|
Detrimental microbial community |
Probiotic, Prebiotic, and other community modulators (SCFA, GLP-1) |
Input |
Redox-active compounds (reactive oxygen species, oxidation end products of lipid and proteins) |
Endogenous and dietary antioxidants |
|
uremic retention solutes (nutritional and microbial metabolites) |
Uremic toxin binders |
|
Proinflammatory mediators |
Anti-inflammatory agents, microbial and endogenous regulators (SCFA, GLP-1) |
Outcomes |
Barrier disruption
Renal injury, inflammation, fibrosis
|
Maintenance of barrier integrity
Limited exposure of renal tissues to mucosa-derived insults
|