Oxalate Content Research Articles

Star fruit (Averrhoa carambola L.): Exploring the wonders of Indian folklore and the miracles of traditional healing

Herbal medicines have been used for centuries to treat various ailments and have now gained global importance for their therapeutic and economic implications. One such plant is Averrhoa carambola commonly known as star fruit, a tropical plant belonging to the Oxalidaceae family. With a rich history of traditional medicinal uses in India and Southeast Asia, it has been employed to treat various ailments, including urinary infections, hypertension, diabetes, and gastrointestinal issues. The fruit is popular for its sweet and sour taste and finds culinary use in salads, beverages, and garnishing. The therapeutic potential of A. carambola is attributed to its abundance of natural antioxidants and phenolic compounds such as gallic acid in gallotannin form, catechins, and epicatechins. These bioactive constituents contribute to its medicinal properties and health benefits. However, scientific investigations have revealed potential health risks associated with A. carambola consumption. High oxalic acid content in the fruit poses a risk of toxicity, particularly for individuals with renal impairments who consume excessive fruit juices. Additionally, the presence of caramboxin, a neurotoxin, can interfere with the GABAergic system, leading to neurotoxic effects. This review offers a comprehensive and well-organized examination of the current progress regarding the benefits, phytochemistry, pharmacology, and toxicity of A. carambola. The insights presented in this review have the potential to drive advancements and novel treatments involving star fruit in modern times. As interest in herbal medicines continues to rise, further research on A. carambola holds promise for exploring new therapeutic applications in the realm of natural remedies.

Fully Bio-Based 2,5-Furandicarboxylic Acid Polyester toward Plastics with Mechanically Robust, Excellent Gas Barrier and Fast Degradation.

Aliphatic-aromatic copolyesters offer a promising solution to mitigate plastic pollution, but high content of aliphatic units (>40 %) often suffer from diminished comprehensive performances. Poly(butylene oxalate-co-furandicarboxylate) (PBOF) copolyesters were synthesized by precisely controlling the oxalic acid content from 10 % to 60 %. Compared with commercial PBAT, the barrier properties of PBOF for H2O and O2 increased by more than 6 and 26 times, respectively. The introduction of the oxalic acid units allowed the water contact angle to be reduced from 82.5° to 62.9°. Superior hydrophilicity gave PBOF an excellent degradation performance within a 35-day hydrolysis. Interestingly, PBO20F and PBO30F also displayed obvious decrease of molecular weight during hydrolysis, with elastic modulus >1 GPa and tensile strength between 35-54 MPa. PBOF achieved the highest hydrolysis rates among the reported PBF-based copolyesters. The hydrolytic mechanism was further explored based on Fukui function analysis and density functional theory (DFT) calculation. Noncovalent analysis indicated that the water molecules formed hydrogen bonding interaction with adjacent ester groups and thus improved the reactivity of carbonyl carbon. PBOF not only meet the requirements of the high-performance packaging market but can quickly degrade after the end of their usage cycles, providing a new choice for green and environmental protection.

Cell death‑related molecules and targets in the progression of urolithiasis (Review).

Urolithiasis is a high‑incidence disease caused by calcium oxalate (mainly), uric acid, calcium phosphate, struvite, apatite, cystine and other stones. The development of kidney stones is closely related to renal tubule cell damage and crystal adhesion and aggregation. Cell death, comprising the core steps of cell damage, can be classified into various types (i.e., apoptosis, ferroptosis, necroptosis and pyroptosis). Different crystal types, concentrations, morphologies and sizes cause tubular cell damage via the regulation of different forms of cell death. Oxidative stress caused by high oxalate or crystal concentrations is considered to be a precursor to a variety of types of cell death. In addition, complex crosstalk exists among numerous signaling pathways and their key molecules in various types of cell death. Urolithiasis is considered a metabolic disorder, and tricarboxylic acid cycle‑related molecules, such as citrate and succinate, are closely related to cell death and the inhibition of stone development. However, a literature review of the associations between kidney stone development, metabolism and various types of cell death is currently lacking, at least to the best of our knowledge. Thus, the present review summarizes the major advances in the understanding of regulated cell death and urolithiasis progression.

