><publisher-name>ООО «Медицинское информационное агентство»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30629/0023-2149-2023-101-4-5-188-193</article-id><article-id custom-type="elpub" pub-id-type="custom">clinmed-536</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Патофизиологическая роль дисбиоза кишечника при сахарном диабете 2-го типа и антидиабетический потенциал пробиотиков, пребиотиков и трансплантации фекальной микробиоты</article-title><trans-title-group xml:lang="en"><trans-title>The pathophysiological role of intestinal dysbiosis in type 2 diabetes mellitus and the anti-diabetic potential of probiotics, prebiotics and fecal microbiota transplantation</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4973-039X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Айтбаев</surname><given-names>К. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Aitbaev</surname><given-names>K. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Айтбаев Кубаныч Авенович  — д-р мед. наук, профессор, руководитель лаборатории патологической физиологии, член правления Общества специалистов по хронической болезни почек Кыргызстана</p><p>720040, Бишкек</p></bio><bio xml:lang="en"><p>Aitbaev Kubanych A.</p><p>720040, Bishkek</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8513-9279</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Муркамилов</surname><given-names>И. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Murkamilov</surname><given-names>I. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Муркамилов Илхом Торобекович — д-р мед. наук, доцент кафедры факультетской терапии; старший преподаватель, нефролог; председатель правления Общества специалистов по хронической болезни почек Кыргызстана</p><p>720020, Бишкек</p><p>720000, Бишкек</p></bio><bio xml:lang="en"><p>Murkamilov Ilkhom T.</p><p>720020, Bishkek</p><p>720000, Bishkek</p></bio><email xlink:type="simple">murkamilov.i@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7653-0433</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Муркамилова</surname><given-names>Ж. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Murkamilova</surname><given-names>Zh. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Муркамилова Жамила Абдилалимовна — заочный аспирант кафедры терапии № 2 медицинского факультета</p><p>720000, Бишкек</p></bio><bio xml:lang="en"><p>Murkamilova Zhamila A.</p><p>720000, Bishkek</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2682-4417</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фомин</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Fomin</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Фомин Виктор Викторович — д-р мед. наук, профессор, член-корр. РАН, зав. кафедрой факультетской терапии №1 Института клинической медицины им. Н.В. Склифосовского, проректор по инновационной и клинической деятельности</p><p>119991, Москва</p></bio><bio xml:lang="en"><p>Fomin Viktor V.</p><p>119991, Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3007-8127</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кудайбергенова</surname><given-names>И. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Kudaibergenova</surname><given-names>I. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кудайбергенова Индира Орозобаевна (Kudaibergenova Indira O.) — д-р мед. наук, профессор, ректор</p><p>720020, Бишкек</p></bio><bio xml:lang="en"><p>Kudaibergenova Indira O.</p><p>720020, Bishkek</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Юсупова</surname><given-names>Т. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Yusupova</surname><given-names>T. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юсупова Турсуной Фуркатовна — студентка 5-го курса медицинского факультета</p><p>723500, Ош</p></bio><bio xml:lang="en"><p>Yusupova Tursunoy F.</p><p>723500, Osh</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Юсупов</surname><given-names>Ф. