Metabolism, Protein Binding, and Renal Clearance of Microbiota–Derived p-Cresol in Patients with CKD
Author(s) -
Ruben Poesen,
Pieter Evenepoel,
Henriëtte de Loor,
Dirk Kuypers,
Patrick Augustijns,
Björn Meijers
Publication year - 2016
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.00160116
Subject(s) - cresyl violet , glucuronide , medicine , sulfate , endocrinology , urine , metabolite , confidence interval , chemistry , pathology , staining , organic chemistry
Colonic microbial metabolism substantially contributes to uremic retention solutes in CKD. p-Cresyl sulfate is the main representative of this group of solutes, relating to adverse outcomes. Other than sulfate conjugation, p-cresol is subjected to endogenous glucuronide conjugation. Whether the balance between sulfate and glucuronide conjugation is relevant in CKD is unexplored.
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