Influence of trona (sodium sesquicarbonate) concentrations and storage period on the physicochemical properties, antinutrients, micronutrients and sensory qualities of dried okra (Abelmoschus esculentus L.) powder

The potential of trona (sodium sesquicarbonate) as a natural preservative in dried-okra powder was examined in this study. Fresh okra was dried at 55 °C and then ground to powder. It was mixed with ground trona at 2%, 4%, 6% and 10% concentrations and then stored at ambient temperature for six weeks. The functional, nutritional, antinutritional, physicochemical and sensory properties of the okra powder samples were examined every two weeks. Drying resulted in significant (p < 0.05) loss of moisture (94%), pH, flavonoids (34%), tannin (4.63%), phytate (32.70%), oxalate (24.49%), β-carotene (43%) and ascorbic acid (53%) content of the okra. Color loss occurred in trona-treated samples and during storage but it was better retained at low trona concentration. Moisture (5.28–6.03%), viscosity (96.30–124.55 mpa.s) and pH (5.64–8.30) of the okra powder increased with increasing trona concentration and then decreased during storage. Trona mostly decreased the packed bulk density (0.84–0.72 g/mL), water absorption (686.28–423.22%), oil absorption capacity (188.07–124.54%) and water solubility index (12.12–10.27%) of the okra but they were mostly stable during storage. Trona decreased the flavonoids, tannin, calcium, potassium and phosphorus of the okra powder while the phytate, oxalate and sodium mostly increased. Antinutrients and minerals showed slight reduction during the storage period. Most of the trona-treated okra samples showed lower β-carotene and ascorbic acid content which were better retained during storage than in the control. All the soups prepared from fresh and stored okra powders were acceptable to the panelists. However, freshly-dried okra with 2–4% trona and okra stored with 4–6% trona for six weeks are recommended for preparing nutritious soups with high acceptability.

24-Hour Urinary Chemistries and Kidney Stone Risk

Rationale & ObjectiveMost previous studies of the relationship between urinary factors and kidney stone risk have either assumed a linear effect of urinary parameters on kidney stone risk or implemented arbitrary thresholds suggesting biologically implausible “all-or-nothing” effects. In addition, little is known about the hierarchy of effects of urinary factors on kidney stone risk. This study evaluated the independent associations between urine chemistries and kidney stone formation and examined their magnitude and shape. Study DesignProspective cohort study. Setting & ParticipantsWe analyzed 9,045 24-hour urine collections from 6,217 participants of the Health Professionals Follow-Up Study and Nurses’ Health Studies I and II. ExposuresUrine volume and pH, and concentrations of calcium, citrate, oxalate, potassium, magnesium, uric acid, phosphorus, and sodium. OutcomeIncident symptomatic kidney stones. Analytical ApproachMultivariable logistic regression analysis incorporating restricted cubic splines to explore potentially non-linear relationships between urinary factors and the risk of forming a kidney stone. Optimal inflection point analysis was implemented for each factor and dominance analysis was performed to establish the relative importance of each urinary factor. ResultsEach urinary factor was significantly associated with stone formation except for urine pH. Higher urinary levels of calcium, oxalate, phosphorus, and sodium were associated with a higher risk of stone formation, whereas higher urine volume, uric acid, citrate, potassium, and magnesium were associated with a lower risk. The relationships were substantially linear for urine calcium, uric acid, and sodium. In contrast, the magnitudes of the relationships were modestly attenuated at levels above the inflection points for urine oxalate, citrate, volume, phosphorus, potassium, and magnesium. Dominance analysis identified three categories of factors' relative importance: higher (calcium, volume and citrate), intermediate (oxalate, potassium and magnesium) and lower (uric acid, phosphorus and sodium). LimitationsPredominantly white participants, lack of information on stone composition. ConclusionsUrine chemistries have complex relationships and differential relative associations with the risk of kidney stone formation.