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Yusupov</surname><given-names>F. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юсупов Фуркат Абдулахатович — д-р мед. наук, профессор, зав. кафедрой неврологии, нейрохирургии и психиатрии медицинского факультета; член правления Общества специалистов по хронической болезни почек Кыргызстана, главный невролог Южного региона Кыргызстана</p><p>723500, Ош</p></bio><bio xml:lang="en"><p>Yusupov Furkat A.</p><p>723500, Osh</p></bio><xref ref-type="aff" rid="aff-6"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научно-исследовательский институт молекулярной биологии и медицины</institution><country>Кыргызстан</country></aff><aff xml:lang="en"><institution>Scientifi c and Research Institute of Molecular Biology and Medicine</institution><country>Kyrgyzstan</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Кыргызская государственная медицинская академия имени И.К. Ахунбаева; ГОУ ВПО «Кыргызско-Российский славянский университет имени первого президента Российской Федерации &#13;
Б.Н. Ельцина»</institution><country>Кыргызстан</country></aff><aff xml:lang="en"><institution>Kyrgyz State Medical Academy named after I.K. Akhunbaev; Kyrgyz-Russian Slavic University named after the First President of Russian Federation B.N. Yeltsin</institution><country>Kyrgyzstan</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ГОУ ВПО «Кыргызско-Российский славянский университет имени первого президента Российской Федерации &#13;
Б.Н. Ельцина»</institution><country>Кыргызстан</country></aff><aff xml:lang="en"><institution>Kyrgyz-Russian Slavic University named after the First President of Russian Federation B.N. Yeltsin</institution><country>Kyrgyzstan</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Минздрава &#13;
России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Кыргызская государственная медицинская академия имени И.К. Ахунбаева</institution><country>Кыргызстан</country></aff><aff xml:lang="en"><institution>Kyrgyz State Medical Academy named after I.K. Akhunbaev</institution><country>Kyrgyzstan</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Ошский государственный университет</institution><country>Кыргызстан</country></aff><aff xml:lang="en"><institution>Osh State University</institution><country>Kyrgyzstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>31</day><month>05</month><year>2023</year></pub-date><volume>101</volume><issue>4-5</issue><fpage>188</fpage><lpage>193</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Айтбаев К.А., Муркамилов И.Т., Муркамилова Ж.А., Фомин В.В., Кудайбергенова И.О., Юсупова Т.Ф., Юсупов Ф.А., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Айтбаев К.А., Муркамилов И.Т., Муркамилова Ж.А., Фомин В.В., Кудайбергенова И.О., Юсупова Т.Ф., Юсупов Ф.А.</copyright-holder><copyright-holder xml:lang="en">Aitbaev K.A., Murkamilov I.T., Murkamilova Z.A., Fomin V.V., Kudaibergenova I.O., Yusupova T.F., Yusupov F.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.clinmedjournal.com/jour/article/view/536">https://www.clinmedjournal.com/jour/article/view/536</self-uri><abstract><p>Сахарный диабет (СД) 2-го типа— мультифакториальное заболевание, в развитии которого ожирение играет ключевую роль. Полагают, что глобальный рост распространенности СД 2-го типа и ожирения, принявший в последнее время характер эпидемии, обусловлен урбанизацией, снижением физической активности и повышением доступности калорийной пищи. Недавно в патофизиологии СД 2-го типа обнаружен еще один «игрок» — кишечная микробиота (КМ). Многочисленными исследованиями показана связь КМ и СД 2-го типа. В обзоре рассматриваются механизмы, посредством которого КМ способствует развитию этого заболевания. Приведены результаты экспериментальных и клинических исследований по изучению эффективности использования пробиотиков, пребиотиков и трансплантации фекальной микробиоты в качества средства профилактики и терапии СД 2-го типа.