Suryavanshi Mangesh, Franklin Arthur, Fargue Sonia, Assimos Dean G, Knight John, Miller Aaron W
Department of Cardiovascular and Metabolic Sciences, Cleveland Clinic, Cleveland, OH, USA.
Department of Urology, University of Alabama at Birmingham, Birmingham, AL, USA.
Gut Microbes. 2025 Dec 31;17(1):2562337. doi: 10.1080/19490976.2025.2562337. Epub 2025 Sep 23.
Oxalate, a compound derived from both diet and metabolism, contributes to multiple renal and vascular diseases. Certain gut bacteria degrade oxalate, limiting absorption and promoting secretion. This study examined microbial factors that influence the effectiveness of , a specialized oxalate-degrading bacterium, in lowering urinary oxalate levels. We analyzed gut microbiota from a controlled diet study involving 26 healthy, non-stone-forming adults who were initially uncolonized and then colonized with . Stool samples were profiled for 16S rRNA and oxalate-degrading genes-oxalyl-CoA decarboxylase () and formyl-CoA transferase ()-using high-throughput amplicon sequencing and qPCR. Comparative analyses assessed associations between microbial features and oxalate homeostasis, including changes in urinary oxalate excretion. The baseline abundance of oxalate-degrading genes ( and ) was significantly and negatively correlated with stool oxalate (R = -0.43 for , -0.34 for ), urinary oxalate levels (R = -0.25 for , -0.27 for ), and the reduction in urine oxalate after administration (R = -0.36 for , -0.42 for ). This study provides the first direct evidence that baseline oxalate-degrading gene abundance predicts probiotic response. Results explain inconsistent clinical trial results and support precision microbiome-based therapy for hyperoxaluria via targeted patient stratification.
草酸盐是一种源自饮食和新陈代谢的化合物,与多种肾脏和血管疾病有关。某些肠道细菌可降解草酸盐,限制其吸收并促进其分泌。本研究调查了影响一种特殊的草酸盐降解菌降低尿草酸盐水平有效性的微生物因素。我们分析了一项对照饮食研究中的肠道微生物群,该研究涉及26名健康、无结石形成的成年人,他们最初未被该菌定殖,随后被该菌定殖。使用高通量扩增子测序和定量聚合酶链反应对粪便样本进行16S rRNA和草酸盐降解基因——草酰辅酶A脱羧酶(OXCD)和甲酰辅酶A转移酶(FRC)分析。比较分析评估了微生物特征与草酸盐稳态之间的关联,包括尿草酸盐排泄的变化。草酸盐降解基因(OXCD和FRC)的基线丰度与粪便草酸盐(OXCD的R = -0.43,FRC的R = -0.34)、尿草酸盐水平(OXCD的R = -0.25,FRC的R = -0.27)以及给予该菌后尿草酸盐的降低(OXCD的R = -0.36,FRC的R = -0.42)显著负相关。本研究提供了首个直接证据,即基线草酸盐降解基因丰度可预测益生菌反应。研究结果解释了临床试验结果的不一致性,并支持通过针对性的患者分层对高草酸尿症进行精准的基于微生物组的治疗。