P0942HYPOXEMIA AND UREMIA INDUCE OXIDATIVE IMBALANCE IN ENDOTHELIAL CELLS

Abstract Background and Aims Intradialytic hypoxemia is associated with oxidative stress, endothelial dysfunction, inflammation, higher erythropoietin requirements, and higher all-cause hospitalization and mortality in hemodialysis (HD) patients (Meyring-Wosten, et al., 2016). The aim of the present...

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Hauptverfasser: Moreno-Amaral, Andrea N, Carvalho Silva, Caroline, Andrade, Gabriela Bohnen, Monteiro, Julia, Grobe, Nadja, Silva Pecoits Filho, Roberto Flavio, Stinghen, Andréa E M, Kotanko, Peter
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container_issue Supplement_3
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container_title Nephrology, dialysis, transplantation
container_volume 35
creator Moreno-Amaral, Andrea N
Carvalho Silva, Caroline
Andrade, Gabriela Bohnen
Monteiro, Julia
Grobe, Nadja
Silva Pecoits Filho, Roberto Flavio
Stinghen, Andréa E M
Kotanko, Peter
description Abstract Background and Aims Intradialytic hypoxemia is associated with oxidative stress, endothelial dysfunction, inflammation, higher erythropoietin requirements, and higher all-cause hospitalization and mortality in hemodialysis (HD) patients (Meyring-Wosten, et al., 2016). The aim of the present study was to further expand our insights into the hypoxia-uremia axis by investigating the oxidative balance in endothelial cells (EC) under hypoxic and uremic conditions. Method Human umbilical EC were incubated with DMEM medium supplemented with 10% of fetal bovine serum (FBS; control) or with sera obtained from healthy subjects (S-CON) or HD patients (S-HD, 1:10), respectively, for 40 minutes, 4 hours, and 24 hours under normoxic (21% O2) or hypoxic (5% O2) conditions (Culture Chamber ProOx, Biospherix). EC were analyzed by flow cytometer (BD Accuri™ C6 Plus) to assess a) intracellular production of reactive oxygen species (ROS, DCFH-DA probe, Abcam); b) reduced glutathione (GSH) content (ThiolTracker Violet probe, Thermo Fisher Scientific). Results S-HD increased intracellular ROS production at all time points compared to S-CON. Moreover, ROS production was higher under hypoxic conditions. ROS production declined after 24 hours. S-HD induced slightly higher GSH content when compared to S-CON in normoxia (Table 1). Conclusion In our in vitro experiments, hypoxia and uremia jointly favor EC oxidative imbalance. This effect is particularly pronounced after 4 hours. Translational studies are warranted to explore the clinical relevance of our findings. Table: Baseline (of 100%): EC incubated in DMEM medium supplemented with 10% FBS + antibiotics Normoxia (21% O2) Hypoxia (5% O2) ROS production [%] 28.9±2.4 52.3±7.2 GSH content [%] 8.4±1 8.1±0.8 Values after Incubation with S-CON or S-HD 40 minutes 4 hours 24 hours ROS production Normoxia Hypoxia Normoxia Hypoxia Normoxia Hypoxia S-CON [%] 102±5.2 121±6.32& 102.5±7.3 109.2±9.2 34.2±7.3 50.5±14.5 S-HD [%] 130.7±8.7* 146.2±8.3*& 150±13.9* 190.3±37.6* 71.8±11.4* 94.8±19.3*& GSH content Normoxia Hypoxia Normoxia Hypoxia Normoxia Hypoxia S-CON [%] 8.9±1.3& 6.5±2.3 7.6±1.2 7.4±1.6 7.9±1.5 8.1±1.2 S-HD [%] 12.7±1.8*& 6.3±0.9 9.3±1.6* 9.8±1.8* 10.4±1.3*& 7.5±0.8 * p
