Yishen
Huashi
Granules,
initially
known
as
"Mankidneyan,"
represent
a
category
six
traditional
Chinese
medicine
that
was
recently
developed
by
Guangzhou
Kangchen
Pharmaceutical
Co.,
Ltd.This
medication
received
approval
from
the
China
Food
and
Drug
Administration
(CFDA)
in
March
2009.Its
primary
purpose
is
to
address
proteinuria,
common
symptom
associated
with
chronic
glomerulonephritis
characterized
syndrome
of
spleen
deficiency
dampness
excess.This
condition
typically
diagnosed
when
serum
creatinine
levels
(Scr)
are
less
than
2
mg/dl.Patients
this
often
exhibit
symptoms
such
edema,
fatigue,
aversion
cold,
cold
limbs,
poor
appetite.Over
past
few
years,
Granules
have
garnered
widespread
recognition
for
their
effectiveness
treating
kidney
disease
(CKD)
result
accumulating
clinical
experience.However,
there
also
been
instances
off-label
use.In
an
effort
provide
clear
guidance
standardization
Utilization
CKD
Management,
Association
Traditional
Medicine
has
convened
panel
experts
various
disciplines,
including
nephrology,
pharmacology,
statistics.These
tasked
reviewing,
summarizing,
analyzing
research
findings
both
before
after
medication's
marketing.Leveraging
collective
experience
these
experts,
"Expert
Consensus
on
Clinical
Application
Treatment
Kidney
Diseases"
developed.The
objective
consensus
broaden
range
indications
enhance
existing
application
guidelines.Ultimately,
aims
promote
rational
well-informed
use
illness.
PLoS ONE,
Год журнала:
2024,
Номер
19(4), С. e0300705 - e0300705
Опубликована: Апрель 11, 2024
Obesity
is
a
major
independent
risk
factor
for
chronic
kidney
disease
and
can
activate
renal
oxidative
stress
injury.
Ascorbate
aldarate
metabolism
an
important
carbohydrate
metabolic
pathway
that
protects
cells
from
damage.
However
the
effect
of
on
this
still
unclear.
Therefore,
primary
objective
study
was
to
investigate
ascorbate
in
kidneys
high-fat
diet-fed
obese
mice
determine
effects
stress.
Male
C57BL/6J
were
fed
diet
12
weeks
induce
obesity.
Subsequently,
non-targeted
metabolomics
profiling
used
identify
metabolites
tissues
mice,
followed
by
RNA
sequencing
using
transcriptomic
methods.
The
integrated
analysis
transcriptomics
revealed
alterations
these
mice.
diet-induced
obesity
resulted
notable
changes,
including
thinning
glomerular
basement
membrane,
podocyte
morphology,
increase
Metabolomics
649
positive-ion
mode,
470
negative-ion
mode.
Additionally,
659
differentially
expressed
genes
(DEGs)
identified
which
34
upregulated
625
downregulated.
Integrated
analyses
two
DEGs
13
differential
pathway.
expression
levels
ugt1a9
ugt2b1
downregulated,
level
tissue
reduced.
Thus,
injury
induced
affects
regulation
emerged
as
potential
marker
predicting
damage
due
PeerJ,
Год журнала:
2024,
Номер
12, С. e17055 - e17055
Опубликована: Март 15, 2024
Recent
studies
have
shown
that
the
imbalance
of
intestinal
flora
is
related
to
occurrence
and
progression
diabetic
nephropathy
(DN)
can
affect
lipid
metabolism.
Sodium-dependent
glucose
transporters
2
(SGLT2)
inhibitor
glucagon-like
peptide-1
(GLP-1)
receptor
agonist
are
commonly
used
hypoglycemic
drugs
excellent
renal
safety.
The
purpose
this
study
was
compare
protective
effects
empagliflozin
liraglutide
on
kidneys,
metabolism,
microbiota
in
mice.
