Vitamin E in uremia and dialysis patients

被引:19
作者
Galli, F [1 ]
Buoncristiani, U [1 ]
Conte, C [1 ]
Aisa, C [1 ]
Floridi, A [1 ]
机构
[1] Univ Perugia, Dept Internal Med, Sect Appl Biochem & Nutr Sci, I-06126 Perugia, Italy
来源
VITAMIN E AND HEALTH | 2004年 / 1031卷
关键词
vitamin E; tocopherol; CEHCs; uremia; hemodialysis; end-stage renal disease; oxidative stress; lipid oxidation; antioxidants;
D O I
10.1196/annals.1331.041
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Vitamin E therapy (based either on oral supplements or new dialysis methods such as vitamin E-coated hemodialysers) has been suggested to yield a better clinical outcome in hemodialysis (HD) patients than in other populations of patients. Among other factors, the presence of a modified vitamin E status might help to explain this apparently paradoxical response to vitamin E. In this study we investigated 104 regular HD patients. The results indicate that, besides having a low dietary intake, these subjects show some abnormalities in the levels and metabolism of vitamin E, such as a disproportion between plasma tocopherols and lipids, low levels of gamma-T, and CEHC accumulation. Although further studies are needed to confirm the clinical relevance of vitamin E therapy in HD, these findings might lead to recommending a higher vitamin E intake in these patients.
引用
收藏
页码:348 / 351
页数:4
相关论文
共 9 条
[1]   Secondary prevention with antioxidants of cardiovascular disease in endstage renal disease (SPACE): randomised placebo-controlled trial [J].
Boaz, M ;
Smetana, S ;
Weinstein, T ;
Matas, Z ;
Gafter, U ;
Iaina, A ;
Knecht, A ;
Weissgarten, Y ;
Brunner, D ;
Fainaru, M ;
Green, MS .
LANCET, 2000, 356 (9237) :1213-1218
[2]   Accumulation of vitamin E metabolites in the blood of renal failure patients [J].
Galli, F ;
Floridi, AG ;
Floridi, A ;
Buoncristiani, U .
CLINICAL NUTRITION, 2004, 23 (02) :205-212
[3]  
Galli F, 2002, CONTRIB NEPHROL, V137, P371
[4]  
Galli F, 2002, CONTRIB NEPHROL, V137, P95
[5]   New perspectives on vitamin E:: γ-tocopherol and carboxyethylhydroxychroman metabolites in biology and medicine [J].
Hensley, K ;
Benaksas, EJ ;
Bolli, R ;
Comp, P ;
Grammas, P ;
Hamdheydari, L ;
Mou, SY ;
Pye, QN ;
Stoddard, MF ;
Wallis, G ;
Williamson, KS ;
West, M ;
Wechter, WJ ;
Floyd, RA .
FREE RADICAL BIOLOGY AND MEDICINE, 2004, 36 (01) :1-15
[6]   Alpha and gamma tocopherol metabolism in healthy subjects and patients with end-stage renal disease [J].
Himmelfarb, J ;
Kane, J ;
McMonagle, E ;
Zaltas, E ;
Bobzin, S ;
Boddupalli, S ;
Phinney, S ;
Miller, G .
KIDNEY INTERNATIONAL, 2003, 64 (03) :978-991
[7]   The elephant in uremia: Oxidant stress as a unifying concept of cardiovascular disease in uremia [J].
Himmelfarb, J ;
Stenvinkel, P ;
Ikizler, TA ;
Hakim, RM .
KIDNEY INTERNATIONAL, 2002, 62 (05) :1524-1538
[8]   Vitamin E supplementation increases circulating vitamin E metabolites tenfold in end-stage renal disease patients [J].
Smith, KS ;
Lee, CL ;
Ridlington, JW ;
Leonard, SW ;
Devaraj, S ;
Traber, MG .
LIPIDS, 2003, 38 (08) :813-819
[9]   Measurement of lipid-soluble vitamins - further adjustment needed? [J].
Traber, MG ;
Jialal, I .
LANCET, 2000, 355 (9220) :2013-2014