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肾移植后的血清脂褐素水平

[Serum lipofuscin level after renal transplantation].

作者信息

Chmiel Bogdan, Kuśmierski Stanisław, Kokocińska Danuta, Cierpka Lech

机构信息

I Katedy I Kliniki Chirurgii Ogólnej i Transplantacyjnej Slaskiej Akademii Medycznej w Katowicach.

出版信息

Przegl Lek. 2003;60(1):21-3.

Abstract

BACKGROUND

Lipofuscin is believed to be the last product of lipid peroxidation. Elevated serum lipofuscin in chronic renal insufficiency and in multiple organ failure after major surgery has been detected.

AIM

To compare serum lipofuscin level after renal transplantation with hemodialysed patients and healthy adults.

MATERIAL AND METHODS

Lipofuscin has been determined according to Tsuchida with Roumen's modification and expressed in arbitrary units (u.), in serum of 56 healthy adults, 11 renal transplant recipients and nine hemodialysed patients. Blood was collected before hemodialysis in uremic patients, or within 24 h after renal transplantation.

RESULTS

Serum lipofuscin in hemodialysed patients and renal recipients was significantly higher about 80% and 180% respectively, comparing to healthy adults.

CONCLUSION

Elevated serum lipofuscin levels after renal transplantations show high oxidative stress due to several mechanisms of lipid peroxidation in this group of patients.

摘要

背景

脂褐素被认为是脂质过氧化的最终产物。已检测到慢性肾功能不全患者及大手术后多器官功能衰竭患者血清脂褐素升高。

目的

比较肾移植患者与血液透析患者及健康成年人血清脂褐素水平。

材料与方法

采用经鲁门改良的土田法测定脂褐素,以任意单位(u.)表示,检测了56名健康成年人、11名肾移植受者及9名血液透析患者血清中的脂褐素。尿毒症患者在血液透析前采血,肾移植患者在术后24小时内采血。

结果

与健康成年人相比,血液透析患者和肾移植受者血清脂褐素分别显著升高约80%和180%。

结论

肾移植后血清脂褐素水平升高表明该组患者因多种脂质过氧化机制而存在高氧化应激。

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