“…In this study, we used an in vitro method with a reliable aggregation index previously established ( Chaiyarit and Thongboonkerd, 2017 ) to investigate CaOx crystal aggregation. Our finding is consistent with previous studies reporting the promoting effects of diosmin ( Khamchun et al, 2021 ), quercetin ( Chaiyarit et al, 2024 ), heat shock protein 90 ( Yoodee et al, 2022 ), and desialylated uromodulin ( Viswanathan et al, 2011 ). The promoting activity of these molecules on CaOx crystal aggregation has been thought to occur via the bridge-like activity of the molecules that can bind to the surfaces of adjacent CaOx crystals, thereby forming the crystal clusters, clumps or aggregates ( Fig.…”