Mali Niroj, Mali Saroj, Zhang Ling, Fu Ping
Department of Nephrology and Kidney Research Institute, West China Hospital, Sichuan University, Chengdu, China.
School of Computer Science and Engineering, Central South University, Changsha, China.
Ren Fail. 2025 Dec;47(1):2522976. doi: 10.1080/0886022X.2025.2522976. Epub 2025 Jul 1.
It is unclear, therefore, exactly how gut microbes and renal processes communicate. Recent developments in the field of microbiome research present chances to enhance our comprehension and management of acute kidney injury (AKI). This review highlights important ideas and suggests more research while giving a general summary of the microbiome's influence on kidney function and AKI. AKI is a complex condition that develops through a variety of pathways. Recent experimental research has highlighted the important role that the gut microbiota plays in the course of AKI. Our understanding of human biology has been completely transformed by the current increase in gut microbiota research. Amazing progress in DNA sequencing analysis, especially in the areas of metagenomics and metatranscriptomics, has greatly increased our ability to measure and track complex microbial populations. As such, we are now in a better position to look at how these communities affect human health and illness. As a result, the relationships between renal physiology and pathophysiology and the gut microbiota are now better understood. Both experimental AKI and chronic renal illness have been linked to changes in the intestinal microbiome. This succinct review attempts to examine our present knowledge of the immune-modulatory effects of the gut microbiota, how kidney disorders are influenced by it, and the possible reciprocal interaction between kidney diseases and the microbiota. Subsequent investigations ought to concentrate on delving deeper into the function of the gut microbiota in renal disorders and finding possible therapeutic strategies for adjusting it.
因此,目前尚不清楚肠道微生物与肾脏生理过程究竟是如何相互作用的。微生物组研究领域的最新进展为我们提高对急性肾损伤(AKI)的理解和管理水平带来了契机。本综述在概述微生物组对肾功能和急性肾损伤的影响的同时,着重介绍了一些重要观点,并提出了更多有待研究的方向。急性肾损伤是一种通过多种途径发展而来的复杂病症。近期的实验研究突出了肠道微生物群在急性肾损伤病程中所起的重要作用。当前肠道微生物群研究的增多彻底改变了我们对人类生物学的理解。DNA测序分析,尤其是宏基因组学和宏转录组学领域取得的惊人进展,极大地提高了我们测量和追踪复杂微生物群体的能力。因此,我们现在能够更好地研究这些微生物群落如何影响人类健康与疾病。结果,肾脏生理病理与肠道微生物群之间的关系如今得到了更深入的了解。实验性急性肾损伤和慢性肾脏疾病都与肠道微生物组的变化有关。这篇简要综述试图探讨我们目前对肠道微生物群免疫调节作用的认识,它如何影响肾脏疾病,以及肾脏疾病与微生物群之间可能存在的相互作用。后续研究应专注于更深入地探究肠道微生物群在肾脏疾病中的作用,并寻找调节它的可能治疗策略。
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