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Publication Name World Journal of Nephrology
Manuscript ID 124903
Country Jordan
Category Urology & Nephrology
Manuscript Type Review
Article Title Targeting gut/kidney axis in chronic kidney disease: Pathogenic pathways and therapeutic opportunities
Manuscript Source Invited Manuscript
All Author List Maha Habash, Ayah Kamal, Diyar Khaled Abu-Aleez, Haitham Shawawreh, Yahia Zakaria and Fares EM Ali
Funding Agency and Grant Number
Corresponding Author Fares EM Ali, Associate Professor, Dean, PhD, Department of Pharmacology and Toxicology, Aqaba University of Technology, South Beach Road, Opposite Aqaba Development Corporation Stores, Assiut 71524, Egypt. faresali@azhar.edu.eg
Key Words Gut/kidney axis; Chronic kidney disease; Dysbiosis; Dietary intervention; Gut microbiota; Uremic toxins; Short-chain fatty acids
Core Tip Experimental and observational evidence support a biologically plausible gut-kidney axis in chronic kidney disease, but current human trials remain small, heterogeneous, and focused mainly on surrogate biomarkers. This review distinguishes human interventional evidence from animal and mechanistic findings, summarizes inconsistent results for dietary fiber, probiotics, prebiotics, synbiotics, and short-chain fatty acids, and emphasizes reverse causality, safety, and implementation constraints. No microbiota-targeted strategy has established benefit on kidney failure, cardiovascular events, or mortality.
Citation Habash M, Kamal A, Abu-Aleez DK, Shawawreh H, Zakaria Y, Ali FE. Targeting gut/kidney axis in chronic kidney disease: Pathogenic pathways and therapeutic opportunities. World J Nephrol 2026; In press
Received
2026-06-26 02:38
Peer-Review Started
2026-06-26 02:38
First Decision by Editorial Office Director
Return for Revision
2026-08-03 03:22
Revised
2026-08-17 16:33
Publication Fee Transferred
Second Decision by Editor
2026-09-21 02:40
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-09-21 09:47
Articles in Press
2026-09-21 09:47
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2220-6124 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com