We
established
a
mouse
model
type
two
diabetes
by
feeding
rats
high-fat
diet
(HFD)
followed
an
intraperitoneal
injection
STZ.
mice
were
randomly
divided
into
groups:
normal
control
(NC),
(DM),
treatment
(LirT),
(EmpT),
combined
with
(Emp&LirT)
groups.
Blood
glucose,
lipids,
creatinine,
uric
acid,
as
well
urinary
nitrogen
albumin
levels
measured.
tissues
subjected
HE,
PAS
Masson's
staining.
These
parameters
evaluate
function
histopathological
changes
Mice
feces
also
collected
for
16sRNA
sequencing
analyze
composition
flora.
All
indexes
significantly
improved
after
drugs.
With
respect
both
decreased
serum
triglyceride
mice,
but
effect
reducing
cholesterol
better
than
empagliflozin.
However,
had
reduction
low-density
lipoproteins
(LDL).
different
At
phylum
level,
reduced
ratio
Firmicutes
Bacteroidota,
no
seen
liraglutide.
genus
them
number
Helicobacter
increased
Lactobacillus.
Empagliflozin
abundance
Muribaculaceae,
Muribaculum,
Olsenella,
Odoribacter,
while
Ruminococcus.
Liraglutide
able
improve
diabetes-related
injury.
ability
reduce
LDL
compared
In
addition,
their
intestine
bacterial
different.
Frontiers in Cellular and Infection Microbiology,
Год журнала:
2025,
Номер
14
Опубликована: Янв. 10, 2025
Treatment
methods
in
traditional
Chinese
medicine
(TCM)
are
foundational
to
their
theoretical,
methodological,
formulaic,
and
pharmacological
systems,
significantly
contributing
syndrome
differentiation
therapy.
The
principle
of
"promoting
urination
regulate
bowel
movements"
is
a
common
therapeutic
approach
TCM.
core
concept
the
dispersion
drainage
water
dampness,
regulating
relieve
diarrhea,"
yet
its
scientific
underpinning
remains
unclear.
Modern
medical
treatment
for
watery
diarrhea
primarily
focuses
on
electrolyte
replenishment,
as
diuretics
may
lead
dehydration
other
side
effects.
Some
reports
suggest
that
this
TCM
lacks
validity.
Microecology,
an
area
associated
with
origins
TCM,
closely
related
development,
diagnosis,
diarrhea.
renal-intestinal
axis
offers
molecular
biological
basis
examining
pathological
mechanisms,
advancing
targets
such
"treating
intestine
address
kidney
issues"
highlighting
interactions
within
"renal-intestinal
microbiota-liquid
metabolism"
framework,
thus
providing
endogenous
mechanism
support
through
kidney."
An
increasing
number
studies
have
shown
intestinal
microbiota
metabolites,
unique
mediators,
involved
physiological
changes
body.
Therefore,
study
explores
relationship
between
fluid
metabolism
from
perspective
aiming
elucidate
mechanisms
underlying
clarify
treating
via
axis.
This
research
provides
new
insights
microbiology.
Frontiers in Endocrinology,
Год журнала:
2025,
Номер
15
Опубликована: Янв. 17, 2025
The
aim
of
this
study
was
to
investigate
the
causal
relationship
between
microbiota,
diabetic
nephropathy,
and
blood
metabolites
through
a
randomized
Mendelian
study.
In
study,
we
used
412
microbiota
as
exposures,
1,400
intermediaries,
nephropathy
outcome.
We
conducted
two-way
randomization
(MR)
analysis
explore
followed
by
mediation
analyses
two-step
MR
identify
potential
metabolites.
There
is
nephropathy.
Specific
bacteria
metabolites,
such
Escherichia
coli
str.
K-12
substr.
MG1655,
Listeria
monocytogenes
10403S,
g_Adlercreutzia,
g_Haemophilus,
g_Bacteroides,
CFT073,
like
pyrraline,
glycocholenate
sulfate,
alpha-ketoglutarate,
tetradecadienoate
(14:2),
Cys-gly
oxidized,
methylsuccinate,
various
others,
were
identified.
