Evidence map›Paper›PMID 25901092›Full record

Trial reportClinical journal of the American Society of Nephrology : CJASN2015

Effect of dietary sodium restriction on human urinary metabolomic profiles.

Kristen L Jablonski, Jelena Klawitter, Michel Chonchol, Candace J Bassett, Matthew L Racine, Douglas R Seals

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical journal of the American Society of Nephrology : CJASN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
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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

6 authors at 3 institutions in 2 countries.

Kristen L JablonskiDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado; and Division of Renal Diseases and Hypertension and Kristen.Nowak@ucdenver.edu.
Jelena KlawitterDivision of Renal Diseases and Hypertension and Department of Anesthesiology, University of Colorado Denver Anschutz Medical Campus, Aurora, Colorado.
Michel ChoncholDivision of Renal Diseases and Hypertension and.
Candace J BassettDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado; and.
Matthew L RacineDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado; and.
Douglas R SealsDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado; and.
University of Colorado Boulder · USMetabolism and Renal Physiology · FRUniversity of Colorado Denver · US

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Weight Loss, Inflammation, and Vascular Endothelial Function in Older AdultsR01AG006537 · NIA · UNIVERSITY OF COLORADO AT BOULDER · PI SEALS, DOUGLAS R · 1986 to 2010
$4.4M
SODIUM RESTRICTION &ARTERIAL COMPLIANCE IN OLDER HUMANSR01AG013038 · NIA · UNIVERSITY OF COLORADO AT BOULDER · PI SEALS, DOUGLAS R · 1996 to 2018
$4.0M
Human Aging, Exercise &FMD: Translational PhysiologyR37AG013038 · NIA · UNIVERSITY OF COLORADO AT BOULDER · PI SEALS, DOUGLAS R · 2004 to 2013
$3.0M
Vascular Endothelial Dysfunction in Older Adults: Dietary Sodium RestrictionF31AG033994 · NIA · UNIVERSITY OF COLORADO · PI NOWAK, KRISTEN LYNN · 2009 to 2010
$59k
NCATS NIH HHS UL1 TR001082NIA NIH HHS AG006537NIA NIH HHS AG013038NIA NIH HHS AG033994NIA NIH HHS F31 AG033994NIA NIH HHS R01 AG006537NIA NIH HHS R01 AG013038NIA NIH HHS R37 AG013038
6 · The paper itself

Abstract

BACKGROUND AND

objectivesMetabolomics is a relatively new field of "-omics" research, focusing on high-throughput identification of small molecular weight metabolites. Diet has both acute and chronic effects on metabolic profiles; however, alterations in response to dietary sodium restriction (DSR) are completely unknown. The goal of this study was to explore changes in urine metabolites in response to DSR, as well as their association with previously reported improvements in vascular function with DSR. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Using stored urine samples from a 10-week randomized placebo-controlled crossover study of DSR in 17 middle-aged/older adults (six men and 11 women; mean age 62±8 years) who had moderately elevated systolic BP (130-159 mmHg) and were otherwise healthy, a liquid chromatography/mass spectrometry-based analysis of 289 metabolites was performed. This study identified metabolites that were significantly altered between the typical (153±29 mmol/d) and low (70±29 mmol/d) sodium conditions, as well as their baseline (typical sodium) association with responsiveness to previously reported improvements in vascular endothelial function (brachial artery flow-mediated dilation) and large elastic artery stiffness (aortic pulse wave velocity).

resultsOf the 289 metabolites surveyed, 10 were significantly altered (nine were upregulated and one was downregulated) during the low sodium condition, and eight of these exceeded our prespecified clinically significant threshold of a >40% change. These metabolites were involved in biologic pathways broadly related to cardiovascular risk, nitric oxide production, oxidative stress, osmotic regulation, and metabolism. One metabolite, serine, was independently (positively) associated with previously reported improvements in the primary vascular outcome of brachial artery flow-mediated dilation.

conclusionsThis proof-of-concept study provides the first evidence that DSR is a stimulus that induces significant changes in urinary metabolomic profiles. Moreover, serine was independently associated with corresponding changes in vascular endothelial function after DSR. Larger follow-up studies will be required to confirm and further elucidate the metabolic pathways that are altered in response to DSR.

Indexed as

Diet, Sodium-RestrictedMetabolomicsAgedBiomarkersBlood PressureBrachial ArteryColoradoCross-Over StudiesDouble-Blind MethodFemaleHumansHypertensionMaleMiddle AgedPulse Wave AnalysisRecovery of FunctionBiomarkersSerineendotheliumhypertensionmetabolismnutrition

Identifiers

PMID25901092
PMCPMC4491302
OpenAlexW1973744659

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.