Evidence map›Paper›PMID 42298530›Full record

ArticleBMC urology2026

Genetically predicted urinary sodium excretion and urolithiasis risk: a two-sample mendelian randomization study.

Dakun Huang, Haixin Li, Shudong Yang

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

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5 · Who and what money

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3 authors.

Dakun HuangThe fourth Clinical Medical College of Guangzhou University of Chinese Medicine, No.1, Fuhua Road, Futian District, Shenzhen, Guangdong, 518033, China.
Haixin LiShenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, Guangdong Province, China.
Shudong YangThe fourth Clinical Medical College of Guangzhou University of Chinese Medicine, No.1, Fuhua Road, Futian District, Shenzhen, Guangdong, 518033, China. y.s.d@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh sodium intake has been linked to kidney stone formation in many observational studies, but these findings may be influenced by dietary habits and fluid intake. Whether urinary sodium itself plays a causal role in urolithiasis remains unclear.

methodsWe performed a two-sample Mendelian randomization analysis to examine the association between urinary sodium excretion and urolithiasis risk. Genetic instruments for urinary sodium were obtained from large genome-wide association studies based on the UK Biobank and EBI databases (N > 300,000). Summary statistics for urolithiasis were derived from the FinnGen R12 dataset. The primary analysis was conducted using the inverse variance weighted method, with additional sensitivity analyses including MR-Egger, weighted median, and MR-PRESSO.

resultsHigher genetically predicted urinary sodium excretion was associated with an increased risk of urolithiasis (IVW OR = 2.49, 95% CI: 1.45-4.29, P= 0.00099). Similar results were observed in an independent replication dataset (OR = 2.66, 95% CI: 1.39-5.07, P= 0.0029). There was no evidence of horizontal pleiotropy (MR-Egger intercept P= 0.523), and heterogeneity was low. MR-PRESSO did not detect any significant outliers.

conclusionsOur findings provide supportive genetic evidence suggesting that higher urinary sodium excretion may contribute to an increased risk of urolithiasis. These results align with current recommendations for dietary sodium restriction in stone prevention.

Indexed as

Mendelian Randomization AnalysisSodiumUrolithiasisGenome-Wide Association StudyHumansPolymorphism, Single NucleotideSodiumCausal inferenceHypercalciuriaMendelian randomizationSingle nucleotide polymorphismUrinary sodiumUrolithiasis

Identifiers

PMID42298530
PMCPMC13504765

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