2023
DOI: 10.1038/s41585-023-00768-5
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Vitamins as regulators of calcium-containing kidney stones — new perspectives on the role of the gut microbiome

Abstract: Calcium-based kidney stone disease is a highly prevalent and morbid condition, with an often complicated and multifactorial aetiology. An abundance of research on the role of specific vitamins (B 6 , C and D) in stone formation exists, but no consensus has been reached on how these vitamins influence stone disease. As a consequence of emerging research on the role of the gut microbiota in urolithiasis, previous notions on the contribution of these vitamins to urolithiasis are being recon… Show more

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Cited by 14 publications
(12 citation statements)
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“…Parathyroid hormone (PTH)-induced bone loss is also microbiota-dependent, with germ-free mice and antibiotic-treated mice protected from the effects of the hormone 38 . Bone health depends on gut barrier integrity as well, and bacteria within the Clostridium, Enterococcus, and Streptococcus genera have been implicated in the metabolism of vitamin A, which is known to improve barrier function 18 . Finally, proinflammatory bacteria such as Streptococcus species are postulated to contribute to joint pain by the secretion of immunologic factors that pass from the gut into the circulation 39 .…”
Section: The Gut-bone Axis: a Brief Overviewmentioning
confidence: 99%
See 1 more Smart Citation
“…Parathyroid hormone (PTH)-induced bone loss is also microbiota-dependent, with germ-free mice and antibiotic-treated mice protected from the effects of the hormone 38 . Bone health depends on gut barrier integrity as well, and bacteria within the Clostridium, Enterococcus, and Streptococcus genera have been implicated in the metabolism of vitamin A, which is known to improve barrier function 18 . Finally, proinflammatory bacteria such as Streptococcus species are postulated to contribute to joint pain by the secretion of immunologic factors that pass from the gut into the circulation 39 .…”
Section: The Gut-bone Axis: a Brief Overviewmentioning
confidence: 99%
“…Additionally, the microbiota is a key mediator of bone metabolism in fracture healing, osteoporosis, inflammatory bowel disease, and rheumatoid arthritis. The gut microbiota communicates with distant sites of bone metabolism through immune mediators, regulation of hormones, extracellular vesicles, short-chain fatty acids (SCFAs), vitamins, and aromatic amino acids, among other mechanisms [15][16][17][18][19] .…”
mentioning
confidence: 99%
“…Similarly, vitamin D deficiency, a nearly common feature in CKD, was also shown to impact gut microbiota diversity, causing intestinal barrier dysfunction [ 78 ]. Additionally, a deficiency in vitamin D may lead to elevated levels of parathyroid hormone, which can stimulate bone resorption and cause hypercalcemia and hypercalciuria, potentially increasing the risk of hyperoxaluria [ 79 ].…”
Section: The Interplay Between Oxalate and Ckd: A Vicious Cycle Of Sh...mentioning
confidence: 99%
“…The role of the gut microbiota in nephrolithiasis and the contribution of vitamins, including vitamin K, to urolithiasis are being reconsidered [15]. Vitamers of vitamin K work throughout the body to reduce soft-tissue calcification by activating carboxyglutamate (Gla) proteins, osteocalcin, and Matrix Gla protein (MGP).…”
Section: Introductionmentioning
confidence: 99%