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乙酰水杨酸的使用对血液透析患者炎症和氧化应激标志物的影响

Effects of Acetylsalicylic Acid Usage on Inflammatory and Oxidative Stress Markers in Hemodialysis Patients.

作者信息

Maniglia Fabíola Pansani, da Costa José Abrão Cardeal

机构信息

Division of Nephrology, Ribeirão Preto Medical School of University of São Paulo, Ribeirão Preto, SP, Brazil.

出版信息

Inflammation. 2016 Feb;39(1):243-247. doi: 10.1007/s10753-015-0244-8.

Abstract

The aims of this study were to determine the effects of acetylsalicylic acid (ASA) on inflammation and oxidative stress markers in hemodialysis (HD) patients and to examine the associations between these markers and the sociodemographic and clinical characteristics of participants. The study included 36 subjects who used 300 mg of ASA for 60 days. Inflammation and oxidative stress were assessed based on levels of biochemical markers. ASA usage promoted a decrease in high-sensitivity C-reactive protein (p = 0.01). The level of hydrogen peroxide increased after 30 days of use of ASA and subsequently decreased (p = 0.01). Reduced glutathione reduced at the end of the study (p < 0.01); the malondialdehyde level did not change and the levels of vitamins A and E were inverse to drug use (p = 0.01). ASA usage promoted reduced levels of inflammation, increased production of markers of oxidative stress, and reduced antioxidant defense.

摘要

本研究的目的是确定乙酰水杨酸(ASA)对血液透析(HD)患者炎症和氧化应激标志物的影响,并研究这些标志物与参与者的社会人口统计学和临床特征之间的关联。该研究纳入了36名使用300毫克ASA持续60天的受试者。基于生化标志物水平评估炎症和氧化应激。使用ASA促使高敏C反应蛋白水平降低(p = 0.01)。使用ASA 30天后过氧化氢水平升高,随后降低(p = 0.01)。研究结束时还原型谷胱甘肽减少(p < 0.01);丙二醛水平未改变,维生素A和E水平与药物使用呈负相关(p = 0.01)。使用ASA促使炎症水平降低、氧化应激标志物产生增加以及抗氧化防御能力降低。

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