Polymeric protein-polyamine conjugates: A new class of uremic toxins affecting erythropoiesis

Polymeric protein-polyamine conjugates: A new class of uremic toxins affecting erythropoiesis. Preliminary evidence on the accumulation of polyamine-protein conjugates (PPCs) was obtained in uremic patients. The presence of these substances in the plasma of hemodialysis (HD) patients was evaluated,...

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Veröffentlicht in:Kidney international 2001-02, Vol.59 (S78), p.S73-S76
Hauptverfasser: Galli, Francesco, Beninati, Simone, Benedetti, Serena, Lentini, Alessandro, Canestrari, Franco, Tabilio, Antonio, Buoncristiani, Umberto
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container_end_page S76
container_issue S78
container_start_page S73
container_title Kidney international
container_volume 59
creator Galli, Francesco
Beninati, Simone
Benedetti, Serena
Lentini, Alessandro
Canestrari, Franco
Tabilio, Antonio
Buoncristiani, Umberto
description Polymeric protein-polyamine conjugates: A new class of uremic toxins affecting erythropoiesis. Preliminary evidence on the accumulation of polyamine-protein conjugates (PPCs) was obtained in uremic patients. The presence of these substances in the plasma of hemodialysis (HD) patients was evaluated, and their possible contribution to uremic anemia was investigated by testing the effect of PPC synthesized in vitro on erythroid cell proliferation. Plasma PPC was measured by high-performance liquid chromatography. The in vitro synthesis of PPC from human plasma was carried out by means of the enzyme transglutaminase in the presence of either [3H]-labeled or unlabeled spermidine (SPD). After gel filtration chromatography and detection of the fractions containing [3H]SPD. the latter were tested for their effect on monouclear bone marrow cell proliferation. In three out of four patients examined, mainly SPD-protein conjugates (SPD-PC) were observed to accumulate during HD. The levels ranged from 0.17 to 4.93 pmol/mg proteins before dialysis, and these values increased at 30 minutes and at the end of the dialysis up to levels 11.90 pmol/mg. SPD-PC levels in healthy controls were 1.46 ± 0.82. SPD-PCs synthesized in vitro were recovered in two main fractions showing a molecular weight of > 100KD (peak 1) and of approximately 30 to 50 KD (peak 3), respectively. The SPD-PC contained in peak 1 showed the greatest inhibitory effect on colony-forming units-erythroid (CFU-E) proliferation without any appreciable effect on burst-forming units-erythroid (BFU-E). We demonstrate that SPD-PC can accumulate in HD patients. These substances, which affect CFU-E proliferation, can be considered as an at yet unrevealed class of uremictoxins contributing to the onset of the uremic anemia.
doi_str_mv 10.1046/j.1523-1755.2001.59780073.x
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Preliminary evidence on the accumulation of polyamine-protein conjugates (PPCs) was obtained in uremic patients. The presence of these substances in the plasma of hemodialysis (HD) patients was evaluated, and their possible contribution to uremic anemia was investigated by testing the effect of PPC synthesized in vitro on erythroid cell proliferation. Plasma PPC was measured by high-performance liquid chromatography. The in vitro synthesis of PPC from human plasma was carried out by means of the enzyme transglutaminase in the presence of either [3H]-labeled or unlabeled spermidine (SPD). After gel filtration chromatography and detection of the fractions containing [3H]SPD. the latter were tested for their effect on monouclear bone marrow cell proliferation. In three out of four patients examined, mainly SPD-protein conjugates (SPD-PC) were observed to accumulate during HD. 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subjects Aged
anemia
Blood Proteins - chemistry
Blood Proteins - toxicity
CFU-E
Colony-Forming Units Assay
end-stage renal disease
erythroid cells
Erythropoiesis - drug effects
Hematopoietic Stem Cells - drug effects
hemodialysis
Humans
In Vitro Techniques
Kidney Failure, Chronic - blood
Kidney Failure, Chronic - therapy
Macromolecular Substances
Middle Aged
Polyamines - blood
Polyamines - chemistry
Polyamines - toxicity
Renal Dialysis
spermidine
Spermidine - blood
Spermidine - chemistry
Spermidine - toxicity
Toxins, Biological - blood
Toxins, Biological - toxicity
Uremia - blood
title Polymeric protein-polyamine conjugates: A new class of uremic toxins affecting erythropoiesis
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