Evidence map›Paper›PMID 39591250›Full record

ReviewToxins2024

Gut Dysbiosis and Its Role in the Anemia of Chronic Kidney Disease.

Elisabet Coll, Secundino Cigarran, Jose Portolés, Aleix Cases

Abstract readReview
In one paragraph

Review in Toxins, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Review
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  4. Gut-kidney axis: Dysbiosis and renal disease.World journal of nephrology · 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

4 authors.

Elisabet CollServei de Nefrologia, Fundacio Puigvert, 08025 Barcelona, Spain.
Secundino CigarranServicio de Nefrología, Hospital Ribera-Polusa, 27004 Lugo, Spain.ORCID 0000-0001-9043-992X
Jose PortolésAnemia Working Group of the Spanish Society of Nephrology, 39008 Santander, Spain.ORCID 0000-0002-2114-1385
Aleix CasesAnemia Working Group of the Spanish Society of Nephrology, 39008 Santander, Spain.ORCID 0000-0002-6962-8184

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The gut dysbiosis present in chronic kidney disease (CKD) has been associated with anemia. Factors such as the accumulation of gut-derived uremic toxins, increased gut barrier permeability-induced inflammation, and a reduced intestinal production of short-chain fatty acids (SCFAs), all associated with changes in the intestinal microbiota composition in CKD, may lead to the development or worsening of anemia in renal patients. Understanding and addressing these mechanisms related to gut dysbiosis in CKD patients can help to delay the development of anemia and improve its control in this population. One approach is to avoid or reduce the use of drugs linked to gut dysbiosis in CKD, such as phosphate binders, oral iron supplementation, antibiotics, and others, unless they are indispensable. Another approach involves introducing dietary changes that promote a healthier microbiota and/or using prebiotics, probiotics, or symbiotics to improve gut dysbiosis in this setting. These measures can increase the presence of SCFA-producing saccharolytic bacteria and reduce proteolytic bacteria, thereby lowering the production of gut-derived uremic toxins and inflammation. By ameliorating CKD-related gut dysbiosis, these strategies can also improve the control of renal anemia and enhance the response to erythropoiesis-stimulating agents (ESAs) in ESA-resistant patients. In this review, we have explored the relationship between gut dysbiosis in CKD and renal anemia and propose feasible solutions, both those already known and potential future treatments.

Indexed as

AnemiaDysbiosisGastrointestinal MicrobiomeRenal Insufficiency, ChronicAnimalsHumansPrebioticsProbioticsPrebioticsanemiachronic kidney diseaseESA resistancegut dysbiosisinflammationuremic toxins

Identifiers

PMID39591250
PMCPMC11598790

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.