Groundbreaking Study Maps Gut-Liver Pathway, Paving New Avenues for Diabetes and Obesity Treatment

December 8, 2025
Groundbreaking Study Maps Gut-Liver Pathway, Paving New Avenues for Diabetes and Obesity Treatment
  • In healthy mice, the portal vein carried more than 110 distinct gut-derived metabolites, while obese/diabetes-prone mice on a high-fat diet showed a marked reduction in enriched metabolites reaching the liver.

  • Genetics and environment shape metabolite profiles, with differences observed between obesity/diabetes-prone and metabolically resilient mice.

  • On a high-fat diet, portal-vein–enriched metabolites dropped from 111 to 48 in obese-prone mice, highlighting how diet and genetics influence which microbial products reach the liver.

  • Future therapies could target microbiome-derived chemical signals to rewire fat and glucose handling, rather than focusing solely on appetite control or blood sugar.,

  • Future work will aim to better characterize individual metabolites and how they’re formed to harness microbiome-derived molecules for metabolic disease treatment.

  • Specific gut-derived metabolites like mesaconate enhanced insulin signaling and modulated fat storage in liver cells, illustrating a direct gut–liver–metabolism pathway suitable for targeting.

  • A Harvard-backed study advances beyond correlation by identifying specific gut-derived metabolites and tracing their journey from the gut to the liver and then into the bloodstream, linking them to metabolic effects.

  • The liver emerges as a central hub that receives gut metabolites via the portal vein and then distributes signals throughout the body, influencing metabolism and offering a potential new angle for treating obesity and type 2 diabetes.

  • The team mapped metabolites traveling from the gut to the liver through the hepatic portal vein and onward to the heart, with impacts on hepatic metabolism and systemic insulin response.

  • Publication details: Cell Metabolism, published September 5, 2025, Muñoz et al., DOI: 10.1016/j.cmet.2025.08.005.

  • Funding for the work comes from the São Paulo Research Foundation (FAPESP).

  • Modifying the gut microbiome with antibiotics altered the distribution of metabolites between portal and peripheral blood, confirming the microbiome’s role in metabolite production.

  • The research points toward developing drugs or dietary strategies that mimic or promote protective microbial metabolites to reprogram metabolism for diabetes and obesity management.

  • Mesaconate, a Krebs-cycle–related metabolite, rose after antibiotic treatment and, when applied to hepatocytes, improved insulin signaling and regulated fat metabolism genes, suggesting therapeutic potential.

Summary based on 2 sources


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