The crosstalk of gut microbiota and chronic kidney disease: role of inflammation, proteinuria, hypertension, and diabetes mellitus

Autor: Baris Afsar, Emine M Onal, Adrian Covic, Tuncay Dagel, Mehmet Kanbay, Nosratola D. Vaziri, Aslihan Yerlikaya
Rok vydání: 2018
Předmět:
0301 basic medicine
Nephrology
Kidney Disease
Gut flora
Systemic inflammation
urologic and male genital diseases
Kidney
Oral and gastrointestinal
Pathogenesis
Chronic kidney disease
2.1 Biological and endogenous factors
Renal Insufficiency
Chronic
Aetiology
Proteinuria
biology
Diabetes
Urology & Nephrology
female genital diseases and pregnancy complications
Hypertension
medicine.symptom
medicine.medical_specialty
Urology
Clinical Sciences
Renal and urogenital
Inflammation
Gut microbiota
digestive system
Autoimmune Disease
03 medical and health sciences
Internal medicine
Diabetes mellitus
medicine
Diabetes Mellitus
Animals
Humans
Renal Insufficiency
Chronic

Nutrition
business.industry
Probiotics
biology.organism_classification
medicine.disease
Gastrointestinal Microbiome
030104 developmental biology
Good Health and Well Being
Immunology
Dysbiosis
business
Kidney disease
Zdroj: International urology and nephrology, vol 50, iss 8
Kanbay, M; Onal, EM; Afsar, B; Dagel, T; Yerlikaya, A; Covic, A; et al.(2018). The crosstalk of gut microbiota and chronic kidney disease: role of inflammation, proteinuria, hypertension, and diabetes mellitus. INTERNATIONAL UROLOGY AND NEPHROLOGY, 50(8), 1453-1466. doi: 10.1007/s11255-018-1873-2. UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/75g2g7zk
DOI: 10.1007/s11255-018-1873-2.
Popis: Chronic kidney disease (CKD) has been shown to result in profound changes in the composition and functions of the gut microbial flora which by disrupting intestinal epithelial barrier and generating toxic by-products contributes to systemic inflammation and the associated complications. On the other hand, emerging evidence points to the role of the gut microbiota in the development and progression of CKD by provoking inflammation, proteinuria, hypertension, and diabetes. These observations demonstrate the causal interconnection between the gut microbial dysbiosis and CKD. The gut microbiota closely interacts with the inflammatory, renal, cardiovascular, and endocrine systems via metabolic, humoral, and neural signaling pathways, events which can lead to chronic systemic inflammation, proteinuria, hypertension, diabetes, and kidney disease. Given the established role of the gut microbiota in the development and progression of CKD and its complications, favorable modification of the composition and function of the gut microbiome represents an appealing therapeutic target for prevention and treatment of CKD. This review provides an overview of the role of the gut microbial dysbiosis in the pathogenesis of the common causes of CKD including hypertension, diabetes, and proteinuria as well as progression of CKD.
Databáze: OpenAIRE