Lipid and oxidative profile in hemodialysis patients: Clinical follow-up for three years.
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Abstract
Background: The major cause of death for hemodialysis (HD) patients was cardiovascular morbidity; it was closely related to oxidative stress (OS).
Aim: Firstly, to evaluate lipid peroxidation biomarkers on HD patients through measuring malondialdehyde (MDA) and conjugated dienes (CD), and secondly, to follow these parameters after three years undergoing HD.
Methods: One hundred patients with end stage renal diseases receiving regular hemodialysis and 100 healthy volunteers were included in this study. Routine chemical data, lipid profile and levels of MDA and CD were measured.
Results: The plasmatic and erythrocyte MDA levels were significantly increased in the HD patients compared to healthy subjects (p <0.001). However, an increased level on erythrocyte CD was only observed between the two study groups (p<0.001). After 3 years, a significant increased level of lipid peroxidation biomarkers was observed.
Conclusion: The disturbance in lipid peroxidation state in HD patients was observed. At three years follow-up, oxidative stress is more pronounced with a significant increase in MDA and CD.
Keywords:
Oxidative stress; lipid peroxidation; malondialdehyde; conjugated dienes; hemodialysis patients##plugins.themes.academic_pro.article.details##
References
- Frimat L, Loos-ayav C, Briançon S, Kessler M. Épidémiologie des maladies rénales chroniques Epidemiology of chronic kidney diseases. 2005;2:139-57.
- De Castro LL, de Carvalho e Martins M do C, Garcez AM, Pacheco JFR, Cunha FVM, Moita Neto JM, et al. Hypoalbuminemia and oxidative stress in patients on renal hemodialysis program. Nutr Hosp. 2014;30(4):952-9.
- Klebanoff SJ. Oxygen metabolism and the toxic properties of phagocytes. Ann Intern Med. 1980;93(3):480-9.
- Oleszko A, Olsztyńska-Janus S, Walski T, Grzeszczuk-Kuć K, Bujok J, Gałecka K, et al. Application of FTIR-ATR spectroscopy to determine the extent of lipid peroxidation in plasma during haemodialysis. Biomed Res Int. 2015;2015:1-9.
- Ajala MO, Ogunro PS, Odun A, M.O. A, P.S. O. Effect of hemodialysis on total antioxidant status of chronic renal failure patients in government hospitals in Lagos Nigeria. Niger J Clin Pract. 2011;14(2):154-8.
- Ogunro PS, Oluyombo R, Ajala MO, Oshodi TT. The effect of a membrane dialyzer during hemodialysis on the antioxidant status and lipid peroxidation of patients with end-stage renal disease. Saudi J kidney Dis Transplant. 2014; 25(6) 1186-1193.
- Steghens J-P, Combarnous F, Arkouche W, Flourie F, Hadj-Aissa A. Influence of hemodialysis on total and free malondialdehyde measured by a new HPLC method. NeÌphrologie & theÌrapeutique. 2005 May [cited 2016 May 9];1(2):121-5.
- Miljkovic M, Kotur-Stevuljevic J, Stefanovic A, Zeljkovic A, Vekic J, Gojkovic T, et al. Oxidative stress and hemoglobin-cholesterol adduct in renal patients with different LDL phenotypes. Int Urol Nephrol. 2016 Oct 13 [cited 2018 Apr 4];48(10):1683-90.
- Kessler M. Pathologie cardiovasculaire de l ' insuffisance rénale chronique terminale - aspects épidémiologiques. Nephrologie. 2002;23(7):359-63.
- Parfrey PS, Foley RN. The clinical epidemiology of cardiac disease in chronic renal failure. J Am Soc Nephrol. 1999;10(7):1606-15.
- Yoshioka T, Kawada K, Shimada T, Mori M. Lipid peroxidation in maternal and cord blood and protective mechanism against activated-oxygen toxicity in the blood. Am J Obstet Gynecol. 1979;135(3):372-6.
- El-Saadani M, Esterbauer H, El-Sayed M, Goher M, Nassar AY, Jurgens G. A spectrophotometric assay for lipid peroxides in serum lipoproteins using a commercially available reagent. J Lipid Res. 1989;30(4):627-30.
- Ramos R, MartÃnez-Castelao A. Lipoperoxidation and hemodialysis. Metabolism. 2008;57(10):1369-74.
- Himmelfarb J, Stenvinkel P, Ikizler TA, Hakim RM. Perspectives in renal medicine: The elephant in uremia: Oxidant stress as a unifying concept of cardiovascular disease in uremia. Kidney Int. 2002;62(5):1524-38.
- Dounousi E, Papavasiliou E, Makedou A, Ioannou K, Katopodis KP, Tselepis A, et al. Oxidative Stress Is Progressively Enhanced With Advancing Stages of CKD. Am J Kidney Dis. 2006;48(5):752-60.
- Pedruzzi LM, Cardozo LFMDF, Medeiros RF, Stockler-Pintom MB, Mafra D. Association between serum ferritin and lipid peroxidation in hemodialysis patients. J Bras Nefrol. 2015;37(2):171-6.
- Samouilidou EC, Grapsa EJ, Kakavas I, Lagouranis A, Agrogiannis B. Oxidative stress markers and C-reactive protein in end-stage renal failure patients on dialysis. Int Urol Nephrol. 2003 [cited 2018 Apr 4];35(3):393-7.
- Ouedraogo S, Djibril M, Balaka A, Baragou S, Tchamdja T, Djagadou K, et al. Lipid Profile of Hemodialysis Patients at the CHU Sylvanus Olympio in Togo. Intern Med Open Access. 2015;05(02):2-5.
- Maoujoud O, Ahid S, Asseraji M, Bahadi A, Aatif T, Zajari Y, et al. Prévalence du syndrome métabolique chez les hémodialysés chroniques au Maroc. East Mediterr Heal J. 2011;17(1):56-61.
- Kessler M. Athérosclérose et hémodialyse session III. Nephrologie. 2000; 21(7): 349-50.
- Zargari M, Sedighi O. Influence of Hemodialysis on Lipid Peroxidation, Enzymatic and Non-Enzymatic Antioxidant Capacity in Chronic Renal Failure Patients. Nephrourol Mon. 2015;7(4):e28526.
- Kim SC, Chang HJ, Kim M-G, Jo S-K, Cho W-Y, Kim H-K. Relationship between pulmonary hypertension, peripheral vascular calcification, and major cardiovascular events in dialysis patients. Kidney Res Clin Pract. 2015;34(1):28-34.