Evidence map›Paper›PMID 42152227›Full record

ReviewPhysiological reports2026

The kidney and the balance of sulfur and nitrogen as fundamental components of pH homeostasis.

Vincenzo Graziano, Antonio Angeloni, Paolo Mené, Andrea Bellelli

Abstract readReview
In one paragraph

Review in Physiological reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Vincenzo GrazianoDepartment of Molecular and Clinical Medicine, Sapienza University of Rome and UOC Nefrologia e Dialisi, Sant'andrea Hospital, Rome, Italy.
Antonio AngeloniDepartment of Wellbeing, Health and Environmental Sustainability, Sapienza University of Rome and UOC Patologia Clinica, Policlinico Umberto I, Rome, Italy.
Paolo MenéDepartment of Molecular and Clinical Medicine, Sapienza University of Rome and UOC Nefrologia e Dialisi, Sant'andrea Hospital, Rome, Italy.
Andrea BellelliDepartment of Biochemical Sciences "A. Rossi Fanelli", Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0003-0431-6048

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The homeostasis of blood and tissue pH is fundamental for life, and pH imbalances may lead to coma and death. The regulation of the acid-base balance involves primarily the lungs and kidneys, and is strictly integrated via the endocrine and nervous systems. Crucial theoretical concepts have been developed to describe these functions, for example the Base Excess (BE) for the interpretation of the blood gas analysis or the Net Acid Excretion (NAE) for the interpretation of the kidney contribution to acid-base homeostasis. However, these concepts, coming from different research fields, have been insufficiently integrated. The present review collects information about the reciprocal correlation between respiratory and urinary parameters under physiological and common pathological conditions. A case in point will be made for metabolic acidoses, a heterogeneous group of disturbances whose interpretation would greatly benefit from the integration of information provided by the blood gas analysis with that provided by urinalysis, including the measurement of net acid excretion and urinary ammonium.

Indexed as

Acid-Base EquilibriumHomeostasisKidneyNitrogenSulfurAcid-Base ImbalanceAnimalsHumansHydrogen-Ion ConcentrationNitrogenSulfuracid–base balanceacidosisalkalosisammoniagenesisnet acid excretion

Identifiers

PMID42152227
PMCPMC13183773

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Registered trials

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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.