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Moderate Renal Impairment and Toxic Metabolites Produced by the Intestinal Microbiome: Dietary Implications  Michael Pignanelli, BMSc, Chrysi Bogiatzi,

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Presentation on theme: "Moderate Renal Impairment and Toxic Metabolites Produced by the Intestinal Microbiome: Dietary Implications  Michael Pignanelli, BMSc, Chrysi Bogiatzi,"— Presentation transcript:

1 Moderate Renal Impairment and Toxic Metabolites Produced by the Intestinal Microbiome: Dietary Implications  Michael Pignanelli, BMSc, Chrysi Bogiatzi, MD, Gregory Gloor, PhD, Emma Allen-Vercoe, PhD, Gregor Reid, PhD, Bradley L. Urquhart, PhD, Kelsey N. Ruetz, BMSc, Thomas J. Velenosi, PhD, J. David Spence, MD  Journal of Renal Nutrition  Volume 29, Issue 1, Pages (January 2019) DOI: /j.jrn Copyright © 2018 National Kidney Foundation, Inc. Terms and Conditions

2 Figure 1 Plasma levels of GDUT by quartile of eGFR. Boxplots show plasma levels of GDUT in μmol/L by quartile of eGFR (calculated using the CKD-EPI equations). eGFR quartiles: Q1, <66 mL/min per 1.73 m2; Q2, 66-78; Q3, 79-90; Q4, ≥ 91). (A) TMAO; (B) P-cresyl sulfate; (C) hippuric acid; (D) indoxyl sulfate; (E) P-cresyl glucuronide; (F) phenylacetyl glutamine; (G) phenyl sulfate. Plasma levels of all the metabolites were significantly higher in lower quartiles of eGFR; P values were computed for differences in median values by the Kruskal-Wallis test because the distribution of plasma levels was not normally distributed. CKD, chronic kidney disease; GDUT, gut-derived uremic toxins; TMAO, trimethylamine n-oxide. Journal of Renal Nutrition  , 55-64DOI: ( /j.jrn ) Copyright © 2018 National Kidney Foundation, Inc. Terms and Conditions


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