</p></abstract><trans-abstract xml:lang="en"><p>Type 2 diabetes mellitus (DM2) is a multifactorial disease, and obesity plays the key role in the development thereof. It is believed that the global rise in vast proliferation of DM2 and obesity, recently viewed as an epidemic, is caused by urbanization, reduced physical activity and widely available high-calorie food. Recently, another “player” in the pathophysiology of type 2 diabetes mellitus has been discovered — the intestinal microbiota (IM). Numerous studies have shown the connection between the development of type 2 diabetes mellitus and IM. The review discusses the mechanisms, through which IM contributes to the development of DM2. The results of experimental and clinical studies on the eff ectiveness of the use of probiotics, prebiotics and fecal microbiota transplantation as a method of prevention and treatment of type 2 diabetes mellitus are given.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сахарный диабет</kwd><kwd>инсулиновая резистентность</kwd><kwd>субклиническое воспаление</kwd><kwd>кишечная микробиота</kwd><kwd>дисбиоз кишечника</kwd><kwd>пробиотики</kwd><kwd>пребиотики</kwd><kwd>трансплантация фекальной микробиоты</kwd></kwd-group><kwd-group xml:lang="en"><kwd>diabetes mellitus</kwd><kwd>insulin resistance</kwd><kwd>subclinical infl ammation</kwd><kwd>intestinal microbiota</kwd><kwd>intestinal dysbiosis</kwd><kwd>probiotics</kwd><kwd>prebiotics</kwd><kwd>fecal microbiota transplantation</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Danaei G., Finucane M.M., Lu Y. et al. Global burden of metabolic risk factors of chronic diseases collaborating group (blood glucose). National, regional, and global trends in fasting plasma glu cose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 coun tryyears and 2·7 million participants. Lancet. 2011;378: 31–40.</mixed-citation><mixed-citation xml:lang="en">Danaei G., Finucane M.M., Lu Y. et al. Global burden of metabolic risk factors of chronic diseases collaborating group (blood glucose). National, regional, and global trends in fasting plasma glu cose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 coun tryyears and 2·7 million participants. Lancet. 2011;378: 31–40.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Демидова Т.Ю., Лобанова К.Г., Короткова Т.Н., Харчилава Л.Д. Абнормальная кишечная микробиота и нарушение инкретинового эффекта как причины развития сахарного диабета 2-го типа. Медицинский вестник Юга России. 2022;13(1):24–42. DOI: 10.21886/2219-8075-2022-13-1-24-42</mixed-citation><mixed-citation xml:lang="en">Demidova T.Y., Lobanova K.G., Korotkova T.N., Kharchilava L.D. Abnormal gut microbiota and impaired incretin eff ect as a cause of type 2 diabetes mellitus. Medical Herald of the South of Russia. 2022;13(1):24–42. (In Russian)]. DOI: 10.21886/2219-8075-2022-13-1-24-42</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Демидова Т.Ю., Короткова Т.Н., Кочина А.С. Пищевые волокна как элемент терапии пациентов с сахарным диабетом 2-го типа и сердечно-сосудистыми заболеваниями: простое решение сложной проблемы. Медицинский совет. 2022;16(10):104–109. DOI: 10.21518/2079-701X-2022-16-10-104-109</mixed-citation><mixed-citation xml:lang="en">Demidova T.Yu., Korotkova T.N., Kochina A.S. Dietary fi ber is a reliable and apparent element of treatment for patients with type 2 diabetes mellitus and cardiovascular diseases: an easy solution to a complicated problem. Meditsinskiy Sovet. 2022;16(10):104–109. (In Russian)]. DOI: 10.21518/2079-701X-2022-16-10-104-109</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Cani P.D., Bibiloni R., Knauf C. et al. Changes in gut microbiota control metabolic endotoxemia-induced infl ammation in high-fat diet-induced obesity and diabetes in mice. Diabetes. 