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The aim of the present study was to further expand our insights into the hypoxia-uremia axis by investigating the oxidative balance in endothelial cells (EC) under hypoxic and uremic conditions. Method Human umbilical EC were incubated with DMEM medium supplemented with 10% of fetal bovine serum (FBS; control) or with sera obtained from healthy subjects (S-CON) or HD patients (S-HD, 1:10), respectively, for 40 minutes, 4 hours, and 24 hours under normoxic (21% O2) or hypoxic (5% O2) conditions (Culture Chamber ProOx, Biospherix). EC were analyzed by flow cytometer (BD Accuri™ C6 Plus) to assess a) intracellular production of reactive oxygen species (ROS, DCFH-DA probe, Abcam); b) reduced glutathione (GSH) content (ThiolTracker Violet probe, Thermo Fisher Scientific). Results S-HD increased intracellular ROS production at all time points compared to S-CON. Moreover, ROS production was higher under hypoxic conditions. ROS production declined after 24 hours. S-HD induced slightly higher GSH content when compared to S-CON in normoxia (Table 1). Conclusion In our in vitro experiments, hypoxia and uremia jointly favor EC oxidative imbalance. This effect is particularly pronounced after 4 hours. Translational studies are warranted to explore the clinical relevance of our findings. Table: Baseline (of 100%): EC incubated in DMEM medium supplemented with 10% FBS + antibiotics Normoxia (21% O2) Hypoxia (5% O2) ROS production [%] 28.9±2.4 52.3±7.2 GSH content [%] 8.4±1 8.1±0.8 Values after Incubation with S-CON or S-HD 40 minutes 4 hours 24 hours ROS production Normoxia Hypoxia Normoxia Hypoxia Normoxia Hypoxia S-CON [%] 102±5.2 121±6.32& 102.5±7.3 109.2±9.2 34.2±7.3 50.5±14.5 S-HD [%] 130.7±8.7* 146.2±8.3*& 150±13.9* 190.3±37.6* 71.8±11.4* 94.8±19.3*& GSH content Normoxia Hypoxia Normoxia Hypoxia Normoxia Hypoxia S-CON [%] 8.9±1.3& 6.5±2.3 7.6±1.2 7.4±1.6 7.9±1.5 8.1±1.2 S-HD [%] 12.7±1.8*& 6.3±0.9 9.3±1.6* 9.8±1.8* 10.4±1.3*& 7.5±0.8 * p <0.05 compared to control for the same O2 concentration. & p<0.05 normoxia vs hypoxia.]]></description><identifier>ISSN: 0931-0509</identifier><identifier>EISSN: 1460-2385</identifier><identifier>DOI: 10.1093/ndt/gfaa142.P0942</identifier><language>eng</language><publisher>Oxford University Press</publisher><ispartof>Nephrology, dialysis, transplantation, 2020-06, Vol.35 (Supplement_3)</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902</link.rule.ids></links><search><creatorcontrib>Moreno-Amaral, Andrea N</creatorcontrib><creatorcontrib>Carvalho Silva, Caroline</creatorcontrib><creatorcontrib>Andrade, Gabriela Bohnen</creatorcontrib><creatorcontrib>Monteiro, Julia</creatorcontrib><creatorcontrib>Grobe, Nadja</creatorcontrib><creatorcontrib>Silva Pecoits Filho, Roberto Flavio</creatorcontrib><creatorcontrib>Stinghen, Andréa E M</creatorcontrib><creatorcontrib>Kotanko, Peter</creatorcontrib><title>P0942HYPOXEMIA AND UREMIA INDUCE OXIDATIVE IMBALANCE IN ENDOTHELIAL CELLS</title><title>Nephrology, dialysis, transplantation</title><description><![CDATA[Abstract Background and Aims Intradialytic hypoxemia is associated with oxidative stress, endothelial dysfunction, inflammation, higher erythropoietin requirements, and higher all-cause hospitalization and mortality in hemodialysis (HD) patients (Meyring-Wosten, et al., 2016). The aim of the present study was to further expand our insights into the hypoxia-uremia axis by investigating the oxidative balance in endothelial cells (EC) under hypoxic and uremic conditions. Method Human umbilical EC were incubated with DMEM