Evidence map›Paper›PMID 40871736›Full record

ReviewNutrients2025

Type 2 Diabetes and the Multifaceted Gut-X Axes.

Hezixian Guo, Liyi Pan, Qiuyi Wu, Linhao Wang, Zongjian Huang, Jie Wang, Li Wang, Xiang Fang, Sashuang Dong, Yanhua Zhu and 1 more

Abstract readReview
In one paragraph

Review in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Review
  2. The Gut Microbiome-Endocrine Axis in Obesity: Mechanisms and Therapeutics.Journal of gastroenterology and hepatology · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Hezixian GuoCollege of Food Science, South China Agriculture University, Guangzhou 510642, China.
Liyi PanCollege of Food Science, South China Agriculture University, Guangzhou 510642, China.
Qiuyi WuCollege of Food Science, South China Agriculture University, Guangzhou 510642, China.
Linhao WangCollege of Food Science, South China Agriculture University, Guangzhou 510642, China.ORCID 0000-0001-5357-8218
Zongjian HuangCollege of Food Science, South China Agriculture University, Guangzhou 510642, China.
Jie WangCollege of Food Science, South China Agriculture University, Guangzhou 510642, China.
Li WangCollege of Food Science, South China Agriculture University, Guangzhou 510642, China.
Xiang FangCollege of Food Science, South China Agriculture University, Guangzhou 510642, China.ORCID 0000-0002-7823-6350
Sashuang DongCollege of Food Science, South China Agriculture University, Guangzhou 510642, China.ORCID 0000-0003-4844-4121
Yanhua ZhuDepartment of Endocrinology & Metabolism, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
Zhenlin LiaoCollege of Food Science, South China Agriculture University, Guangzhou 510642, China.

Funding

The Key R&D Program Projects in Guangdong, P.R. China 2024B0202010001
6 · The paper itself

Abstract

Type 2 diabetes (T2D) is a complex metabolic disease characterized by chronic hyperglycemia due to insulin resistance and inadequate insulin secretion. Beyond the classically implicated organs, emerging evidence highlights the gut as a central player in T2D pathophysiology through its interactions with metabolic organs. The gut hosts trillions of microbes and enteroendocrine cells that influence inflammation, energy homeostasis, and hormone regulation. Disruptions in gut homeostasis (dysbiosis and increased permeability) have been linked to obesity, insulin resistance, and β-cell dysfunction, suggesting multifaceted "Gut-X axes" contribute to T2D development. We aimed to comprehensively review the evidence for gut-mediated crosstalk with the pancreas, endocrine system, liver, and kidneys in T2D. Key molecular mechanisms (incretins, bile acids, short-chain fatty acids, endotoxins, etc.) were examined to construct an integrated model of how gut-derived signals modulate metabolic and inflammatory pathways across organs. We also discuss clinical implications of targeting Gut-X axes and identify knowledge gaps and future research directions. A literature search (2015-2025) was conducted in PubMed, Scopus, and Web of Science, following PRISMA guidelines (Preferred Reporting Items for Systematic Reviews). Over 150 high-impact publications (original research and review articles from

Indexed as

Diabetes Mellitus, Type 2Gastrointestinal MicrobiomeGastrointestinal TractAnimalsDysbiosisHomeostasisHumansIncretinsInsulin ResistanceKidneyLiverIncretinsbile acidsgut–liver axisgut microbiomeincretin hormonesmetabolic inflammationNAFLDshort-chain fatty acidstype 2 diabetes

Identifiers

PMID40871736
PMCPMC12389143

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.