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30 June 2026, Volume 48 Issue 3
    

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    SPECIAL ARTICLE
  • CHENG Yi-yong, GUO Chang-jiang
    Acta Nutrimenta Sinica. 2026, 48(3): 209-218.
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  • ORIGINAL ARTICLES
  • BAI Ru-hui, LV Cong-rui, PENG Zi-han, MENG Cheng-ji, SHAN Qi-hui, CHENG Yu
    Acta Nutrimenta Sinica. 2026, 48(3): 219-227.
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    Objective To explore the correlation and dose-response relationship between flavonoid dietary patterns and blood glucose and lipid levels in the elderly population, and provide epidemiological evidence for constructing optimized flavonoid dietary patterns suitable for the elderly, improving their blood glucose and lipid levels, and preventing the occurrence and progression of related chronic diseases. Methods A study was conducted among 888 participants over 65 years old in Qiqihar, China, between May and October 2024. Comprehensive sociodemographic, physical examination, laboratory examination, and dietary data were collected. Factor analysis was employed to identify distinct flavonoid dietary patterns,and the correlation and dose-response relationship were analyzed between flavonoid dietary patterns and glucose and lipid levels by multiple linear regression and generalized additive model (GAM). The combined effects were studied for flavonoid subclasses on glucose and lipid levels by bayesian kernel machine regression (BKMR). Results Based on factor analysis, four dietary patterns were obtained: multi-source flavone pattern with flavonols, flavones, anthocyanins,flavanols, flavanones and isoflavonoids as the main intake, three kinds of mixed flavone pattern with flavonols, flavanols and isoflavonoids as the main intake, two kinds of synergistic flavone pattern, flavonols and flavanols as the main intake and one kind of focused flavone pattern with isoflavonoids as the main intake. Participants adhering to the two kinds of synergistic flavone pattern and one kind of focused flavone pattern exhibited significantly lower total cholesterol (TC) levels, while three kinds of mixed flavone pattern and one kind of focused flavone pattern correlated with reduced triglycerides (TG). Multiple linear regression results show that the two kinds of synergistic flavone pattern score was negatively associated with TC (β = -0.157, P = 0.021). The GAM results showed that there was a nonlinear dose-response relationship between flavanols intake and TC level in the two-class synergistic flavonoids model. The BKMR results showed that there was a significant negative correlation between the joint exposure of flavonols and flavanols and TC in the two-class synergistic flavonoid model. Conclusion The combined intake of flavonols and flavanols can reduce the serum total cholesterol level in the elderly. Compared with other models, the two kinds of synergistic flavone pattern is more beneficial to the reduction of serum total cholesterol level in the elderly.
  • WU Xian, ZHOU Ao-xin, ZHANG Hua-qi, LIU Jin, ZHONG Chun-rong, YANG Nian-hong
    Acta Nutrimenta Sinica. 2026, 48(3): 228-236.
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    Objective To assess dietary quality among pregnant women in Central China and explore its related factors. Methods This cross-sectional study was based on the Maternal Nutrition and Health Scientific Survey in China. A total of 10,116 pregnant women meeting inclusion and exclusion criteria were enrolled. Information on dietary intake, sociodemographic characteristics, lifestyle, and social support was collected. Dietary quality was comprehensively evaluated in terms of diversity, adequacy, moderation, and balance, and the dietary quality index for pregnancy (DQI-P) was calculated. Linear regression analyses were conducted to identify the factors associated with DQI-P. Results The mean DQI-P score of pregnant women in Central China was 61.0±12.0. Average energy intakes in the first, second, and third trimesters were 1687.5±441.9, 1895.2±474.3, and 1956.5±497.1 kcal/d, respectively. Rural pregnant women had higher total DQI-P scores, moderation, adequacy (in the third trimester), and balance scores than urban counterparts (all P<0.001), whereas urban women scored higher in dietary diversity (P<0.001). Urban women showed relatively lower scores for fat intake and energy contribution ratio by macronutrients, while rural women had lower sodium-related scores (both P<0.001). Multivariable analysis showed that in urban areas, pre-pregnancy BMI was negatively associated with DQI-P (first trimester B=–0.3; second trimester B=–0.2; third trimester B=–0.3, all P<0.05), whereas public institutional trust was associated with higher DQI-P (second trimester B=2.7, P<0.001). In rural areas, pre-pregnancy BMI was negatively associated with DQI-P (third trimester B=–0.4, P<0.001) and primiparity was associated with lower DQI-P (first trimester B=–1.7; second trimester B=–2.3; third trimester B=–3.7, all P<0.05), whereas exercise (first trimester B=5.8; second trimester B=2.9; third trimester B=2.6, all P<0.001) and participation in social organizations (first trimester B=1.6; third trimester B=2.4, both P<0.05) were associated with higher DQI-P. Conclusion sDietary quality among pregnant women in Central China remains suboptimal. Pre-pregnancy weight management and urban-rural differentiated nutritional interventions may contribute to improving dietary quality during pregnancy.
