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N-Methyl-4-pyridone-5-carboxamide is a metabolite of nicotinic acid and a uremic toxin.1,2 Plasma levels of N-methyl-4-pyridone-5-carboxamide are increased and positively correlated with serum levels of malondialdehyde (MDA) in patients with chronic kidney disease (CKD).2
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1. N-
2. Relationship between uremic toxins and oxidative stress in patients with chronic renal failure. Scand. J. Urol. Nephrol. 41(3), 243-248 (2007).