Evidence map›Paper›PMID 40677309›Full record

ArticleKidney international reports2025

Furosemide and Serum Protein-Bound Uremic Toxin Concentrations in Patients With CKD.

Margaux Costes-Albrespic, Natalia Alencar de Pinho, Islam Amine Larabi, Carolla El Chamieh, Solène M Laville, Denis Fouque, Maurice Laville, Luc Frimat, Jean-Claude Alvarez, Ziad A Massy and 2 more

Abstract read
In one paragraph

Article in Kidney international reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

12 authors.

Margaux Costes-AlbrespicClinical Epidemiology Team, Centre for Research in Epidemiology and Population Health (CESP), Inserm U1018, Paris-Saclay University, Versailles Saint-Quentin University, Villejuif, France.
Natalia Alencar de PinhoClinical Epidemiology Team, Centre for Research in Epidemiology and Population Health (CESP), Inserm U1018, Paris-Saclay University, Versailles Saint-Quentin University, Villejuif, France.
Islam Amine LarabiDepartment of Pharmacology and Toxicology, CARNOT Personalized medicine platform, Raymond Poincaré Hospital, AP-HP, Garches, France.
Carolla El ChamiehClinical Epidemiology Team, Centre for Research in Epidemiology and Population Health (CESP), Inserm U1018, Paris-Saclay University, Versailles Saint-Quentin University, Villejuif, France.
Solène M LavillePharmaco-epidemiology Unit, Department of Clinical Pharmacology, Amiens-Picardie University Medical Center, Amiens, France.
Denis FouqueNephrology Department, Lyon-Sud University Hospital, Claude Bernard Lyon 1 University, Pierre-Bénite, France.
Maurice LavilleCarMeN laboratory, INSERM U1060, INRAE U1397, Claude Bernard University Lyon 1, Pierre-Bénite, France.
Luc FrimatNephrology Department, University Regional Hospital of Nancy, Vandoeuvre-lès-Nancy, France.
Jean-Claude AlvarezDepartment of Pharmacology and Toxicology, CARNOT Personalized medicine platform, Raymond Poincaré Hospital, AP-HP, Garches, France.
Ziad A MassyClinical Epidemiology Team, Centre for Research in Epidemiology and Population Health (CESP), Inserm U1018, Paris-Saclay University, Versailles Saint-Quentin University, Villejuif, France.
Sophie LiabeufPharmaco-epidemiology Unit, Department of Clinical Pharmacology, Amiens-Picardie University Medical Center, Amiens, France.
CKD-REIN Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Furosemide is commonly prescribed to patients with chronic kidney disease (CKD) but may impair the kidney's excretion of protein-bound uremic toxins (PBUTs) via the organic anion transporters 1 and 3 (OAT1 and OAT3). We evaluated the association between furosemide prescription (status and dose level) and the serum concentrations of free OAT1/3-inhibiting uremic toxins (UTs) in patients with CKD. Methods: We included 2342 patients with CKD (stages 2-5) from the CKD-Renal Epidemiology and Information Network (CKD-REIN) cohort and with centralized serum UT assay data at baseline. The UTs were assayed using liquid chromatography - tandem mass spectrometry. The OAT1/3-inhibiting UTs identified in a literature review included indoxyl sulphate (IS), kynurenine (Kyn), p-cresyl sulphate (PCS), and indole-3-acetic acid (IAA). Multiple linear regression was used to assess each PBUT or their sum ( Results: Patients prescribed furosemide ( Conclusion: In patients with CKD, furosemide (particularly at a dose level > 120 mg) is independently associated with higher serum free PBUT concentrations. Our findings suggest that drug-UT competition contributes to PBUT accumulation.

Indexed as

CKDfurosemideloop diureticOAT inhibitororganic anion transporteruremic toxin

Identifiers

PMID40677309
PMCPMC12266279

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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.