Evidence map›Paper›PMID 40761666›Full record

ArticleDrug design, development and therapy2025

DHLCA Alleviates Diabetic Kidney Disease via TGR5/FXR Activation and Gut Microbiota Remodeling.

Hua Zhou, Xiaodie Mu, Huiyue Hu, Shuya Zhao, Nan Hu, Min Yang, Jingting Jiang

Abstract read
In one paragraph

Article in Drug design, development and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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  6. Article
  7. Emerging Roles of Bile Acids in Neuroinflammation.International journal of molecular sciences · 2025
    Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hua Zhou *Department of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People's Republic of China.ORCID 0000-0003-0130-8763
Xiaodie Mu *Department of Nephrology, The Second People's Hospital of Hefei, Hefei, 230011, People's Republic of China.
Huiyue Hu *Department of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People's Republic of China.ORCID 0000-0002-6930-6425
Shuya ZhaoDepartment of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People's Republic of China.
Nan HuDepartment of Pharmacy, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People's Republic of China.ORCID 0000-0002-7505-5001
Min Yang *Department of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People's Republic of China.
Jingting Jiang *Department of Tumor Biological Treatment, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Diabetic kidney disease (DKD) is a major contributor to chronic kidney disease worldwide. Bile acids (BAs) are increasingly recognized as key regulators of glucose metabolism and kidney function. This study aimed to investigate the role of BA metabolism in the progression of DKD. Methods: Plasma BA profiles were measured in healthy controls (HC), patients with type 2 diabetes mellitus (T2DM), and patients with DKD using ultra-high-performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS). After identifying potential BA biomarkers in the clinical cohort, in vivo validation was conducted using dehydrolithocholic acid (DHLCA) intervention in DKD mouse model. Kidney injury markers, as well as the expression of Takeda G protein-coupled receptor 5 (TGR5) and farnesoid X receptor (FXR), were evaluated. In addition, gut microbiota (GM) composition was analyzed via metagenomic sequencing following DHLCA treatment. Results: The plasma DHLCA levels were significantly lower in DKD with macroalbuminuria group compared to T2DM group and DKD with microalbuminuria group ( Conclusion: DHLCA may represent a promising therapeutic candidate for DKD by targeting the TGR5/FXR signaling pathway and GM remodeling. Its metabolic and kidney benefits, along with an improved hepatic profile and absence of hepatotoxicity, support further translational investigation.

Indexed as

Diabetes Mellitus, Type 2Diabetic NephropathiesGastrointestinal MicrobiomeLithocholic AcidReceptors, Cytoplasmic and NuclearReceptors, G-Protein-CoupledAnimalsDiabetes Mellitus, ExperimentalDisease Models, AnimalFemaleHumansMaleMiceMice, Inbred C57BLMiddle AgedReceptor, Farnesoid X-ActivatedGPBAR1 protein, humanGpbar1 protein, mouseLithocholic AcidReceptor, Farnesoid X-ActivatedReceptors, Cytoplasmic and NuclearReceptors, G-Protein-Coupledbile aciddiabetic kidney diseasefarnesoid X receptorgut microbiotaTakeda G protein-coupled receptor 5

Identifiers

PMID40761666
PMCPMC12318845

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.