Sacubitril/Valsartan contributes to improving the diabetic kidney disease and regulating the gut microbiota in mice

BackgroundDiabetic kidney disease (DKD), as a serious microvascular complication of diabetes, has limted treatment options. It is reported that the Sacubitril/Valsartan (Sac/Val) can improve kidney function, and the disordered gut microbiota and part of its metabolites are related to the development...

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Main Authors: Peipei Wang, Ruixue Guo, Xiwen Bai, Wen Cui, Yiding Zhang, Huangmin Li, Jin Shang, Zhanzheng Zhao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2022.1034818/full
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author Peipei Wang
Peipei Wang
Ruixue Guo
Ruixue Guo
Xiwen Bai
Wen Cui
Wen Cui
Yiding Zhang
Yiding Zhang
Huangmin Li
Huangmin Li
Jin Shang
Jin Shang
Jin Shang
Zhanzheng Zhao
Zhanzheng Zhao
Zhanzheng Zhao
author_facet Peipei Wang
Peipei Wang
Ruixue Guo
Ruixue Guo
Xiwen Bai
Wen Cui
Wen Cui
Yiding Zhang
Yiding Zhang
Huangmin Li
Huangmin Li
Jin Shang
Jin Shang
Jin Shang
Zhanzheng Zhao
Zhanzheng Zhao
Zhanzheng Zhao
author_sort Peipei Wang
collection DOAJ
description BackgroundDiabetic kidney disease (DKD), as a serious microvascular complication of diabetes, has limted treatment options. It is reported that the Sacubitril/Valsartan (Sac/Val) can improve kidney function, and the disordered gut microbiota and part of its metabolites are related to the development of DKD. Therefore, we aim to explore whether the effect of Sac/Val on DKD is associated with the gut microbiota and related plasma metabolic profiles.MethodsMale C57BL/6J mice were randomly divided into 3 groups: Con group (n = 5), DKD group (n = 6), and Sac/Val group (n = 6) . Sac/Val group was treated with Sac/Val solution. The intervention was given once every 2 days for 6 weeks. We measured the blood glucose and urine protein level of mice at different times. We then collected samples at the end of experiment for the 16s rRNA gene sequencing analysis and the untargeted plasma metabonomic analysis.ResultsWe found that the plasma creatinine concentration of DKD-group mice was significantly higher than that of Con-group mice, whereas it was reduced after the Sac/Val treatment. Compared with DKD mice, Sac/Val treatment could decrease the expression of indicators related to EndMT and renal fibrosis like vimentin, collagen IV and fibronectin in kidney. According to the criteria of LDA ≥ 2.5 and p<0.05, LefSe analysis of gut microbiota identified 13 biomarkers in Con group, and 33 biomarkers in DKD group, mainly including Prevotella, Escherichia_Shigella and Christensenellaceae_R_7_group, etc. For the Sac/Val group, there were 21 biomarkers, such as Bacteroides, Rikenellaceae_RC9_gut_group, Parabacteroides, Lactobacillus, etc. Plasma metabolomics analysis identified a total of 648 metabolites, and 167 important differential metabolites were screened among groups. KEGG pathway of tryptophan metabolism: M and bile secretion: OS had the highest significance of enrichment.ConclusionsSac/Val improves the renal function of DKD mice by inhibiting renal fibrosis. This drug can also regulate gut microbiota in DKD mice.