medium supplemented with 10% of fetal bovine serum (FBS; control) or with sera obtained from healthy subjects (S-CON) or HD patients (S-HD, 1:10), respectively, for 40 minutes, 4 hours, and 24 hours under normoxic (21% O2) or hypoxic (5% O2) conditions (Culture Chamber ProOx, Biospherix). EC were analyzed by flow cytometer (BD Accuri™ C6 Plus) to assess a) intracellular production of reactive oxygen species (ROS, DCFH-DA probe, Abcam); b) reduced glutathione (GSH) content (ThiolTracker Violet probe, Thermo Fisher Scientific). Results S-HD increased intracellular ROS production at all time points compared to S-CON. Moreover, ROS production was higher under hypoxic conditions. ROS production declined after 24 hours. S-HD induced slightly higher GSH content when compared to S-CON in normoxia (Table 1). Conclusion In our in vitro experiments, hypoxia and uremia jointly favor EC oxidative imbalance. This effect is particularly pronounced after 4 hours. Translational studies are warranted to explore the clinical relevance of our findings. Table: Baseline (of 100%): EC incubated in DMEM medium supplemented with 10% FBS + antibiotics Normoxia (21% O2) Hypoxia (5% O2) ROS production [%] 28.9±2.4 52.3±7.2 GSH content [%] 8.4±1 8.1±0.8 Values after Incubation with S-CON or S-HD 40 minutes 4 hours 24 hours ROS production Normoxia Hypoxia Normoxia Hypoxia Normoxia Hypoxia S-CON [%] 102±5.2 121±6.32& 102.5±7.3 109.2±9.2 34.2±7.3 50.5±14.5 S-HD [%] 130.7±8.7* 146.2±8.3*& 150±13.9* 190.3±37.6* 71.8±11.4* 94.8±19.3*& GSH content Normoxia Hypoxia Normoxia Hypoxia Normoxia Hypoxia S-CON [%] 8.9±1.3& 6.5±2.3 7.6±1.2 7.4±1.6 7.9±1.5 8.1±1.2 S-HD [%] 12.7±1.8*& 6.3±0.9 9.3±1.6* 9.8±1.8* 10.4±1.3*& 7.5±0.8 * p <0.05 compared to control for the same O2 concentration. & p<0.05 normoxia vs hypoxia.]]></description><issn>0931-0509</issn><issn>1460-2385</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNqNkMFOhDAQhhujibj6AN54ANmdKW2BY4UqTbqwUTDriQAFo1F3A3rw7UV2H8DT_Jl8_yTzEXKNsESI_NWn_Vq99HWNjC43EDF6QhxkAjzqh_yUOBODHnCIzsnFOL4BQESDwCF6htPnTb5Vay1dmSVu-TBHnSVlrNx8qxNZ6Cfl6vWtNDKbdjpzVZbkRaqMlsaNlTGPl-Ssr9_H7uo4F6S8U0Wceia_17E0XouUUs9yBI6CtZQJH0TXW8sFCyNLQx7aliNvRY11I6IGeENF33DqNyFy5kPfBdZfEDzcbYfdOA5dX-2H1496-KkQqj8X1eSiOrqo5vemzs2hs_ve_wP_BU53WlI</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Moreno-Amaral, Andrea N</creator><creator>Carvalho Silva, Caroline</creator><creator>Andrade, Gabriela Bohnen</creator><creator>Monteiro, Julia</creator><creator>Grobe, Nadja</creator><creator>Silva Pecoits Filho, Roberto Flavio</creator><creator>Stinghen, Andréa E M</creator><creator>Kotanko, Peter</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20200601</creationdate><title>P0942HYPOXEMIA AND UREMIA INDUCE OXIDATIVE IMBALANCE IN ENDOTHELIAL CELLS</title><author>Moreno-Amaral, Andrea N ; Carvalho Silva, Caroline ; Andrade, Gabriela Bohnen ; Monteiro, Julia ; Grobe, Nadja ; Silva Pecoits Filho, Roberto Flavio ; Stinghen, Andréa E M ; Kotanko, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1222-d5105164c246306efdd56489d2858dc515c6a1ab69b05b26fb523b815430fe7d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moreno-Amaral, Andrea N</creatorcontrib><creatorcontrib>Carvalho Silva, Caroline</creatorcontrib><creatorcontrib>Andrade, Gabriela Bohnen</creatorcontrib><creatorcontrib>Monteiro, Julia</creatorcontrib><creatorcontrib>Grobe, Nadja</creatorcontrib><creatorcontrib>Silva Pecoits Filho, Roberto