The Intestinal Microbiota and Metabolites in the Gut-Kidney-Heart Axis of Chronic Kidney Disease

Emerging evidences demonstrate the involvement of gut microbiota in the progression of chronic kidney disease (CKD) and CKD-associated complications including cardiovascular disease (CVD) and intestinal dysfunction. In this review, we discuss the interactions between the gut, kidney and heart in CKD...

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Main Authors: Yinghui Huang, Wang Xin, Jiachuan Xiong, Mengying Yao, Bo Zhang, Jinghong Zhao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.837500/full
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author Yinghui Huang
Wang Xin
Jiachuan Xiong
Mengying Yao
Bo Zhang
Jinghong Zhao
author_facet Yinghui Huang
Wang Xin
Jiachuan Xiong
Mengying Yao
Bo Zhang
Jinghong Zhao
author_sort Yinghui Huang
collection DOAJ
description Emerging evidences demonstrate the involvement of gut microbiota in the progression of chronic kidney disease (CKD) and CKD-associated complications including cardiovascular disease (CVD) and intestinal dysfunction. In this review, we discuss the interactions between the gut, kidney and heart in CKD state, and elucidate the significant role of intestinal microbiota in the gut-kidney-heart axis hypothesis for the pathophysiological mechanisms of these diseases, during which process mitochondria may serve as a potential therapeutic target. Dysregulation of this axis will lead to a vicious circle, contributing to CKD progression. Recent studies suggest novel therapies targeting gut microbiota in the gut-kidney-heart axis, including dietary intervention, probiotics, prebiotics, genetically engineered bacteria, fecal microbiota transplantation, bacterial metabolites modulation, antibiotics, conventional drugs and traditional Chinese medicine. Further, the identification of specific microbial communities and their corresponding pathophysiological metabolites and the illumination of the gut-kidney-heart axis may contribute to innovative basic research, clinical trials and therapeutic strategies against CKD progression and uremic complications in CKD patients.
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spelling doaj.art-4aaa87faa075482dab363e89be263dc42022-12-21T23:40:36ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-03-011310.3389/fphar.2022.837500837500The Intestinal Microbiota and Metabolites in the Gut-Kidney-Heart Axis of Chronic Kidney DiseaseYinghui HuangWang XinJiachuan XiongMengying YaoBo ZhangJinghong ZhaoEmerging evidences demonstrate the involvement of gut microbiota in the progression of chronic kidney disease (CKD) and CKD-associated complications including cardiovascular disease (CVD) and intestinal dysfunction. In this review, we discuss the interactions between the gut, kidney and heart in CKD state, and elucidate the significant role of intestinal microbiota in the gut-kidney-heart axis hypothesis for the pathophysiological mechanisms of these diseases, during which process mitochondria may serve as a potential therapeutic target. Dysregulation of this axis will lead to a vicious circle, contributing to CKD progression. Recent studies suggest novel therapies targeting gut microbiota in the gut-kidney-heart axis, including dietary intervention, probiotics, prebiotics, genetically engineered bacteria, fecal microbiota transplantation, bacterial metabolites modulation, antibiotics, conventional drugs and traditional Chinese medicine. Further, the identification of specific microbial communities and their corresponding pathophysiological metabolites and the illumination of the gut-kidney-heart axis may contribute to innovative basic research, clinical trials and therapeutic strategies against CKD progression and uremic complications in CKD patients.https://www.frontiersin.org/articles/10.3389/fphar.2022.837500/fullgut microbiotagut-kidney-heart axischronic kidney diseasecardiovascular diseaseintestinal dysfunction
spellingShingle Yinghui Huang
Wang Xin
Jiachuan Xiong
Mengying Yao
Bo Zhang
Jinghong Zhao
The Intestinal Microbiota and Metabolites in the Gut-Kidney-Heart Axis of Chronic Kidney Disease
Frontiers in Pharmacology
gut microbiota
gut-kidney-heart axis
chronic kidney disease
cardiovascular disease
intestinal dysfunction
title The Intestinal Microbiota and Metabolites in the Gut-Kidney-Heart Axis of Chronic Kidney Disease
title_full The Intestinal Microbiota and Metabolites in the Gut-Kidney-Heart Axis of Chronic Kidney Disease
title_fullStr The Intestinal Microbiota and Metabolites in the Gut-Kidney-Heart Axis of Chronic Kidney Disease
title_full_unstemmed The Intestinal Microbiota and Metabolites in the Gut-Kidney-Heart Axis of Chronic Kidney Disease
title_short The Intestinal Microbiota and Metabolites in the Gut-Kidney-Heart Axis of Chronic Kidney Disease
title_sort intestinal microbiota and metabolites in the gut kidney heart axis of chronic kidney disease
topic gut microbiota
gut-kidney-heart axis
chronic kidney disease
cardiovascular disease
intestinal dysfunction
url https://www.frontiersin.org/articles/10.3389/fphar.2022.837500/full
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