From:  Gut microbiota and type 2 diabetes: implications for personalized nutrition and emerging therapeutic strategies

 Key GM-derived metabolites and their impact on metabolic regulation.

MetabolitePrimary sourceKey chemical formsMain physiological/metabolic rolesMetabolic health implicationsReferences
Lipopolysaccharides (LPS)Outer membrane of Gram-negative bacteriaLPSActivates innate immunity and stimulates the release of pro-inflammatory cytokines (e.g., TNF-α, IL-6, IL-1β) used for intercellular communication.Chronic low-grade inflammation, metabolic endotoxemia, insulin resistance, T2DM, obesity[46]
Short-chain fatty acids (SCFAs)Fermentation of dietary fiberAcetate, propionate, butyrateMaintain gut barrier integrity, modulate immune function, regulate appetite, improve glucose homeostasis.Protective against obesity, T2DM; imbalance linked to dysmetabolism[52, 59]
Trimethylamine-N-oxide (TMAO)Dietary choline, carnitine, phosphatidylcholineTMAOModulates cholesterol and bile acid metabolism that regulate fat digestion as well as glucose, lipid, and energy homeostasis.Elevated levels associated with CVD, atherosclerosis, insulin resistance[63, 81]
Indolepropionic acid (IPA)Tryptophan metabolism by GMIPAAntioxidant, anti-inflammatory; protects pancreatic β-cells.Higher circulating IPA linked to reduced T2DM risk[69, 71]
Bile acidsLiver synthesis from cholesterolCholic acid (CA), chenodeoxycholic acid (CDCA)Bile acids act as digestive and important signaling molecules. Receptors such as FXR and GPBAR1/TGR5 regulate glucose and lipid metabolism, cholesterol homeostasis, immune responses, and energy balance.Too much CA can raise blood lipids and worsen insulin resistance[82, 83]