Heliyon,
Journal Year:
2023,
Volume and Issue:
9(8), P. e18991 - e18991
Published: Aug. 1, 2023
Chronic
kidney
disease
(CKD)
refers
to
a
range
of
various
pathophysiological
processes
correlated
with
abnormal
renal
function
and
progressive
loss
in
GFR.
Just
as
dysbiosis
altered
pathology
the
gut
are
accompanied
hypertension,
which
is
significant
CKD
risk
factor.
Gut
patients
associated
an
elevated
levels
uremic
toxins,
turn
increases
progression.
According
research
results,
gut-kidney
axis
has
role
formation
stones,
also
IgAN.
A
number
researchers
have
categorized
microbiota
enterotypes,
others,
skeptical
theory
suggested
biomarkers
describe
taxa
that
related
lifestyle,
nutrition,
status.
Metabolome-microbiome
studies
been
used
investigate
interactions
host-gut
terms
involvement
metabolites
these
yielded
promising
results.
The
correlation
between
requires
further
multi-omic
researches.
Also,
regard
systems
biology,
on
communication
network
proteins
transporters
such
SLC
ABC,
can
help
us
achieve
deeper
understanding
gut-liver-kidney
thus
provide
new
horizons
treatment
patients.
Probiotic-based
approach
reduce
poisoning,
accomplished
by
swallowing
microbes
those
catalyze
URS
gut.
If
comprehensive
carried
out,
we
will
know
about
probiotics
impact
slowing
failure
progression
reducing
inflammatory
markers.
Signal Transduction and Targeted Therapy,
Journal Year:
2023,
Volume and Issue:
8(1)
Published: April 10, 2023
Abstract
Vascular
complications
of
diabetes
pose
a
severe
threat
to
human
health.
Prevention
and
treatment
protocols
based
on
single
vascular
complication
are
no
longer
suitable
for
the
long-term
management
patients
with
diabetes.
Diabetic
panvascular
disease
(DPD)
is
clinical
syndrome
in
which
vessels
various
sizes,
including
macrovessels
microvessels
cardiac,
cerebral,
renal,
ophthalmic,
peripheral
systems
diabetes,
develop
atherosclerosis
as
common
pathology.
Pathological
manifestations
DPDs
usually
manifest
macrovascular
atherosclerosis,
well
microvascular
endothelial
function
impairment,
basement
membrane
thickening,
microthrombosis.
Cardiac,
microangiopathy
coexist
microangiopathy,
while
renal
retinal
predominantly
microangiopathic.
The
following
associations
exist
between
DPDs:
numerous
similar
molecular
mechanisms,
risk-predictive
relationships
diseases.
Aggressive
glycemic
control
combined
early
comprehensive
intervention
key
prevention
treatment.
In
addition
widely
recommended
metformin,
glucagon-like
peptide-1
agonist,
sodium-glucose
cotransporter-2
inhibitors,
latest
aldose
reductase
peroxisome
proliferator-activated
receptor-γ
agonizts,
glucokinases
mitochondrial
energy
modulators,
etc.
under
active
development.
proposed
obtain
more
systematic
care
requires
center
focusing
This
would
leverage
advantages
cross-disciplinary
approach
achieve
better
integration
pathogenesis
therapeutic
evidence.
Such
strategy
confer
benefits
promote
development
DPD
discipline.
Signal Transduction and Targeted Therapy,
Journal Year:
2019,
Volume and Issue:
4(1)
Published: Oct. 11, 2019
Abstract
The
trillions
of
microorganisms
in
the
gut
microbiome
have
attracted
much
attention
recently
owing
to
their
sophisticated
and
widespread
impacts
on
numerous
aspects
host
pathophysiology.
Remarkable
progress
large-scale
sequencing
mass
spectrometry
has
increased
our
understanding
influence
and/or
its
metabolites
onset
progression
extraintestinal
cancers
efficacy
cancer
immunotherapy.
