Imbalance between production and scavenging of hydroxyl radicals in patients maintained on hemodialysis

被引:7
作者
Shirai S. [1 ]
Ominato M. [2 ]
Shimazu T. [3 ]
Toyama K. [1 ]
Ogimoto G. [1 ]
Fujino T. [1 ]
Yasuda T. [1 ]
Sato T. [1 ]
Maeba T. [1 ]
Owada S. [2 ]
Kimura K. [1 ]
机构
[1] Division of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, Miyamae-ku, Kawasaki 216-8511
[2] Akabane-Chuo Hospital, Tokyo
[3] Tachibana-dai Hospital, Yokohama
关键词
Electron spin resonance; Endstage renal failure; Hemodialysis; Hydroxyl radicals; Oxidative stress;
D O I
10.1007/s10157-005-0374-7
中图分类号
学科分类号
摘要
Background. Reactive oxygen species are as being related to the pathophysiology of endstage renal disease (ESRD). We measured the plasma hydroxyl radical (·OH)-producing ability and ·OH-scavenging activity in patients with ESRD to clarify the pathophysiological states involved. Methods. We used electron spin resonance to measure plasma N-t-butyl-α-phenylnitron radical spin adduct (pPBN rsa) as ·OH-producing ability and plasma 3,3,5,5-tetramethyl-1-pyrroline-N-oxide radical spin adduct (pM4PO rsa) as ·OH-scavenging activity. Oxidative injuries were evaluated by determining oxidised low-density lipoprotein (Ox-LDL). Results. The pPBN rsa of the ESRD patients was lower than that of the controls (1.83 vs 2.94μmol/g protein). The pM4PO rsa of the ESRD patients was higher than that of the controls (3.85 vs 3.15mmol l-ascorbic acid 2-[3,4-dihydro-2,5,7,8-tetramethyl-2-(4,8,12-trimethyltridecyl) -2H-1-benzopyran-6-yl hydrogen phosphate] potassium salt (EPC-K1)/g protein). The pPBN rsa and pM4PO rsa were correlated, both in the ESRD patients and in the controls (r = 0.47 and r = 0.53). Ox-LDL was correlated with hemodialysis (HD) duration (r = 0.49) and was negatively correlated with pPBN rsa (r = -0.54), which indicates that oxidative stress was increased as HD therapy was prolonged and suppressed pPBN rsa. Conclusions. There was an imbalance between ·OH-producing ability and ·OH-scavenging activity, in the ESRD patients, and this may be responsible for compromising the health of ESRD patients. © Japanese Society of Nephrology 2005.
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页码:310 / 314
页数:4
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