Evidence map›Paper›PMID 40419661›Full record

ArticleScientific reports2025

The vitamin D spectrum: insights into 25(OH)D and VDBP in chronic kidney disease and post-transplant.

G Priyadarshini, Sreejith Parameswaran, Jayaprakash Sahoo, Sandhiya Selvarajan, Medha Rajappa

Abstract read
In one paragraph

Article in Scientific reports, 2025. 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
–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

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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.

  1. Review
  2. 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

5 authors.

G PriyadarshiniDepartment of Biochemistry, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 605006, India.
Sreejith ParameswaranDepartment of Nephrology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Jayaprakash SahooDepartment of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Sandhiya SelvarajanDepartment of Clinical Pharmacology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Medha RajappaDepartment of Biochemistry, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 605006, India. jd0453@jipmer.ac.in.

Funding

Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India JIP/Res/Intramural/Phs2/2020-21
6 · The paper itself

Abstract

CKD progression is associated with declining vitamin D levels, which correlate with various comorbidities. Total serum 25-hydroxyvitamin D (Total-25(OH)D) may not accurately reflect vitamin D deficiency in these patients. This study aimed to evaluate the vitamin D spectrum in CKD and kidney transplant recipients (KTRs). We recruited 38 stage 3 & 4 CKD patients and 38 patients with ESRD, who were followed for six-months post-KT. Total-25(OH)D and VDBP were measured using ELISA. Free and bioavailable-25(OH)D concentrations were calculated using Bikle formula. ESRD patients had lower total-25(OH)D, free-25(OH)D, and bioavailable-25(OH)D, compared to stage 3 & 4 CKD patients. VDBP levels showed no significant difference. Six months post-KT, a continued decline in free and bioavailable-25(OH)D was observed, whilst VDBP was increased. No significant change was found in total-25(OH)D levels. On regression analysis, bioavailable-25(OH)D and creatinine could independently predict CKD stage (based on eGFR). Total-25(OH)D, free-25(OH)D, and bioavailable-25(OH)D showed significant decline, with increasing severity of CKD. Notably, even after KT, they did not show significant improvement. Elevated VDBP post-KT probably contributed to continued decline in free and bioavailable-25(OH)D. Further research with extended follow-up is warranted to assess whether these alterations have a significant impact on long-term patient outcomes.

Indexed as

Kidney TransplantationRenal Insufficiency, ChronicVitamin DVitamin D-Binding ProteinVitamin D DeficiencyAdultAgedFemaleHumansKidney Failure, ChronicMaleMiddle Aged25-hydroxyvitamin DVitamin DVitamin D-Binding ProteinBioavailable-25(OH)DFree-25(OH)DKidney transplantsTotal-25(OH)DVitamin D binding protein

Identifiers

PMID40419661
PMCPMC12106709

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