Biological effects of electrolyzed water in hemodialysis.

BACKGROUND/AIMS: The application of electrolyzed water (EW) at the cathode side to manufacture reverse osmosis (RO) water and hemodialysis (HD) solution can actually lead to less oxidative capacity in chemical terms. The present study examined the biological actions of this water on human polymorphonuclear leukocytes (PMNs), and the clinical feasibility of applying this technology to HD treatment. METHODS: RO water using EW (e-RO) exhibited less chemiluminescence in luminol-hydrogen peroxide and higher dissolved hydrogen levels (-99.0 ppb) compared with control RO water. The effects of e-RO on PMN viability were tested. HD using e-RO was performed for 12 consecutive sessions in 8 patients for the feasibility test. RESULTS: Basal cellular viability and function to generate superoxide radicals of PMNs were better preserved by e-RO application. In the clinical trial, reductions of blood pressure were noted, but no adverse events were observed. There were no changes in the blood dialysis parameters, although methylguanidine levels were significantly decreased at the end of study. CONCLUSION: The present study demonstrated the capacity of e-RO to preserve the viability of PMNs, and the clinical feasibility of applying this water for HD treatment. The clinical application of this technology may improve the bio-compatibility of HD treatment.

[A case of systemic lupus erythematosus presenting with jaundice and lupus pneumonia].

A 27-year-old Japanese woman was referred to our hospital for acute hepatitis in April 2002. She had been suffering from low grade fever and fatigue for a week. She also presented with dyspnea. On admission, ALT and AST were 857 U/l and 473 U/l respectively. Urine protein was 2 g/day. Chest radiograph showed bilateral infiltrative shadow and pleural effusion. She developed jaundice and her level of total bilirubin was increased to 9.6 mg/dl on May 9. Antibodies to hepatitis viruses were not detected. Testing for antimitochondrial antibodies, antismooth muscle antibodies, and antiribosomal P antibodies showed all negative. However, antinuclear antibodies were positive at titer 1:160 and anti-double stranded DNA antibodies were 130 U/ml. A diagnosis of systemic lupus erythematosus was made and oral administration of 60 mg/day prednisolon was started on May 10. Serum levels of ALT, AST and bilirubin were reduced to within normal range and pulmonary lesions were also improved. We conclude that this is a rare case of systemic lupus erythematosus presenting with acute hepatitis and jaundice.

Free water 3H concentrations in serum samples collected during 1969-1992 in Akita, Japan.

The measurements for human and environmental samples from the 1960's and 1970's are important to understand the long-term transfer of 3H from the environment to the human body. The authors have previously reported 3H concentrations in diet samples collected in Akita Prefecture during 1969-1988. Serum samples from persons living in Akita Prefecture during 1969-1992 were recently obtained. The samples were originally gathered for medical examinations and stored in freezers at -20 degrees C. Composite samples from 100 persons on average were made for analysis. The free water 3H (FWT) concentrations in those samples were determined and compared with 3H concentrations in diet samples and precipitation. The long-term variation pattern of the FWT concentrations in the serum samples was similar to patterns in the diet samples and precipitation, but the FWT concentrations in the serum samples were slightly higher than those in the latter two. A single compartment model calculation showed that the apparent mean residence time of serum FWT was 1.4 y using precipitation as an input to the compartment.