Stewed Rhubarb Decoction Ameliorates Adenine-Induced Chronic Renal Failure in Mice by Regulating Gut Microbiota Dysbiosis

This study aimed to investigate the protective effect of Stewed Rhubarb (SR) decoction on chronic renal failure (CRF) through the regulation of gut microbiota. Using a CRF mouse model induced by a 0.2% adenine diet, we proved that SR decoction (2.0 g crude SR/kg) significantly reduced the levels of...

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Main Authors: Rui Wang, Baifei Hu, Cheng Ye, Zhigang Zhang, Mingzhu Yin, Qiushi Cao, Yuanming Ba, Hongtao Liu
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.2022.842720/full
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author Rui Wang
Rui Wang
Baifei Hu
Cheng Ye
Zhigang Zhang
Mingzhu Yin
Qiushi Cao
Yuanming Ba
Yuanming Ba
Hongtao Liu
author_facet Rui Wang
Rui Wang
Baifei Hu
Cheng Ye
Zhigang Zhang
Mingzhu Yin
Qiushi Cao
Yuanming Ba
Yuanming Ba
Hongtao Liu
author_sort Rui Wang
collection DOAJ
description This study aimed to investigate the protective effect of Stewed Rhubarb (SR) decoction on chronic renal failure (CRF) through the regulation of gut microbiota. Using a CRF mouse model induced by a 0.2% adenine diet, we proved that SR decoction (2.0 g crude SR/kg) significantly reduced the levels of urea and creatinine in plasma of CRF mice, accompanied by the improvement of renal fibrosis and tubular atrophy, amelioration of inflammation, and inhibition of aquaporins damage. Also, SR decoction alleviated gut barrier damage, indicative of the elevated mRNA expression of intestinal mucins and tight junctions. By 16S rDNA sequencing, SR decoction reshaped the imbalanced gut microbiota in CRF mice by statistically reversing the abundance changes of a wide range of intestinal bacteria at family and genus levels, which further led to balance in the production of intestinal metabolites, including short-chain fatty acids (acetic acid, propionic acid, and valeric acid), indole, and bile acids (TUDCA and CDCA). Inversely, SR decoction failed to repress the occurrence of CRF in mice with gut microbiota depletion, confirming the essential role of gut microbiota in SR decoction-initiated protection against CRF. In summary, SR decoction can improve adenine-induced CRF in mice by remolding the structure of destructed gut microbiota community. Our findings shed light on the clinical application of SR decoction in nephropathy treatment.
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spelling doaj.art-57ad74f87b784aec935c3ea1225db67e2022-12-21T23:52:21ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-03-011310.3389/fphar.2022.842720842720Stewed Rhubarb Decoction Ameliorates Adenine-Induced Chronic Renal Failure in Mice by Regulating Gut Microbiota DysbiosisRui Wang0Rui Wang1Baifei Hu2Cheng Ye3Zhigang Zhang4Mingzhu Yin5Qiushi Cao6Yuanming Ba7Yuanming Ba8Hongtao Liu9College of Basic Medical Sciences, Hubei University of Chinese Medicine, Wuhan, ChinaNephrology Department, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, ChinaCollege of Basic Medical Sciences, Hubei University of Chinese Medicine, Wuhan, ChinaTechnology Center of Wuhan Customs, Wuhan, ChinaCollege of Basic Medical Sciences, Hubei University of Chinese Medicine, Wuhan, ChinaCollege of Basic Medical Sciences, Hubei University of Chinese Medicine, Wuhan, ChinaCollege of Basic Medical Sciences, Hubei University of Chinese Medicine, Wuhan, ChinaNephrology Department, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, ChinaNephrology Department, Hubei Provincial Traditional Chinese Medicine Research Institute, Wuhan, ChinaCollege of Basic Medical Sciences, Hubei University of Chinese Medicine, Wuhan, ChinaThis study aimed to investigate the protective effect of Stewed Rhubarb (SR) decoction on chronic renal failure (CRF) through the regulation of gut microbiota. Using a CRF mouse model induced by a 0.2% adenine diet, we proved that SR decoction (2.0 g crude SR/kg) significantly reduced the levels of urea and creatinine in plasma of CRF mice, accompanied by the improvement of renal fibrosis and tubular atrophy, amelioration of inflammation, and inhibition of aquaporins damage. Also, SR decoction alleviated gut barrier damage, indicative of the elevated mRNA expression of intestinal mucins and tight junctions. By 16S rDNA sequencing, SR decoction reshaped the imbalanced gut microbiota in CRF mice by statistically reversing the abundance changes of a wide range of intestinal bacteria at family and genus levels, which further led to balance in the production of intestinal metabolites, including short-chain fatty acids (acetic acid, propionic acid, and valeric acid), indole, and bile acids (TUDCA and CDCA). Inversely, SR decoction failed to repress the occurrence of CRF in mice with gut microbiota depletion, confirming the essential role of gut microbiota in SR decoction-initiated protection against CRF. In summary, SR decoction can improve adenine-induced CRF in mice by remolding the structure of destructed gut microbiota community. Our findings shed light on the clinical application of SR decoction in nephropathy treatment.https://www.frontiersin.org/articles/10.3389/fphar.2022.842720/fullgut microbiotaintestinal metabolitesrenal fibrosisstewed rhubarbchronic renal failure (CRF)
spellingShingle Rui Wang
Rui Wang
Baifei Hu
Cheng Ye
Zhigang Zhang
Mingzhu Yin
Qiushi Cao
Yuanming Ba
Yuanming Ba
Hongtao Liu
Stewed Rhubarb Decoction Ameliorates Adenine-Induced Chronic Renal Failure in Mice by Regulating Gut Microbiota Dysbiosis
Frontiers in Pharmacology
gut microbiota
intestinal metabolites
renal fibrosis
stewed rhubarb
chronic renal failure (CRF)
title Stewed Rhubarb Decoction Ameliorates Adenine-Induced Chronic Renal Failure in Mice by Regulating Gut Microbiota Dysbiosis
title_full Stewed Rhubarb Decoction Ameliorates Adenine-Induced Chronic Renal Failure in Mice by Regulating Gut Microbiota Dysbiosis
title_fullStr Stewed Rhubarb Decoction Ameliorates Adenine-Induced Chronic Renal Failure in Mice by Regulating Gut Microbiota Dysbiosis
title_full_unstemmed Stewed Rhubarb Decoction Ameliorates Adenine-Induced Chronic Renal Failure in Mice by Regulating Gut Microbiota Dysbiosis
title_short Stewed Rhubarb Decoction Ameliorates Adenine-Induced Chronic Renal Failure in Mice by Regulating Gut Microbiota Dysbiosis
title_sort stewed rhubarb decoction ameliorates adenine induced chronic renal failure in mice by regulating gut microbiota dysbiosis
topic gut microbiota
intestinal metabolites
renal fibrosis
stewed rhubarb
chronic renal failure (CRF)
url https://www.frontiersin.org/articles/10.3389/fphar.2022.842720/full
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