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Protein energy consumption (PEW) is a state of catabolism caused by metabolic and nutritional disorders in a chronic disease state
.
Patients with DN and end-stage renal disease (ESRD) exhibit muscle atrophy, which leads to a worsening of the disease and an increase in morbidity
Metabolic and nutritional disorders lead to catabolism disorders.
Experimental method: We used metabonomics analysis to study the changes in serum butyrate levels in DN patients, explore the protective effect of butyrate on DN-induced muscle atrophy in db/db mice, and use C2C12 cells induced by HG/lps to study the effects of butyrate on Inhibition of muscle atrophy and its mechanism
.
Main results: We found that butyrate levels in DN patients decreased significantly
.
The addition of butyrate can significantly improve the intestinal barrier function
Figure 1 Metabolomics analysis
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Metabolomics analysis found that according to the volcano map (A), there are 146 metabolites in the serum of DN patients and healthy people, and the heat map (B) shows significant up-regulation (38) and down-regulation (9) of potential biomarkers of metabolites.
Figure 1 Metabolomics analysis
Figure 2 Butyric acid is significantly related to DN and has a protective effect on renal function
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Compared with healthy people, the butyric acid level of DN patients was significantly reduced (inpatients, n=15; butyric acid levels were also observed in db/db mice and the butyric acid treatment group (n=5) (C)
Figure 2 Butyric acid is significantly related to DN and has a protective effect on renal function
Figure 3 The process and mechanism of this research
Figure 3 The process and mechanism of this researchConclusion and significance: Butyrate, by enhancing the intestinal barrier function, activates the PI3K/AKT/mTOR pathway mediated by FFA2, and has a protective effect on DN-induced muscle atrophy
.
.
Original source:
Tang G, Du Y, Guan H, Jia J,et al.
Butyrate ameliorate skeletal muscle atrophy in Diabetic Nephropathy via enhancing gut barrier function and FFA2-mediated PI3K/AKT/mTOR signals.
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