2014
DOI: 10.1089/end.2013.0477
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Malic Acid Supplementation Increases Urinary Citrate Excretion and Urinary pH: Implications for the Potential Treatment of Calcium Oxalate Stone Disease

Abstract: We speculate that consumption of malic acid induced systemic alkalinization leading to reduced renal tubular reabsorption and metabolism of citrate, and an increase in excretion of the latter. The decrease in SS(CaOx) was caused by enhanced complexation of Ca(+2) by citrate. We conclude that malic acid supplementation may be useful for conservative treatment of calcium renal stone disease by virtue of its capacity to induce these effects.

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Cited by 14 publications
(6 citation statements)
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“…For instance, acetic and benzoic acids have exhibited antimicrobial activity [ 72 , 73 ], and citric and succinic acids may be ingredients in the cosmetic safety industry [ 74 , 75 ]. In addition, malic, ascorbic, succinic, citric, and folic acids might be useful for various treatments: malic acid for kidney stones [ 76 ], ascorbic acid for providing antioxidant protection against tumor cells [ 77 ], and folic acid can interact with NO metabolism and improve digestion [ 78 ]. Moreover, some organic acids can be used for the improvement of food taste, and they can extend the expiry dates of various perishable food products.…”
Section: Discussionmentioning
confidence: 99%
“…For instance, acetic and benzoic acids have exhibited antimicrobial activity [ 72 , 73 ], and citric and succinic acids may be ingredients in the cosmetic safety industry [ 74 , 75 ]. In addition, malic, ascorbic, succinic, citric, and folic acids might be useful for various treatments: malic acid for kidney stones [ 76 ], ascorbic acid for providing antioxidant protection against tumor cells [ 77 ], and folic acid can interact with NO metabolism and improve digestion [ 78 ]. Moreover, some organic acids can be used for the improvement of food taste, and they can extend the expiry dates of various perishable food products.…”
Section: Discussionmentioning
confidence: 99%
“…The topical sialogogue spray containing 1 % malic acid was found to treat xerostomia and increase salivary flow rates in an elderly population [6,7]. The MA supplementation could be a promising treatment for the calcium oxalate stone disease due to its capacity to increase urinary citrate excretion and urinary pH [8]. MA has protective effects on myocardial ischemia/reperfusion injury due to its anti-inflammatory, anti-platelet aggregation, and direct cardiomyocyte protective effects [9].…”
Section: Introductionmentioning
confidence: 99%
“…The organic acid content in the studied bleaching gels ranged between 19.3294 mg/g for GEL 29 (based on quince natural juices) and 39.8629 mg/g for GEL 28 (based on pineapple and quince natural juices). After examining the results presented in Table 2, we can assume that the malic acid has a decisive role in the bleaching process, with its concentration varying between 14,146 mg/g for GEL 29 and 33.39 mg/g for the GEL 28 [30,31,32,33].…”
Section: Resultsmentioning
confidence: 99%