2008;57:1470– 1481.</mixed-citation><mixed-citation xml:lang="en">Cani P.D., Bibiloni R., Knauf C. et al. Changes in gut microbiota control metabolic endotoxemia-induced infl ammation in high-fat diet-induced obesity and diabetes in mice. Diabetes. 2008;57:1470– 1481.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Erridge C., Attina T., Spickett C.M. et al. A high-fat meal induces lowgrade endotoxemia: evidence of a novel mechanism of postprandial infl ammation. Am. J. Clin. Nutr. 2007;86:1286–1292.</mixed-citation><mixed-citation xml:lang="en">Erridge C., Attina T., Spickett C.M. et al. A high-fat meal induces lowgrade endotoxemia: evidence of a novel mechanism of postprandial infl ammation. Am. J. Clin. Nutr. 2007;86:1286–1292.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Nolan J.P., Hare D.K., McDevitt J.J. et al. In vitro studies of intestinal endotoxin absorption. I. Kinetics of absorption in the isolated everted gut sac. Gastroenterology. 1977;72:434–439.</mixed-citation><mixed-citation xml:lang="en">Nolan J.P., Hare D.K., McDevitt J.J. et al. In vitro studies of intestinal endotoxin absorption. I. Kinetics of absorption in the isolated everted gut sac. Gastroenterology. 1977;72:434–439.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Neal M.D., Leaphart C., Levy R. et al. Enterocyte TLR4 mediates phagocytosis and translocation of bacteria across the intestinal barrier. J. Immunol. 2006;176: 3070–3079.</mixed-citation><mixed-citation xml:lang="en">Neal M.D., Leaphart C., Levy R. et al. Enterocyte TLR4 mediates phagocytosis and translocation of bacteria across the intestinal barrier. J. Immunol. 2006;176: 3070–3079.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Creely S.J., McTernan P.G., Kusminski C.M. et al. Lipopolysaccharide activates an innate immune system response in human adipose tissue in obesity and type 2 diabetes. Am. J. Physiol. Endocrinol. Metab. 2007;292(3):E740–E747.</mixed-citation><mixed-citation xml:lang="en">Creely S.J., McTernan P.G., Kusminski C.M. et al. Lipopolysaccharide activates an innate immune system response in human adipose tissue in obesity and type 2 diabetes. Am. J. Physiol. Endocrinol. Metab. 2007;292(3):E740–E747.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Hornef M.W., Frisan T., Vanderwalle A. et al. Toll-like receptor 4 resides in the golgi apparatus and colocalizes with internalized lipopolysaccharide in intestinal epithelial cells. J. Exp. Med. 2002;195:559–570.</mixed-citation><mixed-citation xml:lang="en">Hornef M.W., Frisan T., Vanderwalle A. et al. Toll-like receptor 4 resides in the golgi apparatus and colocalizes with internalized lipopolysaccharide in intestinal epithelial cells. J. Exp. Med. 2002;195:559–570.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Ghoshal S., Witta J., Zhong J. et al. Chylomicrons promote intestinal absorption of lipopolysaccharides. J. Lipid Res. 2009;50:90–97.</mixed-citation><mixed-citation xml:lang="en">Ghoshal S., Witta J., Zhong J. et al. Chylomicrons promote intestinal absorption of lipopolysaccharides. J. Lipid Res. 2009;50:90–97.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Cani P.D., Bibiloni R., Knauf C. et al. Changes in gut microbiota control metabolic endotoxemia-induced infl ammation in high-fat dietinduced obesity and diabetes in mice. Diabetes. 2008;57:1470–1481.</mixed-citation><mixed-citation xml:lang="en">Cani P.D., Bibiloni R., Knauf C. et al. Changes in gut microbiota control metabolic endotoxemia-induced infl ammation in high-fat dietinduced obesity and diabetes in mice. Diabetes. 2008;57:1470–1481.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Medzhitov R. Origin and physiological roles of infl ammation. Nature. 2008;454:428–435.</mixed-citation><mixed-citation xml:lang="en">Medzhitov R. Origin and physiological roles of infl ammation. Nature. 