Given
plasticity
microbial
composition
function,
microbial-based
therapeutic
interventions,
including
dietary
modulation,
prebiotics,
probiotics,
as
well
fecal
transplantation,
potentially
permit
development
novel
strategies
for
therapy
improve
clinical
outcomes.
Herein,
we
summarize
latest
evidence
involvement
immunity
metabolism,
effects
immune
response,
modulate
microbiome,
discuss
ongoing
studies
future
areas
research
that
deserve
focused
efforts.
Frontiers in Cellular and Infection Microbiology,
Journal Year:
2022,
Volume and Issue:
12
Published: Feb. 15, 2022
Type
2
diabetes
mellitus
(T2DM)
is
one
of
the
common
metabolic
diseases
in
world.
Due
to
rise
morbidity
and
mortality,
it
has
become
a
global
health
problem.
To
date,
T2DM
still
cannot
be
cured,
its
intervention
measures
mainly
focus
on
glucose
control
as
well
prevention
treatment
related
complications.
Interestingly,
gut
microbiota
plays
an
important
role
development
diseases,
especially
T2DM.
In
this
review,
we
introduce
characteristics
population,
animal
models,
diabetic
addition,
describe
molecular
mechanisms
linking
host
T2DM,
including
molecules
that
induce
dysbiosis,
immune
inflammatory
responses,
microbial
metabolites
involved
pathogenesis.
These
findings
suggest
can
treat
complications
by
remodeling
through
interventions
such
drugs,
probiotics,
prebiotics,
fecal
transplantation
(FMT)
diets.
Journal of Clinical Investigation,
Journal Year:
2023,
Volume and Issue:
133(4)
Published: Feb. 14, 2023
Kidney
disease
is
a
major
driver
of
mortality
among
patients
with
diabetes
and
diabetic
kidney
(DKD)
responsible
for
close
to
half
all
chronic
cases.
DKD
usually
develops
in
genetically
susceptible
individual
as
result
poor
metabolic
(glycemic)
control.
Molecular
genetic
studies
indicate
the
key
role
podocytes
endothelial
cells
driving
albuminuria
early
diabetes.
Proximal
tubule
changes
show
strong
association
glomerular
filtration
rate.
Hyperglycemia
represents
cellular
stress
by
altering
metabolism
imposing
an
excess
workload
requiring
energy
oxygen
proximal
cells.
Changes
induce
adaptive
hypertrophy
reorganization
actin
cytoskeleton.
Later,
mitochondrial
defects
contribute
increased
oxidative
activation
inflammatory
pathways,
causing
progressive
function
decline
fibrosis.
Blockade
renin-angiotensin
system
or
sodium-glucose
cotransporter
associated
protection
slowing
decline.
Newly
identified
molecular
pathways
could
provide
basis
development
much-needed
novel
therapeutics.
Clinical Journal of the American Society of Nephrology,
Journal Year:
2019,
Volume and Issue:
15(3), P. 404 - 411
Published: Oct. 21, 2019
In
this
review
of
the
application
proteomics
and
metabolomics
to
kidney
disease
research,
we
key
concepts,
highlight
illustrative
examples,
outline
future
directions.
The
proteome
metabolome
reflect
influence
environmental
exposures
in
addition
genetic
coding.
Circulating
levels
proteins
metabolites
are
dynamic
modifiable,
thus
amenable
therapeutic
targeting.
Design
analytic
considerations
studies
should
be
tailored
investigator’s
goals.
For
identification
clinical
biomarkers,
adjustment
for
all
potential
confounding
variables,
particularly
GFR,
strict
significance
thresholds
warranted.
However,
approach
has
obscure
biologic
signals
can
overly
conservative
given
high
degree
intercorrelation
within
metabolome.
Mass
spectrometry,
often
coupled
up-front
chromatographic
separation
techniques,
is
a
major
workhorse
both
metabolomics.
High-throughput
antibody-
aptamer-based
proteomic
platforms
have
emerged
as
additional,
powerful
approaches
assay
proteome.
