Gut microbiota; an overlooked effect of phosphate binders.

Abstract:

:Hyperphosphatemia is a mineral bone-disease that increases cardiovascular complications and all-cause mortality in chronic kidney disease (CKD) patients. Oral phosphate binders absorb the dietary phosphate to prevent its high plasma levels. Moreover, they can adsorb some uremic toxins and decrease inflammation. A few recent studies highlight an ignored effect of phosphate binders on gut microbiota. Phosphorous is a major nutrient for survival and reproduction of bacteria and its intestinal concentration may impact the activity and composition of the gut microbiota. CKD is a state of an altered gut microbiome and bacterial-derived uremic toxins stimulate cardiovascular disease and systemic inflammation. The identification of the impact of phosphate binders on gut opens a new era in nephrology and fill the existing gap in interpretation of beneficial effects of phosphate binders. This review aims to highlight the impact of oral phosphate binders on the gut microbiome in CKD.

journal_name

Eur J Pharmacol

authors

Rahbar Saadat Y,Niknafs B,Hosseiniyan Khatibi SM,Ardalan M,Majdi H,Bahmanpoor Z,Abediazar S,Zununi Vahed S

doi

10.1016/j.ejphar.2019.172892

subject

Has Abstract

pub_date

2020-02-05 00:00:00

pages

172892

eissn

0014-2999

issn

1879-0712

pii

S0014-2999(19)30844-1

journal_volume

868

pub_type

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