Evidence mapPaperPMID 33530404Full record

ReviewToxins2021

Intestinal Chelators, Sorbants, and Gut-Derived Uremic Toxins.

Solène M Laville, Ziad A Massy, Said Kamel, Jean Marc Chillon, Gabriel Choukroun, Sophie Liabeuf

Open access · goldAbstract readReview
In one paragraph

Review in Toxins, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. A guide to uraemic toxicity.Nature reviews. Nephrology · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Chronic kidney disease and neurological disorders: are uraemic toxins the missing piece of the puzzle?Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021
    Review
  11. Article
  12. Review
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

6 authors at 2 institutions in 1 country.

Solène M LavilleCentre for Research in Epidemiology and Population Health (CESP), INSERM UMRS 1018, Université Paris-Saclay, F-94807 Villejuif, France.ORCID 0000-0002-0214-5567
Ziad A MassyCentre for Research in Epidemiology and Population Health (CESP), INSERM UMRS 1018, Université Paris-Saclay, F-94807 Villejuif, France.
Said KamelMP3CV Laboratory, EA7517, Jules Verne University of Picardie, F-80000 Amiens, France.
Jean Marc ChillonMP3CV Laboratory, EA7517, Jules Verne University of Picardie, F-80000 Amiens, France.ORCID 0000-0003-1610-9935
Gabriel ChoukrounMP3CV Laboratory, EA7517, Jules Verne University of Picardie, F-80000 Amiens, France.
Sophie LiabeufMP3CV Laboratory, EA7517, Jules Verne University of Picardie, F-80000 Amiens, France.ORCID 0000-0001-5384-9006
Centre Hospitalier Universitaire Amiens-Picardie · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic kidney disease (CKD) is a highly prevalent condition and is associated with a high comorbidity burden, polymedication, and a high mortality rate. A number of conventional and nonconventional risk factors for comorbidities and mortality in CKD have been identified. Among the nonconventional risk factors, uremic toxins are valuable therapeutic targets. The fact that some uremic toxins are gut-derived suggests that intestinal chelators might have a therapeutic effect. The phosphate binders used to prevent hyperphosphatemia in hemodialysis patients act by complexing inorganic phosphate in the gastrointestinal tract but might conceivably have a nonspecific action on gut-derived uremic toxins. Since phosphorous is a major nutrient for the survival and reproduction of bacteria, changes in its intestinal concentration may impact the gut microbiota's activity and composition. Furthermore, AST-120 is an orally administered activated charcoal adsorbent that is widely used in Asian countries to specifically decrease uremic toxin levels. In this narrative review, we examine the latest data on the use of oral nonspecific and specific intestinal chelators to reduce levels of gut-derived uremic toxins.

Indexed as

Gastrointestinal MicrobiomeAdsorptionAnimalsBacteriaCarbonCharcoalChelating AgentsHumansIntestinesOxidesPhosphorusRenal Insufficiency, ChronicToxins, BiologicalTreatment OutcomeAST 120CarbonCharcoalChelating AgentsOxidesPhosphorusToxins, Biologicalchronic kidney diseasephosphate bindersuremic toxins

Identifiers

PMID33530404
PMCPMC7911578
OpenAlexW3122183871

What Socratic holds

Textmetadata
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 Socratic graph.