2008;454:428–435.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Medzhitov R. Toll-like receptors and innate immunity. Nat. Rev. Immunol. 2001;1:135–145.</mixed-citation><mixed-citation xml:lang="en">Medzhitov R. Toll-like receptors and innate immunity. Nat. Rev. Immunol. 2001;1:135–145.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Suganami T., Tanimoto-Koyama K., Nishida J. et al. Role of the Tolllike receptor 4/NF-kappaB pathway in saturated fatty acid-induced infl ammatory changes in the interaction between adipocytes and macrophages. Arterioscler. Thromb. Vasc. Biol. 2007;27:84–91.</mixed-citation><mixed-citation xml:lang="en">Suganami T., Tanimoto-Koyama K., Nishida J. et al. Role of the Tolllike receptor 4/NF-kappaB pathway in saturated fatty acid-induced infl ammatory changes in the interaction between adipocytes and macrophages. Arterioscler. Thromb. Vasc. Biol. 2007;27:84–91.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Stamler J.S., Toone E.J., Lipton S.A. et al. (S)NO signals: translocation, regulation, and a consensus motif. Neuron. 1997;18:691–696.</mixed-citation><mixed-citation xml:lang="en">Stamler J.S., Toone E.J., Lipton S.A. et al. (S)NO signals: translocation, regulation, and a consensus motif. Neuron. 1997;18:691–696.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Беспалова И.Д., Калюжин В.В., Мурашев Б.Ю. и др. Субпопуляционный состав и прооксидантная активность клеток висцеральной жировой ткани пациенток с метаболическим синдромом. Сибирский журнал клинической и экспериментальной медицины. 2022;37(3):114–120. DOI: 10.29001/2073-8552-2022-37-3-114-120</mixed-citation><mixed-citation xml:lang="en">Bespalova I.D., Kalyuzhin V.V., Murashev B.Yu. et al. Subpopulation composition and prooxidant activity of visceral adipose tissue cells in patients with metabolic syndrome. The Siberian Journal of Clinical and Experimental Medicine. 2022;37(3):114–120. (In Russian)]. DOI: 10.29001/2073-8552-2022-37-3-114-120</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">WHO — World Health Organization: evaluation of health and nutritional properties of probiotics in food including powder milk with live lactic acid bacteria. Joint WHO/FAO Expert Consultation on Geneva. Cordoba, Argentina: WHO: 2001.</mixed-citation><mixed-citation xml:lang="en">WHO — World Health Organization: evaluation of health and nutritional properties of probiotics in food including powder milk with live lactic acid bacteria. Joint WHO/FAO Expert Consultation on Geneva. Cordoba, Argentina: WHO: 2001.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Gill H., Prasad J. Probiotics, immunomodulation, and health benefi ts. Adv. Exp. Med. Bio. 2008;606:423–454.</mixed-citation><mixed-citation xml:lang="en">Gill H., Prasad J. Probiotics, immunomodulation, and health benefi ts. Adv. Exp. Med. Bio. 2008;606:423–454.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Prasad J., Gill H.S., Smart J.B. et al. Selection and characterization of Lactobacillus and Bifi dobacterium strains for use as probiotics. Int. Dairy J. 1998; 8:993–1002.</mixed-citation><mixed-citation xml:lang="en">Prasad J., Gill H.S., Smart J.B. et al. Selection and characterization of Lactobacillus and Bifi dobacterium strains for use as probiotics. Int. Dairy J. 1998; 8:993–1002.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Hummel S., Veltman K., Cichon C. et al. Diff erential Targeting of the E-Cadherin/β-Catenin Complex by Gram-Positive Probiotic Lactobacilli Improves Epithelial Barrier Function. Appl. Environ. Microbiol. 2012;78:1140–1147.</mixed-citation><mixed-citation xml:lang="en">Hummel S., Veltman K., Cichon C. et al. Diff erential Targeting of the E-Cadherin/β-Catenin Complex by Gram-Positive Probiotic Lactobacilli Improves Epithelial Barrier Function. Appl. Environ. Microbiol. 2012;78:1140–1147.