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Vittori M, Bove P, Signoretti M, Cipriani C, Gasparoli C, Antonucci M, Carilli M, Maiorino F, Iacovelli V, Petta F, Travaglia S, Panei M, Russo P, Bertolo R. Oral supplementation with probiotics, potassium citrate, and magnesium in reducing crystalluria in stone formers: A phase II study. Urologia 2024:3915603241272146. [PMID: 39206631 DOI: 10.1177/03915603241272146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2024]
Abstract
INTRODUCTION Crystalluria is an important indicator of renal stone recurrence. Mechanisms underlying urinary stone formation are still not fully understood and raising interests has been giving to intestinal commensal bacteria for their contribute in maintaining urinary solutes equilibrium. The aim of our phase II study was to examine the administration of potassium citrate, magnesium and probiotics in order to reduce crystalluria. MATERIALS AND METHODS Since May 2021, we enrolled 23 patients candidates for ureterorenolithotripsy for calcium oxalate kidney stones with crystalluria and a normal metabolic profile. The analysis was validated by the Institution's Ethical Committee (no. approval STS CE Lazio 1/N-823). At discharge, patients were provided with daily food supplementation for 20 days of 1 billion Lactobacillus paracasei LPC09, 1 billion Lactobacillus plantarum LP01, 1 billion Bifidobacterium breve BR03, potassium (520 mg), citrate (1400 mg), and magnesium (80 mg). Crystalluria was re-assessed at 1, 3, 6, and 12-months follow-up by polarized light microscopy. RESULTS After one month from the oral supplementation, no patient reported crystalluria; at 3 months, among the 20 participants available for re-evaluation, still no patient reported crystalluria. Instead, crystalluria was reported in three patients (15%) at 6 months, and in five patients (25%) at 12 months follow-up. CONCLUSIONS The oral supplementation with Lactobacillus spp. and Bifidobacterium spp. was found able to reduce the prevalence of crystalluria in a cohort of patients with diagnosis of calcium oxalate kidney stones with crystalluria candidate to ureterorenolithotripsy.
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Affiliation(s)
- Matteo Vittori
- Department of Urology, San Carlo di Nancy Hospital, GVM Care and Research, Rome, Italy
| | - Pierluigi Bove
- Department of Urology, San Carlo di Nancy Hospital, GVM Care and Research, Rome, Italy
- Department of Urology, Tor Vergata University of Rome, Rome, Italy
| | - Marta Signoretti
- Department of Urology, San Carlo di Nancy Hospital, GVM Care and Research, Rome, Italy
| | - Chiara Cipriani
- Department of Urology, San Carlo di Nancy Hospital, GVM Care and Research, Rome, Italy
| | - Cristiano Gasparoli
- Department of Urology, San Carlo di Nancy Hospital, GVM Care and Research, Rome, Italy
| | - Michele Antonucci
- Department of Urology, San Carlo di Nancy Hospital, GVM Care and Research, Rome, Italy
| | - Marco Carilli
- Department of Urology, San Carlo di Nancy Hospital, GVM Care and Research, Rome, Italy
| | - Francesco Maiorino
- Department of Urology, San Carlo di Nancy Hospital, GVM Care and Research, Rome, Italy
| | - Valerio Iacovelli
- Department of Urology, San Carlo di Nancy Hospital, GVM Care and Research, Rome, Italy
| | - Filomena Petta
- Department of Urology, San Carlo di Nancy Hospital, GVM Care and Research, Rome, Italy
| | - Stefano Travaglia
- Department of Urology, San Carlo di Nancy Hospital, GVM Care and Research, Rome, Italy
| | - Massimo Panei
- Department of Urology, San Carlo di Nancy Hospital, GVM Care and Research, Rome, Italy
| | - Pierluigi Russo
- Department of Urology, Catholic University of the Sacred Heart, Agostino Gemelli Hospital, Rome, Italy
| | - Riccardo Bertolo
- Department of Urology, San Carlo di Nancy Hospital, GVM Care and Research, Rome, Italy
- Department of Urology, University of Verona, Verona, Italy
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Li Y, Di X, Liu M, Wei J, Li T, Liao B. Association between daily sitting time and kidney stones based on the National Health and Nutrition Examination Survey (NHANES) 2007-2016: a cross-sectional study. Int J Surg 2024; 110:4624-4632. [PMID: 38768465 PMCID: PMC11325893 DOI: 10.1097/js9.0000000000001560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2023] [Accepted: 04/23/2024] [Indexed: 05/22/2024]
Abstract
BACKGROUND Kidney stones are among the most common urological conditions affecting ~9% of the world population. Although some unhealthy diets and unhealthy lifestyles are reportedly risk factors for kidney stone, the association between daily sitting time and kidney stone has not been explored. MATERIALS AND METHODS This large-scale, cross-sectional study was conducted using data from the National Health and Nutrition Examination Survey (NHANES) database 2007-2016. Kidney stone history and daily sitting time were retrieved from the questionnaire and 24 hour (h) recall interviews. Logistic regression and subgroup analysis were conducted to investigate the association. The analysis was further stratified by vigorous recreational activity. RESULTS A total of 19 188 participants aged ≥20 years with complete information were included in this study. The overall prevalence of kidney stone was 9.6%. Among participants without vigorous recreational activity, a trend towards an increasing prevalence of kidney stone was observed with increased daily sitting time. However, the trend was not observed in individuals who participated in vigorous recreational activity, as they experienced a decreased risk of kidney stone despite having a daily sitting time of 6-8 h (crude model OR=0.659, 95% CI: 0.457-0.950, P =0.028), indicating that vigorous recreational activity may partially attenuate the detrimental effect of prolonged sitting time. CONCLUSION Our study revealed an increasing trend of prevalence of kidney stone with increased daily sitting time among the population not performing vigorous recreational activity despite the difference was nonsignificant. Vigorous recreational activity may modify the association between daily sitting time and kidney stone. More prospective cohort studies are warranted to further examine this association.
