Cytokine Release and Serum Lipoprotein (a) Alterations During Hemodialysis

: It has been reported recently that a number of cytokines, mainly tumor necrosis factor α (TNFα), interleukin (IL)‐1β, and IL‐6, can alter lipid metabolism and produce hyperlipidemia. Studies in hemodialysis (HD) patients have demonstrated increased production of these cytokines during HD. In order...

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Veröffentlicht in:Artificial organs 2000-05, Vol.24 (5), p.329-333
Hauptverfasser: Tzanatos, Helen A., Agroyannis, Basil, Chondros, Costas, Kapetanaki, Antigoni, Fourtounas, Costas, Soubassi, Lygeri, Kopelias, Ioannis
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container_end_page 333
container_issue 5
container_start_page 329
container_title Artificial organs
container_volume 24
creator Tzanatos, Helen A.
Agroyannis, Basil
Chondros, Costas
Kapetanaki, Antigoni
Fourtounas, Costas
Soubassi, Lygeri
Kopelias, Ioannis
description : It has been reported recently that a number of cytokines, mainly tumor necrosis factor α (TNFα), interleukin (IL)‐1β, and IL‐6, can alter lipid metabolism and produce hyperlipidemia. Studies in hemodialysis (HD) patients have demonstrated increased production of these cytokines during HD. In order to investigate any possible relationship between changes of cytokines and lipid concentrations during HD in the serum of 25 uremic patients on chronic HD using modified cellulose membranes, TNFα, IL‐1β, IL‐6, total cholesterol (TC), triglycerides (TG), high‐density lipoprotein cholesterol (HDL‐C), low‐density lipoprotein cholesterol (LDL‐C), lipoprotein a (Lp[a]), and total proteins were measured immediately before (pre‐HD) and after HD (post‐HD), in one session. The post‐HD values were corrected according to the hemoconcentration based on the changes in serum total proteins. Serum TNFα and IL‐1β levels were significantly increased from 38.24 ± 17.85 pg/ml and 2.60 ± 3.64 pg/ml pre‐HD to 48.86 ± 25.21 and 3.49 ± 4.08 pg/ml post‐HD, p < 0.001 and p < 0.05 respectively. Also Lp(a) levels presented a statistically significant increase post‐HD and were almost doubled (pre‐HD: 15.41 mg/dl, to post‐HD: 27.39 mg/dl, p < 0.05). Serum IL‐6 as well as serum TC, TG, HDL‐C, and LDL‐C did not show any statistically significant alterations during HD. A significant positive correlation was detected between TNFα and Lp(a) values post‐HD (r: 0.413, p: 0.04), but not between pre‐HD values. No further relationship between serum cytokines and the other estimated lipid parameters was observed, either between pre‐ or post‐HD values. Our results indicate that release of TNFα and IL‐1β during HD have no effect on serum lipids concentration, except on Lp(a). It seems that the acute rise of this lipoprotein during hemodialysis may be related with the TNFα overproduction.
doi_str_mv 10.1046/j.1525-1594.2000.06483.x
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Studies in hemodialysis (HD) patients have demonstrated increased production of these cytokines during HD. In order to investigate any possible relationship between changes of cytokines and lipid concentrations during HD in the serum of 25 uremic patients on chronic HD using modified cellulose membranes, TNFα, IL‐1β, IL‐6, total cholesterol (TC), triglycerides (TG), high‐density lipoprotein cholesterol (HDL‐C), low‐density lipoprotein cholesterol (LDL‐C), lipoprotein a (Lp[a]), and total proteins were measured immediately before (pre‐HD) and after HD (post‐HD), in one session. The post‐HD values were corrected according to the hemoconcentration based on the changes in serum total proteins. Serum TNFα and IL‐1β levels were significantly increased from 38.24 ± 17.85 pg/ml and 2.60 ± 3.64 pg/ml pre‐HD to 48.86 ± 25.21 and 3.49 ± 4.08 pg/ml post‐HD, p &lt; 0.001 and p &lt; 0.05 respectively. Also Lp(a) levels presented a statistically significant increase post‐HD and were almost doubled (pre‐HD: 15.41 mg/dl, to post‐HD: 27.39 mg/dl, p &lt; 0.05). Serum IL‐6 as well as serum TC, TG, HDL‐C, and LDL‐C did not show any statistically significant alterations during HD. A significant positive correlation was detected between TNFα and Lp(a) values post‐HD (r: 0.413, p: 0.04), but not between pre‐HD values. No further relationship between serum cytokines and the other estimated lipid parameters was observed, either between pre‐ or post‐HD values. Our results indicate that release of TNFα and IL‐1β during HD have no effect on serum lipids concentration, except on Lp(a). 