ObjectivesPrevious studies found the dysbiosis of intestinal microbiota in individuals with diabetic kidney disease (DKD),especially the decreased SCFA-producing bacteria. We aimed to investigate stool and serum short-chain fatty acids (SCFAs), gut microbiota-derived metabolites, in individuals with DKD and the correlations. MethodsA total of 30 participants with DKD, 30 participants with type 2 diabetes mellitus (DM) and 30 normal controls (NC) in HwaMei Hospital were recruited from 1/1/2018 to 12/31/2019. Participants with DKD were divided into low estimated glomerular filtration rate (eGFR) (eGFR<60ml/min, n=14) and high eGFR (eGFR≥60ml/min, n=16) subgroups. Stool and serum were measured for SCFAs with gas chromatograph-mass spectrometry.ResultsThe group with DKD showed markedly lower levels of fecal acetate, propionate and butyrate versus NC group (P<0.05), and the lowest fecal total SCFAs concentration among the the groups. The group with DKD also had a lower serum caproate concentration than that with diabetes (P<0.05). In the univariate regression analysis, fecal and serum acetate correlated with eGFR in the group with DKD (OR= 1.013, P=0.072; OR=1.017, P=0.032). The correlation between serum total SCFAs and eGFR showed statistical significance (OR= 0.019, P=0.024) unadjusted and a borderline significance (OR= 1.024, P =0.063) when adjusted for Hb and LDL. The decrease in serum acetate and total SCFAs were found of borderline significant correlation in both subgroups (P=0.055, P=0.050). ConclusionThis study provides evidence that in individuals with DKD, serum and fecal SCFAs levels (fecal level in particular) were lowered, and there was a correlation between lower SCFAs and a worsened renal function.