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Jabri B., Ebert E. Human CD8+ intraepithelial lymphosytes: a unique model to study the regulation of eff ector cytotoxic T lymphosytes in tissue. Immunol. Rev. 2007;215:202–214.</mixed-citation><mixed-citation xml:lang="en">Jabri B., Ebert E. Human CD8+ intraepithelial lymphosytes: a unique model to study the regulation of eff ector cytotoxic T lymphosytes in tissue. Immunol. Rev. 2007;215:202–214.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Yadav H., Jain S., Sinha P.R. Antidiabetic eff ect of probiotic dahi containing Lactobacillus acidophilus and Lactobacillus casei in high fructose fed rats. Nutrition. 2007;23:62–68.</mixed-citation><mixed-citation xml:lang="en">Yadav H., Jain S., Sinha P.R. Antidiabetic eff ect of probiotic dahi containing Lactobacillus acidophilus and Lactobacillus casei in high fructose fed rats. Nutrition. 2007;23:62–68.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Yadav H., Jain S., Sinha P.R. The eff ect of probiotic Dahi Containing Lactobacillus acidophilus and Lactobacillus casei on Gastropathic Consequences in Diabetic Rats. J. Med. Food. 2008;11:62–68.</mixed-citation><mixed-citation xml:lang="en">Yadav H., Jain S., Sinha P.R. The eff ect of probiotic Dahi Containing Lactobacillus acidophilus and Lactobacillus casei on Gastropathic Consequences in Diabetic Rats. J. Med. Food. 2008;11:62–68.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Amar J., Chabo C., Waget A. et al. Intestinal mucosal adherence and translocation of commensal bacteria at the early onset of type 2 diabetes: molecular mechanisms and probiotic treatment. EMBO Mol. Med. 2001;3:559–572.</mixed-citation><mixed-citation xml:lang="en">Amar J., Chabo C., Waget A. et al. Intestinal mucosal adherence and translocation of commensal bacteria at the early onset of type 2 diabetes: molecular mechanisms and probiotic treatment. EMBO Mol. Med. 2001;3:559–572.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Lee S.K., Yang K.M., Cheon J.H. et al. Anti-infl ammatory mechanism of Lactobacillus rhamnosus GG in lipopolysaccharide-stimulated HT-29 cell. Korean J. Gastroenterol. 2012;60:86–93.</mixed-citation><mixed-citation xml:lang="en">Lee S.K., Yang K.M., Cheon J.H. et al. Anti-infl ammatory mechanism of Lactobacillus rhamnosus GG in lipopolysaccharide-stimulated HT-29 cell. Korean J. Gastroenterol. 2012;60:86–93.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Moroti C., Souza Magri L.F., Costa M.R. et al. Eff ect of the consumption of a new symbiotic shake on glycemia and cholesterol levels in elderly people with type 2 diabetes mellitus. Lipids Health Dis. 2012;11:29.</mixed-citation><mixed-citation xml:lang="en">Moroti C., Souza Magri L.F., Costa M.R. et al. Eff ect of the consumption of a new symbiotic shake on glycemia and cholesterol levels in elderly people with type 2 diabetes mellitus. Lipids Health Dis. 2012;11:29.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Ejtahed H.S., Mohtadi-Nia J., Homayouni-Rad A. et al. Probiotic yogurt improves antioxidant status in type 2 diabetic patients. Nutrition. 2012;28:539–543.</mixed-citation><mixed-citation xml:lang="en">Ejtahed H.S., Mohtadi-Nia J., Homayouni-Rad A. et al. Probiotic yogurt improves antioxidant status in type 2 diabetic patients. Nutrition. 2012;28:539–543.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Andreasen A.S., Larsen N., Pedersen-Skovsgaard T. et al. Eff ects of Lactobacillus acidophilus NCFM on insulin sensitivity and the systemic infl ammatory response inhuman subjects. Br. J. Nutr. 2010;2010:1831–1838.</mixed-citation><mixed-citation xml:lang="en">Andreasen A.S., Larsen N., Pedersen-Skovsgaard T. et al. Eff ects of Lactobacillus acidophilus NCFM on insulin sensitivity and the systemic infl ammatory response inhuman subjects. Br. J. Nutr. 2010;2010:1831–1838.