LIN Hequn, WU Qi, JIA Xiubin, YE Hui, LIANG Zhaoxia, MA Luyu
OBJECTIVE To investigate the dynamic changes of prototype components in Eucommia ulmoides granules (EUG) during the digestive process in patients with gestational diabetes mellitus (GDM) and evaluate the changes in endogenous metabolites after administration. METHODS High-performance liquid chromatography (HPLC) and ultra-high-performance liquid chromatography-mass spectrometry (UHPLC-MS) were employed to identify the chemical constituents of EUG. Simultaneously, a simulator of human intestinal microbial ecosystem (SHIME) digestive system model was established using fecal sample from patient with GDM. Based on this model, UHPLC-MS/MS was utilized to conduct comprehensive non-targeted metabolomic analysis of digestive fluid samples from the treatment group (administered with EUG) and the control group. The difference and evolution trend of Eucommia components in different digestive parts were compared, and the categories of Eucommia were classified in detail. Finally, differences in endogenous metabolites were further compared, and pathway enrichment and correlation analyses was conducted to reveal the specific effects of EUG on metabolic pathways in the body. RESULTS A total of 55 prototype components were identified in digestive fluids, including active constituents such as geniposidic acid, chlorogenic acid, caffeic acid, baicalin, and quercetin. These components primarily belonged to flavonoids, terpenoids, lignans, phenolic acids, and phenylpropanoids. Regional analysis revealed that flavonoids and phenolic acids dominated in gastric fluids, flavonoids and lignans were significantly enriched in the small intestine, and terpenoids were predominant in the colon. Forty-five endogenous metabolites were detected, with eight showing significant differences between the treatment and control groups. These differential metabolites were strongly correlated with Eucommia prototype components. Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis indicated that these metabolites were primarily involved in β-alanine metabolism, glutathione metabolism, and arginine/proline metabolism. CONCLUSION Prototype components of EUG exhibit region-specific metabolic characteristics during digestion: flavonoids and lignans are predominantly absorbed in the small intestine, while terpenoids are excreted via the colon. This study demonstrates that EUG may ameliorate GDM by modulating endogenous metabolites associated with β-alanine, glutathione, and arginine/proline metabolism pathways.