Evidence map›Paper›PMID 33161469›Full record

ArticleUrolithiasis2021

Kidney stone formation and the gut microbiome are altered by antibiotics in genetic hypercalciuric stone-forming rats.

Joshua M Stern, Robert D Burk, John Asplin, Nancy S Krieger, Sylvia O Suadicani, Yi Wang, Mykhaylo Usyk, Justin A Lee, Luojing Chen, Jennifer Becker and 2 more

Abstract read
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In one paragraph

Article in Urolithiasis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Joshua M SternAlbert Einstein College of Medicine, 1300 Morris Park Ave. Bronx, New York, NY, 10461, USA. jstern17@gmail.com.
Robert D BurkAlbert Einstein College of Medicine, 1300 Morris Park Ave. Bronx, New York, NY, 10461, USA.
John AsplinLitholink, Laboratory Corporation of America® Holdings, Chicago, IL, USA.
Nancy S KriegerUniversity of Rochester, Rochester, NY, USA.
Sylvia O SuadicaniAlbert Einstein College of Medicine, 1300 Morris Park Ave. Bronx, New York, NY, 10461, USA.
Yi WangAlbert Einstein College of Medicine, 1300 Morris Park Ave. Bronx, New York, NY, 10461, USA.
Mykhaylo UsykAlbert Einstein College of Medicine, 1300 Morris Park Ave. Bronx, New York, NY, 10461, USA.
Justin A LeeAlbert Einstein College of Medicine, 1300 Morris Park Ave. Bronx, New York, NY, 10461, USA.
Luojing ChenUniversity of Rochester, Rochester, NY, USA.
Jennifer BeckerUniversity of Rochester, Rochester, NY, USA.
Michaela ChanUniversity of Rochester, Rochester, NY, USA.
David A BushinskyUniversity of Rochester, Rochester, NY, USA.
Albert Einstein College of Medicine · USUniversity of Rochester · US

Funding

National Institutes of Health (US) RO1 DK075462
6 · The paper itself

Abstract

Antibiotics can alter the gut microbiome (GMB), which may be associated with stone disease. We sought to determine the effect that antibiotics have on the GMB, urine ion excretion and stone formation in genetic hypercalciuric stone-forming (GHS) rats. 116th generation GHS rats were fed a fixed amount of a normal calcium (1.2%) and phosphate (0.65%) diet, and divided into three groups (n = 10): control (CTL) diet, or supplemented with ciprofloxacin (Cipro, 5 mg/day) or Bactrim (250 mg/day). Urine and fecal pellets were collected over 6, 12 and 18 weeks. Fecal DNA was amplified across the 16S rRNA V4 region. At 18 weeks, kidney stone formation was visualized by Faxitron and blindly assessed by three investigators. After 18 weeks, urine calcium and oxalate decreased with Bactrim compared to CTL and Cipro. Urine pH increased with Bactrim compared to CTL and Cipro. Urine citrate increased with Cipro compared to CTL and decreased by half with Bactrim. Calcification increased with Bactrim compared to CTL and Cipro. Increased microbial diversity correlated with decreased urinary oxalate in all animals (R = - 0.46, p = 0.006). A potential microbial network emerged as significantly associated with shifts in urinary pH. Bactrim and Cipro differentially altered the GMB of GHS rats. The Bactrim group experienced a decrease in urine calcium, increased CaP supersaturation and increased calcification. The GMB is likely a contributing factor to changes in urine chemistry, supersaturation and stone risk. Further investigation is required to fully understand the association between antibiotics, the GMB and kidney stone formation.

Indexed as

Administration, OralAnimalsAnti-Bacterial AgentsCalciumCiprofloxacinDisease Models, AnimalFecesGastrointestinal MicrobiomeHumansHypercalciuriaKidney CalculiRatsRenal EliminationRNA, Ribosomal, 16STrimethoprim, Sulfamethoxazole Drug CombinationAnti-Bacterial AgentsCalciumCiprofloxacinRNA, Ribosomal, 16STrimethoprim, Sulfamethoxazole Drug CombinationAntibioticsGut microbiomeKidney stoneUrinary stone disease

Identifiers

PMID33161469
OpenAlexW3103668164

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.