2001
DOI: 10.1046/j.1523-1755.2001.0600031097.x
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Reduction of oxaluria after an oral course of lactic acid bacteria at high concentration

Abstract: The urinary excretion of oxalate, a major risk factor for renal stone formation and growth in patients with idiopathic calcium-oxalate urolithiasis, can be greatly reduced with treatment using a high concentration of freeze-dried lactic acid bacteria. We postulate that the biological manipulation of the endogenous digestive microflora can be a novel approach for the prevention of urinary stone formation.

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Cited by 212 publications
(169 citation statements)
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“…It is interesting that their transcription occurred only when first adapted to subinhibitory concentrations of oxalate and then exposed to pH 5.5 (11). These requirements for gene transcrip- tion may explain the failure to detect previously the genes in Oxadrop strains (3). These specific and necessary conditions may also represent obstacles in the use of these bacteria as therapeutic agents.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…It is interesting that their transcription occurred only when first adapted to subinhibitory concentrations of oxalate and then exposed to pH 5.5 (11). These requirements for gene transcrip- tion may explain the failure to detect previously the genes in Oxadrop strains (3). These specific and necessary conditions may also represent obstacles in the use of these bacteria as therapeutic agents.…”
Section: Discussionmentioning
confidence: 99%
“…Because the preparation has not yet been made commercially available, only two batches have been made. Although produced by the same manufacturer, the preparation that we used differed from that used in an earlier study in that the current product did not contain a strain of Lactobacillus plantarum, which had no significant ability to degrade oxalate (3). As further quality control, each batch is assayed and confirmed to be negative for contamination with other species such as enterococcal species, Listeria, coliforms, Escherichia coli, Salmonella species, and Staphylococcus aureus.…”
Section: Study Preparationmentioning
confidence: 99%
“…The role of O. formigenes for scavenging dietary oxalate has been confirmed by studies of the urinary oxalate excretion in both rats fed oxalate and hyperoxaluric rats administered O. formigenes (45,46). Furthermore, Campieri et al (9) reported that variation of the intestinal microbiota composition, due to the oral administration of the probiotic bacteria Bifidobacterium and Lactobacillus, reduced the urinary oxalate excretion in patients with idiopathic calcium-oxalate urolithiasis and mild hyperoxaluria.…”
mentioning
confidence: 93%
“…First, because one patient developed AON within 8 weeks after stopping enzyme supplementation, whether insufficient enzyme therapy was a trigger of AON in the remaining patients is open to question. Second, the role of intestinal colonization by Oxalobacter formigenes (OF) in oxalate gut absorption has been emphasized (33). OF degrades intraluminal soluble oxalate and decreases the colonic oxalate absorption (34).…”
Section: Discussionmentioning
confidence: 99%