The Gut-Peritoneum Axis in Peritoneal Dialysis and Peritoneal Fibrosis

Peritoneal fibrosis is an important cause of peritoneal dialysis (PD) discontinuation worldwide and is associated with high morbidity and mortality rate. Although the era of metagenomics has provided new insights into the interactions between the gut microbiota and fibrosis in various organs and tis...

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Main Author: Natalia Stepanova
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Kidney Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590059523000559
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author Natalia Stepanova
author_facet Natalia Stepanova
author_sort Natalia Stepanova
collection DOAJ
description Peritoneal fibrosis is an important cause of peritoneal dialysis (PD) discontinuation worldwide and is associated with high morbidity and mortality rate. Although the era of metagenomics has provided new insights into the interactions between the gut microbiota and fibrosis in various organs and tissues, its role in peritoneal fibrosis has rarely been discussed. This review provides a scientific rationale and points out the potential role of gut microbiota in peritoneal fibrosis. In addition, the interaction between the gut, circulatory, and peritoneal microbiota is highlighted, with an emphasis on the relationship to PD outcomes. More research is needed to elucidate the mechanisms underlying the role of gut microbiota in peritoneal fibrosis and potentially unveil new target options for the management of PD technique failure.
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spelling doaj.art-335f36f500664a2a9d52a1a17beb932d2023-05-17T04:23:12ZengElsevierKidney Medicine2590-05952023-06-0156100645The Gut-Peritoneum Axis in Peritoneal Dialysis and Peritoneal FibrosisNatalia Stepanova0Address for Correspondence: Natalia Stepanova, MD, DSc, Prof., Department of Nephrology and Dialysis, State Institution “Institute of Nephrology of the National Academy of Medical Sciences of Ukraine”, 17 V Degtyarivska, Kyiv 04050, Ukraine.; Department of Nephrology and Dialysis, State Institution “Institute of Nephrology of the National Academy of Medical Sciences of Ukraine”, Kyiv, UkrainePeritoneal fibrosis is an important cause of peritoneal dialysis (PD) discontinuation worldwide and is associated with high morbidity and mortality rate. Although the era of metagenomics has provided new insights into the interactions between the gut microbiota and fibrosis in various organs and tissues, its role in peritoneal fibrosis has rarely been discussed. This review provides a scientific rationale and points out the potential role of gut microbiota in peritoneal fibrosis. In addition, the interaction between the gut, circulatory, and peritoneal microbiota is highlighted, with an emphasis on the relationship to PD outcomes. More research is needed to elucidate the mechanisms underlying the role of gut microbiota in peritoneal fibrosis and potentially unveil new target options for the management of PD technique failure.http://www.sciencedirect.com/science/article/pii/S2590059523000559Peritoneal dialysisperitoneal fibrosismicrobiotaclinical outcomes
spellingShingle Natalia Stepanova
The Gut-Peritoneum Axis in Peritoneal Dialysis and Peritoneal Fibrosis
Kidney Medicine
Peritoneal dialysis
peritoneal fibrosis
microbiota
clinical outcomes
title The Gut-Peritoneum Axis in Peritoneal Dialysis and Peritoneal Fibrosis
title_full The Gut-Peritoneum Axis in Peritoneal Dialysis and Peritoneal Fibrosis
title_fullStr The Gut-Peritoneum Axis in Peritoneal Dialysis and Peritoneal Fibrosis
title_full_unstemmed The Gut-Peritoneum Axis in Peritoneal Dialysis and Peritoneal Fibrosis
title_short The Gut-Peritoneum Axis in Peritoneal Dialysis and Peritoneal Fibrosis
title_sort gut peritoneum axis in peritoneal dialysis and peritoneal fibrosis
topic Peritoneal dialysis
peritoneal fibrosis
microbiota
clinical outcomes
url http://www.sciencedirect.com/science/article/pii/S2590059523000559
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