肠道微生物群的特异性改变及在糖尿病肾病发生发展中的作用。

Specific Alternation of Gut Microbiota and the Role of in the Development of Diabetic Nephropathy.

机构信息

Department of Traditional Chinese Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, P.R. China.

Guangdong Provincial Institute of Geriatric, Guangzhou, 510080, P.R. China.

出版信息

J Microbiol Biotechnol. 2024 Mar 28;34(3):547-561. doi: 10.4014/jmb.2310.10028. Epub 2023 Dec 26.

Abstract

In this study, we aim to investigate the precise alterations in the gut microbiota during the onset and advancement of diabetic nephropathy (DN) and examine the impact of () on DN. Eight-week-old male KK-Ay mice were administered antibiotic cocktails for a duration of two weeks, followed by oral administration of for an additional eight weeks. Our study revealed significant changes in the gut microbiota during both the initiation and progression of DN. Specifically, we observed a notable increase in the abundance of Clostridia at the class level, higher levels of Lachnospirales and Oscillospirales at the order level, and a marked decrease in Clostridia_UCG-014 in DN group. Additionally, there was a significant increase in the abundance of Lachnospiraceae, Oscillospiraceae, and Ruminococcaceae at the family level. Moreover, oral administration of effectively aggravated kidney pathology in DN mice, accompanied by elevated levels of urea nitrogen (UN), creatinine (Cr), and urine protein. Furthermore, administration resulted in down-regulation of tight junction proteins such as Claudin-1, Occludin, and ZO-1, as well as increased levels of uremic toxins in urine and serum samples. Additionally, our study demonstrated that orally administered up-regulated the expression of inflammatory factors, including nucleotide-binding oligomerization domain-like receptor pyrin domain-containing protein 3 (NLRP3) and Interleukin (IL)-6. These changes indicated the involvement of the gut-kidney axis in DN, and may worsen diabetic nephropathy by affecting uremic toxin levels and promoting inflammation in DN.

摘要

在这项研究中,我们旨在探讨糖尿病肾病(DN)发病和进展过程中肠道微生物组的精确变化,并研究()对 DN 的影响。将 8 周龄雄性 KK-Ay 小鼠用抗生素混合物处理两周,然后再用 处理 8 周。我们的研究揭示了在 DN 的起始和进展过程中肠道微生物组的显著变化。具体而言,我们观察到在类水平上梭菌属的丰度显著增加,在目水平上 Lachnospirales 和 Oscillospirales 的水平更高,而在 DN 组中 Clostridia_UCG-014 的丰度显著降低。此外,Lachnospiraceae、Oscillospiraceae 和 Ruminococcaceae 的丰度在科水平上也显著增加。此外,()口服给药可有效加重 DN 小鼠的肾脏病理,同时伴有尿素氮(UN)、肌酐(Cr)和尿蛋白水平升高。此外,()给药导致紧密连接蛋白如 Claudin-1、Occludin 和 ZO-1 的下调,以及尿和血清样本中尿毒症毒素水平升高。此外,我们的研究表明,口服给予()可上调炎症因子的表达,包括核苷酸结合寡聚结构域样受体吡咯烷二硫代甲酸(NLRP3)和白细胞介素(IL)-6。这些变化表明肠道-肾脏轴参与了 DN,并且()可能通过影响尿毒症毒素水平和促进 DN 中的炎症来加重糖尿病肾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c77/11016775/a86419001320/jmb-34-3-547-f1.jpg

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