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spelling doaj.art-f6c02dc0c29a43a6bd1ff756a8eb7d132022-12-22T04:41:53ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922022-12-011310.3389/fendo.2022.10348181034818Sacubitril/Valsartan contributes to improving the diabetic kidney disease and regulating the gut microbiota in micePeipei Wang0Peipei Wang1Ruixue Guo2Ruixue Guo3Xiwen Bai4Wen Cui5Wen Cui6Yiding Zhang7Yiding Zhang8Huangmin Li9Huangmin Li10Jin Shang11Jin Shang12Jin Shang13Zhanzheng Zhao14Zhanzheng Zhao15Zhanzheng Zhao16Department of Nephrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou University, Zhengzhou, ChinaDepartment of Nephrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou University, Zhengzhou, ChinaNanchang University Queen Mary School, Nanchang, ChinaDepartment of Nephrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou University, Zhengzhou, ChinaDepartment of Nephrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou University, Zhengzhou, ChinaDepartment of Nephrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaZhengzhou University, Zhengzhou, ChinaDepartment of Nephrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaLaboratory Animal Platform of Academy of Medical Sciences, Zhengzhou University, Zhengzhou, ChinaNephropathy Laboratory, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Nephrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaLaboratory Animal Platform of Academy of Medical Sciences, Zhengzhou University, Zhengzhou, ChinaNephropathy Laboratory, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaBackgroundDiabetic kidney disease (DKD), as a serious microvascular complication of diabetes, has limted treatment options. It is reported that the Sacubitril/Valsartan (Sac/Val) can improve kidney function, and the disordered gut microbiota and part of its metabolites are related to the development of DKD. Therefore, we aim to explore whether the effect of Sac/Val on DKD is associated with the gut microbiota and related plasma metabolic profiles.MethodsMale C57BL/6J mice were randomly divided into 3 groups: Con group (n = 5), DKD group (n = 6), and Sac/Val group (n = 6) . Sac/Val group was treated with Sac/Val solution. The intervention was given once every 2 days for 6 weeks. We measured the blood glucose and urine protein level of mice at different times. We then collected samples at the end of experiment for the 16s rRNA gene sequencing analysis and the untargeted plasma metabonomic analysis.ResultsWe found that the plasma creatinine concentration of DKD-group mice was significantly higher than that of Con-group mice, whereas it was reduced after the Sac/Val treatment. Compared with DKD mice, Sac/Val treatment could decrease the expression of indicators related to EndMT and renal fibrosis like vimentin, collagen IV and fibronectin in kidney. According to the criteria of LDA ≥ 2.5 and p<0.05, LefSe analysis of gut microbiota identified 13 biomarkers in Con group, and 33 biomarkers in DKD group, mainly including Prevotella, Escherichia_Shigella and Christensenellaceae_R_7_group, etc. For the Sac/Val group, there were 21 biomarkers, such as Bacteroides, Rikenellaceae_RC9_gut_group, Parabacteroides, Lactobacillus, etc. Plasma metabolomics analysis identified a total of 648 metabolites, and 167 important differential metabolites were screened among groups. KEGG pathway of tryptophan metabolism: M and bile secretion: OS had the highest significance of enrichment.ConclusionsSac/Val improves the renal function of DKD mice by inhibiting renal fibrosis. This drug can also regulate gut microbiota in DKD mice.https://www.frontiersin.org/articles/10.3389/fendo.2022.1034818/fullsacubitril/valsartandiabetic kidney diseasegut microbiotametabolomemice
spellingShingle Peipei Wang
Peipei Wang
Ruixue Guo
Ruixue Guo
Xiwen Bai
Wen Cui
Wen Cui
Yiding Zhang
Yiding Zhang
Huangmin Li
Huangmin Li
Jin Shang
Jin Shang
Jin Shang
Zhanzheng Zhao
Zhanzheng Zhao
Zhanzheng Zhao
Sacubitril/Valsartan contributes to improving the diabetic kidney disease and regulating the gut microbiota in mice
Frontiers in Endocrinology
sacubitril/valsartan
diabetic kidney disease
gut microbiota
metabolome
mice
title Sacubitril/Valsartan contributes to improving the diabetic kidney disease and regulating the gut microbiota in mice
title_full Sacubitril/Valsartan contributes to improving the diabetic kidney disease and regulating the gut microbiota in mice
title_fullStr Sacubitril/Valsartan contributes to improving the diabetic kidney disease and regulating the gut microbiota in mice
title_full_unstemmed Sacubitril/Valsartan contributes to improving the diabetic kidney disease and regulating the gut microbiota in mice
title_short Sacubitril/Valsartan contributes to improving the diabetic kidney disease and regulating the gut microbiota in mice
title_sort sacubitril valsartan contributes to improving the diabetic kidney disease and regulating the gut microbiota in mice
topic sacubitril/valsartan
diabetic kidney disease
gut microbiota
metabolome
mice
url https://www.frontiersin.org/articles/10.3389/fendo.2022.1034818/full
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