Evidence mapPaperPMID 42378270Full record

ArticlePloS one2026

Impact of kidney function on the metabolome in the general population.

Johan Ljunggren, Mario Delgado-Velandia, Johan Sundström, Gunnar Engström, J Gustav Smith, Johan Ärnlöv, Koen F Dekkers, Sölve Elmståhl, Lars Lind, Maria K Svensson

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Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Johan LjunggrenDepartment of Medical Sciences, Uppsala University Hospital, Uppsala, Sweden.ORCID https://orcid.org/0009-0008-4708-3583
Mario Delgado-VelandiaDepartment of Medical Sciences, Uppsala University Hospital, Uppsala, Sweden.
Johan SundströmDepartment of Medical Sciences, Uppsala University Hospital, Uppsala, Sweden.ORCID https://orcid.org/0000-0003-2247-8454
Gunnar EngströmDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
J Gustav SmithDepartment of Cardiology, Clinical Sciences, Lund University and Skåne University hospital, Lund, Sweden.
Johan ÄrnlövDivision of Family Medicine and Primary Care, Department of Neurobiology, Care Science and Society, Karolinska Institutet, Huddinge, Sweden.ORCID https://orcid.org/0000-0002-6933-4637
Koen F DekkersDepartment of Medical Sciences, Uppsala University Hospital, Uppsala, Sweden.
Sölve ElmståhlDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Lars LindDepartment of Medical Sciences, Uppsala University Hospital, Uppsala, Sweden.
Maria K SvenssonDepartment of Medical Sciences, Uppsala University Hospital, Uppsala, Sweden.ORCID https://orcid.org/0000-0001-7545-5585

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA reduction in kidney function cause metabolites that normally are cleared by the kidney to accumulate. These accumulated metabolites could potentially link kidney function to an increased risk of cardiovascular disease.

aimTo assess the relationships between creatinine-based estimated glomerular filtration rate (eGFR) and the metabolome (791 endogenous metabolites) in the general population, as well as the cortisol to cortisone ratio. PATIENTS AND

methodsThree population-based cohorts, Epihealth, PIVUS and POEM (total n = 3,444), were used with a discovery/validation approach. Metabolomics was measured by mass spectroscopy. eGFR was calculated using the 2021 CKD-EPI creatinine-based equation. Multivariable linear regression was used to assess the correlations between each metabolite concentration and eGFR, adjusting for sex, % fat mass, cardiovascular risk factors and medications. The metabolites significant in the linear regression were analyzed using MultiVariable Mendelian Randomization (MVMR), adjusting for diabetes and BMI.

resultsNighty-six metabolites were significantly associated to eGFR and had the same direction of association in both linear regression and MVMR. The vast majority of these associations were negative. Apart from creatinine, N-acetylalanine, N,N-dimethyl-pro-pro, N,N,N-trimethyl-alanylproline betaine (TMAP) were the top findings. Pathway enrichment analysis (Metaboloanalyst 6.0) found five significantly enriched pathways, two of which involved amino acid metabolism.

conclusionsIn a general population with only mild to moderately reduced kidney function, several metabolites were associated with kidney function, including the cortisol to cortisone ratio. This finding is of interest since several of these metabolites might link reduced kidney function to an increased risk of cardiovascular disease.

Indexed as

KidneyMetabolomeAdultCardiovascular DiseasesCortisoneCreatinineFemaleGlomerular Filtration RateHumansHydrocortisoneMaleMetabolomicsMiddle AgedCortisoneCreatinineHydrocortisone

Identifiers

PMID42378270
PMCPMC13318015

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