The accumulating evidence substantiates the indispensable role of gut microbiota in modulating the pathogenesis of type 2 diabetes. Uncovering the intricacies of the mechanism is imperative in aiding disease control efforts. Revealing key bacterial species, their metabolites and/or metabolic pathways from the vast array of gut microorganisms can signi cantly contribute to precise treatment of the disease. With a high prevalence of type 2 diabetes in Inner Mongolia, China, the Mongolian population was selected as subjects to investigate the relationship between gut microbiota and the disease. We recruited Volunteers of Mongolian with type 2 diabetes and control group and detected their fecal samples by metagenomic analysis and untargeted metabolomics analysis. The ndings suggest that Firmicutes and Bacteroidetes phyla are the predominant gut microorganisms that exert signi cant in uence on the pathogenesis of type 2 diabetes in Mongolian population. In the disease group, despite an increase in the quantity of most gut microbial metabolic enzymes, there was a concomitant weakening of gut metabolic function, suggesting that the gut microbiota may be in a compensatory state during the disease stage. The beta-Tocotrienol may serve as a pivotal gut metabolite produced by gut microorganisms and a potential biomarker for type 2 disease. The metabolic pathway of Ubiquinone and other terpenoidquinone biosynthesis could be the crucial mechanism through which the gut microbiota regulates type 2 diabetes.Additionally, certain Clostridium gut species may play a pivotal role in the progression of the disease.
Key Points•Clostridium genus is a main source of the key bacterial species to regulate T2D.•In T2D stage, there is a reduction in gut metabolic function.•Beta-Tocotrienol and its metabolic pathway may be the one of the keys to regulate T2D.