Evidence map›Paper›PMID 30789675›Full record

ArticlePhysiological reports2019

Fecal transplant modifies urine chemistry risk factors for urinary stone disease.

Joshua M Stern, Marcia Urban-Maldonado, Mykhaylo Usyk, Ignacio Granja, Daniel Schoenfeld, Kelvin P Davies, Ilir Agalliu, John Asplin, Robert Burk, Sylvia O Suadicani

Open access · goldAbstract read
In one paragraph

Article in Physiological reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Oxalate homeostasis.Nature reviews. Nephrology · 2023
    Review
  10. Oxalate secretion is stimulated by a cAMP-dependent pathway in the mouse cecum.Pflugers Archiv : European journal of physiology · 2023
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Impact of intestinal flora on calcium oxalate stones.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2021
    Article
  16. Intestinal microbiota and kidney diseases.Kidney research and clinical practice · 2021
    Article
  17. Review
  18. Article
  19. Article
  20. The use of antibiotics and risk of kidney stones.Current opinion in nephrology and hypertension · 2019
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Joshua M SternDepartment of Urology, Albert Einstein College of Medicine, Bronx, New York.
Marcia Urban-MaldonadoDepartment of Urology, Albert Einstein College of Medicine, Bronx, New York.
Mykhaylo UsykDepartment of Microbiology, Albert Einstein College of Medicine, Bronx, New York.
Ignacio GranjaLitholink Corporation, Chicago, Illinois.
Daniel SchoenfeldDepartment of Urology, Albert Einstein College of Medicine, Bronx, New York.
Kelvin P DaviesDepartment of Urology, Albert Einstein College of Medicine, Bronx, New York.
Ilir AgalliuDepartment of Epidemiology, Albert Einstein College of Medicine, Bronx, New York.
John AsplinLitholink Corporation, Chicago, Illinois.
Robert BurkDepartment of Microbiology, Albert Einstein College of Medicine, Bronx, New York.
Sylvia O SuadicaniDepartment of Urology, Albert Einstein College of Medicine, Bronx, New York.
Albert Einstein College of Medicine · USLink Foundation · US

Funding

Evidence for a Distinct Gut Microbiome in Kidney Stone FormersR21DK108097 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI DAVIES, KELVIN P, STERN, JOSH · 2016 to 2017
$459k
NIDDK NIH HHS R21 DK108097NIH HHS NIH R21 DK108097-02
6 · The paper itself

Abstract

Urinary stone disease (USD) is a major health concern. There is a need for new treatment modalities. Recently, our group provided evidence for an association between the GMB composition and USD. The accessibility of the Gut Microbiome (GMB) makes it an attractive target for investigation and therefore, in these studies we have evaluated the extent to which the whole gut microbial community in fecal transplants can affect urinary stone risk parameters in an animal model. Fresh fecal pellets were collected from Zucker lean rats, homogenized in PBS (100 mg/mL), filtered through a 70 μm strainer and then orally gavaged into C57BL/6NTac germ-free mice. Twenty-four hours urine collections and GMB analysis were performed over time for 1 month. Kidney and gut tissue were harvested from transplanted mice for western blot analysis of expression levels of the Slc26a6 transporter involved in oxalate balance. Urinary calcium decreased after fecal transplant by 55% (P < 0.001). Urinary oxalate levels were on average 24% lower than baseline levels (P < 0.001). Clostridiaceae family was negatively correlated with urinary oxalate at 4 weeks after transplant (r = -0.83, P < 0.01). There was a 0.6 unit average increase in urinary pH from a baseline of 5.85 (SE ± 0.028) to 6.49 (SE ± 0.04) (P < 0.001) after transplant. There was a concomitant 29% increase in gastrointestinal alkali absorption (P < 0.001) 4-weeks after fecal transplant. Slc26a6 expression increased by 90% in the cecum after transplant. Our results suggest that the gut microbiome may impact metabolism, alters urinary chemistry, and thereby may influence USD; the accessibility of the GMB can potentially be leveraged for therapeutic interventions.

Indexed as

AnimalsCalciumFecal Microbiota TransplantationGastrointestinal AbsorptionGastrointestinal MicrobiomeMaleMiceMice, Inbred C57BLRatsRats, ZuckerUrinary CalculiUrineCalciumCalciumgut microbiomekidney stonesoxalateurinary stone disease

Identifiers

PMID30789675
PMCPMC6383111
OpenAlexW2917850522

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.