Preprint Article Version 2 Preserved in Portico This version is not peer-reviewed

Puerariae Lobatae Radix Ameliorates Chronic Kidney Disease by Reshaping Gut Microbiota and Down-Regulating Wnt / β-Catenin Signaling

Version 1 : Received: 3 January 2024 / Approved: 3 January 2024 / Online: 3 January 2024 (10:35:50 CET)
Version 2 : Received: 16 January 2024 / Approved: 17 January 2024 / Online: 17 January 2024 (11:11:19 CET)

How to cite: Wu, P.; Xue, J.; Zhu, Z.; Yu, Y.; Sun, Q.; Xie, M.; Wang, B.; Huang, P.; Feng, Z.; Zhao, J. Puerariae Lobatae Radix Ameliorates Chronic Kidney Disease by Reshaping Gut Microbiota and Down-Regulating Wnt / β-Catenin Signaling. Preprints 2024, 2024010241. https://doi.org/10.20944/preprints202401.0241.v2 Wu, P.; Xue, J.; Zhu, Z.; Yu, Y.; Sun, Q.; Xie, M.; Wang, B.; Huang, P.; Feng, Z.; Zhao, J. Puerariae Lobatae Radix Ameliorates Chronic Kidney Disease by Reshaping Gut Microbiota and Down-Regulating Wnt / β-Catenin Signaling. Preprints 2024, 2024010241. https://doi.org/10.20944/preprints202401.0241.v2

Abstract

Gut microbiota dysfunction is a key factor affecting chronic kidney disease (CKD) susceptibility. Puerariae Lobatae Radix (PLR), a traditional Chinese medicine and food homologous herb, is known to promote gut microbiota homeostasis, however, its role in renoprotection remains unknown. This study aimed to investigate the efficacy and potential mechanism of PLR to alleviate CKD. An 8-week 2% NaCl-feeding murine model was applied to induce CKD and evaluate the therapeutic effect of PLR supplementary. After gavage for 8 weeks, PLR significantly alleviated CKD-associated creatinine, urine protein increasement and nephritic histopathological injury. Moreover, PLR protected kidney from fibrosis by reducing inflammatory response and down-regulating the canonical Wnt / β-catenin pathway. Further, PLR rescued gut microbiota dysbiosis and protected high salt-induced gut barrier dysfunction. We found enrichment of Akkermansia and Bifidobacterium after PLR intervention, the relative abundance of which were in positive correlation with normal maintenance of renal histology and function. Next, fecal microbiota transplantation experiment verified that the positive effect of PLR on CKD was at least partially exerted through gut microbiota reestablishment and down-regulation of the Wnt / β-catenin pathway. Our study provides evidence for new function of PLR on kidney protection and put forward a potential therapeutic strategy target for CKD.

Keywords

Puerariae Lobatae Radix; High salt diet; Chronic kidney disease; Wnt / β-catenin pathway; Gut microbiota; Fecal microbiota transplantation

Subject

Medicine and Pharmacology, Dietetics and Nutrition

Comments (1)

Comment 1
Received: 17 January 2024
Commenter: Jingwen Xue
Commenter's Conflict of Interests: Author
Comment: We have revised the title and parts of the abstract.
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