Evidence map›Paper›PMID 34561817›Full record

ArticleInternational urology and nephrology2022

Is there an association between the plasma levels of uremic toxins from gut microbiota and anemia in patients on hemodialysis?

Jean Christ Cédras Capo-Chichi, Natália Alvarenga Borges, Drielly Cristhiny Mendes de Vargas Reis, Lia S Nakao, Denise Mafra

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In one paragraph

Article in International urology and nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Review
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

5 authors at 3 institutions in 1 country.

Jean Christ Cédras Capo-ChichiPost Graduation Program in Medical Sciences (UFF), Federal Fluminense University, Unidade de Pesquisa Clínica. Rua Marquês do Paraná, 303, Niterói, Rio de Janeiro, 24033-900, Brazil.ORCID http://orcid.org/0000-0002-4400-0251
Natália Alvarenga BorgesInstitute of Nutrition, Rio de Janeiro State University (UERJ), Rio de Janeiro, RJ, Brazil.
Drielly Cristhiny Mendes de Vargas ReisDivision of Nephrology, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Lia S NakaoDepartment of Basic Pathology, Federal University of Paraná (UFPR), Curitiba, PR, Brazil.
Denise MafraPost Graduation Program in Medical Sciences (UFF), Federal Fluminense University, Unidade de Pesquisa Clínica. Rua Marquês do Paraná, 303, Niterói, Rio de Janeiro, 24033-900, Brazil. dmafra30@gmail.com.ORCID http://orcid.org/0000-0001-6752-6056
Universidade Federal Fluminense · BRUniversidade Federal do Paraná · BRUniversidade Federal do Rio de Janeiro · BR

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 302034/2018-8
6 · The paper itself

Abstract

backgroundAnemia is one of the most frequent complications in patients with chronic kidney disease (CKD). Despite being multifactorial, the relative or absolute deficiency of erythropoietin production is the leading cause. Recent studies have shown that uremic toxins produced by the gut microbiota also may play a role in the genesis of anemia in these patients.

objectiveTo evaluate the possible association between uremic toxins plasma levels and anemia in patients with CKD on hemodialysis (HD).

methodsThis cross-sectional study evaluated one hundred fifty-four patients (53.2% men, 51.2 ± 11.2 years, hemoglobin (Hb) levels of 11.2 ± 1.6 g/dL). Biochemical variables such as urea, creatinine, hemoglobin, hematocrit, were measured according to standard methods and uremic toxins such as indoxyl sulfate (IS), indole-3-acetic acid (IAA), p-cresyl sulfate (p-CS) plasma levels were measured by reverse-phase high-performance liquid chromatography (RP-HPLC).

resultsThe levels of uremic toxins such as IS, IAA, p-CS were increased in all patients. However, no correlation was found between uremic toxins plasma levels and anemia parameters. Only patients with Hb < 11 g/dL presented a negative correlation between hematocrit and IAA plasma levels.

conclusionThere is no strong evidence that uremic toxins produced by the gut microbiota may be associated with anemia in patients with CKD on HD.

Indexed as

AnemiaGastrointestinal MicrobiomeRenal Insufficiency, ChronicUremiaCross-Sectional StudiesFemaleHumansIndicanMaleRenal DialysisUremic ToxinsIndicanUremic ToxinsAnemiaChronic kidney diseaseErythropoiesisIndole-3-acetic acid, p-cresyl sulfateIndoxyl sulfateIronUremic toxins

Identifiers

PMID34561817
OpenAlexW3200954311

What OpenQuestion holds

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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.