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

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Clinical and Experimental Nephrology Aims and scope Submit manuscript

Abstract

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 2.94 µmol/g protein). The pM4PO rsa of the ESRD patients was higher than that of the controls (3.85 vs 3.15 mmol 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.

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Authors and Affiliations

  1. Division of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, 216-8511, Japan

    Sayuri Shirai, Katuhide Toyama, Goichi Ogimoto, Tomoya Fujino, Takashi Yasuda, Takeo Sato, Teruhiko Maeba & Kenjiro Kimura

  2. Akabane-Chuo Hospital, Tokyo, Japan

    Masayuki Ominato & Shigeru Owada

  3. Tachibana-dai Hospital, Yokohama, Japan

    Takekazu Shimazu

Authors
  1. Sayuri Shirai
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  2. Masayuki Ominato
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  3. Takekazu Shimazu
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  4. Katuhide Toyama
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  5. Goichi Ogimoto
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  6. Tomoya Fujino
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  7. Takashi Yasuda
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  8. Takeo Sato
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  9. Teruhiko Maeba
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  10. Shigeru Owada
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  11. Kenjiro Kimura
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Corresponding author

Correspondence to Kenjiro Kimura.

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Shirai, S., Ominato, M., Shimazu, T. et al. Imbalance between production and scavenging of hydroxyl radicals in patients maintained on hemodialysis. Clin Exp Nephrol 9, 310–314 (2005). https://doi.org/10.1007/s10157-005-0374-7

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  • DOI: https://doi.org/10.1007/s10157-005-0374-7

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