Flavio</creatorcontrib><creatorcontrib>Stinghen, Andréa E M</creatorcontrib><creatorcontrib>Kotanko, Peter</creatorcontrib><collection>CrossRef</collection><jtitle>Nephrology, dialysis, transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moreno-Amaral, Andrea N</au><au>Carvalho Silva, Caroline</au><au>Andrade, Gabriela Bohnen</au><au>Monteiro, Julia</au><au>Grobe, Nadja</au><au>Silva Pecoits Filho, Roberto Flavio</au><au>Stinghen, Andréa E M</au><au>Kotanko, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>P0942HYPOXEMIA AND UREMIA INDUCE OXIDATIVE IMBALANCE IN ENDOTHELIAL CELLS</atitle><jtitle>Nephrology, dialysis, transplantation</jtitle><date>2020-06-01</date><risdate>2020</risdate><volume>35</volume><issue>Supplement_3</issue><issn>0931-0509</issn><eissn>1460-2385</eissn><abstract><![CDATA[Abstract Background and Aims Intradialytic hypoxemia is associated with oxidative stress, endothelial dysfunction, inflammation, higher erythropoietin requirements, and higher all-cause hospitalization and mortality in hemodialysis (HD) patients (Meyring-Wosten, et al., 2016). The aim of the present study was to further expand our insights into the hypoxia-uremia axis by investigating the oxidative balance in endothelial cells (EC) under hypoxic and uremic conditions. Method Human umbilical EC were incubated with DMEM medium supplemented with 10% of fetal bovine serum (FBS; control) or with sera obtained from healthy subjects (S-CON) or HD patients (S-HD, 1:10), respectively, for 40 minutes, 4 hours, and 24 hours under normoxic (21% O2) or hypoxic (5% O2) conditions (Culture Chamber ProOx, Biospherix). EC were analyzed by flow cytometer (BD Accuri™ C6 Plus) to assess a) intracellular production of reactive oxygen species (ROS, DCFH-DA probe, Abcam); b) reduced glutathione (GSH) content (ThiolTracker Violet probe, Thermo Fisher Scientific). Results S-HD increased intracellular ROS production at all time points compared to S-CON. Moreover, ROS production was higher under hypoxic conditions. ROS production declined after 24 hours. S-HD induced slightly higher GSH content when compared to S-CON in normoxia (Table 1). Conclusion In our in vitro experiments, hypoxia and uremia jointly favor EC oxidative imbalance. This effect is particularly pronounced after 4 hours. Translational studies are warranted to explore the clinical relevance of our findings. Table: Baseline (of 100%): EC incubated in DMEM medium supplemented with 10% FBS + antibiotics Normoxia (21% O2) Hypoxia (5% O2) ROS production [%] 28.9±2.4 52.3±7.2 GSH content [%] 8.4±1 8.1±0.8 Values after Incubation with S-CON or S-HD 40 minutes 4 hours 24 hours ROS production Normoxia Hypoxia Normoxia Hypoxia Normoxia Hypoxia S-CON [%] 102±5.2 121±6.32& 102.5±7.3 109.2±9.2 34.2±7.3 50.5±14.5 S-HD [%] 130.7±8.7* 146.2±8.3*& 150±13.9* 190.3±37.6* 71.8±11.4* 94.8±19.3*& GSH content Normoxia Hypoxia Normoxia Hypoxia Normoxia Hypoxia S-CON [%] 8.9±1.3& 6.5±2.3 7.6±1.2 7.4±1.6 7.9±1.5 8.1±1.2 S-HD [%] 12.7±1.8*& 6.3±0.9 9.3±1.6* 9.8±1.8* 10.4±1.3*& 7.5±0.8 * p <0.05 compared to control for the same O2 concentration. & p<0.05 normoxia vs hypoxia.]]></abstract><pub>Oxford University Press</pub><doi>10.1093/ndt/gfaa142.P0942</doi><oa>free_for_read</oa></addata></record>
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title P0942HYPOXEMIA AND UREMIA INDUCE OXIDATIVE IMBALANCE IN ENDOTHELIAL CELLS
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