  • ZHENG Fei, ZHANG Yu, GAO Yan, WU You-wei, ZHANG Gang, LIU Jing
    Acta Nutrimenta Sinica. 2026, 48(3): 237-245.
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    Objective To develop a dietary balance index for the second trimester of pregnancy (DBI_P_22) based on the Chinese Dietary Balance Index (DBI_22) and the 2022 Chinese Dietary Guidelines, and evaluate dietary quality and its influencing factor among women in their second trimester in Southwest China. Methods The DBI_P_22 was developed based on the DBI_22 and the 2022 Chinese Dietary Guidelines. A semiquantitative food frequency questionnaire was administered to 6,213 pregnant women in the second trimester in Southwest China. Three measures of the DBI_P_22: lower-bound score (LBS), higher-bound score (HBS), and dietary quality distance (DQD) were used for dietary quality assessment. Multiple linear regression analysis was performed to identify influencing factors associated with dietary quality. Results Dietary imbalance was prevalent among women in the second trimester in Southwest China, characterized by the co-occurrence of inadequate and excessive intakes. Overall, 96.21% of the participants experienced dietary imbalance, while the proportions of excessive and inadequate intakes were 60.42% and 83.08%, respectively. Excessive intake was mainly observed for cereals, livestock and poultry meat, and cooking oil and salt. Inadequate intake was pronounced for vegetables, tubers, fish and shrimp, and animal blood and liver. Suboptimal intake of milk, eggs, soybeans, and nuts was observed in a certain proportion of participants, and inadequate dietary diversity was widespread. Educational attainment was significantly and negatively associated with LBS and DQD, but showed no significant association with HBS. Household annual income exhibited a nonlinear relationship with HBS and was negatively associated with LBS. Conclusion Pregnant women in the second trimester in Southwest China commonly experience dietary imbalance, with coexisting excessive and inadequate intakes. Lower dietary quality was observed among those with lower educational attainment and lower household income. Targeted nutritional education and intervention strategies should prioritize these vulnerable populations.
  • DONG Ping, ZHANG Ying, YAN Dong-yong, XU Xiu, LI Ai-hong, JIN Long-mei
    Acta Nutrimenta Sinica. 2026, 48(3): 246-253.
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    Objective To analyze fatty acid esters of hydroxy fatty acids (FAHFAs) concentrations in breast milk across lactation stages and their influencing factors. Methods A total of 65 singleton pregnant women with gestational age ≥37 weeks who intended to exclusively breastfeed were enrolled in this study. Breast milk samples were collected at 3 days (V1), 42 days (V2), and 3 months (V3) postpartum. Participants were categorized into normal-weight and overweight/obese groups according to their pre-pregnancy body mass index (BMI). The concentrations of individual FAHFA isomers were quantified using ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS). Dietary intake was assessed using the 24-hour dietary recall method and information on dietary supplement use was collected. Multiple linear regression models were applied to analyze the effects of maternal diet, lactation stage, parity and other factors on breast milk FAHFAs levels. Results Compared with the normal-weight lactating women, overweight/obese women had significantly higher concentrations of 5-PAHSA in colostrum (V1) and 9-SAHSA in mature milk (V2) (adjusted P = 0.013 and 0.044, respectively), but significantly lower concentrations of 13-LAHLA in mature milk (V2 and V3) (adjusted P = 0.028 and 0.005, respectively). Multiple linear regression revealed that maternal fish and shrimp intake was an independent positive influencing factor for breast milk 13-LAHLA concentration, while pre-pregnancy BMI served as its independent negative influencing factor. DHA intake and lactation duration exerted positive independent effects on 9-oleoylstearic acid ester of 9-hydroxy stearic acid (9-OAHSA) concentration and parity had a negative independent effect on 9-palmitoleoylstearic acid ester of 9-hydroxy stearic acid (9-POHSA) levels, while lactation stage was an independent positive predictor of 10-oleoylstearic acid ester of 10-hydroxy stearic acid (10-OAHSA) concentration. Conclusion Maternal fish and shrimp intake, DHA intake, pre-pregnancy BMI, lactation stage and parity can affect breast milk FAHFA concentrations to a certain extent and act as potential influencing factors for breast milk FAHFA levels.
