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Background: Diabetes and obesity are leading health problems around the world including India. The gut microbiota has
been identified as a potential contributor to the development of metabolic diseases. Gut microbiota alteration using spectrum
specific antibiotics can prevent progression of high sucrose diet (HSD) mediated obesity and diabetes through microbial
metabolites and inflammatory mediators like adipokines.
Aim: To study the effect of modulating the gut microflora by oral administration of spectrum specific antibiotics delivery in
HSD induced obesity and insulin resistance.
Methods: Rats were fed HSD with or without antibiotics for 60 days. The physiological and biochemical parameters, fecal
microbiota composition, Short chain fatty acids (SCFAs), Liver biochemistry, histopathology and gene expression of various
G-protein coupled receptors (GPCRs) and various adipokines were investigated.
Results: Simultaneous administration of HSD and antibiotics has shown significant improvements in glucose tolerance and
obesity associated parameters like hypercholesterolemia and hypertryglyceremia as compared to HSD. The qPCR study of fecal
samples showed increased in gram positive bacteria and reduction in gram negative bacteria which shows that restoration
of commensal microflora in direction to improvement in obesity and insulin sensitivity. Treatment had reduced the effect of
lipopolysaccharide content which further reduced immune receptors, GPCRs expression along with reduced the expression of
proinflammatory cytokines. Gut microbiota manipulation towards decreased inflammation and insulin resistance needs to be
further explored for its therapeutic applications in order to treat the metabolic complications.