Evidence map›Paper›PMID 33148949›Full record

ReviewCurrent opinion in nephrology and hypertension2021

Microbiome modulation as a novel therapeutic approach in chronic kidney disease.

Keiichi Sumida, Wei Ling Lau, Csaba P Kovesdy, Kamyar Kalantar-Zadeh, Kourosh Kalantar-Zadeh

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in nephrology and hypertension, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
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

34 citing papers in PubMed, 44 citations in OpenAlex.

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  10. Heat-KilledJournal of microbiology and biotechnology · 2026
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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

5 authors at 4 institutions in 2 countries.

Keiichi SumidaDivision of Nephrology, Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
Wei Ling LauDivision of Nephrology and Hypertension, Department of Medicine, University of California Irvine, Orange, California.
Csaba P KovesdyDivision of Nephrology, Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
Kamyar Kalantar-ZadehDivision of Nephrology and Hypertension, Department of Medicine, University of California Irvine, Orange, California.
Kourosh Kalantar-ZadehSchool of Chemical Engineering, University of New South Wales, Kensington, New South Wales, Australia.
UNSW Sydney · AUMemphis VA Medical Center · USUniversity of California, Irvine · USUniversity of Tennessee Health Science Center · US

Funding

Circulating microbiome and premature mortality in hemodialysis patientsR01DK125586 · NIDDK · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI SUMIDA, KEIICHI · 2020 to 2024
$2.8M
MALNUTRITION, DIET AND RACIAL DISPARITIES IN CKDK24DK091419 · NIDDK · UNIVERSITY OF CALIFORNIA-IRVINE · PI KALANTAR-ZADEH, KAMYAR · 2011 to 2020
$1.8M
Gut-Derived Toxins and Brain Microbleeds in Chronic Kidney DiseaseR01NS113337 · NINDS · UNIVERSITY OF CALIFORNIA-IRVINE · PI LAU, WEI LING · 2020 to 2024
$1.7M
NIDDK NIH HHS K24 DK091419NIDDK NIH HHS R01 DK125586NINDS NIH HHS R01 NS113337
6 · The paper itself

Abstract

purpose of reviewGut dysbiosis has been implicated in the pathogenesis of chronic kidney disease (CKD). Interventions aimed at restoring gut microbiota have emerged as a potential therapeutic option in CKD. This review summarizes the current evidence on gut microbiota-targeted strategies in patients with CKD. RECENT

findingsA growing number of studies have shown that plant-based diets, low-protein diets, prebiotic, probiotic, and synbiotic supplementation, and constipation treatment may lead to favorable alterations in the gut microbiota. Current evidence suggests that the implementation of both plant-based and low-protein diets has potential benefits for the primary prevention of CKD, and for slowing CKD progression, with minimal risk of hyperkalemia and/or cachexia. The use of prebiotics, probiotics, and synbiotics and laxatives may have beneficial effects on uremic toxin generation, but their evidence is limited for the prevention and treatment of CKD. Recent advances in diagnostic technologies (e.g., high-throughput sequencing and nanotechnology) could enhance rapid diagnosis, monitoring, and design of effective therapeutic strategies for mitigating gut dysbiosis in CKD. SUMMARY: Plant-based and low-protein diets, prebiotic, probiotic, and synbiotic supplementation, and constipation treatment represent novel gut microbiota-targeted strategies in the conservative management of CKD, which could improve clinical outcomes in CKD.

Indexed as

ConstipationDysbiosisGastrointestinal MicrobiomeIntestinal DiseasesRenal Insufficiency, ChronicDiet, Protein-RestrictedDiet, VegetarianDisease ProgressionHumansLaxativesNanotechnologyPrebioticsProbioticsSynbioticsUremiaLaxativesPrebiotics

Identifiers

PMID33148949
PMCPMC13005244
OpenAlexW3095805057

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.