Characteristics, pathogenic and therapeutic role of gut microbiota in immunoglobulin A nephropathy

Immunoglobulin A nephropathy (IgAN) is the most prevalent glomerulonephritis in the world, and it is one of the leading causes of end-stage kidney disease. It is now believed that the pathogenesis of IgAN is the mesangial deposition of immune complex containing galactose-deficient IgA1, resulting in...

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Main Authors: Kaijin Yao, Lingqian Zheng, Wenmin Chen, Yina Xie, Chunling Liao, Tianbiao Zhou
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1438683/full
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author Kaijin Yao
Lingqian Zheng
Wenmin Chen
Yina Xie
Chunling Liao
Tianbiao Zhou
author_facet Kaijin Yao
Lingqian Zheng
Wenmin Chen
Yina Xie
Chunling Liao
Tianbiao Zhou
author_sort Kaijin Yao
collection DOAJ
description Immunoglobulin A nephropathy (IgAN) is the most prevalent glomerulonephritis in the world, and it is one of the leading causes of end-stage kidney disease. It is now believed that the pathogenesis of IgAN is the mesangial deposition of immune complex containing galactose-deficient IgA1, resulting in glomerular injury. Current treatments for IgAN include supportive care and immunosuppressive therapy. A growing number of studies found that the gut microbiota in IgAN was dysregulated. Gut microbiota may be involved in the development and progression of IgAN through three main aspects: destruction of intestinal barrier, changes in metabolites and abnormal mucosal immunity. Interestingly, therapies by modulating the gut microbiota, such as fecal microbiota transplantation, antibiotic treatment, probiotic treatment, Chinese herbal medicine Zhen Wu Tang treatment, gluten-free diet, and hydroxychloroquine treatment, can improve IgAN. In this review, the alteration of gut microbiota in IgAN, potential pathogenic roles of gut microbiota on IgAN and potential approaches to treat IgAN by modulating the gut microbiota are summarized.
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publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-bf4c7464dc18465a9aaf238914b3e38c2025-02-06T07:09:04ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-02-011610.3389/fimmu.2025.14386831438683Characteristics, pathogenic and therapeutic role of gut microbiota in immunoglobulin A nephropathyKaijin YaoLingqian ZhengWenmin ChenYina XieChunling LiaoTianbiao ZhouImmunoglobulin A nephropathy (IgAN) is the most prevalent glomerulonephritis in the world, and it is one of the leading causes of end-stage kidney disease. It is now believed that the pathogenesis of IgAN is the mesangial deposition of immune complex containing galactose-deficient IgA1, resulting in glomerular injury. Current treatments for IgAN include supportive care and immunosuppressive therapy. A growing number of studies found that the gut microbiota in IgAN was dysregulated. Gut microbiota may be involved in the development and progression of IgAN through three main aspects: destruction of intestinal barrier, changes in metabolites and abnormal mucosal immunity. Interestingly, therapies by modulating the gut microbiota, such as fecal microbiota transplantation, antibiotic treatment, probiotic treatment, Chinese herbal medicine Zhen Wu Tang treatment, gluten-free diet, and hydroxychloroquine treatment, can improve IgAN. In this review, the alteration of gut microbiota in IgAN, potential pathogenic roles of gut microbiota on IgAN and potential approaches to treat IgAN by modulating the gut microbiota are summarized.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1438683/fullimmunoglobulin A nephropathygut microbiotadysbiosisimmune responsesmodulate
spellingShingle Kaijin Yao
Lingqian Zheng
Wenmin Chen
Yina Xie
Chunling Liao
Tianbiao Zhou
Characteristics, pathogenic and therapeutic role of gut microbiota in immunoglobulin A nephropathy
Frontiers in Immunology
immunoglobulin A nephropathy
gut microbiota
dysbiosis
immune responses
modulate
title Characteristics, pathogenic and therapeutic role of gut microbiota in immunoglobulin A nephropathy
title_full Characteristics, pathogenic and therapeutic role of gut microbiota in immunoglobulin A nephropathy
title_fullStr Characteristics, pathogenic and therapeutic role of gut microbiota in immunoglobulin A nephropathy
title_full_unstemmed Characteristics, pathogenic and therapeutic role of gut microbiota in immunoglobulin A nephropathy
title_short Characteristics, pathogenic and therapeutic role of gut microbiota in immunoglobulin A nephropathy
title_sort characteristics pathogenic and therapeutic role of gut microbiota in immunoglobulin a nephropathy
topic immunoglobulin A nephropathy
gut microbiota
dysbiosis
immune responses
modulate
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1438683/full
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AT yinaxie characteristicspathogenicandtherapeuticroleofgutmicrobiotainimmunoglobulinanephropathy
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