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Cited by 373

The DOI matches its Crossref record; 164 of the 164 references it cites were found in a registry or an index.

Uremic Toxins in the Progression of Chronic Kidney Disease and Cardiovascular Disease: Mechanisms and Therapeutic Targets

Open access
Lim, Yong Jin, Sidor, Nicole A., Tonial, Nicholas C., Che, Adrian, Urquhart, Bradley L.·2021·Toxins

Abstract

Chronic kidney disease (CKD) is a progressive loss of renal function. The gradual decline in kidney function leads to an accumulation of toxins normally cleared by the kidneys, resulting in uremia. Uremic toxins are classified into three categories: free water-soluble low-molecular-weight solutes, protein-bound solutes, and middle molecules. CKD patients have increased risk of developing cardiovascular disease (CVD), due to an assortment of CKD-specific risk factors. The accumulation of uremic toxins in the circulation and in tissues is associated with the progression of CKD and its co-morbidities, including CVD. Although numerous uremic toxins have been identified to date and many of them are believed to play a role in the progression of CKD and CVD, very few toxins have been extensively studied. The pathophysiological mechanisms of uremic toxins must be investigated further for a better understanding of their roles in disease progression and to develop therapeutic interventions against uremic toxicity. This review discusses the renal and cardiovascular toxicity of uremic toxins indoxyl sulfate, p-cresyl sulfate, hippuric acid, TMAO, ADMA, TNF-α, and IL-6. A focus is also placed on potential therapeutic targets against uremic toxicity.

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Metadata

Authors
Lim, Y. J., Sidor, N. A., Tonial, N. C., Che, A., & Urquhart, B. L.
Venue
Toxins
Publisher
MDPI AG
Published
2021-02-13
Volume
13
Issue
2
Pages
142
ISSN
2072-6651 (ISSN-L)
OpenAlex
W3129707221
Cited by
373
References
164
FWCI
29.49
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Uremic Toxins in the Progression of Chronic Kidney Disease and Cardiovascular Disease: Mechanisms and Therapeutic Targets. https://app.cochat.ai/papers/10.3390/toxins13020142
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Lim, Y. J., Sidor, N. A., Tonial, N. C., Che, A., & Urquhart, B. L. (2021). Uremic Toxins in the Progression of Chronic Kidney Disease and Cardiovascular Disease: Mechanisms and Therapeutic Targets. Toxins. https://doi.org/10.3390/toxins13020142

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