Contribution of gut microbiota toward renal function in sepsis
Open accessAbstract
Sepsis most often involves the kidney and is one of the most common causes of acute kidney injury. The prevalence of septic acute kidney injury has increased significantly in recent years. The gut microbiota plays an important role in sepsis. It interacts with the kidney in a complex and multifactorial process, which is not fully understood. Sepsis may lead to gut microbiota alteration, orchestrate gut mucosal injury, and cause gut barrier failure, which further alters the host immunological and metabolic homeostasis. The pattern of gut microbiota alteration also varies with sepsis progression. Changes in intestinal microecology have double-edged effects on renal function, which also affects intestinal homeostasis. This review aimed to clarify the interaction between gut microbiota and renal function during the onset and progression of sepsis. The mechanism of gut–kidney crosstalk may provide potential insights for the development of novel therapeutic strategies for sepsis.
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Gut-derived inflammatory mediators and endotoxins entering the bloodstream may exacerbate renal injury.
“Gut-derived inflammatory mediators and endotoxins that enter the bloodstream may exacerbate renal injury [31,32].”
From Gastrointestinal function and nutritional interventions in septic shock (2025) · cites this paper as [31]
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Cited by
Sorted by citations
Gastrointestinal function and nutritional interventions in septic shock
Bachmann, K. F., Cotoia, A., & Reintam Blaser, A. (2025) · Current Opinion in Critical Care · doi:10.1097/mcc.0000000000001302 · Cited by 13 · see citing works
- Authors
- Xu, Y., Kong, X., Zhu, Y., Xu, J., Mao, H., Li, J., Zhang, J., & Zhu, X.
- Affiliations
- Shanghai Jiao Tong University (CN)
- Corresponding author
- Zhang, Jianhua
- Zhu, Xiaodong
- Venue
- Frontiers in Microbiology
- Publisher
- Frontiers Media SA
- Published
- 2022-09-06
- Volume
- 13
- Pages
- 985283-985283
- ISSN
- 1664-302X (ISSN-L)
- PMC
- PMC9486003
- OpenAlex
- W4294718905
- Cited by
- 22
- References
- 5
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 5 · 2023: 9
- FWCI
- 0.68
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Microbiology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
- Health Sciences › Medicine › Nephrology › Acute Kidney Injury Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- gut microbiota, sepsis, acute kidney injury, renal function, intestinal mucosal injury, intestinal homeostasis, metabolic homeostasis
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