Division of Nephrology, Minhang Hospital, Fudan University, Shanghai, China.
East China University of Science and Technology, Shanghai, China.
Ren Fail. 2024 Dec;46(2):2387429. doi: 10.1080/0886022X.2024.2387429. Epub 2024 Aug 12.
To investigate the role of the intestinal flora and metabolites in the development of hyperuricemic renal injury in chronic kidney disease (CKD). Unilaterally nephrectomized mice were fed with adenine and potassium oxonate for 9 weeks. HE staining combined with plasma biochemical indicators was used to evaluate renal pathological and functional changes. We conducted 16S rRNA sequencing and untargeted metabolomics on feces and plasma samples to reveale changes in intestinal microbiota and metabolites. Our analysis revealed significant differences in 15 bacterial genera, with 7 being upregulated and 8 being downregulated. Furthermore, metabolomic analysis revealed changes in the distribution of amino acid and biotin metabolites in basic metabolic pathways in both feces and serum. Specifically, differentially abundant metabolites in feces were associated primarily with histidine metabolism; the biosynthesis of phenylalanine, tyrosine, and tryptophan; and tyrosine metabolism. In plasma, the differentially abundant metabolites were involved in multiple metabolic pathways, including aminoacyl-tRNA biosynthesis; glycine, serine, and threonine amino acid metabolism; valine, leucine, and isoleucine biosynthesis; tyrosine biosynthesis and metabolism; biotin metabolism; and taurine and hypotaurine metabolism. Furthermore, correlation analysis revealed that were associated with various differentially abundant metabolites as well as renal function, oxidative stress, and mitophagy. The changes in the intestinal flora observed in hyperuricemia may lead to imbalances in amino acid and biotin metabolism in both the intestine and host, ultimately affecting oxidative stress and mitophagy in mice and accelerating the progression of CKD. Our findings provide insights into a potential pathogenic mechanism by which hyperuricemia exacerbates renal injury in mice with renal insufficiency. Understanding these pathways may offer new therapeutic strategies for managing hyperuricemic renal injury in CKD patients.
为了研究肠道菌群及其代谢产物在慢性肾脏病(CKD)患者高尿酸血症肾损伤中的作用。对单侧肾切除的小鼠给予腺嘌呤和氧嗪酸钾喂养 9 周。采用 HE 染色联合血浆生化指标评估肾脏病理和功能变化。我们对粪便和血浆样本进行 16S rRNA 测序和非靶向代谢组学分析,以揭示肠道微生物群和代谢物的变化。我们的分析显示 15 个细菌属存在显著差异,其中 7 个上调,8 个下调。此外,代谢组学分析显示粪便和血清中基本代谢途径中氨基酸和生物素代谢物的分布发生变化。具体而言,粪便中差异丰度的代谢物主要与组氨酸代谢、苯丙氨酸、酪氨酸和色氨酸的生物合成以及酪氨酸代谢有关。在血浆中,差异丰度的代谢物涉及多种代谢途径,包括氨酰-tRNA 生物合成、甘氨酸、丝氨酸和苏氨酸氨基酸代谢、缬氨酸、亮氨酸和异亮氨酸生物合成、酪氨酸生物合成和代谢、生物素代谢以及牛磺酸和次牛磺酸代谢。此外,相关性分析表明,肠道菌群与各种差异丰度代谢物以及肾功能、氧化应激和自噬有关。高尿酸血症观察到的肠道菌群变化可能导致肠道和宿主中氨基酸和生物素代谢失衡,最终影响氧化应激和自噬,加速 CKD 小鼠的进展。我们的研究结果为高尿酸血症加重肾功能不全小鼠肾脏损伤的潜在致病机制提供了新的见解。了解这些途径可能为 CKD 患者高尿酸血症肾损伤的治疗提供新的策略。
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