The gut microbiome as a potential therapeutic target in IgA nephropathy

Nephrol Dial Transplant. 2024 Dec 11:gfae274. doi: 10.1093/ndt/gfae274. Online ahead of print.

Abstract

Immunoglobulin A nephropathy (IgAN) is the most common primary glomerulonephritis and a leading cause of kidney failure, with limited treatment options available. The pathophysiology of IgAN remains unclear; however, recent studies suggest that genetic, epigenetic, and environmental factors play significant roles. There is also strong evidence linking the gut microbiome to the development of IgAN. In this review, we will examine the relationship between the microbiome and the pathogenesis of IgAN, as well as its potential as a target for future therapeutic interventions.

Keywords: gut-kidney axis; immunoglobulin A nephropathy; microbiome; probiotics.