Evidence map›Paper›PMID 33868230›Full record

ArticleFrontiers in immunology2021

Alteration of the Gut Microbiome in Chronic Kidney Disease Patients and Its Association With Serum Free Immunoglobulin Light Chains.

Fengping Liu, Xuefang Xu, Lin Chao, Ke Chen, Amo Shao, Danqin Sun, Yan Hong, Renjing Hu, Peng Jiang, Nan Zhang and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Global Microbiome: Core and Unique Signatures Across Diverse Populations.International journal of molecular sciences · 2026
    Pooled it
  2. Pediatric and adult point of view on the gut-kidney axis in CKD.Pediatric nephrology (Berlin, Germany) · 2026
    Review
  3. Pathological Alterations in Human Blood Microbiome-An Updated Review.International journal of molecular sciences · 2025
    Review
  4. Article
  5. The impact of progressive chronic kidney disease on hepatic drug metabolism.Drug metabolism and disposition: the biological fate of chemicals · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. mSystems · 2023
    Article
  10. Article
  11. ClostridioidesGastroenterology & hepatology · 2023
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Characterization of Gut Microbiome in the Mud SnailAnimals : an open access journal from MDPI · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Article
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

13 authors at 3 institutions in 1 country.

Fengping LiuWuxi School of Medicine, Jiangnan University, Wuxi, China.
Xuefang XuDepartment of Nephrology, Affiliated Wuxi No. 2 Hospital, Nanjing Medical University, Wuxi, China.
Lin ChaoDepartment of Thyroid and Breast, Affiliated Wuxi No. 2 Hospital, Nanjing Medical University, Wuxi, China.
Ke ChenDepartment of Nephrology, Affiliated Wuxi No. 2 Hospital, Nanjing Medical University, Wuxi, China.
Amo ShaoWuxi Higher Health School, Wuxi, China.
Danqin SunDepartment of Nephrology, Affiliated Wuxi No. 2 Hospital, Nanjing Medical University, Wuxi, China.
Yan HongDepartment of Nephrology, Affiliated Wuxi No. 2 Hospital, Nanjing Medical University, Wuxi, China.
Renjing HuDepartment of Laboratory Medicine, Affiliated Wuxi No. 2 Hospital, Nanjing Medical University, Wuxi, China.
Peng JiangDepartment of Urology, Affiliated Wuxi No. 2 Hospital, Nanjing Medical University, Wuxi, China.
Nan ZhangDepartment of Urology, Affiliated Wuxi No. 2 Hospital, Nanjing Medical University, Wuxi, China.
Yonghong XiaoCollaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Feng YanDepartment of Nephrology, Affiliated Wuxi No. 2 Hospital, Nanjing Medical University, Wuxi, China.
Ninghan FengDepartment of Urology, Affiliated Wuxi No. 2 Hospital, Nanjing Medical University, Wuxi, China.
Wuxi No.2 People's Hospital · CNNanjing Medical University · CNState Key Laboratory of Diagnosis and Treatment of Infectious Diseases

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Gut dysbiosis is associated with chronic kidney disease (CKD), and serum free immunoglobulin light chains (FLCs) are biomarkers for CKD. This study aims to assess the CKD gut microbiome and to determine its impact on serum FLC levels. Methods: To control for confounders, 100 patients and sex- and age-matched healthy controls (HCs) were recruited. The gut microbiome was assessed by sequencing 16S rRNA gene V3-V4 hypervariable regions. Phylogenetic Investigation of Communities by Reconstruction of Unobserved States was applied to infer functional metabolic pathways. When observing group differences in the microbiome and predicted metabolic pathways, demographic confounders were adjusted using binary logistic regression; when examining impacts of the gut microbiome and metabolic pathways on serum FLCs, factors influencing FLC levels were adjusted using multiple regression. Results: Principal coordinate analysis revealed a significantly different bacterial community between the CKD and HC groups (P < 0.05). After adjusting for confounders, lower Chao 1, observed species and Shannon indices based on binary logistic regression predicted CKD prevalence. Actinobacteria, Alistipes, Bifidobacterium and Bifidobacterium longum enrichment, upregulation of metabolic pathways of bacterial toxin, chloroalkane and chloroalkene degradation, and Staphylococcus aureus infection also predicted CKD prevalence (P < 0.05). Furthermore, depletion of Actinobacteria and Bifidobacterium and reduced chloroalkane and chloroalkene degradation predicted high levels of FLC λ (P < 0.05). Conclusions: Gut dysbiosis in CKD patients was confirmed by controlling for confounders in the present study. Additionally, the association between gut dysbiosis and FLC λ levels demonstrates the existence of crosstalk between the microbiome and immune response in CKD.

Indexed as

DysbiosisGastrointestinal MicrobiomeBiomarkersCase-Control StudiesComputational BiologyDisease SusceptibilityFemaleGlomerular Filtration RateHumansImmunoglobulin Light ChainsKidney Function TestsMaleMetabolic Networks and PathwaysMetagenomeMetagenomicsRenal Insufficiency, ChronicBiomarkersImmunoglobulin Light ChainsBifidobacteriumchronic kidney diseaseconfoundersfree immunoglobulin light chainsgut microbiome

Identifiers

PMID33868230
PMCPMC8047322
OpenAlexW3148192242

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.