Study of Elements, Antioxidants and Lipid Peroxidation in Hemodialysis Patients

Background: During hemodialysis, most of the elements must be kept in a rather narrow physiological range, otherwise life-threatening events may occur. Furthermore, lipid peroxidation in patients may be partly due to the trace element disturbances. It has been mentioned that there are relations between deficiency in trace elements and antioxidant levels. The present study aimed to determine whether there were differences between hemodialysis patients and a healthy group according to selenium, aluminium, malondialdehyde (MDA), reduced form of glutathione (GSH) and superoxide dismutase (SOD) levels. Methods: The study included 47 hemodialysis patients (hemodialysis group). Blood samples were taken before (pre-hemodialysis) and after (post-hemodialysis) hemodialysis session. The control group included 23 healthy volunteers. Results: The aluminium, MDA, and SOD levels were lower and reduced form of GSH levels were higher in the control group when compared with the pre-hemodialysis group. MDA and SOD levels were higher in the post-hemodialysis group than in the control group. GSH levels were lower and aluminium levels higher in the pre- versus the post-hemodialysis group. Conclusions: In order to evaluate the data of antioxidant and oxidant levels, hemodialysis patients are subjected to oxidative stress. Moreover, the study shows that analyzing levels of aluminium may be useful in hemodialysis patients in evaluating elements status.

Study of Elements, Antioxidants and Lipid Peroxidation in Hemodialysis Patients

Background: During hemodialysis, most of the elements must be kept in a rather narrow physiological range, otherwise life-threatening events may occur. Furthermore, lipid peroxidation in patients may be partly due to the trace element disturbances. It has been mentioned that there are relations between deficiency in trace elements and antioxidant levels. The present study aimed to determine whether there were differences between hemodialysis patients and a healthy group according to selenium, aluminium, malondialdehyde (MDA), reduced form of glutathione (GSH) and superoxide dismutase (SOD) levels. Methods: The study included 47 hemodialysis patients (hemodialysis group). Blood samples were taken before (pre-hemodialysis) and after (post-hemodialysis) hemodialysis session. The control group included 23 healthy volunteers. Results: The aluminium, MDA, and SOD levels were lower and reduced form of GSH levels were higher in the control group when compared with the pre-hemodialysis group. MDA and SOD levels were higher in the post-hemodialysis group than in the control group. GSH levels were lower and aluminium levels higher in the pre- versus the post-hemodialysis group. Conclusions: In order to evaluate the data of antioxidant and oxidant levels, hemodialysis patients are subjected to oxidative stress. Moreover, the study shows that analyzing levels of aluminium may be useful in hemodialysis patients in evaluating elements status.