Efficient Quantification of Soluble and Insoluble Oxalates in Clay Mineral Mixtures

ABSTRACT Quantification of oxalate salts in soil clay minerals is necessary to study oxalate biogeochemistry, but existing analytical techniques are expensive and time-consuming. We aim to develop an efficient attenuated total reflectance mid-infrared (MIR) spectroscopic technique to quantify oxalate salts in a clay mineral matrix. We calibrated MIR models for analysis of oxalate anion concentrations in standard solutions (0–0.01 M) by using a partial least-squares regression algorithm. MIR models were also developed for analysis of sodium oxalate (NaOx) and calcium oxalate (CaOx) content in clay mineral mixtures with composition like soils of a semi-arid region and with contrasting concentrations (0–1.0 g g−1 for both oxalate salts) to test sensitivity of analyses. Validation plots (true vs predicted values) showed excellent model fit (R2 ≥ 0.96) and accuracy (normalized root mean squared error of prediction ≤ 0.06) for CaOx, NaOx and oxalic acid components. Once predictive models are stored in analytical software, MIR spectroscopic analyses of samples are much more efficient than chemical techniques. Our MIR spectral-based models are suitable for direct quantification of oxalate salts in clay mineral mixtures for samples like those used for model calibration.

The impact of crystal phase transition on the hardness and structure of kidney stones

Calcium oxalate kidney stones, the most prevalent type of kidney stones, undergo a multi-step process of crystal nucleation, growth, aggregation, and secondary transition. The secondary transition has been rather overlooked, and thus, the effects on the disease and the underlying mechanism remain unclear. Here, we show, by periodic micro-CT images of human kidney stones in an ex vivo incubation experiment, that the growth of porous aggregates of calcium oxalate dihydrate (COD) crystals triggers the hardening of the kidney stones that causes difficulty in lithotripsy of kidney stone disease in the secondary transition. This hardening was caused by the internal nucleation and growth of precise calcium oxalate monohydrate (COM) crystals from isolated urine in which the calcium oxalate concentrations decreased by the growth of COD in closed grain boundaries of COD aggregate kidney stones. Reducing the calcium oxalate concentrations in urine is regarded as a typical approach for avoiding the recurrence. However, our results revealed that the decrease of the concentrations in closed microenvironments conversely promotes the transition of the COD aggregates into hard COM aggregates. We anticipate that the suppression of the secondary transition has the potential to manage the deterioration of kidney stone disease.

Extraction of oxalic acid from porang tuber by mechanical separation method

Porang tuber is a source of food that has many benefits. It also has the disadvantage of increasing the risk of health problems because of its high oxalate content. One of the methods for capturing oxalic acid from porang tuber flour is the Mechanical Separation method. Porang flour was added to ethanol-water solvent with a ratio of the solvent mixture-porang flour and an ethanol-water composition according to the variable. The mixing of porang flour and the solvent mixture were heated and added with HCl. The filtrate obtained was taken and diluted. The diluted filtrate was taken and titrated using KMnO4. This study aims to examine the effect of material size (between 60 - 80 mesh, between 80 - 100 mesh, and &gt;100 mesh), the composition of the solvent mixture (60:40 v/v, 78:22 v/v, 96:4 v/ v), and the ratio of solvent with porang tuber flour (10:1, 15:1, 20:1) to oxalic acid yield in porang tuber flour. The results showed that the optimum conditions obtained from this RSM method are flour size of 100 mesh, composition of ethanol: water = 96:4, and the ratio of solvent to flour 20:1. Oxalic acid yield obtained in this variable is 30.2469%.

441 Oxalate Content and AI Chatbot: Navigating Dietary Management for Hyperoxaluria and Kidney Stones

441 Oxalate Content and AI Chatbot: Navigating Dietary Management for Hyperoxaluria and Kidney Stones

Lumasiran treatment in pediatric patients with PH1: real-world data within a compassionate use program in Italy.

Primary hyperoxaluria (PH) is a rare, severe genetic disorder, characterized by increased urinary excretion of calcium oxalate, which is responsible for kidney damage and systemic clinical manifestations. Since the year 2020, a new molecule, lumasiran, based on RNA interference (RNAi) technology, has been added to the traditional therapeutic approach. The aim of this analysis was to define the baseline characteristics of a PH1 pediatric population treated with lumasiran in a compassionate-use program setting, and to evaluate the medium-term efficacy of this drug in the routine clinical setting. A retrospective observational analysis was conducted in nine pediatric patients (male:female 5:4; median age at lumasiran start 1.9 years, range 0-14.1). Data concerning oxalate concentration in plasma and urine, kidney stones events, ultrasound and kidney function were collected during the study period (follow-up, mean±standard deviation: 15.3±5 months). In this analysis, a reduction in the urinary oxalate to creatinine ratio (reduction range within the sixth month of treatment from 25.8% to 69.6%, median 51.2%) as well as plasma oxalate concentration under the limit of supersaturation of oxalate in all the patients. Only one patient presented new stone events; kidney ultrasonographic findings related to nephrocalcinosis remained stable in eight out of nine patients. Glomerular filtration rate remained stable during treatment. No adverse events related to lumasiran were noted. Data from this analysis support the efficacy and safety of lumasiran in a pediatric clinical setting, especially if administrated in early life.

