Evidence map›Paper›PMID 39749333›Full record

Trial reportFrontiers in immunology2024

Sex-dependent modulation of T and NK cells and gut microbiome by low sodium diet in patients with primary aldosteronism.

Hanna F Nowotny, Tingting Zheng, Thomas Marchant Seiter, Jing Ju, Holger Schneider, Matthias Kroiss, Anna-Lina Sarkis, Lisa Sturm, Vera Britz, Andreas Lechner and 10 more

Abstract readClinical Trial
In one paragraph

Trial report in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Primary aldosteronism.Nature reviews. Disease primers · 2026
    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

20 authors.

Hanna F NowotnyDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich, Germany.
Tingting ZhengChair of Translational Microbiome Data Integration, Technical University of Munich, Freising, Germany.
Thomas Marchant SeiterDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich, Germany.
Jing JuDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich, Germany.
Holger SchneiderDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich, Germany.
Matthias KroissDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich, Germany.
Anna-Lina SarkisDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich, Germany.
Lisa SturmDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich, Germany.
Vera BritzDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich, Germany.
Andreas LechnerDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich, Germany.
Anne L PotzelGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Sonja KunzDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich, Germany.
Martin BidlingmaierDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich, Germany.
Klaus NeuhausCore Facility Microbiome, ZIEL - Institute for Food & Health, Technical University of Munich, Freising, Germany.
Adrian GottschlichDivision of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.
Sebastian KoboldDivision of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.
Nicole ReischDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich, Germany.
Melanie SchirmerChair of Translational Microbiome Data Integration, Technical University of Munich, Freising, Germany.
Martin ReinckeDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich, Germany.
Christian AdolfDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: High dietary sodium intake is a major cardiovascular risk factor and adversely affects blood pressure control. Patients with primary aldosteronism (PA) are at increased cardiovascular risk, even after medical treatment, and high dietary sodium intake is common in these patients. Here, we analyze the impact of a moderate dietary sodium restriction on microbiome composition and immunophenotype in patients with PA. Methods: Prospective two-stage clinical trial including two subgroups: 15 treatment-naive PA patients compared to matched normotensive controls; and 31 PA patients on mineralocorticoid receptor antagonist treatment before and three months after sodium restriction. Patients underwent blood pressure measurements, laboratory tests, analysis of peripheral blood mononuclear cells via flow cytometry and microbiome analysis. Results: We observed a higher percentage of Tregs in treatment-naive PA patients (p = 0.0303), while the abundance of Conclusion: Dietary sodium restriction in patients with PA modulates the peripheral immune cell composition toward a less inflammatory phenotype. This suggests a potential mechanism by which sodium reduction modulates immune cell composition, leading to blood pressure reduction and positively impacting cardiovascular risk.

Indexed as

Diet, Sodium-RestrictedGastrointestinal MicrobiomeHyperaldosteronismKiller Cells, NaturalAdultFemaleHumansMaleMiddle AgedProspective StudiesSex FactorsT-Lymphocytesmicrobiomeprimary aldosteronism (PA)sodiumTc17Tregs (regulatory T cells)

Identifiers

PMID39749333
PMCPMC11693743

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.