Effect of a Hemodiafiltration Session with On-Line Regeneration of the Ultrafiltrate on Oxidative Stress : Comparative Study with Conventional Hemodialysis with Polysulfone

The influence of a dialysis session using hemodiafiltration with on-line regeneration of the ultrafiltrate (HFR) is compared with that of a conventional hemodialysis session with polysulfone (HD-PS) and with a group of healthy individuals. Total antioxidant capacity (TAC), antioxidants, i.e., supero...

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Veröffentlicht in:Blood purification 2008, Vol.26 (6), p.505-510
Hauptverfasser: GONZALEZ-DIEZ, B, CAVIA, M, TORRES, G, ABAIGAR, P, MUNIZ, P
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container_end_page 510
container_issue 6
container_start_page 505
container_title Blood purification
container_volume 26
creator GONZALEZ-DIEZ, B
CAVIA, M
TORRES, G
ABAIGAR, P
MUNIZ, P
description The influence of a dialysis session using hemodiafiltration with on-line regeneration of the ultrafiltrate (HFR) is compared with that of a conventional hemodialysis session with polysulfone (HD-PS) and with a group of healthy individuals. Total antioxidant capacity (TAC), antioxidants, i.e., superoxide dismutase (SOD) glutathione peroxidase (GPX), reduced glutathione (GSH) and catalase, and biomarkers of oxidative stress were evaluated in plasma, whole blood and lymphocytes. The study showed decreased plasma TAC, decreased activities of antioxidant enzymes and decreased GSH levels along with increased thiobarbituric-acid-reactive substances and 8-hydroxy-2-deoxyguanosine (8-OHdG) levels in lymphocytes. The antioxidants and biomarkers of lipid and protein damage after dialysis sessions with HFR were similar or better than following HD-PS. Thus, the blood GPX activity was comparable to that of healthy controls and significantly better than following HD-PS. An increase in 8-OHdG levels was observed in the HD-PS group after dialysis but not in the HFR group. These results show that HFR induces less oxidative stress than HD-PS.
doi_str_mv 10.1159/000163848
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Total antioxidant capacity (TAC), antioxidants, i.e., superoxide dismutase (SOD) glutathione peroxidase (GPX), reduced glutathione (GSH) and catalase, and biomarkers of oxidative stress were evaluated in plasma, whole blood and lymphocytes. The study showed decreased plasma TAC, decreased activities of antioxidant enzymes and decreased GSH levels along with increased thiobarbituric-acid-reactive substances and 8-hydroxy-2-deoxyguanosine (8-OHdG) levels in lymphocytes. The antioxidants and biomarkers of lipid and protein damage after dialysis sessions with HFR were similar or better than following HD-PS. Thus, the blood GPX activity was comparable to that of healthy controls and significantly better than following HD-PS. An increase in 8-OHdG levels was observed in the HD-PS group after dialysis but not in the HFR group. 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subjects Adult
Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Antioxidants - analysis
Biological and medical sciences
Biomarkers - analysis
Biomarkers - blood
Deoxyguanosine - analogs & derivatives
Deoxyguanosine - analysis
Emergency and intensive care: renal failure. Dialysis management
Glutathione Peroxidase - analysis
Hemodiafiltration - adverse effects
Hemodiafiltration - methods
Humans
Intensive care medicine
Lymphocytes - chemistry
Medical sciences
Middle Aged
Online Systems
Oxidative Stress
Polymers
Sulfones
Thiobarbituric Acid Reactive Substances - analysis
title Effect of a Hemodiafiltration Session with On-Line Regeneration of the Ultrafiltrate on Oxidative Stress : Comparative Study with Conventional Hemodialysis with Polysulfone
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