Evidence mapPaperPMID 40307477Full record

ReviewPediatric nephrology (Berlin, Germany)2026

Gut microbiota-targeted therapies in pediatric chronic kidney disease: gaps and opportunities.

Arpana Iyengar, Balamurugan Ramadass, Shruthi Venkatesh, Robert H Mak

Abstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric nephrology (Berlin, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Effects ofNutrients · 2026
    Trial
  2. Review
  3. Review
  4. 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

4 authors.

Arpana IyengarDepartment of Pediatric Nephrology, St. John's National Academy of Health Sciences, Bangalore, India, 560034. arpanaiyengar@gmail.com.ORCID http://orcid.org/0000-0001-7008-0788
Balamurugan RamadassDepartment of Biochemistry, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India.
Shruthi VenkateshDepartment of Pediatric Nephrology, St. John's National Academy of Health Sciences, Bangalore, India, 560034.
Robert H MakDivision of Pediatric Nephrology, University of California, San Diego, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Given the complex relationship between the gut microbiome and chronic kidney disease (CKD), exploring the potential role and scope of microbiota-targeted therapies in pediatric CKD is highly relevant. We aim to provide an overview of gut-targeted therapeutic strategies, including nutritional interventions (fiber, phytochemicals, fermented foods, and traditional Chinese medicines), probiotics, synbiotics, oral absorbents, and fecal microbial transplantation. Enhancing physical activity and preventing constipation are additional strategies that may promote gut microbiome health. In a uremic environment, gut microbiota-targeted therapies could potentially rebalance the gut microbiota, improve gut barrier function, decrease uremic toxin concentrations, enhance the production of short-chain fatty acids (SCFA), and reduce inflammation. While research in adult CKD patients has provided insights into these approaches, there are limited data in children with CKD. This review aims to summarize potential targeted therapies for restoring a balanced gut microbiota, emphasizing the need for studies that evaluate their effects on clinical outcomes in pediatric CKD.

Indexed as

DysbiosisGastrointestinal MicrobiomeRenal Insufficiency, ChronicChildDietary FiberFecal Microbiota TransplantationHumansMedicine, Chinese TraditionalProbioticsSynbioticsDietary FiberDietary interventionsGut microbiome-targeted therapiesNutrition supplementsPediatric chronic kidney disease

Identifiers

What Socratic holds

Textmetadata
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.