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Studies in hemodialysis (HD) patients have demonstrated increased production of these cytokines during HD. In order to investigate any possible relationship between changes of cytokines and lipid concentrations during HD in the serum of 25 uremic patients on chronic HD using modified cellulose membranes, TNFα, IL‐1β, IL‐6, total cholesterol (TC), triglycerides (TG), high‐density lipoprotein cholesterol (HDL‐C), low‐density lipoprotein cholesterol (LDL‐C), lipoprotein a (Lp[a]), and total proteins were measured immediately before (pre‐HD) and after HD (post‐HD), in one session. The post‐HD values were corrected according to the hemoconcentration based on the changes in serum total proteins. Serum TNFα and IL‐1β levels were significantly increased from 38.24 ± 17.85 pg/ml and 2.60 ± 3.64 pg/ml pre‐HD to 48.86 ± 25.21 and 3.49 ± 4.08 pg/ml post‐HD, p &lt; 0.001 and p &lt; 0.05 respectively. Also Lp(a) levels presented a statistically significant increase post‐HD and were almost doubled (pre‐HD: 15.41 mg/dl, to post‐HD: 27.39 mg/dl, p &lt; 0.05). Serum IL‐6 as well as serum TC, TG, HDL‐C, and LDL‐C did not show any statistically significant alterations during HD. A significant positive correlation was detected between TNFα and Lp(a) values post‐HD (r: 0.413, p: 0.04), but not between pre‐HD values. No further relationship between serum cytokines and the other estimated lipid parameters was observed, either between pre‐ or post‐HD values. Our results indicate that release of TNFα and IL‐1β during HD have no effect on serum lipids concentration, except on Lp(a). It seems that the acute rise of this lipoprotein during hemodialysis may be related with the TNFα overproduction.</description><subject>Blood Proteins - analysis</subject><subject>Cellulose</subject><subject>Cholesterol - blood</subject><subject>Cholesterol, HDL - blood</subject><subject>Cholesterol, LDL - blood</subject><subject>Cytokines</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Interleukin-1 - blood</subject><subject>Interleukin-1 - metabolism</subject><subject>Interleukin-1β</subject><subject>Interleukin-6</subject><subject>Interleukin-6 - blood</subject><subject>Interleukin-6 - metabolism</subject><subject>Lipoprotein (a)</subject><subject>Lipoprotein(a) - blood</subject><subject>Male</subject><subject>Membranes, Artificial</subject><subject>Middle Aged</subject><subject>Renal Dialysis - instrumentation</subject><subject>Statistics as Topic</subject><subject>Triglycerides - blood</subject><subject>Tumor necrosis factor</subject><subject>Tumor Necrosis Factor-alpha - analysis</subject><subject>Tumor Necrosis Factor-alpha - metabolism</subject><subject>Uremia - therapy</subject><issn>0160-564X</issn><issn>1525-1594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtq20AUhoeS0jhJXyFoFZKF1BnNRaNFFkZJ7VJjQ9KS7oaRdBTG1sWZkai9C_RN-ySVKmOyzGoOzPf_5_Ah5BEcEMzEl3VAeMh9wmMWhBjjAAsmabD7gCbHjxM0wURgnwv26xSdObfuwYhh8QmdEiyZFBGdoEWyb5uNqcF7gBK0A0_XufcItqu8hdk2W9u0YGrvWt9407IFq1vT1M6766ypn_--_plD1eRGl3tn3AX6WOjSwefDe45-fr3_kcz9xWr2LZku_IxhSn2hRZjmvOD9mQJzrSmNRBzmmmGZMsl4nGVhlOc8ClmcyoKFACkUMsSMM4gzeo6uxt7-upcOXKsq4zIoS11D0zkVERJxSWUPyhHMbOOchUJtram03SuC1WBSrdUgTA3C1GBS_Tepdn308rCjSyvI3wRHdT1wOwK_TQn7dxer6ephmPq8P-aNa2F3zGu7UX19xNXTcqaSmCfx8vuTEvQfftuRRw</recordid><startdate>200005</startdate><enddate>200005</enddate><creator>Tzanatos, Helen A.</creator><creator>Agroyannis, Basil</creator><creator>Chondros, Costas</creator><creator>Kapetanaki, Antigoni</creator><creator>Fourtounas, Costas</creator><creator>Soubassi, Lygeri</creator><creator>Kopelias, Ioannis</creator><general>Blackwell Science Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200005</creationdate><title>Cytokine Release and Serum Lipoprotein (a) Alterations During Hemodialysis</title><author>Tzanatos, Helen A. ; Agroyannis, Basil ; Chondros, Costas ; Kapetanaki, Antigoni ; Fourtounas, Costas ; Soubassi, Lygeri ; Kopelias, Ioannis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4033-6a62bd5f5159605aa337692da408b48459cc27dd57249b8f42eebef820454e9c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Blood Proteins - analysis</topic><topic>Cellulose</topic><topic>Cholesterol - blood</topic><topic>Cholesterol, HDL - blood</topic><topic>Cholesterol, LDL - blood</topic><topic>Cytokines</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hemodialysis</topic><topic>Humans</topic><topic>Interleukin-1 - blood</topic><topic>Interleukin-1 - metabolism</topic><topic>Interleukin-1β</topic><topic>Interleukin-6</topic><topic>Interleukin-6 - blood</topic><topic>Interleukin-6 - metabolism</topic><topic>Lipoprotein (a)</topic><topic>Lipoprotein(a) - blood</topic><topic>Male</topic><topic>Membranes, Artificial</topic><topic>Middle Aged</topic><topic>Renal Dialysis - instrumentation</topic><topic>Statistics as Topic</topic><topic>Triglycerides - blood</topic><topic>Tumor necrosis factor</topic><topic>Tumor Necrosis Factor-alpha - analysis</topic><topic>Tumor Necrosis Factor-alpha - metabolism</topic><topic>Uremia - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tzanatos, Helen A.</creatorcontrib><creatorcontrib>Agroyannis, Basil</creatorcontrib><creatorcontrib>Chondros, Costas</creatorcontrib><creatorcontrib>Kapetanaki, Antigoni</creatorcontrib><creatorcontrib>Fourtounas, Costas</creatorcontrib><creatorcontrib>Soubassi, Lygeri</creatorcontrib><creatorcontrib>Kopelias, Ioannis</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Artificial organs</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tzanatos, Helen A.</au><au>Agroyannis, Basil</au><au>Chondros, Costas</au><au>Kapetanaki, Antigoni</au><au>Fourtounas, Costas</au><au>Soubassi, Lygeri</au><au>Kopelias, Ioannis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cytokine Release and Serum Lipoprotein (a) Alterations During Hemodialysis</atitle><jtitle>Artificial organs</jtitle><addtitle>Artificial Organs</addtitle><date>2000-05</date><risdate>2000</risdate><volume>24</volume><issue>5</issue><spage>329</spage><epage>333</epage><pages>329-333</pages><issn>0160-564X</issn><eissn>1525-1594</eissn><abstract>: It has been reported recently that a number of cytokines, mainly tumor necrosis factor α (TNFα), interleukin (IL)‐1β, and IL‐6, can alter lipid metabolism and produce hyperlipidemia. Studies in hemodialysis (HD) patients have demonstrated increased production of these cytokines during HD. In order to investigate any possible relationship between changes of cytokines and lipid concentrations during HD in the serum of 25 uremic patients on chronic HD using modified cellulose membranes, TNFα, IL‐1β, IL‐6, total cholesterol (TC), triglycerides (TG), high‐density lipoprotein cholesterol (HDL‐C), low‐density lipoprotein cholesterol (LDL‐C), lipoprotein a (Lp[a]), and total proteins were measured immediately before (pre‐HD) and after HD (post‐HD), in one session. The post‐HD values were corrected according to the hemoconcentration based on the changes in serum total proteins. Serum TNFα and IL‐1β levels were significantly increased from 38.24 ± 17.85 pg/ml and 2.60 ± 3.64 pg/ml pre‐HD to 48.86 ± 25.21 and 3.49 ± 4.08 pg/ml post‐HD, p &lt; 0.001 and p &lt; 0.05 respectively. Also Lp(a) levels presented a statistically significant increase post‐HD and were almost doubled (pre‐HD: 15.41 mg/dl, to post‐HD: 27.39 mg/dl, p &lt; 0.05). Serum IL‐6 as well as serum TC, TG, HDL‐C, and LDL‐C did not show any statistically significant alterations during HD. A significant positive correlation was detected between TNFα and Lp(a) values post‐HD (r: 0.413, p: 0.04), but not between pre‐HD values. No further relationship between serum cytokines and the other estimated lipid parameters was observed, either between pre‐ or post‐HD values. Our results indicate that release of TNFα and IL‐1β during HD have no effect on serum lipids concentration, except on Lp(a). It seems that the acute rise of this lipoprotein during hemodialysis may be related with the TNFα overproduction.</abstract><cop>Boston, MA, USA</cop><pub>Blackwell Science Inc</pub><pmid>10848673</pmid><doi>10.1046/j.1525-1594.2000.06483.x</doi><tpages>5</tpages></addata></record>
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subjects Blood Proteins - analysis
Cellulose
Cholesterol - blood
Cholesterol, HDL - blood
Cholesterol, LDL - blood
Cytokines
Female
Follow-Up Studies
Hemodialysis
Humans
Interleukin-1 - blood
Interleukin-1 - metabolism
Interleukin-1β
Interleukin-6
Interleukin-6 - blood
Interleukin-6 - metabolism
Lipoprotein (a)
Lipoprotein(a) - blood
Male
Membranes, Artificial
Middle Aged
Renal Dialysis - instrumentation
Statistics as Topic
Triglycerides - blood
Tumor necrosis factor
Tumor Necrosis Factor-alpha - analysis
Tumor Necrosis Factor-alpha - metabolism
Uremia - therapy
title Cytokine Release and Serum Lipoprotein (a) Alterations During Hemodialysis
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