Evidence map›Paper›PMID 33498967›Full record

ArticleInternational journal of molecular sciences2021

Pro-Inflammatory Effects of Indoxyl Sulfate in Mice: Impairment of Intestinal Homeostasis and Immune Response.

Shara Francesca Rapa, Francesco Prisco, Ada Popolo, Valentina Iovane, Giuseppina Autore, Biagio Raffaele Di Iorio, Fabrizio Dal Piaz, Orlando Paciello, Fuyu Nishijima, Stefania Marzocco

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
6.4field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Fujita medical journal · 2026
    Article
  3. Review
  4. Article
  5. Microbiota-gut-kidney axis in health and renal disease.International journal of biological sciences · 2026
    Review
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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

10 authors at 4 institutions in 2 countries.

Shara Francesca RapaDepartment of Pharmacy, University of Salerno, 84084 Fisciano, SA, Italy.
Francesco PriscoDepartment of Veterinary Medicine and Animal Production, University of Naples Federico II, 80137 Napoli, NA, Italy.ORCID 0000-0002-0399-1239
Ada PopoloDepartment of Pharmacy, University of Salerno, 84084 Fisciano, SA, Italy.ORCID 0000-0002-9843-8443
Valentina IovaneDepartment of Pharmacy, University of Salerno, 84084 Fisciano, SA, Italy.
Giuseppina AutoreDepartment of Pharmacy, University of Salerno, 84084 Fisciano, SA, Italy.ORCID 0000-0001-8423-9489
Biagio Raffaele Di IorioUOC Nephrology AORN "San Giuseppe Moscati", C.da Amoretta, 83100 Avellino, AV, Italy.ORCID 0000-0003-2779-4181
Fabrizio Dal PiazDepartment of Medicine and Surgery, University of Salerno, 84084 Fisciano, SA, Italy.
Orlando PacielloDepartment of Veterinary Medicine and Animal Production, University of Naples Federico II, 80137 Napoli, NA, Italy.
Fuyu NishijimaPharmaceuticals Division, Kureha Corporation, Tokyo 169-8503, Japan.
Stefania MarzoccoDepartment of Pharmacy, University of Salerno, 84084 Fisciano, SA, Italy.ORCID 0000-0003-2333-1630
University of Salerno · ITUniversity of Naples Federico II · ITAzienda Ospedaliera S.Giuseppe Moscati · ITKureha (Japan) · JP

Funding

ANDROGEN REGULATION OF HUMAN SEBACEOUS GLANDSK08AR002018 · NIAMS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI THIBOUTOT, DIANE M. · 1997 to 2001
$225k
University of Salerno (FARB 2018-ORSA180779 and FARB 2019-ORSA180779) in favor of M.S.
6 · The paper itself

Abstract

The intestines are recognized as the main source of chronic inflammation in chronic kidney disease (CKD) and, among other cells, macrophages are involved in modulating this process as well as in the impaired immune response which also occurs in CKD patients. In this study, we evaluated the effect of Indoxyl Sulfate (IS), a protein bound uremic toxin poorly eliminated by hemodialysis, on inflammatory, oxidative stress and pro-apoptotic parameters, at the intestinal level in mice, on intestinal epithelial cells (IEC-6) and on primary murine peritoneal macrophages. C57BL/6J mice were treated with IS (800 mg/kg i.p.) for 3 or 6 h and histopathological analysis showed that IS induced intestinal inflammation and increased cyclooxygenase-2 (COX-2), nitrotyrosine and Bax expression in intestinal tissue. In IEC-6 cells, IS (125-1000 µM) increased tumor necrosis factor-α levels, COX-2 and inducible nitric oxide synthase expression and nitrotyrosine formation. Moreover, IS increased pro-oxidant, pro-inflammatory and pro-apoptotic parameters in peritoneal macrophages from IS-treated mice. Also, the serum concentration of IS and pro-inflammatory levels of cytokines resulted increased in IS-treated mice. Our results indicate that IS significantly contributes to affect intestinal homeostasis, immune response, and to induce a systemic pro-inflammatory state thus highlighting its potential role as therapeutic target in CKD patients.

Indexed as

Oxidative StressAnimalsbcl-2-Associated X ProteinCyclooxygenase 2Gene Expression RegulationIndicanInflammationIntestinal MucosaMiceMice, Inbred C57BLNitric Oxide Synthase Type IIRenal Insufficiency, ChronicTumor Necrosis Factor-alphaTyrosine3-nitrotyrosinebcl-2-Associated X ProteinCyclooxygenase 2IndicanNitric Oxide Synthase Type IITumor Necrosis Factor-alphaTyrosinechronic kidney diseaseindoxyl sulfateintestinal epithelial cellsintestinal inflammationoxidative stressprimary murine peritoneal macrophages

Identifiers

PMID33498967
PMCPMC7865799
OpenAlexW3125963628

What OpenQuestion holds

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LicenceCC BY
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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.