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姜黄素补充剂可改善血液透析患者的氧化应激和炎症生物标志物:一项随机对照试验的二次分析。

Curcumin supplementation improves oxidative stress and inflammation biomarkers in patients undergoing hemodialysis: a secondary analysis of a randomized controlled trial.

机构信息

Graduate Program in Medical Sciences, Fluminense Federal University (UFF), Niterói, Brazil.

Graduate Program in Cardiovascular Sciences, Fluminense Federal University (UFF), Niterói, Brazil.

出版信息

Int Urol Nephrol. 2022 Oct;54(10):2645-2652. doi: 10.1007/s11255-022-03182-9. Epub 2022 Mar 26.

Abstract

BACKGROUND AND OBJECTIVES

Recent studies have shed light on the potential role of curcumin in mitigating inflammation in patients with chronic kidney disease (CKD). This study aimed to evaluate the effects of curcumin supplementation on plasma levels of markers of inflammation and oxidative stress in patients with CKD undergoing hemodialysis (HD).

METHODS

These are secondary exploratory analyses from a previous double-blind, randomized controlled pilot study registered under ClinicalTrials.gov Identifier no. NCT00123456. It included 28 hemodialysis patients from a previous study divided into two groups: curcumin group (receiving juice with 2.5 g of turmeric 3×/week for 12 weeks) and a control group. The TNF-α, IL-6 and Ox-LDL plasma levels were measured by sandwich enzyme immunoassays ELISA; lipid peroxidation was measured by the reaction between malondialdehyde (MDA) and thiobarbituric acid.

RESULTS

After 12 weeks of supplementation with curcumin, the TNF-α plasma levels were significantly reduced [from 15.0 (8.23-73.3) to 6.17 (1.11-55.0) pg/mL, p = 0.01].

CONCLUSION

12 weeks of treatment with curcumin in HD patients resulted in a reduction in the biomarker of inflammation (TNF-α), confirming our previous hypothesis that curcumin has an anti-inflammatory effect.

摘要

背景与目的

最近的研究揭示了姜黄素在减轻慢性肾脏病(CKD)患者炎症中的潜在作用。本研究旨在评估姜黄素补充剂对接受血液透析(HD)的 CKD 患者血浆炎症和氧化应激标志物水平的影响。

方法

这些是在以前的一项双盲、随机对照试验的二级探索性分析中注册的,该试验在 ClinicalTrials.gov 标识符 NCT00123456 下进行。它包括以前研究中的 28 名血液透析患者,分为两组:姜黄素组(每周接受 3 次、每次 2.5 克姜黄的果汁,持续 12 周)和对照组。TNF-α、IL-6 和 Ox-LDL 血浆水平通过夹心酶联免疫吸附测定 ELISA 测量;脂质过氧化通过丙二醛(MDA)与硫代巴比妥酸之间的反应来测量。

结果

补充姜黄素 12 周后,TNF-α 血浆水平显著降低[从 15.0(8.23-73.3)降至 6.17(1.11-55.0)pg/mL,p=0.01]。

结论

在 HD 患者中使用姜黄素治疗 12 周可降低炎症标志物(TNF-α),证实了我们之前的假设,即姜黄素具有抗炎作用。

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