Pentraxin 3, a sensitive early marker of hemodialysis-induced inflammation.
Blood Purif
; 34(3-4): 290-7, 2012.
Article
en En
| MEDLINE
| ID: mdl-23235124
ABSTRACT
BACKGROUND/AIMS:
The purpose of this investigation was to determine if the long pentraxin 3 (PTX-3) may be a useful marker of intradialytic inflammation since it is rapidly released in the vasculature.METHODS:
PTX-3, interleukin-6, tumor necrosis factor-α and C-reactive protein were measured before and during a hemodialysis session in 22 patients and compared with healthy subjects. The effect of dialysis with low-flux, high-flux membranes and hemodiafiltration on the inflammatory response was compared in 11 patients.RESULTS:
C-reactive protein and interleukin-6 levels did not change, while a modest decrease in tumor necrosis factor-α was observed during hemodialysis. The plasma PTX-3 concentration was significantly increased (p < 0.001) after 60 min and peaked at 180 min during hemodialysis. There was no difference in the intradialytic increase in PTX-3 using different dialysis membranes and modalities.CONCLUSION:
PTX-3 stands out as a rapid and sensitive marker of hemodialysis-induced inflammation. Membrane flux and hemodiafiltration did not alter the inflammatory response.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Proteína C-Reactiva
/
Componente Amiloide P Sérico
/
Hemodiafiltración
/
Inflamación
/
Fallo Renal Crónico
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Aged
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Año:
2012
Tipo del documento:
Article