  • LIU Pei, ZHANG Wen-di, YANG Hui-ting, WANG Shao-ting, HUANG Hai-tao, CAO Jun
    Acta Nutrimenta Sinica. 2026, 48(3): 254-260.
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    Objective To explore the effects of dietary intake of lactating mothers on human milk nutritional components and infant physical growth in Hainan. Methods Mother-infant pairs in Hainan who met the inclusion criteria were recruited longitudinally, and human milk samples were collected across the four postpartum stages of 0-6 months to determine the macronutrient contents and fatty acid composition. A questionnaire was used to collect the basic information of lactating mothers and their infants, the 24-hour maternal dietary intake before human milk collection, and the infants’ weight and length on the collection day. The dietary intake of lactating mothers was assessed in accordance with the Dietary Guidelines for Chinese Residents (2022) and the Dietary Reference Intakes for Chinese Residents (2023). Evaluations of infant growth status across the four postpartum stages were conducted using the Z-score method, and correlation analysis was performed. Results A total of 41 mother-infant pairs were finally enrolled. Cereals and tubers (≥ 419.44 g/d), together with livestock and poultry meats (≥ 163.17 g/d), were adequately consumed by lactating mothers, whereas the intakes of other food categories were insufficient. The dietary fat intake by lactating mothers was significantly positively correlated with the contents of human milk fat and saturated fatty acids (mainly C12:0, C16:0 and C18:0), while it was significantly negatively correlated with the contents of unsaturated fatty acids (mainly 9cC18:1, C20:4 n-6, C18:3 n-3 and C22:6 n-3) in human milk. Dietary carbohydrate intake was significantly positively correlated with human milk lactose content. Dietary protein intake was significantly negatively correlated with human milk protein content. The contents of human milk protein and lactose were significantly negatively associated with infants’ length-for-age Z-scores and weight-for-age Z-scores. Conclusion The dietary structure of lactating women requires reasonable adjustment. Maternal dietary intake can affect the nutritional composition of human milk, infant physical growth. [ACTA NUTRIMENTA SINICA,2026,48(3):254–260 ]
  • ZHU Guang-xin, BAI Xue, LIU Li-fei, SHANG Xin, WEI Jian-jiang
    Acta Nutrimenta Sinica. 2026, 48(3): 261-270.
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    Objective To investigate the alleviating effects of soy isoflavones (SIF) on chronic inflammation in obese mice induced by a high-fat diet and elucidate the molecular mechanisms Methods Thirty C57BL/6 mice were randomly divided into control group, model group, 10 mg/kg SIF group, 20 mg/kg SIF group, and rosiglitazone group (positive control). All groups except the control group were fed a high-fat diet for 12 weeks. Body weight, epididymal adipose tissue weight, serum levels of total cholesterol (TC), triglyceride (TG), and low-density lipoprotein cholesterol (LDL-C), as well as inflammatory factor in adipose tissue, were measured. Transcriptome sequencing and GO/KEGG enrichment analysis were performed on epididymal adipose tissues from the model group and the 20 mg/kg SIF group. Immunohistochemical staining was used to detect the positive rate of CD86 in epididymal adipose tissue, and Western blot was employed to assess the protein expression of iNOS, CD86, and PPARγ in epididymal adipose tissue. RAW264.7 macrophages were cultured in vitro and divided into control group, model group, 10 μmol/L SIF, 30 μmol/L SIF, and 30 μmol/L SIF + PPARγ inhibitor GW9662 (10 μmol/L)groups. Except for the control group, M1 polarization was induced by LPS in all groups. The proportion of M1-polarized cells was detected by flow cytometry, and the expression levels of iNOS, CD86, and PPARγ were assessed by Western blot. Inflammatory factors levels in RAW264.7 macrophages were measured by ELISA. Molecular docking and surface plasmon resonance (SPR) assays were performed to validate the interaction between SIF and PPARγ. Results Compared with the model group, SIF intervention reduced body weight, epididymal adipose tissue weight, serum levels of TC, TG, and LDL-C, and inflammatory