Aryl Hydrocarbon Receptor Activation in Chronic Kidney Disease: Role of Uremic Toxins
Author(s) -
Jessyca Sousa de Brito,
Natália Alvarenga Borges,
Marta Esgalhado,
D’Angelo Carlo Magliano,
Christophe O. Soulage,
Denise Mafra
Publication year - 2017
Publication title -
the nephron journals/nephron journals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.951
H-Index - 72
eISSN - 2235-3186
pISSN - 1660-8151
DOI - 10.1159/000476074
Subject(s) - aryl hydrocarbon receptor , uremic toxins , kidney disease , uremia , mediator , inflammation , chemistry , receptor , proinflammatory cytokine , transcription factor , kidney , biology , biochemistry , medicine , endocrinology , immunology , gene
The aryl hydrocarbon receptor (AhR) is a ligand-activated transcription factor involved in the expression of xenobiotic-metabolizing enzymes, inflammatory cytokines and adhesion molecules. Uremic toxins such as indoxyl sulfate and indole acetic acid are derived from tryptophan fermentation by gut microbiota; they accumulate in patients with chronic kidney disease (CKD) on haemodialysis and have recently emerged as potent ligands of AhR. Therefore, AhR can serve as a mediator in inflammation and cardiovascular diseases in these patients. This review discusses current data that support a link between AhR activation and uremic toxins from gut microbiota in CKD.
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