The Links between Microbiome and Uremic Toxins in Acute Kidney Injury: Beyond Gut Feeling—A Systematic Review

The last years have brought an abundance of data on the existence of a gut-kidney axis and the importance of microbiome in kidney injury. Data on kidney-gut crosstalk suggest the possibility that microbiota alter renal inflammation; we therefore aimed to answer questions about the role of microbiome...

Full description

Bibliographic Details
Main Authors: Alicja Rydzewska-Rosołowska, Natalia Sroka, Katarzyna Kakareko, Mariusz Rosołowski, Edyta Zbroch, Tomasz Hryszko
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Toxins
Subjects:
Online Access:https://www.mdpi.com/2072-6651/12/12/788
_version_ 1797545007000846336
author Alicja Rydzewska-Rosołowska
Natalia Sroka
Katarzyna Kakareko
Mariusz Rosołowski
Edyta Zbroch
Tomasz Hryszko
author_facet Alicja Rydzewska-Rosołowska
Natalia Sroka
Katarzyna Kakareko
Mariusz Rosołowski
Edyta Zbroch
Tomasz Hryszko
author_sort Alicja Rydzewska-Rosołowska
collection DOAJ
description The last years have brought an abundance of data on the existence of a gut-kidney axis and the importance of microbiome in kidney injury. Data on kidney-gut crosstalk suggest the possibility that microbiota alter renal inflammation; we therefore aimed to answer questions about the role of microbiome and gut-derived toxins in acute kidney injury. PubMed and Cochrane Library were searched from inception to October 10, 2020 for relevant studies with an additional search performed on ClinicalTrials.gov. We identified 33 eligible articles and one ongoing trial (21 original studies and 12 reviews/commentaries), which were included in this systematic review. Experimental studies prove the existence of a kidney-gut axis, focusing on the role of gut-derived uremic toxins and providing concepts that modification of the microbiota composition may result in better AKI outcomes. Small interventional studies in animal models and in humans show promising results, therefore, microbiome-targeted therapy for AKI treatment might be a promising possibility.
first_indexed 2024-03-10T14:08:39Z
format Article
id doaj.art-3b8d914c022f4d1a88c4c9d33cc0e065
institution Directory Open Access Journal
issn 2072-6651
language English
last_indexed 2024-03-10T14:08:39Z
publishDate 2020-12-01
publisher MDPI AG
record_format Article
series Toxins
spelling doaj.art-3b8d914c022f4d1a88c4c9d33cc0e0652023-11-21T00:21:18ZengMDPI AGToxins2072-66512020-12-01121278810.3390/toxins12120788The Links between Microbiome and Uremic Toxins in Acute Kidney Injury: Beyond Gut Feeling—A Systematic ReviewAlicja Rydzewska-Rosołowska0Natalia Sroka1Katarzyna Kakareko2Mariusz Rosołowski3Edyta Zbroch4Tomasz Hryszko52nd Department of Nephrology and Hypertension with Dialysis Unit, Medical University of Białystok, 15-276 Białystok, Poland2nd Department of Nephrology and Hypertension with Dialysis Unit, Medical University of Białystok, 15-276 Białystok, Poland2nd Department of Nephrology and Hypertension with Dialysis Unit, Medical University of Białystok, 15-276 Białystok, PolandDepartment of Gastroenterology and Internal Medicine, Medical University of Białystok, 15-276 Białystok, Poland2nd Department of Nephrology and Hypertension with Dialysis Unit, Medical University of Białystok, 15-276 Białystok, Poland2nd Department of Nephrology and Hypertension with Dialysis Unit, Medical University of Białystok, 15-276 Białystok, PolandThe last years have brought an abundance of data on the existence of a gut-kidney axis and the importance of microbiome in kidney injury. Data on kidney-gut crosstalk suggest the possibility that microbiota alter renal inflammation; we therefore aimed to answer questions about the role of microbiome and gut-derived toxins in acute kidney injury. PubMed and Cochrane Library were searched from inception to October 10, 2020 for relevant studies with an additional search performed on ClinicalTrials.gov. We identified 33 eligible articles and one ongoing trial (21 original studies and 12 reviews/commentaries), which were included in this systematic review. Experimental studies prove the existence of a kidney-gut axis, focusing on the role of gut-derived uremic toxins and providing concepts that modification of the microbiota composition may result in better AKI outcomes. Small interventional studies in animal models and in humans show promising results, therefore, microbiome-targeted therapy for AKI treatment might be a promising possibility.https://www.mdpi.com/2072-6651/12/12/788acute kidney injurymicrobiotauremia middle molecule toxins
spellingShingle Alicja Rydzewska-Rosołowska
Natalia Sroka
Katarzyna Kakareko
Mariusz Rosołowski
Edyta Zbroch
Tomasz Hryszko
The Links between Microbiome and Uremic Toxins in Acute Kidney Injury: Beyond Gut Feeling—A Systematic Review
Toxins
acute kidney injury
microbiota
uremia middle molecule toxins
title The Links between Microbiome and Uremic Toxins in Acute Kidney Injury: Beyond Gut Feeling—A Systematic Review
title_full The Links between Microbiome and Uremic Toxins in Acute Kidney Injury: Beyond Gut Feeling—A Systematic Review
title_fullStr The Links between Microbiome and Uremic Toxins in Acute Kidney Injury: Beyond Gut Feeling—A Systematic Review
title_full_unstemmed The Links between Microbiome and Uremic Toxins in Acute Kidney Injury: Beyond Gut Feeling—A Systematic Review
title_short The Links between Microbiome and Uremic Toxins in Acute Kidney Injury: Beyond Gut Feeling—A Systematic Review
title_sort links between microbiome and uremic toxins in acute kidney injury beyond gut feeling a systematic review
topic acute kidney injury
microbiota
uremia middle molecule toxins
url https://www.mdpi.com/2072-6651/12/12/788
work_keys_str_mv AT alicjarydzewskarosołowska thelinksbetweenmicrobiomeanduremictoxinsinacutekidneyinjurybeyondgutfeelingasystematicreview
AT nataliasroka thelinksbetweenmicrobiomeanduremictoxinsinacutekidneyinjurybeyondgutfeelingasystematicreview
AT katarzynakakareko thelinksbetweenmicrobiomeanduremictoxinsinacutekidneyinjurybeyondgutfeelingasystematicreview
AT mariuszrosołowski thelinksbetweenmicrobiomeanduremictoxinsinacutekidneyinjurybeyondgutfeelingasystematicreview
AT edytazbroch thelinksbetweenmicrobiomeanduremictoxinsinacutekidneyinjurybeyondgutfeelingasystematicreview
AT tomaszhryszko thelinksbetweenmicrobiomeanduremictoxinsinacutekidneyinjurybeyondgutfeelingasystematicreview
AT alicjarydzewskarosołowska linksbetweenmicrobiomeanduremictoxinsinacutekidneyinjurybeyondgutfeelingasystematicreview
AT nataliasroka linksbetweenmicrobiomeanduremictoxinsinacutekidneyinjurybeyondgutfeelingasystematicreview
AT katarzynakakareko linksbetweenmicrobiomeanduremictoxinsinacutekidneyinjurybeyondgutfeelingasystematicreview
AT mariuszrosołowski linksbetweenmicrobiomeanduremictoxinsinacutekidneyinjurybeyondgutfeelingasystematicreview
AT edytazbroch linksbetweenmicrobiomeanduremictoxinsinacutekidneyinjurybeyondgutfeelingasystematicreview
AT tomaszhryszko linksbetweenmicrobiomeanduremictoxinsinacutekidneyinjurybeyondgutfeelingasystematicreview