factors levels in epididymal adipose tissue. Transcriptome sequencing revealed that after SIF intervention, GO terms related to inflammatory response and M1 macrophage polarization,as well as the PPARγ signaling pathway, were significantly enriched in epididymal adipose tissue. Immunohistochemical results showed that SIF reduced the positive rate of CD86 in epididymal adipose tissue. SIF downregulated the expression of iNOS and CD86, while upregulating PPARγ expression in epididymal adipose tissue. In vitro experiments demonstrated that SIF reduced the proportion of LPS-induced M1-polarized RAW264.7 cells, downregulated the protein expression of iNOS and CD86, and decreased the levels of TNF-α, IL-1β, and IL-6. These effects were reversed by GW9662. Molecular docking indicated a favorable binding affinity between SIF and PPARγ, and SPR assays further confirmed their direct interaction (Kd value of 1.2 μmol/L). Conclusion SIF can inhibit M1 polarization of tissue macrophages in adipose tissue, thereby alleviating obesity-related chronic inflammation. The mechanism is associated with direct binding to and activation of PPARγ.
  • TAO Meng-di, WANG Feng, LI Bo-lin, GUO Chang-jiang, YU Li-xia, YAO Zhan-xin
    Acta Nutrimenta Sinica. 2026, 48(3): 271-279.
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    Objective To investigate the effect of galacto-oligosaccharides on the thermogenic function of brown adipose tissue in chronic cold-exposed mice and its possible molecular mechanism. Methods Eight-week-old male C57BL/6J mice were randomly divided, based on body weight, into a room-temperature control group (RT_Con), a cold-control group (Co_Con), and a cold-Gos group (Co_Gos), with 11 mice per group. The RT_Con group was housed under normal room-temperature conditions, while the Co_Con and Co_Gos groups were placed in a cold simulation chamber at 4℃ for continuous exposure for 14 days. The Co_Gos group received a daily intragastric administration of Gos at 1500 mg/kg body weight (gavage volume 10 ml/kg, concentration 150 mg/ml), whereas the RT_Con and Co_Con groups received an equal volume of distilled water by gavage. During the experiment, food and water intakes, body weight, rectal temperature, and four-limb grip strength were monitored. After the experiment, the interscapular BAT was dissected, weighed, and processed for hematoxylin-eosin (HE) staining to observe morphological changes in adipocyte lipid droplets. The protein contents of adenylyl cyclase (AC), protein kinase A (PKA), hormone-sensitive lipase (HSL), lipoprotein lipase (LPL), adipose triglyceride lipase (ATGL), and the key thermogenic proteins peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1α) and uncoupling protein 1 (UCP1), as well as the concentration of cyclic adenosine monophosphate (cAMP), in BAT were determined by enzyme-linked immunosorbent assay (ELISA). The mRNA expression levels of Adcy3, Adcy5, Adcy6, Hsl, Lpl, Atgl, Pgc-1α, Ucp1, Prdm16, and Pparg in BAT were detected by real-time quantitative PCR (RT-qPCR). Protein expression levels of UCP1 in BAT were measured by Western blot and immunohistochemistry (IHC). Results Compared with the RT_Con group, cold exposure resulted in decreased body weight, reduced rectal temperature, and weakened four-limb grip strength in mice (P < 0.05). BAT lipid droplet areas were significantly reduced, and the expressions of the AC/cAMP/PKA signaling pathway molecules, as well as UCP1 and PGC-1α, were upregulated (P<0.05). Compared with the Co_Con group, Gos intervention led to a recovery in rectal temperature, enhanced four-limb grip strength, increased BAT weight and relative BAT weight, and further reduction in lipid droplet area (P<0.05) . The protein expressions of AC, PKA, HSL, LPL, UCP1 and PGC-1α, as well as the cAMP concentration were significantly upregulated (P < 0.05), and the mRNA levels of Adcy3, Adcy6, Lpl, Ucp1, Pgc-1α, and Pparg were also significantly elevated (P<0.05). Conclusion Galacto-oligosaccharide intervention may promote BAT thermogenic function and improve cold adaptation capacity in chronic cold-exposed mice, possibly by activating the AC/cAMP/PKA signaling pathway in BAT, upregulating the expression of the key thermogenic proteins UCP1 and PGC-1α, and enhancing lipolysis.
