Evidence map›Paper›PMID 39215854›Full record

ArticleInternational urology and nephrology2025

Potential Trimethylamine (TMA)-Producing Bacteria in patients with chronic kidney disease undergoing hemodialysis.

Livia Alvarenga, Julie Ann Kemp, Júnia Schultz, Ludmila F M F Cardozo, Lia S Nakao, Marcelo Ribeiro-Alves, Alexandre Rosado, Denise Mafra

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Article in International urology and nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. 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

8 authors.

Livia AlvarengaGraduate Program in Nutrition Sciences, Fluminense Federal University (UFF), Niterói, RJ, Brazil. liviaalvarenga92@gmail.com.
Julie Ann KempGraduate Program in Nutrition Sciences, Fluminense Federal University (UFF), Niterói, RJ, Brazil.
Júnia SchultzBiological and Environmental Science and Engineering (BESE), Division, King Abdullah University of Science and Technology (KAUST), Thuwal, 23955, Makkah, Saudi Arabia.
Ludmila F M F CardozoGraduate Program in Nutrition Sciences, Fluminense Federal University (UFF), Niterói, RJ, Brazil.
Lia S NakaoDepartment of Basic Pathology, Federal University of Paraná (UFPR), Curitiba, PR, Brazil.
Marcelo Ribeiro-AlvesHIV/AIDS Clinical Research Center, National Institute of Infectology Evandro Chagas (INI/Fiocruz), Rio de Janeiro (RJ), Brazil.
Alexandre RosadoBiological and Environmental Science and Engineering (BESE), Division, King Abdullah University of Science and Technology (KAUST), Thuwal, 23955, Makkah, Saudi Arabia.
Denise MafraGraduate Program in Nutrition Sciences, Fluminense Federal University (UFF), Niterói, RJ, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTrimethylamine (TMA), produced by gut microbiota, is the precursor of trimethylamine-N-oxide (TMAO), a uremic toxin that accumulates in patients with chronic kidney disease (CKD). Elevated TMAO plasma levels are associated with cardiovascular complications and CKD progression.

objectiveTo evaluate the association between gut microbiota composition and TMAO plasma levels in CKD patients undergoing hemodialysis (HD).

methodsThis is a cross-sectional study with 25 patients evaluated (60% female, 53 (18) years, body mass index (BMI) 25.8 (6.75) Kg/m

resultsThere were significant positive correlations between TMAO and plasma levels of pCS, NLPR3 inflammasome mRNA expression, serum phosphorus levels, and negative correlations with dietary lipid intake. The group with TMAO > 7.4 μM showed an increase in the microbiome abundance of Saccharibacteria (genus incertae sedis), Colidextribacter, Dorea, and Staphylococci genera, and a decrease in abundance in the genera Lachnospira, Lactobacilli, and Victivallis. TMAO plasma level was positively correlated with the abundance of bacteria of the genera Colidextribacter and Helicobacter and was negatively correlated with Sphingomanos, Lachnospira, Streptomyces, and Bacillus genera.

conclusionSaccharibacteria (genus incertae sedis), Colidextribacter, Dorea, and Staphylococci genera showed higher abundance in patients with high TMAO levels. In addition, we observed that elevated plasma TMAO levels are associated with inflammation markers, dietary lipid intake, and serum phosphorus levels in patients undergoing HD.

Indexed as

Gastrointestinal MicrobiomeMethylaminesRenal DialysisRenal Insufficiency, ChronicAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedMethylaminestrimethylaminetrimethyloxamineChronic kidney diseaseGut microbiotaHemodialysisTrimethylamine N-oxide

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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.