Metabolic diversity analysis and genome wide assessment of oxalate accumulation in the leaves of rice (Oryza sativa) cultivars.

Soluble oxalate accumulates in rice leaves, and it causes mineral deficiency and urinary syndrome in livestock that consume the leaves. In our previous study, we found that the oxalate content was higher in the leaves of Koshihikari (japonica type cultivar) than in those of Takanari (indica type cultivar). This difference was seen even when the two cultivars were grown under a high CO2 concentration, which inhibits oxalate synthesis via photorespiration, suggesting that the difference resulted from genetic factors rather than environmental factors. To clarify whether genetic factors affect the oxalate content of rice leaves, we measured the contents of oxalate and oxalate-related organic acids in the leaves of various rice cultivars the Rice Core Collection (WRC) and Japan Rice Core Collection (JRC) by capillary electrophoresis-mass spectrometry. Results showed that japonica type cultivars tended to accumulate more oxalate than aus or indica type cultivars. Correlation analysis revealed a positive correlation between oxalate accumulation and the citrate content, suggesting that the isocitrate pathway is involved in oxalate accumulation. On the other hand, a genome-wide association study for the oxalate content of the WRC and JRC cultivars did not reveal significant loci directly related to oxalate accumulation. This indicates that the combination of various loci may affect the oxalate contents of rice leaves.

Nutritional Composition and Antinutritional Factors of Five Wild Edible Fruits Grown in the Mekdela District, South of Wollo, Ethiopia.

This study was carried out to determine the mineral content and nutritional properties of five wild fruits Rhus vulgaris, Rosa abyssinica, Rhus natalensis, Euclea racemosa, and Ficus sur. The proximate composition parameters (moisture, ash, crude fiber, crude fat, and crude protein) and antinutritional factors were evaluated using methods of the Association of Official Analytical Chemists and elemental analysis using the atomic absorption spectroscopy technique. Among the five wild edible fruit species, Rhus vulgaris had the highest carbohydrate content (83.3 ± 0.28 g/100 g) and a high total energy (344.5 ± 2.21 kcal/100 g). Euclea racemosa was found to have the maximum ash content (12.8 ± 0.37 g/100 g), protein content (3.22 ± 0.01 g/100 g), and moisture (16.24 ± 0.003 g/100 g), respectively. Rhus natalensis showed the highest fiber content (9.54 ± 0.003 g/100 g). Mineral analysis showed that local wild fruits contained a considerable amount of minerals. The calcium concentration ranged from 99.51 mg/100 g in Euclea racemosa to 160.12 mg/100 g in Ficus sur. Potassium concentration varied from 54.34 mg/100 g in Euclea racemosa to 234 mg/100 g in Rhus vulgaris. Iron ranges from 21.4 mg/100 g in Rosa abyssinica to 41 mg/100 g in Rhus natalensis, and zinc ranges from 2.3 mg/100 g in Rhus vulgaris to 4.2 mg/100 g in Ficus sur. A high saponin content (2.12 mg/100 g) and a low tannin content (0.23 mg/100 g) were obtained in Rosa abyssinica. The phytate content (1.52 mg/100 g) and the oxalate content (0.9 mg/100 g) were high in Rhus natalensis. In conclusion, the present study shows that wild fruits can be used as food supplementation in food in a safe area.

