Ogunro P S, Olujombo F A, Ajala M O, Oshodi T T
Department of Chemical Pathology, College of Health Sciences, Ladoke Akintola University of Technology, Osogbo, Nigeria.
Saudi J Kidney Dis Transpl. 2014 Nov;25(6):1186-93. doi: 10.4103/1319-2442.144251.
Renal failure is accompanied by oxidative stress, which is caused by enhanced production of reactive oxygen species (ROS) and an impaired antioxidant defense. We studied 73 hemodialysis (HD) patients (39 males and 34 females) aged 24-75 years; the patients were randomized into two subgroups according to the type of hemodialysis membrane (35 patients were dialyzed on cellulose and 38 patients on polysulfone F7/F9 membrane dialyzers) and we assessed their antioxidant and lipid peroxidation status levels. The total antioxidant status (TAS) levels including whole blood levels of malondialdehyde (MDA) and glutathione (GSH); glutathione peroxidase (GSH-Px), superoxide dismutase (SOD), and catalase (CAT) activities were measured, before and after hemodialysis. The MDA levels significantly increased 52.0% and 16.9% post dialysis among the cellulose and the polysulfone dialyzer users, respectively, (P<0.05). The TAS levels significantly decreased, 22.0 and 16.5% in the cellulose and polysulfone dialyzer users, respectively, (P<0.05). The erythrocyte SOD activity decreased 25.1 and 19.1% in the cellulose and the polysulfone dialyzer users, respectively, (P<0.05). The GSH concentrations, post dialysis, decreased 49.9 and 6.8% in the cellulose and polysulfone dialyzer users, respectively, (P<0.05). In contrast, the erythrocyte activity of CAT, post dialysis, increased 15.0 and 37.3% in the polysulfone and the cellulose dialyzer users, respectively, (P<0.05). We conclude that the type of the dialysis membrane affects the oxidative status after HD with possible consequences on patient morbidity and mortality.
肾衰竭伴有氧化应激,这是由活性氧(ROS)生成增加和抗氧化防御受损所致。我们研究了73例年龄在24至75岁之间的血液透析(HD)患者(39例男性和34例女性);根据血液透析膜的类型将患者随机分为两个亚组(35例患者使用纤维素膜透析,38例患者使用聚砜F7/F9膜透析器),并评估了他们的抗氧化和脂质过氧化状态水平。在血液透析前后测量了包括全血丙二醛(MDA)和谷胱甘肽(GSH)水平在内的总抗氧化状态(TAS)水平;还测量了谷胱甘肽过氧化物酶(GSH-Px)、超氧化物歧化酶(SOD)和过氧化氢酶(CAT)的活性。纤维素膜透析器使用者和聚砜膜透析器使用者透析后MDA水平分别显著升高52.0%和16.9%(P<0.05)。纤维素膜透析器使用者和聚砜膜透析器使用者的TAS水平分别显著降低22.0%和16.5%(P<0.05)。纤维素膜透析器使用者和聚砜膜透析器使用者红细胞SOD活性分别降低25.1%和19.1%(P<0.05)。透析后,纤维素膜透析器使用者和聚砜膜透析器使用者的GSH浓度分别降低49.9%和6.8%(P<0.05)。相反,透析后聚砜膜透析器使用者和纤维素膜透析器使用者红细胞CAT活性分别升高15.0%和37.3%(P<0.05)。我们得出结论,透析膜的类型会影响血液透析后的氧化状态,可能对患者的发病率和死亡率产生影响。