MG1655
positively
related
alpha-ketoglutarate
levels,
while
levels
Sphingomyelin
(d18:1/18:1,
d18:2/18:0)
are
negatively
related.
bacterial
involved
in
fatty
acid
oxidation
associated
with
kidney
disease
(DKD)
progression,
correlated
sulfate
phosphate
linoleyl-tetraenyl-glycerol
(18:2
20:4)
ratio.
Additionally,
10403S
N-acetyl-isoputreanine
X-12462.
Anaerobic
fermentation-related
N-acetylcarnitine
5-acetylamino-6-formyluracil
5-acetamino-6-amino-3-methyluracil
(X-24243).
CFT073
X-16580.
Interactions
Bacillus
species
d18:1/18:1,
d18:2/18:0,
2-aminophenol
cholate
negative
when
compared
(14:2).
g_Adlercreutzia
N-delta-acetylornithine,
but
N-acetylglucosamine
N-acetylgalactosamine.
g_Haemophilus
arachidoylcarnitine
X-24531.
results
heterogeneous
multi-efficacious.
For
first
time,
provides
supportive
evidence
for
bidirectional
identifies
specific
genes
disease.
suggest
that
probiotic
therapy
may
play
significant
role
preventing
improving
quality
life
survival
rates
affected
patients.
Furthermore,
additional
Frontiers in Pharmacology,
Год журнала:
2025,
Номер
16
Опубликована: Янв. 27, 2025
Introduction
Chronic
nephrotoxicity
caused
by
CNIs
(CICN)
manifests
clinically
as
chronic
kidney
disease
(CKD).
Astragaloside
IV
(AS-IV)
plays
a
certain
role
in
the
treatment
of
CKD.
This
study
aimed
to
verify
ameliorative
effects
AS-IV
on
CICN
and
further
explore
mechanisms
underlying
modulation
“gut–transcriptome–metabolome
coexpression
network”
within
context
“gut–kidney
axis”
improve
CICN.
Methods
Five
groups
40
mice
were
studied:
normal
group
(N,
olive
oil),
model
(M,
CsA,
30
mg
kg
-−1
d
−1
),
low-dose
(CsA
+
AS-IV,
10
high-dose
20
valsartan
Val,
).
The
gut
microbiota,
renal
transcriptome,
urine
metabolome
separately
detected
construct
gut–transcriptome–metabolome
network.
target
species,
genes,
metabolites
evaluated.
Results
CsA
led
increased
proteinuria
deterioration
function,
accompanied
inflammation
oxidative
stress,
whereas
improved
damage.
inhibited
intestinal
permeability
disrupted
microbiota
structure,
increasing
abundance
Lactobacillus
reuteri
,
Bifidobacterium
animalis
Ignatzschineria
indica
Blautia
glucerasea.
Six
pathways
related
transcription
metabolism,
including
citrate
cycle
ascorbate
aldarate
metabolism
proximal
tubule
bicarbonate
reclamation
glycolysis/gluconeogenesis,
ferroptosis,
drug
metabolism–cytochrome
P450
identified.
Seven
identified
6
pathways,
UDP-D-galacturonic
acid,
2-phenylethanol
glucuronide,
dehydroascorbic
isopentenyl
pyrophosphate,
alpha-D-glucose,
3-carboxy-1-hydroxypropylthiamine
diphosphate
citalopram
aldehyde.
genes
Ugt1a2,
Ugt1a9,
Ugt1a5,
Pck1,
Slc7a11,
also
predicted
NONMMUT144584.1,
MSTRG.30357.1
ENSMUST00000174821.
was
highly
correlated
with
function
AS-IV.
validated.
intestinal-derived
urinary
toxins
tissue
apoptosis,
lipid
accumulation,
collagen
deposition,
mitochondrial
Conclusion
through
six
energy
driven
L.
alderate
tube
are
important
mechanisms.
