Department of Pediatric Nephrology and Rheumatology, Sichuan Provincial Maternity and Child Health Care Hospital/The Affiliated Women's and children's Hospital of Chengdu Medical College, 610045 Chengdu, Sichuan, China.
Department of Pediatrics, Xiamen Maternity and Child Health Care Hospital/The Affiliated Women's and Children's Hospital of Xiamen University, 361000 Xiamen, Fujian, China.
Front Biosci (Landmark Ed). 2023 Sep 26;28(9):226. doi: 10.31083/j.fbl2809226.
BACKGROUND: In this study, we analyzed intestinal flora in an experimental mouse model of chronic kidney disease (CKD) and investigated whether oral supplementation with probiotic GG could slow the decline in renal function and inflammatory status of mice with CKD. METHODS: We surgically induced chronic kidney disease in C57BL/6J male mice aged 8-9 weeks. We used dual-stage 5/6 nephrectomy for this, while the mock group underwent a mock procedure. The experimental (CKD mice) and mock group were administered a daily dose of 10 × 109 colony forming unit (CFU) of probiotic GG or 2 g of maltodextrin as a placebo by oral gavage, respectively, for 5 weeks. At the end of the experiment, the fecal samples of the mice were collected and prepared for intestinal microbial diversity analysis. We examined the serum chemistry and renal histology of the mice. RESULTS: Important serum and blood biomarkers were associated with the development of CKD, including increased serum concentrations of creatine, cystatin C, blood urea nitrogen (BUN), and a protein-interleukin-6 (denoted as IL-6), whereas decreased serum albumin concentration was also observed in the mice with CKD. The intestinal flora of the mice with CKD significantly declined in terms of diversity, richness, and homogeneity. The consumption of GG probiotic via oral gavage significantly decreased the serum concentration level present in creatinine and blood urea nitrogen. However, it increased albumin in the group with CKD. After probiotic treatment, serum IL-6 levels dropped considerably, and the kidney histopathology score in mice with CKD who were given GG improved. Moreover, supplementation with the probiotic significantly improved floral richness and lineage diversity in the mice with CKDConclusions: In this study, we found that probiotics significantly attenuated renal failure development, reduced serum levels of proinflammatory cytokine IL-6, and increased the abundance and lineage diversity of intestinal flora in mice with chronic kidney disease.
背景:本研究分析了慢性肾脏病(CKD)实验小鼠模型的肠道菌群,并探讨了口服益生菌 GG 是否可以减缓 CKD 小鼠肾功能下降和炎症状态。
方法:我们通过两阶段 5/6 肾切除术对 8-9 周龄 C57BL/6J 雄性小鼠进行慢性肾脏病造模,而假手术组仅进行假手术。实验组(CKD 组)和假手术组小鼠分别每天口服给予 10×109 个菌落形成单位(CFU)益生菌 GG 或 2 g 麦芽糊精作为安慰剂,连续 5 周。实验结束时,收集小鼠粪便样本,进行肠道微生物多样性分析,检测小鼠血清化学和肾脏组织学。
结果:重要的血清和血液生物标志物与 CKD 的发生发展相关,包括血清肌酐、胱抑素 C、血尿素氮(BUN)和蛋白-白细胞介素-6(简称 IL-6)浓度升高,而 CKD 小鼠的血清白蛋白浓度降低。CKD 小鼠的肠道菌群在多样性、丰富度和均匀度方面显著下降。口服 GG 益生菌可显著降低 CKD 小鼠血清肌酐和血尿素氮的浓度水平。但增加了 CKD 组的白蛋白。益生菌治疗后,血清 IL-6 水平显著下降,CKD 小鼠的肾脏组织病理学评分改善。此外,益生菌补充剂显著改善了 CKD 小鼠的菌群丰富度和谱系多样性。
结论:本研究发现益生菌可显著减轻肾功能衰竭的发展,降低促炎细胞因子 IL-6 的血清水平,并增加慢性肾脏病小鼠肠道菌群的丰度和谱系多样性。
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