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Affiliation(s)
- Ya Li
- Department of Urology and Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China
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Jung HD, Cho S, Lee JY. Update on the Effect of the Urinary Microbiome on Urolithiasis. Diagnostics (Basel) 2023; 13:diagnostics13050951. [PMID: 36900094 PMCID: PMC10001284 DOI: 10.3390/diagnostics13050951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 02/03/2023] [Accepted: 02/28/2023] [Indexed: 03/06/2023] Open
Abstract
Microbiota are ecological communities of commensal, symbiotic, and pathogenic microorganisms. The microbiome could be involved in kidney stone formation through hyperoxaluria and calcium oxalate supersaturation, biofilm formation and aggregation, and urothelial injury. Bacteria bind to calcium oxalate crystals, which causes pyelonephritis and leads to changes in nephrons to form Randall's plaque. The urinary tract microbiome, but not the gut microbiome, can be distinguished between cohorts with urinary stone disease (USD) and those without a history of the disease. In the urine microbiome, the role is known of urease-producing bacteria (Proteus mirabilis, Klebsiella pneumoniae, Staphylococcus aureus, Pseudomonas aeruginosa, Providencia stuartii, Serratia marcescens, and Morganella morganii) in stone formation. Calcium oxalate crystals were generated in the presence of two uropathogenic bacteria (Escherichia coli and K. pneumoniae). Non-uropathogenic bacteria (S. aureus and Streptococcus pneumoniae) exhibit calcium oxalate lithogenic effects. The taxa Lactobacilli and Enterobacteriaceae best distinguished the healthy cohort from the USD cohort, respectively. Standardization is needed in urine microbiome research for urolithiasis. Inadequate standardization and design of urinary microbiome research on urolithiasis have hampered the generalizability of results and diminished their impact on clinical practice.
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Affiliation(s)
- Hae Do Jung
- Department of Urology, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang 10380, Republic of Korea
| | - Seok Cho
- Department of Urology, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang 10380, Republic of Korea
| | - Joo Yong Lee
- Department of Urology, Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
- Center of Evidence Based Medicine, Institute of Convergence Science, Yonsei University, Seoul 03722, Republic of Korea
- Correspondence: ; Tel.: +82-2-2228-2320; Fax: +82-2-312-2538
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Vittori M, Signoretti M, Cipriani C, Antonucci M, Ferraro PM, Bove P. Food supplementation based on potassium citrate, magnesium and probiotics reduces crystalluria in patients undergoing endourological surgery for stone disease: report from a pilot study. Urolithiasis 2022; 50:651-652. [PMID: 35913551 DOI: 10.1007/s00240-022-01348-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 07/23/2022] [Indexed: 11/25/2022]
Affiliation(s)
- Matteo Vittori
- Department of Urology, "San Carlo di Nancy" Hospital - GVM Care & Research, Via Aurelia 275, 00165, Rome, Italy.
| | - Marta Signoretti
- Department of Urology, "San Carlo di Nancy" Hospital - GVM Care & Research, Via Aurelia 275, 00165, Rome, Italy.,Department of Life, Health and Environmental Sciences, Urology Unit, University of L'Aquila, Coppito, AQ, Italy
| | - Chiara Cipriani
- Department of Urology, "San Carlo di Nancy" Hospital - GVM Care & Research, Via Aurelia 275, 00165, Rome, Italy
| | - Michele Antonucci
- Department of Urology, "San Carlo di Nancy" Hospital - GVM Care & Research, Via Aurelia 275, 00165, Rome, Italy
| | - Pietro Manuel Ferraro
- Dipartimento di Scienze Mediche e Chirurgiche, U.O.S. Terapia Conservativa della Malattia Renale Cronica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italia.,Dipartimento Universitario di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italia
| | - Pierluigi Bove
- Department of Urology, "San Carlo di Nancy" Hospital - GVM Care & Research, Via Aurelia 275, 00165, Rome, Italy.,Urology Unit, Department of Surgery, Tor Vergata University of Rome, Rome, Italy
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