State Key Laboratory of Natural Medicines, Department of TCMs Pharmaceuticals, School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing, China.
Department of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.
Nat Commun. 2022 Oct 14;13(1):6081. doi: 10.1038/s41467-022-33824-6.
Renal fibrosis is an inevitable outcome of various manifestations of progressive chronic kidney diseases (CKD). The need for efficacious treatment regimen against renal fibrosis can therefore not be overemphasized. Here we show a novel protective role of Bacteroides fragilis (B. fragilis) in renal fibrosis in mice. We demonstrate decreased abundance of B. fragilis in the feces of CKD patients and unilateral ureteral obstruction (UUO) mice. Oral administration of live B. fragilis attenuates renal fibrosis in UUO and adenine mice models. Increased lipopolysaccharide (LPS) levels are decreased after B. fragilis administration. Results of metabolomics and proteomics studies show decreased level of 1,5-anhydroglucitol (1,5-AG), a substrate of SGLT2, which increases after B. fragilis administration via enhancement of renal SGLT2 expression. 1,5-AG is an agonist of TGR5 that attenuates renal fibrosis by inhibiting oxidative stress and inflammation. Madecassoside, a natural product found via in vitro screening promotes B. fragilis growth and remarkably ameliorates renal fibrosis. Our findings reveal the ameliorative role of B. fragilis in renal fibrosis via decreasing LPS and increasing 1,5-AG levels.
肾纤维化是各种慢性肾脏病(CKD)进行性表现的必然结果。因此,迫切需要有效的肾纤维化治疗方案。在这里,我们展示了脆弱拟杆菌(Bacteroides fragilis,B. fragilis)在小鼠肾纤维化中的新的保护作用。我们发现在 CKD 患者和单侧输尿管梗阻(UUO)小鼠的粪便中,脆弱拟杆菌的丰度降低。口服活脆弱拟杆菌可减轻 UUO 和腺嘌呤诱导的小鼠模型的肾纤维化。脆弱拟杆菌给药后脂多糖(lipopolysaccharide,LPS)水平降低。代谢组学和蛋白质组学研究的结果表明,1,5-脱水葡萄糖(1,5-anhydroglucitol,1,5-AG)的水平降低,这是 SGLT2 的底物,在脆弱拟杆菌给药后通过增强肾脏 SGLT2 的表达而增加。1,5-AG 是 TGR5 的激动剂,通过抑制氧化应激和炎症来减轻肾纤维化。通过体外筛选发现的天然产物积雪草酸可促进脆弱拟杆菌的生长,并显著改善肾纤维化。我们的研究结果揭示了脆弱拟杆菌通过降低 LPS 和增加 1,5-AG 水平来改善肾纤维化的作用。
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