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  • Title: Gut-inhabiting bacterium Oxalobacter formigenes: role in calcium oxalate urolithiasis.
    Author: Mittal RD, Kumar R.
    Journal: J Endourol; 2004 Jun; 18(5):418-24. PubMed ID: 15253809.
    Abstract:
    Oxalate plays a crucial role in the formation of most renal stones. Oxalate is a common constituent of most diets and a byproduct of metabolism, and if it is not sufficiently degraded, it may accumulate. In humans, gut bacteria degrade 70 to 100 mg of oxalate per day. Oxalobacter formigenes is a gram-negative, obligately anaerobic, rod-shaped bacterium with an absolute requirement for oxalate. Although not present in the gut at birth, it quickly colonizes most children, and there is epidemiologic evidence that its absence is a risk factor in calcium oxalate stone formation. We review the metabolism, genetics, and identification of this organism and its possible therapeutic role in recurrent stone-forming patients.
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