  • MA Yu-teng, XIE Hong-quan, CHEN Yue-ying, TANG Ji-jiao, ZHANG Mei, LIU Ying
    Acta Nutrimenta Sinica. 2026, 48(3): 280-289.
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    Objective Based on the gut-kidney axis theory, to design a complete nutritional formula supplemented with Lactobacillus casei for patients with chronic kidney disease (CKD) and verify its renoprotective efficacy in an animal model. Methods A basic formula group (BFG) and a probiotic formula group (PFG) containing 1×108 CFU/100 g Lactobacillus casei were formulated. Fifty SPF-grade male SD rats were used: 10 served as the blank control group (BCG), and the remaining 40 received adenine suspension via gavage at 250 mg/(kg·d) for 6 weeks to induce CKD. Thirty successfully modeled rats were randomly assigned to the CKD, BFG, and PFG groups (n=10 each). The BCG and CKD groups were fed standard chow, while the BFG and PFG groups received their respective formula diets for 5 weeks. Food intake was recorded daily and body weight weekly. At the end of intervention, 24-hour urine was collected for 24-hour urinary total protein (24h-UTP) measurement; blood was drawn from the abdominal aorta for serum creatinine (Scr) and blood urea nitrogen (BUN) assays; kidneys were harvested and weighed to calculate the kidney-to-body weight ratio. Renal histopathology was evaluated by HE and Masson staining, and fecal gut microbiota was analyzed by 16S rRNA high-throughput sequencing. Results Compared with the BCG group, adenine-treated rats showed markedly elevated Scr and BUN (both P < 0.001), confirming successful CKD modeling. Compared with the CKD group, both the BFG and PFG groups exhibited significantly increased body weight (P < 0.05), reduced Scr and BUN (P < 0.05), and attenuated renal pathological damage; the PFG group showed superior improvement in the kidney-to-body weight ratio (P < 0.05). The Chao1 index of gut microbiota was significantly higher in the CKD group (P < 0.05), and the abundance of beneficial bacteria such as Bifidobacterium was increased in the PFG group (P < 0.05). No significant difference in food intake was observed among groups (P>0.05). Conclusion The complete nutritional basic formula improves renal function in CKD rats, and Lactobacillus casei supplementation further enhances this benefit by modulating gut microbiota, providing experimental support for the development of specialized medical foods for CKD patients.
  • RONG Li-yang, HUANG Wei-dong, LUO Xin-ru, WU Hui-fei, YAO Li-mei, LI Wei-rong
    Acta Nutrimenta Sinica. 2026, 48(3): 290-299.
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    Objective To investigate the ameliorative effects of β-hydroxybutyrate (BHB) on energy metabolism disorder in SH-SY5Y cells induced by high-concentration insulin and analyze its relationship with the SIRT2 signaling pathway. Methods An insulin resistance model was established in SH-SY5Y cells by treatment with 150 nmol/L insulin for 48 h, followed by intervention with 10 mmol/L BHB for 24 h. Cell viability was assessed using the CCK-8 assay, and glucose uptake capacity was measured with the 2-NBDG fluorescent probe. Inflammatory cytokines and oxidative stress markers were determined by ELISA. Cellular reactive oxygen species (ROS) levels and mitochondrial membrane potentials were evaluated using DCFH-DA and JC-1 fluorescent staining, respectively. ATP content, NAD⁺/NADH ratio, and the activities of mitochondrial respiratory chain complexes were measured using biochemical assay kits. Western blot was employed to detect the protein expression of phosphorylated insulin receptor substrate-1 at serine 307 [p-IRS-1 (Ser307)], sirtuin 2 (SIRT2), acetylated α-tubulin at lysine 40 [Ac-α-tubulin (Lys40)], peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1α), and mitochondrial transcription factor A (TFAM). Results Compared with the normal control group, the model group exhibited significantly reduced cell viability and glucose uptake capacity, along with increased p-IRS-1(Ser307) expression, indicating successful construction of the insulin-resistant model. The model group also showed elevated levels of interleukin-6 (IL-6), interleukin-17 (IL-17), and tumor necrosis factor-α (TNF-α), decreased interleukin-10 (IL-10), accumulation of ROS and malondialdehyde (MDA), decreased superoxide dismutase (SOD) activity, reduced mitochondrial membrane potential, and markedly lower ATP content, NAD⁺/NADH ratio, and activities of respiratory chain complexes I, II, III, and IV. Following BHB intervention, cell viability was significantly improved, inflammatory imbalance corrected, ROS production reduced, SOD activity elevated, MDA content declined, mitochondrial membrane potential was restored, and ATP generation and respiratory chain function enhanced. Further mechanistic studies revealed that BHB significantly upregulated SIRT2 protein expression, decreased the Ac-α-tubulin (Lys40)/α-tubulin ratio, and promoted the expression of PGC-1α and TFAM. Conclusion BHB can significantly ameliorate high-concentration insulin-induced energy metabolism disorder in SH-SY5Y cells, and its mechanism is associated with the activation of SIRT2, enhancement of deacetylase function, and promotion of mitochondrial biogenesis.