___

  • al. Trace elements in hemodialysis and continuous ambulatory
  • peritoneal dialysis patients. Blood Purif 1998; 16: 253-260.
  • Lin TH, Chen JG, Liaw J, Juang JG. Trace elements and lipid peroxidation in uremic patients on hemodialysis. Biol Trace Elem Res 1996; 51: 277-283.
  • Bogye G, Tompos G, Alftan G. Selenium depletion in hemodialysis patients treated with polysulfone membranes. Nephron 2000; 84: 119-123.
  • Krizek M, Senft V, Motan J. Influence of hemodialysis on selenium blood levels. Sb Lek 2000; 101: 241-248.
  • Hasanoglu E, Altan N, Sındel S, Ongun CO, Bali M, Altıntas E. The relationship between erythrocyte superoxide dismutase activity and plasma levels of some trace elements (Al, Cu, Zn) of dialysis patients. Gen Pharmac 1994; 25: 107-110.
  • Weinstein T, Chagnac A, Korzets A, Boaz M, Ori Y, Herman M et al. Haemolysis in haemodialysis patients: evidence for impaired defense mechanism against oxidative stress. Nephrol Dial Transplant 2000; 15: 883-887.
  • Samouilidou E, Graspa E. Effect of dialysis on plasma total antioxidant capacity and lipid peroxidation products in patients with end-stage renal failure. Blood Purificat 2003; 21: 209-212.
  • Martin-Mateo MC, Del Canto-Jafiez E, Barrero-Martinez MJ. Oxidative stress and enzyme activity in ambulatory renal patients undergoing continuous peritoneal dialysis. Ren Fail 1998; 20: 117-124.
  • Martin-Mateo MC, Sanchez-Portugal M, Iglesias S, de Paula A, Bustamante J. Oxidative stress in chronic renal failure. Ren Fail 1999; 21: 155-167.
  • Drai J, Bannier E, Chazot C, Hurot JM, Goederet G, Jean G et al. Oxidants and antioxidants in long-term haemodialysis patients. Farmaco 2001; 56: 463-465.
  • Chugh SN, Jain S, Agrawal N, Sharma A. Evaluation of oxidative stress before and after haemodialysis chronic renal failure. J Assoc Physicians India 2000; 48: 981-984.
  • Seymen P, Seymen HO, Ozdemir A, Belce A, Gümüştaş K, Türkmen F et al. Cuprophan ve polisülfon dializörlerinin oksidan/antioksidan dengesi üzerine etkileri. Cerrahpaşa J Med 2000; 31: 74-81.
  • Usberti M, Lima G, Arisi M, Bufano G, D’Avanzo L, Gazzotti MR. Effect of exogenous reduced glutathione on the survival of red blood cells in hemodialyzed patients. J Nephron 1997; 10: 261- 265.
  • Chen CK, Liaw JM, Juang JG, Lin TH. Antioxidant enzymes and trace elements in hemodialyzed patients. Biol Trace Elem Res 1997; 58: 149-157.
  • Ceballos Picot I, Witko Sarsat V, Merad Boudia M, Nguyen AT, Thevenin M, Jaudon MC et al. Glutathione antioxidant system as a marker of oxidative stress in chronic renal failure. Free Radical Bio Med 1996; 21: 845-853.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

The Prevalence of Pleural Effusion in Pregnant Women: A Pilot Study

Özcan BALAT, Öner DİKENSOY, Ebru DİKENSOY

Communicating Hydrocephalus in Systemic Lupus Erythematosus

Hakan SELÇUK, Civan IŞLAK, Sait ALBAYRAM, Ramazan ALBAYRAK, Bumin DEĞİRMENCİ, Halit YILMAZ, Sebahat SAİP

Computer Assisted Image Analysis of Peroxidase Stained Endometrial Tissue

Ahmet Barış TOPRAK, Kemal ÖZBİLGİN, Seda VATANSEVER

Carriage of Mobilizable Plasmid-Mediated b-Lactamase Gene in Ampicillin-Resistant Escherichia coli Strains with Origin of Normal Fecal Flora

Osman Birol ÖZGÜMÜŞ

Exposure of Rats to Whole Body Gamma Rays Induces Early Alterations in Biliary Secretion

Ihsan HADAJAT, Omar Mohamed ABDEL-SALAM, Ayman Ragab AIUOMY, Siham EL-SHINAWY, Mahmoud S. ARBID

Can modified Dukes' classification be used in gastric cancer staging?

Ömer YERCİ, Halil ÖZGÜÇ, Nusret KORUN, Erol BAĞÇIVAN, Yalçın SÖNMEZ, Ersin ÖZTÜRK, Türkay KIRDAK

Hepatic Failure as a Result of Ovarian Cysts in a Newborn

Güngör KARAGÜZEL, Nihal OYGUR, Aşkın GÜRA, Metin ÇUBUK

Study of Elements, Antioxidants and Lipid Peroxidation in Hemodialysis Patients

Esma MENEVŞE, Ali Muhtar TİFTİK, Abdullah SİVRİKAYA, Süleyman TÜRK, Emrah KARAGÖZOĞLU

A Case Report of Ecstasy-induced Acute Hepatic Failure

Sami KINIKLI, Ali Pekcan DEMİRÖZ, Zeliha KOÇAK, Ruhsar Gül YILMAZ, Hasan IRMAK, Cemal BULUT

Aphasia in Hemiplegic Patients

Münire MENGÜLLÜOĞLU, Serpil ALLUŞOĞLU, Neşe ÖZGİRİN, Nermin ALTINOK, Bülent GÜNDÜZ, Asuman DOĞAN