Evidence map›Paper›PMID 34922432›Full record

ArticleKidney research and clinical practice2021

Probiotics partially attenuate the severity of acute kidney injury through an immunomodulatory effect.

Jihyun Yang, Geun Eog Ji, Myeong Soo Park, Yeong-Je Seong, Yoon Sook Go, Hee Young Lee, Yina Fang, Myung-Gyu Kim, Se Won Oh, Won Yong Cho and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Kidney research and clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
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  8. Article
  9. Research progress in the role of gut microbiota in acute kidney injury.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Review
  10. Article
  11. Review
  12. Article
  13. Gut microbiota and neonatal acute kidney injury biomarkers.Pediatric nephrology (Berlin, Germany) · 2023
    Review
  14. Article
  15. Article
  16. Article
  17. The central role of the gut in intensive care.Critical care (London, England) · 2022
    Review
  18. Review
  19. Crosstalk between gut microbiota and renal ischemia/reperfusion injury.Frontiers in cellular and infection microbiology · 2022
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Jihyun YangDivision of Nephrology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
Geun Eog JiDepartment of Food and Nutrition, Research Institute of Human Ecology, Seoul National University, Seoul, Republic of Korea.
Myeong Soo ParkDepartment of Food and Nutrition, Research Institute of Human Ecology, Seoul National University, Seoul, Republic of Korea.
Yeong-Je SeongResearch Center, BIFIDO Co. Ltd., Hongcheon, Republic of Korea.
Yoon Sook GoDivision of Nephrology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
Hee Young LeeDivision of Nephrology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
Yina FangDivision of Nephrology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
Myung-Gyu KimDivision of Nephrology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
Se Won OhDivision of Nephrology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
Won Yong ChoDivision of Nephrology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
Sang-Kyung JoDivision of Nephrology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
Korea University · KRSeoul National University · KR

Funding

Korean Nephrology Research Foundation KSN 2018Korea University Anam Hospital K2014071
6 · The paper itself

Abstract

backgroundA healthy microbiome helps maintain the gut barrier and mucosal immune tolerance. Previously, we demonstrated that acute kidney injury (AKI) provoked dysbiosis, gut inflammation, and increased permeability. Here, we investigated the renoprotective effects of the probiotic Bifidobacterium bifidum BGN4 and the underlying mechanisms thereof.

methodsC57BL/6 mice were subjected to bilateral renal ischemia-reperfusion injury (IRI) or sham operation. In the probiotic-treated group, BGN4 was administered by gavage once daily, starting 2 weeks before injury.

resultsAdministration of BGN4 significantly increased gut microbiome diversity and prevented expansion of the Enterobacteriaceae and Bacteroidetes that were the hallmarks of AKI-induced dysbiosis. Further, BGN4 administration also significantly reduced other IRI-induced changes in the colon microenvironment, including effects on permeability, apoptosis of colon epithelial cells, and neutrophil and proinflammatory macrophage infiltration. Mononuclear cells co-cultured with BGN4 expressed significantly increased proportions of CD103+/CD11c+ and CD4+ CD25+ Treg cells, suggesting a direct immunomodulatory effect. BGN4 induced Treg expansion in colon, mesenteric lymph nodes (MNL), and kidney. BGN4 also reduced CX3CR1intermediateLy6Chigh monocyte infiltration and interleukin (IL)-17A suppression in the small intestine, which may have attenuated AKI severity, kidney IL-6 messenger RNA expression, and AKI-induced liver injury.

conclusionPrior supplementation with BGN4 significantly attenuated the severity of IRI and secondary liver injury. This renoprotective effect was associated with increased Foxp3 and reduced IL-17A expression in the colon, MNL, and kidney, suggesting that BGN4-induced immunomodulation might contribute to its renoprotective effects. Probiotics may therefore be a promising strategy to reduce AKI severity and/or remote organ injury.

Indexed as

Acute kidney injuryBGN4ImmunologyMicrobiotaProbiotics

Identifiers

PMID34922432
PMCPMC8685362
OpenAlexW3215561479

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.