Alterations of the Human Gut Microbiome in Chronic Kidney Disease

Abstract: Gut microbiota make up the largest microecosystem in the human body and are closely related to chronic metabolic diseases. Herein, 520 fecal samples are collected from different regions of China, the gut microbiome in chronic kidney disease (CKD) is characterized, and CKD classifiers based on microbial markers are constructed. Compared with healthy controls (HC, n = 210), gut microbial diversity is significantly decreased in CKD (n = 110), and the microbial community is remarkably distinguished from HC. Genera Klebsiella and Enterobacteriaceae are enriched, while Blautia and Roseburia are reduced in CKD. Fifty predicted microbial functions including tryptophan and phenylalanine metabolisms increase, while 36 functions including arginine and proline metabolisms decrease in CKD. Notably, five optimal microbial markers are identified using the random forest model. The area under the curve (AUC) reaches 0.9887 in the discovery cohort and 0.9512 in the validation cohort (49 CKD vs 63 HC). Importantly, the AUC reaches 0.8986 in the extra diagnosis cohort from Hangzhou. Moreover, Thalassospira and Akkermansia are increased with CKD progression. Thirteen operational taxonomy units are correlated with six clinical indicators of CKD. In conclusion, this study comprehensively characterizes gut microbiome in non‐dialysis CKD and demonstrates the potential of microbial markers as non‐invasive diagnostic tools for CKD in different regions of China.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Alterations of the Human Gut Microbiome in Chronic Kidney Disease ; volume:7 ; number:20 ; year:2020 ; extent:14
Advanced science ; 7, Heft 20 (2020) (gesamt 14)

Urheber
Ren, Zhigang
Fan, Yajuan
Li, Ang
Shen, Quanquan
Wu, Jian
Ren, Lingyan
Lu, Haifeng
Ding, Suying
Ren, Hongyan
Liu, Chao
Liu, Wenli
Gao, Dan
Wu, Zhongwen
Guo, Shiyuan
Wu, Ge
Liu, Zhangsuo
Yu, Zujiang
Li, Lanjuan

DOI
10.1002/advs.202001936
URN
urn:nbn:de:101:1-2022062809414715780366
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:28 MESZ

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Beteiligte

  • Ren, Zhigang
  • Fan, Yajuan
  • Li, Ang
  • Shen, Quanquan
  • Wu, Jian
  • Ren, Lingyan
  • Lu, Haifeng
  • Ding, Suying
  • Ren, Hongyan
  • Liu, Chao
  • Liu, Wenli
  • Gao, Dan
  • Wu, Zhongwen
  • Guo, Shiyuan
  • Wu, Ge
  • Liu, Zhangsuo
  • Yu, Zujiang
  • Li, Lanjuan

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