Evidence map›Paper›PMID 40548623›Full record

ReviewAnnals of medicine2025

TMAO and the gut microbiome: implications for the CVD-CKD-IBD axis.

Si Hyoung Kim, Mi Young Yoon, Sang Sun Yoon

Abstract readReview
In one paragraph

Review in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Urinary metabolites and fatigue in a population-based metabolomics study: an exploratory analysis.Metabolomics : Official journal of the Metabolomic Society · 2026
    Article
  5. Review
  6. 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

3 authors.

Si Hyoung KimDepartment of Microbiology and Immunology, Yonsei University College of Medicine, Seoul, Korea.
Mi Young YoonDepartment of Microbiology and Immunology, Yonsei University College of Medicine, Seoul, Korea.
Sang Sun YoonDepartment of Microbiology and Immunology, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0003-2979-365X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trimethylamine N-oxide (TMAO) is a metabolite produced by the gut microbiome from dietary nutrients such as choline and carnitine. Recent research has found that TMAO is strongly associated with cardiovascular disease (CVD), chronic kidney disease (CKD) and, more recently, inflammatory bowel disease (IBD). Although TMAO is linked to conditions characterized by inflammation, oxidative stress, fibrosis and gut microbiome imbalances, its exact role in disease development remains unclear. This review examines TMAO's potential role as a key link in the IBD-CKD-CVD disease spectrum. Highlighting the importance of limiting TMAO production, we propose several promising strategies to achieve its reduction. Specifically, we focus on microbiome therapies as innovative methods for managing TMAO levels. This approach offers a hopeful avenue for addressing the complex interplay between gut health and systemic chronic human diseases.

Indexed as

Cardiovascular DiseasesGastrointestinal MicrobiomeInflammatory Bowel DiseasesMethylaminesRenal Insufficiency, ChronicAnimalsHumansOxidative StressMethylaminestrimethyloxaminecardiovascular diseasechronic kidney diseaseinflammatory bowel diseasemicrobiomeTrimethylamine N-oxide

Identifiers

PMID40548623
PMCPMC12931300

What OpenQuestion holds

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LicenceCC BY-NC
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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.