Multiomics Assessment of the Gut Microbiome in Rare Hyperoxaluric Conditions

IntroductionHyperoxaluria is a risk factor for kidney stone formation and chronic kidney disease progression. The microbiome is an important protective factor against oxalate accumulation through its oxalate-degrading enzyme activity. In this cross-sectional study, we leverage multi-omics to characterize the microbial community of participants with primary and enteric hyperoxaluria, as well as idiopathic calcium oxalate kidney stone (CKS) formers, focusing on the relationship between oxalate degrading functions of the microbiome. MethodsPatients diagnosed with Type I Primary Hyperoxaluria (PH), Enteric Hyperoxaluria (EH), and CKS were screened for inclusion in the study. Participants completed a food frequency questionnaire recording their dietary oxalate content while fecal oxalate levels were ascertained. DNA and RNA were extracted from stool samples and sequenced. Metagenomic and metatranscriptomic data were processed through our bioinformatics pipelines, and microbiome diversity, differential abundance, and networks were subject to statistical analysis in relationship with oxalate levels. Results38 subjects were recruited, including 13 healthy participants, 12 patients with recurrent CKS, 8 with PH, and 5 with EH. Urinary and fecal oxalate were significantly higher in the PH and the EH population compared to healthy controls. At the community level, alpha- and beta-diversity indices were similar across all populations. The respective contributions of single bacterial species to the total oxalate degradative potential were similar in healthy and PH subjects. Metatranscriptomic-based network analysis identified the most interactive bacterial network in PH patients. EH patients had a decreased abundance of multiple major oxalate degraders. ConclusionThe composition and inferred activity of oxalate-degrading microbiota were differentially associated with host clinical conditions. Identifying these changes improves our understanding of the relationships between dietary constituents, microbiota, and oxalate homeostasis, and suggests new therapeutic approaches protecting against hyperoxaluria.

Oxalic acid secretion alleviates saline-alkali stress in alfalfa by improving photosynthetic characteristics and antioxidant activity

Saline-alkali stress significantly affects the growth and yield of alfalfa (Medicago sativa L.). Organic acid secretion is crucial in alleviating abiotic stress-induced damage in plants. In this study, we evaluated the contents of the major organic acids secreted by the roots of tolerant (ZD) and sensitive (LYL) varieties of alfalfa under saline-alkali stress and investigated the effects of these organic acids on the growth, and physiological functions of alfalfa. Our results indicated that the oxalic acid (OA) content was the highest among the organic acids secreted from alfalfa roots under saline-alkali stress, and oxalic acid content was the most significantly different between the two varieties, ZD and LYL, compared to the contents of the other organic acids. Oxalic acid alleviated the inhibition of alfalfa growth caused by saline-alkali stress, improved photosynthetic characteristics, reduced the accumulation of reactive oxygen species, and increased the activity of antioxidant enzymes and content of osmoregulatory substances. Furthermore, oxalic acid resulted in significantly increased expression of genes involved in photosynthesis and antioxidant system in alfalfa under saline-alkali stress. This study revealed the effects of oxalic acid secreted by the root system on stress-related physiological processes, providing valuable insights into the functions of root secretions in plant saline-alkali resistance.

Lithium Extraction from Lithium-Bearing Clay Minerals by Calcination-Leaching Method

Lithium is a significant energy metal. This study focuses on the extraction of lithium from lithium-bearing clay minerals utilizing calcination combined with oxalic acid leaching. The relevant important parameters, leaching kinetics analysis, and the lithium extraction mechanism were deeply investigated. The results demonstrate that a high lithium recovery of 91.35% could be achieved under the optimal conditions of calcination temperature of 600 °C, calcination time of 60 min, leaching temperature of 80 °C, leaching time of 180 min, oxalic acid concentration of 1.2 M, and liquid-to-solid ratio of 8:1. According to the shrinkage core model, the leaching kinetics of lithium using oxalic acid followed a chemical reaction-controlled process. XRD, TG, and SEM analysis showed that the kaolinite, boehmite, and diaspore phases in raw ore transformed into corundum, quartz, and muscovite phase in calcination products when the calcination temperature was higher than 600 °C. Moreover, the expansion of the interlayer spacing of minerals during the calcination process could promote the lithium release. During the leaching process, lithium present in the layered silicates was efficiently recovered through ion exchange with the dissociated H+ from oxalic acid. This study could provide a promising guide for lithium extraction from lithium-bearing clay minerals.

Evaluation of the quality and safety of commercial complementary foods: Implications for nutrient adequacy and conformance with national and international standards.

