Abstract
Polyphenols are essential antioxidants in our regular diet, and have shown potential antibacterial effects. Other important biological effects, such as anticancer or antibacterial activities, have been demonstrated by some polyphenols. In recent years, the benefits of polyphenols to human health have attracted increasing attention from the scientific community. Recent studies have shown that polyphenols such as anthocyanin, catechin, chlorogenic acid, and resveratrol can inhibit pathogenic bacteria such as Escherichia coli and Salmonella to help regulate intestinal microflora. An imbalance of intestinal microflora and the destruction of intestinal barrier function have been found to have a potential relationship with the occurrence of chronic kidney disease (CKD). Specifically, they can aberrantly trigger the immune system to cause inflammation, increase the production of uremic toxins, and further worsen the condition of CKD. Therefore, the maintenance of intestinal microflora and the intestinal tract in a stable and healthy state may be able to “immunize” patients against CKD, and treat pre-existing disease. The use of common antibiotics may lead to drug resistance in pathogens, and thus beneficial polyphenols may be suitable natural substitutes for antibiotics. Herein we review the ability of different polyphenols, such as anthocyanin, catechin, chlorogenic acid, and resveratrol, to regulate intestinal microorganisms, inhibit pathogenic bacteria, and improve inflammation. In addition, we review the ability of different polyphenols to reduce kidney injury, as described in recent studies.
Highlights
Chronic kidney disease (CKD) affects over 10% of the population and is increasingly pervasive in several nations, largely due to aging populations and changing lifestyles [1]
The intestinal microbiota has emerged as an important factor in the learning and control of the immune system, and has previously unknown functions in affecting the manifestations of many non-communicable diseases
The effects of food and nutraceuticals on the uremic phenotype and its contribution to intestinal dysbiosis, given the enormous capacity of food to be used as medicine for CKD, warrant much greater attention [91]
Summary
Chronic kidney disease (CKD) affects over 10% of the population and is increasingly pervasive in several nations, largely due to aging populations and changing lifestyles [1].
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