Evidence map›Paper›PMID 41525345›Full record

ArticleJornal brasileiro de nefrologia2026

The role of probiotics in modulating the gut microbiota as a potential inhibitor of diabetic kidney disease progression.

Vitoria Cecilia Souza Costa, Monique Moreira Pinheiro, Giulia Triolo Cabreira, Isabella Bacci Bustelli, Julia Ferreira Santos, Sara Ventura, Luciana Soares Costa Santos, Maria de Fatima Fernandes Vattimo, Eloiza de Oliveira Silva

Abstract read
In one paragraph

Article in Jornal brasileiro de nefrologia, 2026. 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

9 authors.

Vitoria Cecilia Souza CostaFaculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento Enfermagem e Fisiologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0001-0170-8380
Monique Moreira PinheiroFaculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento Enfermagem e Fisiologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0001-8128-234X
Giulia Triolo CabreiraFaculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento Enfermagem e Fisiologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0007-0763-7978
Isabella Bacci BustelliFaculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento Enfermagem e Fisiologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-9654-1367
Julia Ferreira SantosFaculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento Enfermagem e Fisiologia, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0003-8940-1539
Sara VenturaUniversidade de São Paulo, Faculdade de Medicina, Instituto do Coração, Laboratório de Biologia Vascular, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-3851-7246
Luciana Soares Costa SantosUniversidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-5708-1460
Maria de Fatima Fernandes VattimoUniversidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-7036-5676
Eloiza de Oliveira SilvaUniversidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-5143-6865

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGut dysbiosis is commonly observed in patients with diabetic kidney disease (DKD) and may contribute to its pathogenesis. Among microbial metabolites, butyrate plays a key role in regulating antioxidant proteins in type 2 diabetes mellitus (T2DM). Based on this, we hypothesized that the administering probiotics to diabetic rats modulates redox status and thereby attenuates renal disease progression.

methodsAn in vivo study was performed using 15 male Wistar rats (8 weeks old, 250-300 g) randomized into three groups (n = 5/group): Control (vehicles: 0.9% saline and 0.1 M citrate, pH 4.2, i.p., on day 1), T2DM (nicotinamide 100 mg/kg, i.p., followed by streptozotocin 60 mg/kg, i.p., in 0.1 M citrate buffer, pH 4.2), and T2DM + Prob (T2DM protocol plus a multistrain probiotic-Bifidobacterium longum, Bifidobacterium bifidum, and Lactobacillus rhamnosus-1010 CFU/mL by gavage for 6 weeks). The parameters evaluated were: serum creatinine, inulin clearance, microalbuminuria, urinary and lipid peroxides, glutathione, and nuclear factor erythroid 2-related factor 2 (Nrf2).

resultsProbiotic treatment significantly increased Nrf2 expression and glutathione levels, reduced urinary and lipid peroxidation, and-beyond attenuating oxidative stress-improved renal function, with lower serum creatinine and microalbuminuria and higher inulin clearance.

conclusionThese findings indicate that probiotics prevented DKD progression, likely by modulating oxidative stress via the gut microbiota. These results suggest that probiotics may serve as renoprotective agents, potentially reducing DKD morbidity in T2DM.

Indexed as

Diabetic NephropathiesGastrointestinal MicrobiomeProbioticsAnimalsDiabetes Mellitus, ExperimentalDisease ProgressionMaleRandom AllocationRatsRats, Wistar

Identifiers

PMID41525345
PMCPMC12797498

What Socratic holds

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Registered trials

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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.