Vitamin E-bonded cellulose membrane, lipoperoxidation, and anemia in hemodialysis patients.
Artif Cells Blood Substit Immobil Biotechnol
; 31(2): 185-91, 2003 May.
Article
en En
| MEDLINE
| ID: mdl-12751839
ABSTRACT
In hemodialysis patients, oxidative stress results from an imbalance between the production of reactive oxygen species and antioxidant defense mechanisms. Recently, a new dialysis multi-layer membrane has been developed, by modifying the inner surface of regenerated cellulose to support a vitamin E coating. The aim of our study was to investigate the effects of hemodialysis treatment with vitamin E-modified membrane on anemia and erythropoietin requirement in a group of chronic uremic patients. Ten uremic, non diabetic, patients on standard bicarbonate dialysis were treated with vitamin E-bonded dialysis membrane for 12 months. Hematological parameters, erythropoietin requirement, serum vitamin E and serum malonyldialdehyde (MDA) were evaluated before starting the study and monthly. No significant changes in hemoglobin level, RBC count, hematocrit and EPO requirement were observed. Basal vitamin E levels were in the normal range (13.0 +/- 2.88 mg/L vs. 14.79 +/- 3.12 mg/L; NS). On the contrary, basal MDA levels were higher than those observed in the control group (1.87 +/- 0.36 vs. 1.13 +/- 0.18 mmol/mL; p < 0.01) and a significant decrease of MDA levels was found after 1 month of Excebrane treatment (1.39 +/- 0.25 nmol/mL; p < 0.02). In conclusion, the role of the "oxidative hemolysis" in the pathogenesis of anemia in CHD patients is still not clearly defined, but it could be of minor clinical relevance. Although the effectiveness of vitamin E-coated membranes as a scavenger of ROS allows a better control of intradialytic oxidative stress, it doesn't seem to contribute to clinical management of anemia in these patients.
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Base de datos:
MEDLINE
Asunto principal:
Uremia
/
Vitamina E
/
Diálisis Renal
/
Estrés Oxidativo
/
Anemia
/
Membranas Artificiales
Tipo de estudio:
Etiology_studies
Límite:
Adult
/
Aged
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Artif Cells Blood Substit Immobil Biotechnol
Asunto de la revista:
BIOTECNOLOGIA
/
TRANSPLANTE
Año:
2003
Tipo del documento:
Article
País de afiliación:
Italia