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Updated: Sep 25, 2025

Microbiota Analysis Using Two-step PCR and Next-generation 16S rRNA Gene Sequencing
Published on: October 15, 2019
Association of gut microbiota with idiopathic membranous nephropathy
Mengfei Li1, Lixue Wei2, Jing Sun1
1Department of Nephrology, the Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Ave, Harbin, Heilongjiang, 150086, China.
Background:
The prevalence of idiopathic membranous nephropathy (IMN) is increasing worldwide and the gut microbiota is recognized to play a role in its pathology. The aim of this study was to understand the involvement of the gut-kidney axis in IMN by analyzing the composition of the gut microbiota of biopsy-proven IMN patients compared with healthy controls (HC).
Methods:
Fecal samples from 30 patients with IMN diagnosed by renal biopsy and 30 healthy co-residents (control group) were collected for analysis in the Nephrology Department of the Second Affiliated Hospital of Harbin Medical University. The microbiota composition was analyzed by a 16S rRNA microbial profiling approach.
Results:
The results indicated that the α- and β-diversity of IMN patients differed significantly from those of the HC groups (P < 0.05). At the phylum level, IMN patients showed an increased abundance of Proteobacteria but a reduced abundance of Bacteroidota compared with the HC group. Actinobacteriota abundance showed a strong negative correlation with the estimated glomerular filtration rate. At the genus level, Faecalibacterium, Agathobacter, and Bacteroides were less abundant in the IMN group than in the HC group (LDA score > 2). Abundant bacterial functions related to lipid metabolism were observed among IMN group.
Conclusion:
Patients with IMN appear to have an altered gut microbiome, which could provide reference for future research on the interaction mechanism between the intestinal flora and IMN.
Insights
Idiopathic membranous nephropathy (IMN) patients exhibit distinct gut microbiota profiles compared to healthy individuals. This altered gut microbiome may influence IMN development and progression, offering new research avenues.
Area of Science:
- Microbiology
- Nephrology
- Gastroenterology
Background:
- Idiopathic membranous nephropathy (IMN) prevalence is rising globally.
- The gut microbiota is implicated in IMN pathogenesis.
- Understanding the gut-kidney axis is crucial for IMN research.
Purpose of the Study:
- To investigate the gut microbiota composition in biopsy-proven IMN patients.
- To compare IMN patients' gut microbiota with healthy controls (HC).
- To explore the gut-kidney axis involvement in IMN.
Main Methods:
- Fecal samples collected from 30 IMN patients and 30 HC.
- 16S rRNA microbial profiling used for analysis.
- Analysis performed at the Second Affiliated Hospital of Harbin Medical University.
Main Results:
- Significant differences in alpha and beta diversity between IMN and HC groups.
- IMN patients showed higher Proteobacteria and lower Bacteroidota abundance.
- Reduced abundance of Faecalibacterium, Agathobacter, and Bacteroides in IMN patients; altered lipid metabolism functions observed.
Conclusions:
- IMN patients possess an altered gut microbiome.
- Findings suggest a potential role for the gut microbiome in IMN.
- This research provides a basis for future studies on gut flora-IMN interactions.
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