Intestinal mucosal flora of the intestine-kidney remediation process of diarrhea with deficiency kidney-yang syndrome in Sishen Pill treatment: Association with interactions between Lactobacillus johnsonii, Ca2+-Mg2+-ATP-ase, and Na+-K+-ATP-ase

Jiayuan Zhu; Xiaoya Li; Na Deng; Kang Zhou; Bo Qiao; Dandan Li; Zhoujin Tan

doi:10.1016/j.heliyon.2023.e16166

Intestinal mucosal flora of the intestine-kidney remediation process of diarrhea with deficiency kidney-yang syndrome in Sishen Pill treatment: Association with interactions between Lactobacillus johnsonii, Ca²⁺-Mg²⁺-ATP-ase, and Na⁺-K⁺-ATP-ase

Heliyon. 2023 May 10;9(5):e16166. doi: 10.1016/j.heliyon.2023.e16166. eCollection 2023 May.

Authors

Jiayuan Zhu¹, Xiaoya Li², Na Deng², Kang Zhou¹, Bo Qiao², Dandan Li², Zhoujin Tan¹

Affiliations

¹ School of Pharmacy, Hunan University of Chinese Medicine, Changsha, Hunan Province, 410208, China.
² School of Traditional Chinese Medicine, Hunan University of Chinese Medicine, Changsha, Hunan Province, 410208, China.

Abstract

This study aims to investigate the effect of Sishen Pill on the characteristics of gut mucosal microbiota in diarrhea mice with deficiency kidney-yang syndrome. Fifteen Kunming male mice were randomly divided into Normal control group (C), Model self-healing group (X) and Sishen Pill group (S), with 5 mice/cages. Hematoxylin eosin (HE) staining was used to observe the kidney structure. Serum Na⁺-K⁺-ATP-ase and Ca²⁺-Mg²⁺-ATP-ase were detected by enzyme-linked immunosorbent assay (ELISA), Analysis of intestinal mucosal flora using third-generation high-throughput sequencing. The relative abundance results in the three groups revealed that the dominant bacterial genera: Lactobacillus, Muribaculum and Candidatus-Arthromitus; bacterial species: Lactobacillus johnsonii, Lactobacillus reuteri, Lactobacillus murinus, and Lactobacillus intestinalis, and differences in the presence of major microbiota between the X and S groups. A positive correlation between Lactobacillus johnsonii and both Ca²⁺-Mg²⁺-ATP-ase and Na⁺-K⁺-ATP-ase was found via correlation analysis. Sishen Pill also changed the manufacture of other secondary metabolites, as well as the metabolism of carbohydrates, glycans, energy, lipids, and other amino acids, and xenobiotics biodegradation and metabolism. In conclusion, Sishen Pill improved kidney structure, energy metabolism and the diversity and structure of intestinal mucosal flora. In addition, Lactobacillus johnsonii may be a characteristic species of Sishen Pill in treating diarrhea with kidney-yang deficiency syndrome.

Keywords: Diarrhea with kidney-yang deficiency syndrome; Energy metabolism; Intestinal mucosal flora; Kidney; Sishen Pill.