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FTZ polysaccharides ameliorate kidney injury in diabetic mice by regulating gut-kidney axis
Lan,Tian1; Tang,Tang1; Li,Ying1; Duan,Yingling1; Yuan,Qin3; Liu,Wen3; Ren,Yuqing1; Li,Ning1; Liu,Xuenan1; Zhang,Yu1; Li,Xinglong1; Jin,Guifang2; Wang,Shengpeng3; Guo,Jiao1
2023-06-20
Source PublicationPhytomedicine
ISSN0944-7113
Volume118Pages:154935
Abstract

Background: The Fufang-zhenzhu-tiaozhi formula (FTZ), a traditional Chinese medicine (TCM) commonly used to treat metabolic diseases, potentially impacts the microbial ecosystem. Increasing evidence suggests that polysaccharides, bioactive components of TCMs, have great potential on kinds of diseases such as DKD by regulating intestinal flora. Purpose: This study aimed to investigate whether the polysaccharide components in FTZ (FTZPs) have beneficial effects in DKD mice via the gut-kidney axis. Study design and methods: The DKD model in mice was established by streptozotocin combined with a high-fat diet (STZ/HFD). Losartan was used as a positive control, and FTZPs were administered at doses of 100 and 300 mg/kg daily. Renal histological changes were measured by H&E and Masson staining. Western blotting, quantitative real-time polymerase chain reaction (q-PCR) and immunohistochemistry were performed to analyze the effects of FTZPs on renal inflammation and fibrosis, which were further confirmed using RNA sequencing. Immunofluorescence was used to analyze the effects of FTZPs on colonic barrier function in DKD mice. Faecal microbiota transplantation (FMT) was used to evaluate the contribution of intestinal flora. 16S rRNA sequencing was utilized to analyze the composition of intestinal bacteria, and UPLC-QTOF-MS-based untargeted metabolomics was used to identify the metabolite profiles. Results: Treatment with FTZPs attenuated kidney injury, as indicated by the decreased urinary albumin/creatinine ratio and improved renal architecture. FTZPs downregulated the expression of renal genes associated with inflammation, fibrosis, and systematically blunted related pathways. FTZPs also restored the colonic mucosal barrier and increased the expression of tight junction proteins (E-cadherin). The FMT experiment confirmed the substantial contribution of the FTZPs-reshaped microbiota to relieving DKD symptoms. Moreover, FTZPs elevated the content of short-chain fatty acids (propionic acid and butanoic acid) and increased the level of the SCFAs transporter Slc22a19. Intestinal flora disorders caused by diabetes, including the growth of the genera Weissella, Enterococcus and Akkermansia, were inhibited by FTZPs treatment. Spearman's analysis revealed that these bacteria were positively correlated with indicators of renal damage. Conclusion: These results show that oral administration of FTZPs, by altering SCFAs levels and the gut microbiome, is a therapeutic strategy for the treatment of DKD.

KeywordDiabetic Kidney Disease Gut Microbiota Gut-kidney Axis Polysaccharides Short-chain Fatty Acid
DOI10.1016/j.phymed.2023.154935
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaPlant Sciences ; Pharmacology & Pharmacy ; Integrative & Complementary Medicine
WOS SubjectPlant Sciences ; Chemistry, Medicinal ; Integrative & Complementary Medicine ; Pharmacology & Pharmacy
WOS IDWOS:001054246500001
PublisherELSEVIER GMBH, HACKERBRUCKE 6, 80335 MUNICH, GERMANY
Scopus ID2-s2.0-85162878640
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionTHE STATE KEY LABORATORY OF QUALITY RESEARCH IN CHINESE MEDICINE (UNIVERSITY OF MACAU)
Institute of Chinese Medical Sciences
Co-First AuthorLan,Tian
Corresponding AuthorLan,Tian; Guo,Jiao
Affiliation1.Guangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine, Key Laboratory of Glucolipid Metabolic Disorder, Ministry of Education
2.School of Pharmacy,Guangdong Pharmaceutical University,Guangzhou,510006,China
3.State Key Laboratory of Quality Research in Chinese Medicine,University of Macau,Macao,China
Recommended Citation
GB/T 7714
Lan,Tian,Tang,Tang,Li,Ying,et al. FTZ polysaccharides ameliorate kidney injury in diabetic mice by regulating gut-kidney axis[J]. Phytomedicine, 2023, 118, 154935.
APA Lan,Tian., Tang,Tang., Li,Ying., Duan,Yingling., Yuan,Qin., Liu,Wen., Ren,Yuqing., Li,Ning., Liu,Xuenan., Zhang,Yu., Li,Xinglong., Jin,Guifang., Wang,Shengpeng., & Guo,Jiao (2023). FTZ polysaccharides ameliorate kidney injury in diabetic mice by regulating gut-kidney axis. Phytomedicine, 118, 154935.
MLA Lan,Tian,et al."FTZ polysaccharides ameliorate kidney injury in diabetic mice by regulating gut-kidney axis".Phytomedicine 118(2023):154935.
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