Frontiers in Molecular Biosciences,
Год журнала:
2025,
Номер
12
Опубликована: Март 17, 2025
Given
the
increasing
incidence
rate
of
diabetic
kidney
disease
(DKD),
there
is
an
urgent
need
for
methods
to
diagnose
and
treat
DKD
in
clinics.
Serum
samples
were
collected
from
56
patients
32
healthy
controls
(HCs)
at
First
Affiliated
Hospital
Ningbo
University,
metabolic
profiles
obtained
through
untargeted
metabolomics
using
gas
chromatography
mass
spectrometry.
The
data
then
analyzed
principal
components
analysis,
orthogonal
partial
least-squares
discriminant
Pearson
correlation
receiver
operating
characteristic
(ROC)
curve.
It
was
found
that
serum
significantly
different
those
HCs.
A
total
68
potential
differential
metabolites
identified
involved
arginine
biosynthesis,
ascorbate
aldarate
metabolism,
galactose
among
others;
a
31
also
between
early-stage
(EDG)
late-stage
(LDG)
patients.
Additionally,
30
significant
differences
observed
EDG,
LDG,
HC
groups.
Based
on
analysis
abundances
clinical
markers
(estimated
glomerular
filtration
rate,
blood
urea
nitrogen,
creatinine,
urinary
albumin/creatinine
ratio)
area
under
ROC
curve
(AUROC)
AUROC
values
myoinositol
gluconic
acid
be
0.992
0.991,
respectively,
which
can
used
distinguish
These
results
indicate
could
possibly
as
biomarkers
DKD.
Earlier
studies
have
implicated
a
crucial
link
between
diabetic
nephropathy
(DN)
and
the
gut
microbiota
(GM)
by
considering
gut-kidney
axis;
however,
specific
cause-and-effect
connections
these
processes
remain
unclear.
To
compare
changes
in
GM
DN
patients
control
subjects,
review
of
observational
was
performed.
The
examination
focused
on
phylum,
family,
genus,
species/genus
categories.
delve
deeper
into
cause–effect
relationship,
instrumental
variables
for
211
taxa
(9
phyla,
16
classes,
20
orders,
35
families,
131
genera),
which
were
eligible
mbQTL
(microbial
quantitative
trait
locus)
mapping
analysis,
collected
from
Genome
Wide
Association
Study
(GWAS).
A
Mendelian
randomization
investigation
then
conducted
to
gauge
their
impact
susceptibility
using
data
European
Bioinformatics
Institute
(EBI)
FinnGen
consortium.
included
1032
451,248
controls,
while
consortium
consisted
3283
210,463
controls.
Two-sample
(TSMR)
utilized
determine
DN.
primary
method
analysis
inverse
variance
weighted
(IVW)
approach.
Moreover,
reverse
carried
out,
findings
validated
through
sensitivity
assessments.
This
examined
11
that
satisfied
inclusion
exclusion
criteria.
There
significant
difference
abundance
144
By
employing
MR
technique,
13
bacteria
pinpointed
as
having
causal
(including
3
unknown
taxa).
Even
after
Bonferroni
correction,
protective
phylum
Proteobacteria
genus
Dialister
(Sequeira
et
al.
Nat
Microbiol.
5:304-313,
2020;
Liu
EBioMedicine.
90:104527,
2023)
harmful
Akkermansia,
family
Verrucomicrobiaceae,
order
Verrucomicrobia
class
Verrucomicrobiae
remained
significant.
No
noticeable
heterogeneity
or
horizontal
pleiotropy
detected
(IVs).
However,
investigations
failed
reveal
any
substantial
relationship
GM.
Differences
among
healthy
controls
are
explored
studies.
We
verified
possible
connection
certain
genetically
modified
genera
DN,
thereby
emphasizing
"gut-kidney"
axis
new
insights
GM's
role
pathogenesis
underlying
Investigations
this
association
necessary,
novel
biomarkers
development
targeted
preventive
strategies
against
needed.