  • WANG Jie, JIA Zhen-zhen, YANG Li-ping
    Acta Nutrimenta Sinica. 2026, 48(3): 300-306.
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    Objective To investigate the effects of puerarin on the osteogenic differentiation of bone marrow mesenchymal stem/stromal cells (BMSCs) and the mechanisms involved. Methods BMSCs were divided into a control group and treatment groups with different concentrations of puerarin. Cell proliferation was assessed using the CCK-8 assay. Alkaline phosphatase (ALP) and Alizarin Red staining were used to evaluate osteogenic differentiation. Seahorse technology was used to analyze cellular glycolytic function, while q-PCR detected the mRNA expression of miR-141-3p, Runx2, nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF), interleukin-10 (IL-10), transforming growth factor-β (TGF-β), hexokinase 2 (HK2), and lactate dehydrogenase A (LDHA). Western blot was employed to analyze the expression of Runx2 protein. The targeting relationship between miR-141-3p and Runx2 was determined through a dual-luciferase reporter gene experiment. Results Compared with the control group, puerarin concentration dependently promoted BMSCs proliferation (P<0.01), ALP activity (P<0.01) and calcium nodule deposition (P<0.01). Seahorse analysis showed that puerarin significantly enhanced the glycolytic function of BMSCs (P<0.01). Puerarin could also significantly down-regulated the expression of miR-141-3p (P<0.01), up-regulated the mRNA miR-141-3p (P<0.01) and the mRNA and protein levels of Runx2 (P<0.01). Meanwhile, puerarin promoted the expression of NGF, BDNF, IL-10 and TGF-β (P<0.01). Double luciferase reporter gene assay showed that miR-141-3p could directly target Runx2 3'UTR. Conclusion Puerarin alleviates the inhibition of Runx2 by downregulating miR-141-3p, promotes osteogenic differentiation, and exerts multidimensional bone promoting effects by activating neurotrophic factor signaling and improving the bone immune microenvironment.
  • CRITICAL REVIEW
  • LI Xin-yue, SHEN Chen-yu, XIANG Xue-song
    Acta Nutrimenta Sinica. 2026, 48(3): 307-312.
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    Hyperlipidemia is a major risk factor for cardiovascular disease, and current pharmacotherapies often have adverse effects, highlighting the need for safe and effective intervention strategies. Parabacteroides distasonis, a core member of the human gut microbiota, can ferment prebiotics to produce various bioactive metabolites, including short-chain fatty acids, succinate, pentadecanoic acid, and secondary bile acids. This review systematically outlines the research progress regarding the “prebiotic-P. distasonis-metabolites axis” in lowering blood lipids. The core concept of this axis is that specific prebiotics are selectively utilized by P. distasonis to generate metabolites that exert lipid-lowering effects. According to different intervention paradigms, existing evidence falls into two categories: direct bacterial gavage reduces blood lipids in animals, and prebiotic supplementation enriches this bacterium while improving lipid profiles. Mechanistically, these metabolites act through multiple pathways, including regulation of hepatic lipid synthesis and oxidation, maintenance of intestinal barrier integrity, and remodeling of the enterohepatic bile acid circulation. Currently, validation of the complete causal chain and high-quality population studies are still lacking, and the functional heterogeneity among different strains requires further investigation.