Microbial-Derived Tryptophan Catabolites, Kidney Disease and Gut Inflammation

Autor: Madella, Avra Melina, Bergenhenegouwen, Jeroen Van, Garssen, Johan, Masereeuw, Rosalinde, Overbeek, Saskia Adriana, Afd Pharmacology, Pharmacology
Přispěvatelé: Afd Pharmacology, Pharmacology
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Toxins, 14(9). MDPI AG
ISSN: 2072-6651
DOI: 10.3390/toxins14090645
Popis: Uremic metabolites, molecules either produced by the host or from the microbiota population existing in the gastrointestinal tract that gets excreted by the kidneys into urine, have significant effects on both health and disease. Tryptophan-derived catabolites are an important group of bacteria-produced metabolites with an extensive contribution to intestinal health and, eventually, chronic kidney disease (CKD) progression. The end-metabolite, indoxyl sulfate, is a key contributor to the exacerbation of CKD via the induction of an inflammatory state and oxidative stress affecting various organ systems. Contrastingly, other tryptophan catabolites positively contribute to maintaining intestinal homeostasis and preventing intestinal inflammation—activities signaled through nuclear receptors in particular—the aryl hydrocarbon receptor (AhR) and the pregnane X receptor (PXR). This review discusses the origins of these catabolites, their effect on organ systems, and how these can be manipulated therapeutically in the future as a strategy to treat CKD progression and gut inflammation management. Furthermore, the use of biotics (prebiotics, probiotics, synbiotics) as a means to increase the presence of beneficial short-chain fatty acids (SCFAs) to achieve intestinal homeostasis is discussed.
Databáze: OpenAIRE
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