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Updated: May 25, 2025

Murine Fecal Isolation and Microbiota Transplantation
Published on: May 26, 2023
Gut microbiota-derived metabolites: Potential targets for cardiorenal syndrome
Yuchen Lai1, Yujie Zhu2, Xihui Zhang3
1School of Medicine, Wuhan University of Science and Technology, Wuhan 430065, China.
Abstract:
The characteristic of cardiorenal syndrome (CRS) is simultaneous damage to both the heart and kidneys. CRS has caused a heavy burden of mortality and incidence rates worldwide. The regulation of host microbiota metabolism that triggers heart and kidney damage is an emerging research field that promotes a new perspective on cardiovascular risk. We summarize current studies from bench to bedside of gut microbiota-derived metabolites to better understand CRS in the context of gut microbiota-derived metabolites. We focused on the involvement of gut microbiota-derived metabolites in the pathophysiology of CRS, including lipid and cholesterol metabolism disorders, coagulation abnormalities and platelet aggregation, oxidative stress, endothelial dysfunction, inflammation, mitochondrial damage and energy metabolism disorders, vascular calcification and renal fibrosis, as well as emerging therapeutic approaches targeting CRS metabolism in gut microbiota-derived metabolites which provides an innovative treatment approach for CRS to improve patient prognosis and overall quality of life.
Insights
Cardiorenal syndrome (CRS) involves simultaneous heart and kidney damage. Gut microbiota metabolites significantly impact CRS, offering new therapeutic targets for improved patient outcomes.
Area of Science:
- Microbiology
- Cardiology
- Nephrology
Background:
- Cardiorenal syndrome (CRS) is characterized by simultaneous heart and kidney damage, imposing a significant global health burden.
- Emerging research highlights the role of host microbiota metabolism in triggering cardiac and renal injury, offering novel insights into cardiovascular risk.
Purpose of the Study:
- To comprehensively review current research on gut microbiota-derived metabolites in the context of cardiorenal syndrome (CRS).
- To elucidate the involvement of these metabolites in CRS pathophysiology and explore innovative therapeutic strategies.
Main Methods:
- Literature review of bench-to-bedside studies focusing on gut microbiota-derived metabolites and CRS.
- Analysis of the impact of metabolites on various pathophysiological pathways involved in CRS.
Main Results:
- Gut microbiota metabolites are implicated in lipid/cholesterol disorders, coagulation issues, oxidative stress, and endothelial dysfunction in CRS.
- These metabolites also contribute to inflammation, mitochondrial damage, energy metabolism disruption, vascular calcification, and renal fibrosis.
- Emerging therapies targeting these metabolites show promise for innovative CRS treatment.
Conclusions:
- Gut microbiota-derived metabolites play a crucial role in the complex pathophysiology of cardiorenal syndrome.
- Targeting gut microbiota metabolism presents a promising avenue for novel therapeutic interventions to improve CRS patient prognosis and quality of life.
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