Evidence mapPaperPMID 40647217Full record

SynthesisNutrients2025

Non-Pharmacological Interventions Aimed at Changing the Gut Microbiota for Preventing the Progression of Diabetic Kidney Disease.

Małgorzata Szczuko, Anna Grudniewska, Anna Durma, Robert Małecki, Izabela Filipczyńska, Edward Franek, Karolina Kędzierska-Kapuza

Abstract readSystematic Review
In one paragraph

Synthesis in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Małgorzata SzczukoDepartment of Bromatology and Nutritional Diagnostics, Pomeranian Medical University in Szczecin, 71-460 Szczecin, Poland.ORCID 0000-0001-9808-0624
Anna GrudniewskaLux Med Medical Centre in Warsaw, 49 Komitetu Obrony Robotników Street, 02-146 Warsaw, Poland.
Anna DurmaDepartment of Diabetology and Internal Medicine, Medical University in Warsaw, Żwirki I Wigury 61 Street, 02-091 Warsaw, Poland.ORCID 0000-0001-5021-446X
Robert MałeckiDepartment of Nephrology, Miedzyleski Specialist Hospital in Warsaw, Bursztynowa 2, Street, 04-749 Warsaw, Poland.ORCID 0000-0003-3127-6395
Izabela FilipczyńskaDepartment of Reproduction and Gynecological Endocrinology, Medical University of Bialystok, 15-276 Bialystok, Poland.
Edward FranekDepartment of Internal Medicine, Endocrinology and Diabetology, National Medical Institute of the Ministry of Interior and Administration in Warsaw, 137 Wołoska Street, 02-507 Warsaw, Poland.
Karolina Kędzierska-KapuzaDepartment of Internal Medicine, Endocrinology and Diabetology, National Medical Institute of the Ministry of Interior and Administration in Warsaw, 137 Wołoska Street, 02-507 Warsaw, Poland.ORCID 0000-0001-5853-2147

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic kidney disease (DKD) affects 20-50% of individuals with diabetes. The aim of this review was to identify interventions that positively influence the gut microbiota in DKD.

methodsIdentification of relevant studies was conducted via a systematic search of databases and registers using the PRISMA guidelines. This review examined the relevant literature published up to 5 January 2025, using a systematic search in PubMed and Scopus. The search was conducted with combinations of keywords including DKD and therapy, supplementation and gut microbiota, and supplementation or probiotics or fecal microbiota transplant. The initial search fielded 132 results from PubMed and 72 from Scopus, which was narrowed to 135 relevant studies. The exclusion criteria included non-English language studies, letters to the editor, and conference abstracts. Eligible studies were independently assessed by a minimum of three authors, with discrepancies resolved through consensus.

resultsGut microbiota-targeted interventions, including probiotics, synbiotics, and dietary modifications, show promise in modulating the gut microbiota, but evidence specific to DKD remains limited. Some natural food components such as polyphenols and anthocyanins modulate the composition of the gut microbiota translocation of uremic toxins, which slows down the progression of diabetic kidney disease. In animal models, fecal microbiota transplantation (FMT) has shown positive effects in regulating dysbiosis and beneficial effects in chronic kidney disease, but studies involving humans with DKD are insufficient.

conclusions

Indexed as

Diabetic NephropathiesGastrointestinal MicrobiomeProbioticsAnimalsDietary SupplementsDisease ProgressionDysbiosisFecal Microbiota TransplantationHumansSynbioticscurcumindietary modificationsDKDdysbiosisgut–kidney axisgut microbiotanephroprotectionnon-pharmacological interventionsresistant starch

Identifiers

PMID40647217
PMCPMC12251244

What Socratic holds

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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.