Evidence map›Paper›PMID 36982393›Full record

ReviewInternational journal of molecular sciences2023

Iron Deficiency and Nephrotoxic Heavy Metals: A Dangerous Interplay?

Pien Rawee, Daan Kremer, Ilja M Nolte, Henri G D Leuvenink, Daan J Touw, Martin H De Borst, Stephan J L Bakker, Mark R Hanudel, Michele F Eisenga

Open access · goldFull text readReview
In one paragraph

Review in International journal of molecular sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Joint exposure to plasma heavy metals and the risk of kidney graft failure.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
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  12. Article
  13. Review
  14. Article
  15. Anemia in Pregnancy With CKD.Kidney international reports · 2024
    Review
  16. 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

9 authors at 2 institutions in 2 countries.

Pien RaweeDepartment of Internal Medicine, Division of Nephrology, University of Groningen, University Medical Center Groningen, 9713 Groningen, The Netherlands.
Daan KremerDepartment of Internal Medicine, Division of Nephrology, University of Groningen, University Medical Center Groningen, 9713 Groningen, The Netherlands.ORCID 0000-0003-0011-115X
Ilja M NolteDepartment of Epidemiology, University of Groningen, University Medical Center Groningen, 9713 Groningen, The Netherlands.ORCID 0000-0001-5047-4077
Henri G D LeuveninkDepartment of Surgery, University of Groningen, University Medical Center Groningen, 9713 Groningen, The Netherlands.
Daan J TouwDepartment of Clinical Pharmacy and Pharmacology, University of Groningen, University Medical Center Groningen, 9713 Groningen, The Netherlands.ORCID 0000-0002-1429-4789
Martin H De BorstDepartment of Internal Medicine, Division of Nephrology, University of Groningen, University Medical Center Groningen, 9713 Groningen, The Netherlands.ORCID 0000-0002-4127-8733
Stephan J L BakkerDepartment of Internal Medicine, Division of Nephrology, University of Groningen, University Medical Center Groningen, 9713 Groningen, The Netherlands.ORCID 0000-0003-3356-6791
Mark R HanudelDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA.
Michele F EisengaDepartment of Internal Medicine, Division of Nephrology, University of Groningen, University Medical Center Groningen, 9713 Groningen, The Netherlands.ORCID 0000-0002-2484-6233
University Medical Center Groningen · NLUniversity of California, Los Angeles · US

Funding

Dutch Kidney Foundation Grant 21OK023
6 · The paper itself

Abstract

Heavy metals are common in our environment, and all individuals are exposed to them to some extent. These toxic metals have several harmful effects on the body, including the kidney, which is a very sensitive organ. Indeed, heavy metal exposure has been linked to an increased risk of chronic kidney disease (CKD) and its progression, which may be explained by the well-established nephrotoxic effects of these metals. In this hypothesis and narrative literature review, we will shed light on the potential role that another highly common problem in patients with CKD, iron deficiency, may play in the damaging effects of heavy metal exposure in this patient group. Iron deficiency has previously been linked with an increased uptake of heavy metals in the intestine due to the upregulation of iron receptors that also take up other metals. Furthermore, recent research suggests a role of iron deficiency in the retention of heavy metals in the kidney. Therefore, we hypothesize that iron deficiency plays a crucial role in the damaging effects of heavy metal exposure in patients with CKD and that iron supplementation might be a strategy to combat these detrimental processes.

Indexed as

Iron DeficienciesMetals, HeavyRenal Insufficiency, ChronicHeavy Metal PoisoningHumansIronIronMetals, Heavychronic kidney diseaseheavy metalsiron deficiencymetal transportersnephrotoxic

Identifiers

PMID36982393
PMCPMC10049453
OpenAlexW4324095587

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read16
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.