Gegen Qinlian Decoction
(GQD), a
traditional Chinese medicine
(TCM) formula, has long been used for the treatment of common metabolic diseases, including
type 2 diabetes mellitus
. However, the main limitation of its wider application is ingredient complexity of this formula. Thus, it is critically important to identify the major active ingredients of GQD and to illustrate mechanisms underlying its action. Here, we compared the effects of GQD and
berberine
, a hypothetical key active pharmaceutical ingredient of GQD, on a diabetic rat model by comprehensive analyses of
gut microbiota
, short-chain fatty acids, proinflammatory cytokines, and ileum transcriptomics. Our results show that berberine and GQD had similar effects on lowering blood glucose levels, modulating gut microbiota, inducing ileal gene expression, as well as relieving systemic and local inflammation. As expected, both berberine and GQD treatment significantly altered the overall gut microbiota structure and enriched many butyrate-producing bacteria, including
Faecalibacterium
and
Roseburia
, thereby attenuating intestinal inflammation and lowering glucose. Levels of short-chain fatty acids in rat feces were also significantly elevated after treatment with berberine or GQD. Moreover, concentration of serum proinflammatory cytokines and expression of immune-related genes, including
Nfkb1
,
Stat1
, and
Ifnrg1
, in pancreatic islets were significantly reduced after treatment. Our study demonstrates that the main effects of GQD can be attributed to berberine via modulating gut microbiota. The strategy employed would facilitate further standardization and widespread application of TCM in many diseases.
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