Targeting the gut microbial metabolic pathway with small molecules decreases uremic toxin production

Uremic toxins are a class of toxins that accumulate in patients with chronic kidney disease (CKD). Indoxyl sulfate (IS), a typical uremic toxin, is not efficiently removed by hemodialysis. Modulation of IS production in the gut microbiota may be a promising strategy for decreasing IS concentration,...

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Main Authors: Yingyi Wang, Jianping Li, Chenkai Chen, Jingbo Lu, Jingao Yu, Xuejun Xu, Yin Peng, Sen Zhang, Shu Jiang, Jianming Guo, Jinao Duan
Format: Article
Language:English
Published: Taylor & Francis Group 2020-11-01
Series:Gut Microbes
Subjects:
Online Access:http://dx.doi.org/10.1080/19490976.2020.1823800
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author Yingyi Wang
Jianping Li
Chenkai Chen
Jingbo Lu
Jingao Yu
Xuejun Xu
Yin Peng
Sen Zhang
Shu Jiang
Jianming Guo
Jinao Duan
author_facet Yingyi Wang
Jianping Li
Chenkai Chen
Jingbo Lu
Jingao Yu
Xuejun Xu
Yin Peng
Sen Zhang
Shu Jiang
Jianming Guo
Jinao Duan
author_sort Yingyi Wang
collection DOAJ
description Uremic toxins are a class of toxins that accumulate in patients with chronic kidney disease (CKD). Indoxyl sulfate (IS), a typical uremic toxin, is not efficiently removed by hemodialysis. Modulation of IS production in the gut microbiota may be a promising strategy for decreasing IS concentration, thus, delaying CKD progression. In the present study, we identified isoquercitrin (ISO) as a natural product that can perturb microbiota-mediated indole production without directly inhibiting the growth of microbes or the indole-synthesizing enzyme TnaA. ISO inhibits the establishment of H proton potential by regulating the gut bacteria electron transport chain, thereby inhibiting the transport of tryptophan and further reducing indole biosynthesis. This non-microbiocidal mechanism may enable ISO to be used as a therapeutic tool, specifically against pathologies triggered by the accumulation of the microbial-produced toxin IS, as in CKD. Herein, we have shown that it is possible to inhibit gut microbial indole production using natural components. Therefore, targeting the uremic toxin metabolic pathway in gut bacteria may be a promising strategy to control host uremic toxin production.
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spelling doaj.art-79eb1592f4614facb99149dc036318532022-12-21T20:32:34ZengTaylor & Francis GroupGut Microbes1949-09761949-09842020-11-0112110.1080/19490976.2020.18238001823800Targeting the gut microbial metabolic pathway with small molecules decreases uremic toxin productionYingyi Wang0Jianping Li1Chenkai Chen2Jingbo Lu3Jingao Yu4Xuejun Xu5Yin Peng6Sen Zhang7Shu Jiang8Jianming Guo9Jinao Duan10Nanjing University of Chinese MedicineNanjing University of Chinese MedicineNanjing University of Chinese MedicineNanjing University of Chinese MedicineNanjing University of Chinese MedicineNanjing University of Chinese MedicineNanjing University of Chinese MedicineNanjing University of Chinese MedicineNanjing University of Chinese MedicineNanjing University of Chinese MedicineNanjing University of Chinese MedicineUremic toxins are a class of toxins that accumulate in patients with chronic kidney disease (CKD). Indoxyl sulfate (IS), a typical uremic toxin, is not efficiently removed by hemodialysis. Modulation of IS production in the gut microbiota may be a promising strategy for decreasing IS concentration, thus, delaying CKD progression. In the present study, we identified isoquercitrin (ISO) as a natural product that can perturb microbiota-mediated indole production without directly inhibiting the growth of microbes or the indole-synthesizing enzyme TnaA. ISO inhibits the establishment of H proton potential by regulating the gut bacteria electron transport chain, thereby inhibiting the transport of tryptophan and further reducing indole biosynthesis. This non-microbiocidal mechanism may enable ISO to be used as a therapeutic tool, specifically against pathologies triggered by the accumulation of the microbial-produced toxin IS, as in CKD. Herein, we have shown that it is possible to inhibit gut microbial indole production using natural components. Therefore, targeting the uremic toxin metabolic pathway in gut bacteria may be a promising strategy to control host uremic toxin production.http://dx.doi.org/10.1080/19490976.2020.1823800gut microbiotachronic kidney diseaseuremic toxinindoxyl sulfateindoleisoquercitrin
spellingShingle Yingyi Wang
Jianping Li
Chenkai Chen
Jingbo Lu
Jingao Yu
Xuejun Xu
Yin Peng
Sen Zhang
Shu Jiang
Jianming Guo
Jinao Duan
Targeting the gut microbial metabolic pathway with small molecules decreases uremic toxin production
Gut Microbes
gut microbiota
chronic kidney disease
uremic toxin
indoxyl sulfate
indole
isoquercitrin
title Targeting the gut microbial metabolic pathway with small molecules decreases uremic toxin production
title_full Targeting the gut microbial metabolic pathway with small molecules decreases uremic toxin production
title_fullStr Targeting the gut microbial metabolic pathway with small molecules decreases uremic toxin production
title_full_unstemmed Targeting the gut microbial metabolic pathway with small molecules decreases uremic toxin production
title_short Targeting the gut microbial metabolic pathway with small molecules decreases uremic toxin production
title_sort targeting the gut microbial metabolic pathway with small molecules decreases uremic toxin production
topic gut microbiota
chronic kidney disease
uremic toxin
indoxyl sulfate
indole
isoquercitrin
url http://dx.doi.org/10.1080/19490976.2020.1823800
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