Table 1. Application of AKK in various disease conditions

Type of disorder Type of model Main observation Reference
Depression CRS mouse model ↓ Depression-like behavior; ↑ BDNF, ↑ dopamine, regulation of gut microbiota and metabolic pathways Ding et al., 2021
Antibiotic-treated mouse model ↓ Depression-like behavior, ↑ BDNF and 5-HT, modulated gut-brain axis, normalized HPA axis Sun et al., 2023
Murine alcohol + LPS model ↓ Depression-like symptoms, ↑ occludin, BDNF, and 5-HT; ↓ LPS, TNF-α, IL-1α, and IL-6 Guo et al., 2022
Alzheimer’s disease (AD) APP/PS1 transgenic mouse model ↓ Aβ plaques and levels; Improved cognition and gut barrier integrity Ou et al., 2020
Cardiovascular disease Atherosclerosis (ApoE/ mice) ↓ Atherosclerotic lesions; Improved lipid profiles, and restored gut microbial balance Xiao et al., 2024
Abdominal aortic aneurysm (mice) ↓ Aneurysm development, restored microbiota diversity, ↓ systemic inflammation He et al., 2022
Metabolic disease HFD-fed rats Protected β-cells from apoptosis, promoted differentiation, ↑ gut barrier function Yan et al., 2024
Obesity & T2D Meta-analysis of animal studies ↓ Body weight by 10.4%, fasting glucose by 21.2%; ↑ insulin by 26.9%, improved glucose tolerance Liu et al., 2024
Colorectal cancer Mouse tumorigenesis model Amuc_2172 inhibits tumorigenesis by upregulating HSP70 and enhancing CD8+ T cell activity Jiang et al., 2023
Sepsis Mouse sepsis model Arg-Lys-His tripeptide from AKK reduces inflammation via TLR4 inhibition Xie and Prasad, 2020
Metabolic syndrome/gut barrier integrity Mouse gut permeability model AKK-EVs promote gut barrier integrity Chelakkot et al., 2018
Type 2 diabetes Clinical trial (probiotic formulation) ↓ Postprandial glucose levels; ↑ insulin sensitivity and metabolic markers Perraudeau et al., 2020
Age-related muscle decline Clinical trial (pasteurized AKK HB05) ↑ Muscle strength, function, and physical performance Kang et al., 2024
Chronic respiratory symptoms Clinical trial (ETB-F01, heat-killed AKK) Improved respiratory symptoms and lung function Lee et al., 2024
Obesity and diabetes HFD mouse model ↓ Body weight gain, fat mass, insulin resistance, lowered plasma leptin and triglycerides; ↑ glucose tolerance, gut barrier integrity Plovier et al., 2017
Obesity, insulin resistance Randomized, double-blind, placebo-controlled pilot study ↑ Insulin sensitivity; ↓ plasma total cholesterol, fat mass, plasma LPS, creatine kinase Depommier et al., 2019