Natural intestinal metabolite xylitol reduces BRD4 levels to mitigate renal fibrosis

© 2024 The Authors. Clinical and Translational Science published by Wiley Periodicals LLC on behalf of American Society for Clinical Pharmacology and Therapeutics..

Renal fibrosis is a typical pathological change from chronic kidney disease (CKD) to end-stage renal failure, which presents significant challenges in prevention and treatment. The progression of renal fibrosis is closely associated with the "gut-kidney axis," therefore, although clinical intervention to modulate the "gut-kidney axis" imbalance associated with renal fibrosis brings hope for its treatment. In this study, we first identified the close relationship between renal fibrosis development and the intestinal microenvironment through fecal microtransplantation and non-absorbable antibiotics experiments. Then, we analyzed the specific connection between the intestinal microenvironment and renal fibrosis using microbiomics and metabolomics, screening for the differential intestinal metabolite. Potential metabolite action targets were initially identified through network simulation of molecular docking and further verified by molecular biology experiment. We used flow cytometry, TUNEL apoptosis staining, immunohistochemistry, and Western blotting to assess renal injury and fibrosis extent, exploring the potential role of gut microbial metabolite in renal fibrosis development. We discovered that CKD-triggered alterations in the intestinal microenvironment exacerbate renal injury and fibrosis. When metabolomic analysis was combined with experiments in vivo, we found that the differential metabolite xylitol delays renal injury and fibrosis development. We further validated this hypothesis at the cellular level. Mechanically, bromodomain-containing protein 4 (BRD4) protein exhibits strong binding with xylitol, and xylitol alleviates renal fibrosis by inhibiting BRD4 and its downstream transforming growth factor-β (TGF-β) pathway. In summary, our findings suggest that the natural intestinal metabolite xylitol mitigates renal fibrosis by inhibiting the BRD4-regulated TGF-β pathway.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Clinical and translational science - 17(2024), 3 vom: 16. März, Seite e13770

Sprache:

Englisch

Beteiligte Personen:

Tan, Zhouke [VerfasserIn]
Wang, Ze [VerfasserIn]
Zeng, Qianglin [VerfasserIn]
Liu, Xiaoyou [VerfasserIn]
Zhang, Yamei [VerfasserIn]
Li, Shujue [VerfasserIn]
Huang, Junlin [VerfasserIn]
Zeng, Yunong [VerfasserIn]
Huang, Zongshun [VerfasserIn]
Jin, Can [VerfasserIn]
Fu, Ningying [VerfasserIn]
Zhao, Qian [VerfasserIn]
Mu, Yingsong [VerfasserIn]
Wang, Ziyi [VerfasserIn]
Xiao, Jie [VerfasserIn]
Yang, Hong [VerfasserIn]
Ke, Guibao [VerfasserIn]

Links:

Volltext

Themen:

BRD4 protein, human
Bromodomain Containing Proteins
Cell Cycle Proteins
Journal Article
Nuclear Proteins
Research Support, Non-U.S. Gov't
Transcription Factors
Transforming Growth Factor beta
VCQ006KQ1E
Xylitol

Anmerkungen:

Date Completed 20.03.2024

Date Revised 17.04.2024

published: Print

Citation Status MEDLINE

doi:

10.1111/cts.13770

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369915844