Optimal nutrition in early childhood increases growth and development while preventing morbidity and mortality in later life. This study focused on the quality and safety of 32 commercially produced complementary foods collected from supermarkets in Addis Ababa, Ethiopia. The proximate composition (moisture, protein, fat, crude fibre, and ash); and the mineral profile (calcium, iron, zinc, manganese, and magnesium) were determined using the AOAC method. The determination of antinutritional factors (Condensed tannin and oxalate) was done using a UV spectrophotometer. A rapid visco analyzer was used to measure the rheological property. The microbial load of commercially produced complimentary foods was identified using aerobic colony counts for mold and yeast. Labeling practice was evaluated using the WHO and Ethiopian standard tools. The results of proximate compositions were: protein (0.92-18.16 g/100g), fat (0.63-6.44 g/100g), crude fiber (1.04-13.2 g/100g), energy (410-337 kcal/100g), moisture (0.03-17 g/100g), and ash (0.60-4.67 g/100g). The protein and fat content of all the products is below international standards. Only three products met the standards for energy. Moisture and ash contents partially met the requirement, while all of the carbohydrate contents of the products fell under the specified standard. The lowest and highest mineral contents of the products were: Fe (1.38 to 15.10 mg/100g), Zn (0.64 to 6.78 mg/100g), Ca (30.55 to 364.45 mg/100g), Mg (1.2 to 34.2 mg/100g), and Mn (0.80 to 32 mg/100g). Based on these, 21.5% of the foods met the Fe standard, and 31.5% didn't meet the Zn standard. The Ca and Mg of all the products met the requirement. Except for one product, all met standards. The highest and lowest results for the tannin and oxalate content of the products were 49.20 to 90.09 mg/100g and 0.47 to 30.10 mg/100g, respectively and this shows that the products are below the permissible range for tannin and oxalate. The counts of yeast and mold were 0.00-2.95 log10 cfu/g and 0.00-2.91 log10 cfu/g, respectively. Only one product fell below the standard for yeast count, and none of the products showed a mold count that exceeded the standard. The final viscosity was 63.5-3476 RVU, and only 31.25% of the samples fell under the permissible peak viscosity range, of 83-250 RVU. Thus, regular monitoring of the raw material and processing trends and the inclusion of animal sources in the raw material are suggested for having well-enriched complementary foods. Regulatory bodies should also conduct frequent market surveillance to safeguard the health of the consumer.

Production of vanadyl sulfate electrolyte from stone coal acidic leaching solution using mediation solvent extraction-complex reductive stripping method

In this study, a new method for vanadium extraction and separation from acidic stone coal leaching solution was proposed. With the addition of H2O2 in the solution, the positive vanadium VO2+ ion in the solution was converted into anionic di-peroxo vanadium VO(O2)2- ion. Using methyl tri-octyl ammonium chloride (N263) + n-octanol + sulfonated kerosene as extractant, vanadium was fully separated from Fe (III) and other metal impurities during the extraction process. Under the conditions of 10 % N263, 10 % n-octanol, reaction time 10 min, and O/A ratio 1:1, 99 % of vanadium was extracted into the organic phase. After extraction, an organic phase containing V and Mo was obtained. Due to low solubility of V (V) in acidic solution, oxalic acid was mixed with sulfuric acid solution and employed as complex-stripping solution. It was found that oxalate ion formed a complex with V (V), which could break the solubility barrier of V (V) in acidic solution, realizing the direct stripping of V (V). The effect of oxalic acid amount and temperature on the stripping process were investigated, the results showed that increase in oxalic acid amount and reaction temperature favored vanadium stripping. Under conditions of 25 % H2SO4, oxalic acid concentration of 1 g/L, 80 °C temperature, reaction time 50 min, and O/A ratio of 6:1, 99.7 % of vanadium was stripped into the aqueous solution. The vanadyl sulfate product obtained was compared with standard vanadium electrolyte, and it was found that vanadyl sulfate obtained by this method meets the requirements of vanadium electrolyte relevant standards. This paper proposed a new process for high purity vanadyl sulfate production from acidic stone coal leaching solution, which could provide a reference for Vanadium Redox Flow Batteries (VRFB) industry.

Therapeutic effects of probiotics and herbal medications on oxalate nephrolithiasis: a mini systematic review.

