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6/15/2026 8:38:38 AM | Browse: 2 | Download: 0
Publication Name World Journal of Nephrology
Manuscript ID 117355
Country India
Received
2025-12-05 00:41
Peer-Review Started
2025-12-05 08:43
First Decision by Editorial Office Director
2026-01-08 08:08
Return for Revision
2026-01-08 08:08
Revised
2026-01-12 09:38
Publication Fee Transferred
Second Decision by Editor
2026-02-02 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-02-03 00:40
Articles in Press
2026-02-03 00:40
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-06-01 23:51
Publish the Manuscript Online
2026-06-15 08:38
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 Diabetic kidney disease is increasingly understood as a disorder shaped not only by metabolic and inflammatory injury but also by gut microbial dysbiosis that amplifies renal fibrotic signalling. Song et al demonstrate that trimethylamine N-oxide (TMAO), generated from microbial metabolism of dietary methylamines, functions as a potent upstream driver of transforming growth factor-β/Smad activation and tubulointerstitial fibrosis. Their use of fecal microbiota transplantation and microbial trimethylamine-inhibition provides compelling causal evidence linking dysbiosis, elevated TMAO, and renal injury. This editorial contextualizes these findings within emerging gut-kidney mechanisms and underscores the therapeutic potential of microbiota-targeted strategies in modifying the trajectory of diabetic kidney disease.
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Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Nutrition & Dietetics
Manuscript Type Editorial
Article Title Trimethylamine N-oxide as a key microbial mediator in the progression of diabetic kidney disease
Manuscript Source Invited Manuscript
All Author List Pranjal Kashiv, Manish Ramesh Balwani, Amit Pasari, Khushboo Saxena and Vivek B Kute
ORCID
Author(s) ORCID Number
Pranjal Kashiv http://orcid.org/0000-0002-4551-2574
Manish Ramesh Balwani http://orcid.org/0000-0003-3923-6953
Amit Pasari http://orcid.org/0000-0002-2182-0898
Vivek B Kute http://orcid.org/0000-0002-0002-2854
Funding Agency and Grant Number
Corresponding Author Vivek B Kute, Professor, Department of Nephrology, Institute of Kidney Diseases and Research Center, Dr HL Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Ahmedabad 380016, Gujarat, India. drvivekkute@rediffmail.com
Key Words Trimethylamine N-oxide; Diabetic kidney disease; Gut microbiota; Renal fibrosis; TGF-β/Smad signalling
Core Tip Diabetic kidney disease is increasingly understood as a disorder shaped not only by metabolic and inflammatory injury but also by gut microbial dysbiosis that amplifies renal fibrotic signalling. Song et al. demonstrate that trimethylamine N-oxide (TMAO), generated from microbial metabolism of dietary methylamines, functions as a potent upstream driver of TGF-β/Smad activation and tubulointerstitial fibrosis. Their use of fecal microbiota transplantation and microbial TMA-inhibition provides compelling causal evidence linking dysbiosis, elevated TMAO, and renal injury. This editorial contextualizes these findings within emerging gut–kidney mechanisms and underscores the therapeutic potential of microbiota-targeted strategies in modifying the trajectory of diabetic kidney disease.
Publish Date 2026-06-15 08:38
Citation

Kashiv P, Balwani MR, Pasari A, Saxena K, Kute VB. Trimethylamine N-oxide as a key microbial mediator in the progression of diabetic kidney disease. World J Nephrol 2026; 15(2): 117355

URL https://www.wjgnet.com/2220-6124/full/v15/i2/117355.htm
DOI https://doi.org/10.5527/wjn.v15.i2.117355
Full Article (PDF) WJN-15-117355-with-cover.pdf
Manuscript File 117355_Auto_Edited_062225.docx
Answering Reviewers 117355-answering-reviewers.pdf
Audio Core Tip 117355-audio.mpeg
Conflict-of-Interest Disclosure Form 117355-conflict-of-interest-statement.pdf
Copyright License Agreement 117355-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 117355-non-native-speakers.pdf
Peer-review Report 117355-peer-reviews.pdf
Scientific Misconduct Check 117355-scientific-misconduct-check.png
Scientific Editor Work List 117355-scientific-editor-work-list.pdf
CrossCheck Report 117355-crosscheck-report.pdf