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Luoto R., Laitinen K., Nermes M. et al. Impact of maternal probiotic-supplemented dietary counseling on pregnancy outcome and prenatal and postnatal growth: a double-blind, placebo-controlled study. Br. J. Nutr. 2010;103:1792–1799.</mixed-citation><mixed-citation xml:lang="en">Luoto R., Laitinen K., Nermes M. et al. Impact of maternal probiotic-supplemented dietary counseling on pregnancy outcome and prenatal and postnatal growth: a double-blind, placebo-controlled study. Br. J. Nutr. 2010;103:1792–1799.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Latinen K., Poussa T., Isolauri E. Probiotics and dietary counseling contribute to glucose regulation during and after pregnancy: a randomized controlled trial. Br. J. Nutr. 2009;101:1679–1687.</mixed-citation><mixed-citation xml:lang="en">Latinen K., Poussa T., Isolauri E. Probiotics and dietary counseling contribute to glucose regulation during and after pregnancy: a randomized controlled trial. Br. J. Nutr. 2009;101:1679–1687.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Silk D.B., Davis A., Vulevic J., Tzortzis G., Gibson G.R. Clinical trial: the eff ects of a trans-galactooligosaccharide prebiotic on faecal microbiota and symptoms in irritable bowel syndrome. Aliment. Pharmacol. Ther. 2009;29:508–518.</mixed-citation><mixed-citation xml:lang="en">Silk D.B., Davis A., Vulevic J., Tzortzis G., Gibson G.R. Clinical trial: the eff ects of a trans-galactooligosaccharide prebiotic on faecal microbiota and symptoms in irritable bowel syndrome. Aliment. Pharmacol. Ther. 2009;29:508–518.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Cani P.D., Knauf C., Iglesias M.A. et al. Improvement of glucose tolerance and hepatic insulin sensitivity by oligofructose requires a functional glucagonlike peptide 1 receptor. Diabetes. 2006;55:1484– 1490.</mixed-citation><mixed-citation xml:lang="en">Cani P.D., Knauf C., Iglesias M.A. et al. Improvement of glucose tolerance and hepatic insulin sensitivity by oligofructose requires a functional glucagonlike peptide 1 receptor. Diabetes. 2006;55:1484– 1490.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Bonsu N.K., Johnson C.S., McLeod K.M. Can dietary fructans lower serum glucose? J. Diabetes. 2011;3:58–66.</mixed-citation><mixed-citation xml:lang="en">Bonsu N.K., Johnson C.S., McLeod K.M. Can dietary fructans lower serum glucose? J. Diabetes. 2011;3:58–66.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Cani P.D., Lecourt E., Dewulf E.M. et al. Gut microbiota fermentation of prebiotics increases satietogenic and incretin gut peptide production with consequences for appetite sensation and glucose response after a meal. Am. J. Clin. Nutr. 2009;90:1236–1243.</mixed-citation><mixed-citation xml:lang="en">Cani P.D., Lecourt E., Dewulf E.M. et al. Gut microbiota fermentation of prebiotics increases satietogenic and incretin gut peptide production with consequences for appetite sensation and glucose response after a meal. Am. J. Clin. Nutr. 2009;90:1236–1243.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Dehghan P., Pourghassem Gargari B., Asghari Jafar-abadi M. Oligofructose-enriched inulin improves some infl ammatory markers and metabolic endotoxemia in women with type 2 diabetes mellitus: a randomized controlled clinical trial. Nutrition. 2014;30:418– 423.</mixed-citation><mixed-citation xml:lang="en">Dehghan P., Pourghassem Gargari B., Asghari Jafar-abadi M. Oligofructose-enriched inulin improves some infl ammatory markers and metabolic endotoxemia in women with type 2 diabetes mellitus: a randomized controlled clinical trial. Nutrition. 2014;30:418– 423.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Sasaki M., Ogasavara N., Funaki Y. et al. Transglucosidase improves the gut microbiota profi le of type 2 diabetes mellitus patients: A randomized double-blind, placebo-controlled study. BMS Gastroenterol. 