The majority of all kidney stone cases are oxalate urolithiasis with a high risk of recurrence. Beside its widespread occurrence, kidney stones are characterized by severe complications and high treatment costs. Probiotics and herbal medications could be forthcoming therapeutic interventions in the management of oxalate kidney stones. The PubMed/MEDLINE database was searched for keywords "Oxalobacter formigenes" AND "Oxalate" OR "oxalate degradation" AND "Lactobacillus" OR "Bifidobacterium" OR "recombinant Lactobacillus" OR "Bacillus subtilis", and "urolithiasis" AND "herbal extract". The search returned 253 results, 38 of which were included in the review. Most of the oxalate-degrading probiotics belong to the Oxalobacter formigenes, Lactobacillus, Bifidobacterium, and Bacillus genus with a minimum dosage of 107 CFU in the form of capsules, sachets, and lyophilized powder. Oxalate concentration in media was 5-50mM with an incubation time ranging from 24h to 14 days. The majority of the studies suggested that probiotic supplementation might be useful for reducing urinary excretion of oxalate and urea and alleviation of stone formation. Different herbal extracts were used on murine models of nephrolithiasis (induced by 0.5-3% ethylene glycol) with reduction of renal inflammation and urinary parameters, and calcium oxalate crystals. Several strains of probiotics and herbal extracts confer protective effects against kidney stone/nephrolithiasis, indicating their promising nature for being considered as elements of preventive / adjuvant therapeutic strategies.

REVIEW OF THE PHYTOTHERAPY FOR NEPHROLITHIASIS

Nephrolithiasis (kidney stone) cases have a prevalence ranging from 1% to 13%. The disease not only hampers kidney function but also elevates the risk of chronic kidney diseases. The pathophysiology of nephrolithiasis is closely linked to elevated concentrations of calcium, oxalate, and/or uric acid in the urine. Pharmacotherapy to manage nephrolithiasis includes thiazide diuretics, allopurinol, citrate supplements, and alpha-blockers that have been prescribed to relieve symptoms. In addition, there is growing interest in exploring the potential of phytotherapy. This review aims to identify suitable phytotherapy approaches by examining relevant articles on nephrolithiasis. The research methodology involved searching PubMed articles using the keywords of (("Plant Extracts") AND ("Nephrolithiasis")) OR ("Ureterolithiasis"). The articles obtained from the initial search were n =123. 2 authors screened articles for their eligibility. The inclusion criteria were limited to articles written in English, topics related to nephrolithiasis and not other kidney diseases, the botanical names of the plants and the method of extraction are clearly described, complete studies with clear descriptions regarding the methods and results, not synthetic drugs, and not involving medical instruments or laser to remove the stones. Articles included in the review were n = 17. Water and hydro-alcohol were the solvents used to extract the plants. Twenty-two plants have confirmed their anti-nephrolithiasis activity, and nine articles described the assay by in vivo study, two by in vitro study, three by both in vitro and in vivo study, and only one article mentioned a study in humans by a randomized-control trial on a mixture of herbs. It is concluded that Rhizoma alismatis, Poria cocos, Polyporus umbellatus, Atractylodis macrocephalae, and Cinnamomi Cassiae prepared as a mixture in the Wu-Ling-San formula have a potential therapeutic effect on nephrolithiasis, as this formula has been studied in humans.

Cereal bar enriched with ora-pro-nóbis (Pereskia aculeata Miller): physicochemical and sensory characterization.

Ora-pro-nobis (OPN) is an unconventional food plant with high nutritional value, and its nutritional composition can be altered according to cultivation. Cereal bars are a popular nutrient-poor foods, and OPN could be incorporated to improve the nutritional quality. This study aimed to evaluate the physicochemical characteristics and sensory acceptability of cereal bars enriched with OPN flour (OpnF) from different forms of cultivation. OpnF was obtained by dehydrating and grinding OPN leaves collected in rural (ROpnF) and urban (UOpnF) municipalities. Two formulations of cereal bars, peanut flavor (Bpn) and mango flavor (Bmg), each with 10% OpnF, were prepared. The macronutrients and mineral composition, oxalate content, water activity, texture, color profile, and acceptability were evaluated. ROpnF had the highest protein, iron, and manganese content, whereas UOpnF had the highest ash and magnesium content. The oxalic acid/calcium ratio was 1.43 and did not imply calcium bioavailability. In addition to nutritional and protein values, Bpn and Bmg presented a good sensory acceptability index of > 77.5% with market potential. Bmg has the highest mineral content and is a source of iron, manganese, and magnesium. OpnF can be used in cereal bars and potentially improve nutritional attributes and used in other foods in a similar way.