Evidence map›Paper›PMID 41047663›Full record

ArticleAnnals of medicine2025

Urinary and circulatory levels of plasticizer metabolites and their associations with renal function: a cross-sectional analysis of the NHANES cohort.

Yuxiang Liu, Linhao Zhang, Chujie Sun, Huifang Wang, Yaxiong Guo, Ruiqin Xue, Yating Xing

Abstract read
In one paragraph

Article 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 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

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Yuxiang LiuDepartment of Nephrology, Shanxi Provincial People's Hospital (The Fifth Clinical Medical College of Shanxi Medical University), Taiyuan, China.ORCID 0000-0002-4552-9878
Linhao ZhangFirst Clinical College, Shanxi University of Chinese Medicine, Jinzhong, Shanxi, China.
Chujie SunDepartment of Basic Medicine, Fenyang College of Shanxi Medical University, Fenyang, China.
Huifang WangThe First Clinical Medical School, Shanxi Medical University, Taiyuan, China.
Yaxiong GuoThe First Clinical Medical School, Shanxi Medical University, Taiyuan, China.
Ruiqin XueFifth Clinical College, Shanxi Medical University, Taiyuan, China.
Yating XingTexas State University, San Marcos, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlasticizers used in consumer products raise concerns for nephrotoxicity; while DEHP is well characterized, evidence for DEHTP and DiNP-particularly their metabolites-remains limited. We examined associations of five urinary metabolites-MEHHP/MECPP (DEHP), MEHHTP/MECPTP (DEHTP), and MONP (DiNP)-with renal endpoints in a nationally representative adult sample.

methodsWe analyzed 2,229 adults from NHANES 2015-2018 using multivariable linear and restricted cubic spline models for eGFR, and evaluated combined-exposure effects with WQS and BKMR; analyses were repeated with UACR as a secondary outcome.

resultsHigher MECPP and MEHHP were associated with lower eGFR, whereas positive associations for MECPTP and MEHHTP may reflect early glomerular hyperfiltration rather than benefit. As a secondary endpoint, UACR indicated early injury: MECPP increased UACR (

conclusionUrinary plasticizer metabolites are linked to altered renal endpoints. Heterogeneous exposure-response patterns support complementary outcomes and mixture methods; longitudinal and mechanistic studies are needed to clarify causality and inform risk management for emerging plasticizers.

Indexed as

KidneyPlasticizersAdultAgedCross-Sectional StudiesDiethylhexyl PhthalateEnvironmental ExposureFemaleGlomerular Filtration RateHumansMaleMiddle AgedNutrition SurveysPhthalic AcidsUnited StatesDiethylhexyl PhthalatePhthalic AcidsPlasticizersBayesian kernel machine regressionchronic kidney disease(CKD)phthalatesplasticizersrenal function

Identifiers

PMID41047663
PMCPMC12502113

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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.