As
breadth
coverage
these
methodologies
continues
expand,
machine
learning
tools
pathway
analyses
help
select
molecules
greatest
interest
categorize
them
distinct
themes.
Studies
date
already
made
substantial
effect,
example
elucidating
target
antigens
membranous
nephropathy,
identifying
signature
urinary
peptides
that
adds
prognostic
information
albumin
CKD,
implicating
circulating
inflammatory
mediators
diabetic
demonstrating
role
microbiome
uremic
milieu,
highlighting
bioenergetics
modifiable
factor
AKI.
Additional
required
replicate
expand
on
findings
independent
cohorts.
Further,
more
work
needed
understand
longitudinal
trajectory
protein
metabolite
markers,
perform
transomics
merged
datasets,
incorporate
tissue–based
investigation.
Gut,
Journal Year:
2023,
Volume and Issue:
72(8), P. 1472 - 1485
Published: March 23, 2023
Objective
Inflammatory
bowel
disease
(IBD)
is
a
multifactorial
immune-mediated
inflammatory
of
the
intestine,
comprising
Crohn’s
and
ulcerative
colitis.
By
characterising
metabolites
in
faeces,
combined
with
faecal
metagenomics,
host
genetics
clinical
characteristics,
we
aimed
to
unravel
metabolic
alterations
IBD.
Design
We
measured
1684
different
8
short-chain
branched-chain
fatty
acids
stool
samples
424
patients
IBD
255
non-IBD
controls.
Regression
analyses
were
used
compare
concentrations
between
cases
controls
determine
relationship
each
participant’s
lifestyle,
characteristics
gut
microbiota
composition.
Moreover,
genome-wide
association
analysis
was
conducted
on
metabolite
levels.
Results
identified
over
300
molecules
that
differentially
abundant
faeces
The
ratio
sphingolipid
L-urobilin
could
discriminate
(AUC=0.85).
found
changes
bile
acid
pool
dysbiotic
microbial
communities
strong
metabolome
microbiota.
For
example,
abundance
Ruminococcus
gnavus
positively
associated
tryptamine
In
addition,
158
associations
dietary
patterns,
polymorphisms
near
NAT2
strongly
coffee
metabolism.
Conclusion
this
large-scale
analysis,
are
independent
commonly
overlooked
confounders
such
as
diet
surgical
history.
Considering
influence
microbiome
metabolites,
our
results
pave
way
for
future
interventions
targeting
intestinal
inflammation.
Signal Transduction and Targeted Therapy,
Journal Year:
2024,
Volume and Issue:
9(1)
Published: Aug. 5, 2024
Abstract
Accumulated
evidence
suggested
that
gut
microbial
dysbiosis
interplayed
with
progressive
chronic
kidney
disease
(CKD).
However,
no
available
therapy
is
effective
in
suppressing
CKD.
Here,
using
microbiomics
480
participants
including
healthy
controls
and
patients
stage
1–5
CKD,
we
identified
an
elongation
taxonomic
chain
Bacilli-Lactobacillales-Lactobacillaceae-
Lactobacillus
-
johnsonii
correlated
CKD
progression,
whose
abundance
strongly
clinical
markers.
L.
reduced
rats
adenine-induced
supplementation
ameliorated
lesion.
Serum
indole-3-aldehyde
(IAld),
level
negatively
creatinine
rats,
decreased
serum
of
induced
unilateral
ureteral
obstruction
(UUO)
5/6
nephrectomy
(NX)
as
well
late
patients.
Treatment
IAld
dampened
lesion
through
aryl
hydrocarbon
receptor
(AHR)
signal
or
UUO,
cultured
1-hydroxypyrene-induced
HK-2
cells.
Renoprotective
effect
was
partially
diminished
AHR
deficiency
mice
Our
further
data
showed
treatment
attenuated
by
via
increasing
level.
Taken
together,
targeting
might
reverse
This
study
provides
a
deeper
understanding
how
microbial-produced
tryptophan
metabolism
affects
host
discovers
potential
pathways
for
prophylactic
therapeutic
treatments