IMR Press / FBL / Volume 28 / Issue 9 / DOI: 10.31083/j.fbl2809226
Open Access Original Research
The Effects of Probiotic Lactobacillus rhamnosus GG on Fecal Flora and Serum Markers of Renal Injury in Mice with Chronic Kidney Disease
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1 Department of Pediatric Nephrology and Rheumatology, Sichuan Provincial Maternity and Child Health Care Hospital/The Affiliated Women's and children's Hospital of Chengdu Medical College, 610045 Chengdu, Sichuan, China
2 Department of Pediatrics, Xiamen Maternity and Child Health Care Hospital/The Affiliated Women's and Children's Hospital of Xiamen University, 361000 Xiamen, Fujian, China
3 Department of Pediatrics, Pingshan County People's Hospital, 645350 Chengdu, Sichuan, China
4 Department of Pathology, Sichuan Provincial Maternity and Child Health Care Hospital/The Affiliated Women’s and Children’s Hospital of Chengdu Medical College, 610045 Chengdu, Sichuan, China
5 Department of Pediatrics, Harbin 242 Hospital, 150066 Harbin, Heilongjiang, China
6 Department of Pediatrics, Chengdu Boe Hospital, 610000 Sichuan, Chengdu, China
7 Department of Pediatrics, the Second Affiliated Hospital of Harbin Medical University, 150086 Harbin, Heilongjiang, China
8 Department of Clinical Medicine, ChongQing Medical University, 400016 Chongqing, China
*Correspondence: zhouping3698@163.com (Ping Zhou)
Front. Biosci. (Landmark Ed) 2023, 28(9), 226; https://doi.org/10.31083/j.fbl2809226
Submitted: 28 November 2022 | Revised: 9 March 2023 | Accepted: 15 March 2023 | Published: 26 September 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: In this study, we analyzed intestinal flora in an experimental mouse model of chronic kidney disease (CKD) and investigated whether oral supplementation with probiotic Lactobacillus rhamnosus GG could slow the decline in renal function and inflammatory status of mice with CKD. Methods: We surgically induced chronic kidney disease in C57BL/6J male mice aged 8–9 weeks. We used dual-stage 5/6 nephrectomy for this, while the mock group underwent a mock procedure. The experimental (CKD mice) and mock group were administered a daily dose of 10 × 109 colony forming unit (CFU) of probiotic L. rhamnosus GG or 2 g of maltodextrin as a placebo by oral gavage, respectively, for 5 weeks. At the end of the experiment, the fecal samples of the mice were collected and prepared for intestinal microbial diversity analysis. We examined the serum chemistry and renal histology of the mice. Results: Important serum and blood biomarkers were associated with the development of CKD, including increased serum concentrations of creatine, cystatin C, blood urea nitrogen (BUN), and a protein—interleukin-6 (denoted as IL-6), whereas decreased serum albumin concentration was also observed in the mice with CKD. The intestinal flora of the mice with CKD significantly declined in terms of diversity, richness, and homogeneity. The consumption of L. rhamnosus GG probiotic via oral gavage significantly decreased the serum concentration level present in creatinine and blood urea nitrogen. However, it increased albumin in the group with CKD. After probiotic treatment, serum IL-6 levels dropped considerably, and the kidney histopathology score in mice with CKD who were given L. rhamnosus GG improved. Moreover, supplementation with the probiotic significantly improved floral richness and lineage diversity in the mice with CKD.Conclusions: In this study, we found that probiotics significantly attenuated renal failure development, reduced serum levels of proinflammatory cytokine IL-6, and increased the abundance and lineage diversity of intestinal flora in mice with chronic kidney disease.

Keywords
intestinal microbiota
chronic kidney disease (CKD)
Lactobacillus rhamnosus GG
inflammation
gut kidney axis
Funding
2022YFS0149/2022 Key R&D Plan of Science and Technology Department of Sichuan Province
CYZYB21-22/Science and Technology Fund of Chengdu Medical College in 2021
CYZYB22-08/Science and Technology Fund of Chengdu Medical College in 2022
CXZD2023-05/2023 Innovation Fund of Sichuan Maternal and Child Health Hospital
CXZD2023-01/2023 Innovation Fund of Sichuan Maternal and Child Health Hospital
S20137/2021 Sichuan Medical Research Project of Sichuan Medical Association
2022113/Medical Research Project of Chengdu Municipal Health Commission
HLJ2019023/“Chunhui Plan” Cooperative Scientific Research Project, Ministry of Education of the People’s Republic of China
Figures
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