The Immunomodulatory Effect of the Gut Microbiota in Kidney Disease

The human gut microbiota is a complex cluster composed of 100 trillion microorganisms, which holds a symbiotic relationship with the host under normal circumstances. Intestinal flora can facilitate the treatment of human metabolic dysfunctions and interact with the intestinal tract, which could infl...

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Main Authors: Mingxuan Chi, Kuai Ma, Jing Wang, Zhaolun Ding, Yunlong Li, Shaomi Zhu, Xin Liang, Qinxiu Zhang, Linjiang Song, Chi Liu
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2021/5516035
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author Mingxuan Chi
Kuai Ma
Jing Wang
Zhaolun Ding
Yunlong Li
Shaomi Zhu
Xin Liang
Qinxiu Zhang
Linjiang Song
Chi Liu
author_facet Mingxuan Chi
Kuai Ma
Jing Wang
Zhaolun Ding
Yunlong Li
Shaomi Zhu
Xin Liang
Qinxiu Zhang
Linjiang Song
Chi Liu
author_sort Mingxuan Chi
collection DOAJ
description The human gut microbiota is a complex cluster composed of 100 trillion microorganisms, which holds a symbiotic relationship with the host under normal circumstances. Intestinal flora can facilitate the treatment of human metabolic dysfunctions and interact with the intestinal tract, which could influence intestinal tolerance, immunity, and sensitivity to inflammation. In recent years, significant interests have evolved on the association of intestinal microbiota and kidney diseases within the academic circle. Abnormal changes in intestinal microbiota, known as dysbiosis, can affect the integrity of the intestinal barrier, resulting in the bacterial translocation, production, and accumulation of dysbiotic gut-derived metabolites, such as urea, indoxyl sulfate (IS), and p-cresyl sulfate (PCS). These processes lead to the abnormal activation of immune cells; overproduction of antibodies, immune complexes, and inflammatory factors; and inflammatory cell infiltration that can directly or indirectly cause damage to the renal parenchyma. The aim of this review is to summarize the role of intestinal flora in the development and progression of several renal diseases, such as lupus nephritis, chronic kidney disease, diabetic nephropathy, and renal ischemia-reperfusion injury. Further research on these mechanisms should provide insights into the therapeutic potential of regulating intestinal flora and intervening related molecular targets for the abovementioned nephropathy.
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issn 2314-8861
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language English
publishDate 2021-01-01
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record_format Article
series Journal of Immunology Research
spelling doaj-art-8703cae3ee4a414fae382c0395ebca0c2025-08-20T03:37:57ZengWileyJournal of Immunology Research2314-88612314-71562021-01-01202110.1155/2021/55160355516035The Immunomodulatory Effect of the Gut Microbiota in Kidney DiseaseMingxuan Chi0Kuai Ma1Jing Wang2Zhaolun Ding3Yunlong Li4Shaomi Zhu5Xin Liang6Qinxiu Zhang7Linjiang Song8Chi Liu9Reproductive & Women-Children Hospital, School of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaDepartment of Nephrology, Osaka University Graduate School of Medicine, Osaka, JapanReproductive Center, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Emergency Surgery, Shaanxi Provincial People’s Hospital, Xi’an, Shaanxi, ChinaReproductive & Women-Children Hospital, School of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaReproductive & Women-Children Hospital, School of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaReproductive & Women-Children Hospital, School of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaReproductive & Women-Children Hospital, School of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaReproductive & Women-Children Hospital, School of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaReproductive & Women-Children Hospital, School of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaThe human gut microbiota is a complex cluster composed of 100 trillion microorganisms, which holds a symbiotic relationship with the host under normal circumstances. Intestinal flora can facilitate the treatment of human metabolic dysfunctions and interact with the intestinal tract, which could influence intestinal tolerance, immunity, and sensitivity to inflammation. In recent years, significant interests have evolved on the association of intestinal microbiota and kidney diseases within the academic circle. Abnormal changes in intestinal microbiota, known as dysbiosis, can affect the integrity of the intestinal barrier, resulting in the bacterial translocation, production, and accumulation of dysbiotic gut-derived metabolites, such as urea, indoxyl sulfate (IS), and p-cresyl sulfate (PCS). These processes lead to the abnormal activation of immune cells; overproduction of antibodies, immune complexes, and inflammatory factors; and inflammatory cell infiltration that can directly or indirectly cause damage to the renal parenchyma. The aim of this review is to summarize the role of intestinal flora in the development and progression of several renal diseases, such as lupus nephritis, chronic kidney disease, diabetic nephropathy, and renal ischemia-reperfusion injury. Further research on these mechanisms should provide insights into the therapeutic potential of regulating intestinal flora and intervening related molecular targets for the abovementioned nephropathy.http://dx.doi.org/10.1155/2021/5516035
spellingShingle Mingxuan Chi
Kuai Ma
Jing Wang
Zhaolun Ding
Yunlong Li
Shaomi Zhu
Xin Liang
Qinxiu Zhang
Linjiang Song
Chi Liu
The Immunomodulatory Effect of the Gut Microbiota in Kidney Disease
Journal of Immunology Research
title The Immunomodulatory Effect of the Gut Microbiota in Kidney Disease
title_full The Immunomodulatory Effect of the Gut Microbiota in Kidney Disease
title_fullStr The Immunomodulatory Effect of the Gut Microbiota in Kidney Disease
title_full_unstemmed The Immunomodulatory Effect of the Gut Microbiota in Kidney Disease
title_short The Immunomodulatory Effect of the Gut Microbiota in Kidney Disease
title_sort immunomodulatory effect of the gut microbiota in kidney disease
url http://dx.doi.org/10.1155/2021/5516035
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