Evidence map›Paper›PMID 33668632›Full record

ReviewToxins2021

Uremic Toxins in the Progression of Chronic Kidney Disease and Cardiovascular Disease: Mechanisms and Therapeutic Targets.

Yong Jin Lim, Nicole A Sidor, Nicholas C Tonial, Adrian Che, Bradley L Urquhart

3 registry-linked trialsOpen 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. It is linked to 3 registered trials, which are not on this map. Cited by 222 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
222citing papers in PubMed, 6 pooled it
29.8field-weighted citation impact, top 1% 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.

NCT05105009 phase1completednot on this map

Furosemide and Creatinine Tubular Stress Test in Order to Measure Proximal Tubule Residual Function: is It Better Than GFR?

TypeinterventionalSponsorInstituto Nacional de Cardiologia Ignacio ChavezRan2020 to 2024Enrolled50ConditionsChronic Kidney FailureArmsFurosemide Injection, Creatinine Powder, Iohexol
NCT07182422 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Impact of Kremezin on Renal Recovery and Uremic Toxin Levels in Patients With Acute Kidney Disease

TypeinterventionalSponsorChang Gung Memorial HospitalRan2025 to 2027Enrolled100ConditionsAcute Kidney Disease, Acute Kidney Injury (AKI)ArmsAST-120 (Kremezin®)
NCT07694791 narecruitingnot on this mapstarted 2025, after this paper: background citation

Impact of Synbiotic Supplementation in Peritoneal Dialysis Patients

TypeinterventionalSponsorHospital Universitario Dr. Jose E. GonzalezRan2025 to 2027Enrolled60ConditionsChronic Kidney Disease (Stages 4 and 5), Peritoneal Dialysis (PD)ArmsSynbiotic, Placebo
3 · Its place in the literature

Who cites it

222 citing papers in PubMed, 6 syntheses or guidelines pooled it, 324 citations in OpenAlex.

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  13. A Bibliometric Analysis of Publications in Uremic Toxins From 1991 to 2024.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2026
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162 more citing papers are in PubMed but not listed here.

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 1 institution in 1 country.

Yong Jin LimDepartment of Physiology and Pharmacology, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, ON N6A 3K7, Canada.
Nicole A SidorDepartment of Physiology and Pharmacology, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, ON N6A 3K7, Canada.
Nicholas C TonialDepartment of Physiology and Pharmacology, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, ON N6A 3K7, Canada.ORCID 0000-0002-4398-245X
Adrian CheDepartment of Physiology and Pharmacology, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, ON N6A 3K7, Canada.
Bradley L UrquhartDepartment of Physiology and Pharmacology, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, ON N6A 3K7, Canada.ORCID 0000-0001-8324-1472
Western University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic kidney disease (CKD) is a progressive loss of renal function. The gradual decline in kidney function leads to an accumulation of toxins normally cleared by the kidneys, resulting in uremia. Uremic toxins are classified into three categories: free water-soluble low-molecular-weight solutes, protein-bound solutes, and middle molecules. CKD patients have increased risk of developing cardiovascular disease (CVD), due to an assortment of CKD-specific risk factors. The accumulation of uremic toxins in the circulation and in tissues is associated with the progression of CKD and its co-morbidities, including CVD. Although numerous uremic toxins have been identified to date and many of them are believed to play a role in the progression of CKD and CVD, very few toxins have been extensively studied. The pathophysiological mechanisms of uremic toxins must be investigated further for a better understanding of their roles in disease progression and to develop therapeutic interventions against uremic toxicity. This review discusses the renal and cardiovascular toxicity of uremic toxins indoxyl sulfate, p-cresyl sulfate, hippuric acid, TMAO, ADMA, TNF-α, and IL-6. A focus is also placed on potential therapeutic targets against uremic toxicity.

Indexed as

AnimalsBiomarkersCardiovascular DiseasesDietary SupplementsDiet, Protein-RestrictedDisease ProgressionHumansInflammation MediatorsProtein BindingRenal DialysisRenal Insufficiency, ChronicToxins, BiologicalBiomarkersInflammation MediatorsToxins, Biologicaluremia middle molecule toxinsasymmetric dimethylargininecardiovascular diseasechronic kidney diseasehippuric acidindoxyl sulfateinterleukin 6p-cresyl sulfatetrimethylamine N-oxidetumor necrosis factor al-phauremic toxins

Identifiers

PMID33668632
PMCPMC7917723
OpenAlexW3129707221

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.