Xie Xiaohui, Dai Siyuan, Dai Yanling, Ning Jianping
Department of Nephrology, Xiangya Hospital, Central South University, Changsha 410008, China
Department of Nephrology, Xiangya Hospital, Central South University, Changsha 410008, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2020 Feb 28;45(2):193-197. doi: 10.11817/j.issn.1672-7347.2020.180758.
Chronic kidney disease (CKD) can result in alteration of intestinal flora and damage of intestinal barrier function. Intestinal dysbios is contributes to the generation of colon-derived uremic solutes and the translocation of bacteria and endotoxins from gut lumen into the bloodstream, subsequently increasing uremic toxicity and triggering systemic inflammation, which is related to CKD progression and many complications. Studies have revealed that dietary fiber can reduce uremic toxin levels and systemic inflammation in CKD through targeting the "gut-kidney axis". Dietary fiber seems to be a promising measure for CKD treatment.
慢性肾脏病(CKD)可导致肠道菌群改变和肠屏障功能受损。肠道菌群失调会导致结肠源性尿毒症溶质的产生以及细菌和内毒素从肠腔向血液的移位,进而增加尿毒症毒性并引发全身炎症,这与CKD的进展和许多并发症相关。研究表明,膳食纤维可通过靶向“肠-肾轴”降低CKD患者的尿毒症毒素水平和全身炎症。膳食纤维似乎是一种很有前景的CKD治疗措施。