2013;13:81.</mixed-citation><mixed-citation xml:lang="en">Sasaki M., Ogasavara N., Funaki Y. et al. Transglucosidase improves the gut microbiota profi le of type 2 diabetes mellitus patients: A randomized double-blind, placebo-controlled study. BMS Gastroenterol. 2013;13:81.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Anderson J.L., Edney R.J., Whelan K. Systematic review: faecal microbiota transplantation in the management of infl ammatory bowel disease. Aliment. Pharmacol. Ther. 2012;36:503–516.</mixed-citation><mixed-citation xml:lang="en">Anderson J.L., Edney R.J., Whelan K. Systematic review: faecal microbiota transplantation in the management of infl ammatory bowel disease. Aliment. Pharmacol. Ther. 2012;36:503–516.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Smits L.P., Bouter K.E.C., de Vos W.M. et al. Therapeutic potential of fecal microbiota transplantation. Gastroenterology. 2013;145:946– 953.</mixed-citation><mixed-citation xml:lang="en">Smits L.P., Bouter K.E.C., de Vos W.M. et al. Therapeutic potential of fecal microbiota transplantation. Gastroenterology. 2013;145:946– 953.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Kootte R.S., Vrieze A., Holleman F. et al. The therapeutic potential of manipulating gut microbiota in obesity and type 2 diabetes mellitus. Diabetes Obes. Metab. 2012;14:112–120.</mixed-citation><mixed-citation xml:lang="en">Kootte R.S., Vrieze A., Holleman F. et al. The therapeutic potential of manipulating gut microbiota in obesity and type 2 diabetes mellitus. Diabetes Obes. Metab. 2012;14:112–120.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Gough E., Shaikh H., Manges A.R. Systematic review of intestinal microbiota transplantation (fecal bacteriotherapy) for recurrent Clostridium diffi cile infection. Clin. Infect. Dis. 2011;53(10):994–1002.</mixed-citation><mixed-citation xml:lang="en">Gough E., Shaikh H., Manges A.R. Systematic review of intestinal microbiota transplantation (fecal bacteriotherapy) for recurrent Clostridium diffi  cile infection. Clin. Infect. Dis. 2011;53(10):994–1002.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Grehan M.J., Borody T.J., Leis S.M. et al. Durable alteration of the colonic microbiota by the administration of donor fecal fl ora. J. Clin. Gastroenterol. 2010;44(8):551–561.</mixed-citation><mixed-citation xml:lang="en">Grehan M.J., Borody T.J., Leis S.M. et al. Durable alteration of the colonic microbiota by the administration of donor fecal fl ora. J. Clin. Gastroenterol. 2010;44(8):551–561.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Vrieze A., Van Nood E., Holleman F. et al. Transfer of intestinal microbiota from lean donors increases insulin sensitivity in individuals with metabolic syndrome. Gastroenterology. 2012;143(4):913–916.</mixed-citation><mixed-citation xml:lang="en">Vrieze A., Van Nood E., Holleman F. et al. Transfer of intestinal microbiota from lean donors increases insulin sensitivity in individuals with metabolic syndrome. Gastroenterology. 2012;143(4):913–916.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Karlsson F.H., Tremaroli V., Nookaev I. et al. Gut metagenome in European women with normal, impaired and diabetic glucose control. Nature. 2013;498:99–103.</mixed-citation><mixed-citation xml:lang="en">Karlsson F.H., Tremaroli V., Nookaev I. et al. Gut metagenome in European women with normal, impaired and diabetic glucose control. Nature. 2013;498:99–103.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Qin J., Li Y., Cai Z. et al. A metagenome-wide association study of gut microbiota in type 2 diabetes. Nature. 2012;490:55–60.</mixed-citation><mixed-citation xml:lang="en">Qin J., Li Y., Cai Z. et al. A metagenome-wide association study of gut microbiota in type 2 diabetes. Nature. 2012;490:55–60.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
