Evidence map›Paper›PMID 41591153›Full record

Trial reportToxins2025

Probiotic Supplementation in Chronic Kidney Disease: Outcomes on Uremic Toxins, Inflammation, and Vascular Calcification from Experimental and Clinical Models.

Teresa Obrero, María Victoria Pendón-Ruiz de Mier, Jose E Gordillo-Arnaud, María José Jiménez Moral, Victoria Vidal, Fátima Guerrero, Andrés Carmona, María Encarnación Rodríguez-Ortiz, Ana Isabel Torralbo, Raquel Ojeda and 13 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Toxins, 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

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

2 citing papers in PubMed.

  1. Trial
  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

23 authors.

Teresa ObreroResearch Group: "Calcium Metabolism. Vascular Calcification", Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.
María Victoria Pendón-Ruiz de MierNephrology Service, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.
Jose E Gordillo-ArnaudRadiodiagnostics Service, Reina Sofia University Hospital, 14004 Cordoba, Spain.
María José Jiménez MoralRedes de Investigación Cooperativa Orientadas a Resultados en Salud (RICORS), Carlos III Health Institute, 28029 Madrid, Spain.
Victoria VidalResearch Group: "Nephrology. Cellular Damage in Chronic Inflammation", Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.
Fátima GuerreroRedes de Investigación Cooperativa Orientadas a Resultados en Salud (RICORS), Carlos III Health Institute, 28029 Madrid, Spain.ORCID 0000-0003-1306-0574
Andrés CarmonaNephrology Service, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.
María Encarnación Rodríguez-OrtizResearch Group: "Calcium Metabolism. Vascular Calcification", Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.ORCID 0000-0002-3696-582X
Ana Isabel TorralboResearch Group: "Calcium Metabolism. Vascular Calcification", Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.
Raquel OjedaNephrology Service, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.ORCID 0009-0004-0983-9459
Cayetana MoyanoNephrology Service, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.
Mercedes Sanchez-RamadeNephrology Service, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.
Juan MesaRadiodiagnostics Service, Reina Sofia University Hospital, 14004 Cordoba, Spain.
Daniel J López-RuizRadiodiagnostics Service, Reina Sofia University Hospital, 14004 Cordoba, Spain.
Karen Valdés-DíazResearch Group: "Calcium Metabolism. Vascular Calcification", Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.
Raquel María García-SáezResearch Group: "Calcium Metabolism. Vascular Calcification", Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.ORCID 0009-0001-8502-3564
Daniel Jurado-MontoyaResearch Group: "Calcium Metabolism. Vascular Calcification", Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.
Cristian Rodelo-HaadNephrology Service, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.ORCID 0000-0002-8139-3840
María Álvarez-BenitoRadiodiagnostics Service, Reina Sofia University Hospital, 14004 Cordoba, Spain.ORCID 0000-0002-0273-3393
Griet GlorieuxDepartment of Internal Medicine and Pediatrics, Nephrology Division, Ghent University Hospital, 9000 Ghent, Belgium.ORCID 0000-0002-7641-4707
Mariano RodríguezResearch Group: "Calcium Metabolism. Vascular Calcification", Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.ORCID 0000-0002-9380-6614
Sagrario Soriano-CabreraNephrology Service, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.
Juan Rafael Muñoz-CastañedaResearch Group: "Calcium Metabolism. Vascular Calcification", Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba (Spain), 14004 Cordoba, Spain.ORCID 0000-0002-9341-0724

Funding

Instituto de Salud Carlos III (ISCIII) PI20/00781
6 · The paper itself

Abstract

Chronic kidney disease (CKD) is associated with gut microbiota alterations that contribute to increased inflammation and the generation of uremic toxins and may worsen the disease progression. While probiotics may improve the pro-inflammatory cytokine profile, their effects on mineral metabolism, vascular calcification (VC), and CKD progression remain unclear. We aimed to evaluate the impact of a commercial probiotic (Probimel) supplementation on kidney function, mineral metabolism, inflammation and VC in both an experimental rat model and patients with advanced CKD and VC. The experimental model of VC was performed through 5/6 nephrectomy (Nx), a high-phosphate diet, and calcitriol. Animals were divided into three groups: Sham, Nephrectomy, and Nephrectomy + Probiotic. In the exploratory clinical study, 23 patients with advanced stage 5 CKD and VC were randomized and either received or did not receive daily probiotics for 6 months. Kidney function, mineral metabolism, uremic toxins, inflammation, VC, and fecal microbiota were evaluated. Probiotic supplementation decreased interleukin-6 (IL-6) and interpheron-γ (IFN-γ) and levels of the uremic toxin, indoxyl sulfate (IS), in the experimental model. However, no clear evidence of improvement in kidney function or vascular calcification was observed in either rats or patients with this probiotic. Under our experimental and clinical conditions, the selected probiotic did not modify key parameters related to CKD progression or VC.

Indexed as

InflammationProbioticsRenal Insufficiency, ChronicUremic ToxinsVascular CalcificationAgedAnimalsDietary SupplementsDisease Models, AnimalFemaleGastrointestinal MicrobiomeHumansKidneyMaleMiddle AgedRatsUremic Toxinschronic kidney diseaseinflammationmicrobiotaprobioticsuremic toxinsvascular calcification

Identifiers

PMID41591153
PMCPMC12846724

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.