Abstract:
BACKGROUND/AIMS:The mesothelium of patients undergoing peritoneal dialysis (PD) is exposed to glucose in dialysate. Glucose metabolites 3-deoxyglucosone and advanced glycation endproducts (AGEs) in the PD fluid induce peritoneal damage. Circulating factors also affect the peritoneum in the uremic model and predialysis patients. Aldose reductase (AR) generates precursors of 3-deoxyglucosone. We have reported AR acceleration in uremic patients. Therefore, AR acceleration might affect the peritoneum. The purpose of this study was to evaluate the AR level in PD patients and to determine the factors that change the peritoneum of these patients. METHODS:We measured the PD effluent (eff-) concentration of cancer antigen 125 (CA125) as a marker of mesothelial viability in PD patients. Erythrocyte AR, eff-, and plasma (p-) concentrations of 3-deoxyglucosone, AGEs, and malondialdehyde were also studied in 30 PD patients, 18 patients undergoing hemodialysis, and 8 control subjects. RESULTS:In the PD group, AR, p-3-deoxyglucosone, p-AGEs, and p-malondialdehyde were higher than in the control group. The predictors for eff-CA125 were not only PD duration and eff-3-deoxyglucosone, but also AR. CONCLUSION:AR was upregulated in PD patients. AR acceleration may affect the peritoneum in these patients. Further studies are needed to clarify the role of AR in PD patients.
journal_name
Am J Nephroljournal_title
American journal of nephrologyauthors
Hasuike Y,Moriguchi R,Hata R,Miyagawa K,Kuragano T,Aizawa M,Yamamoto S,Yanase K,Izumi M,Tanimoto T,Nakanishi Tdoi
10.1159/000108358subject
Has Abstractpub_date
2007-01-01 00:00:00pages
622-9issue
6eissn
0250-8095issn
1421-9670pii
000108358journal_volume
27pub_type
临床试验,杂志文章abstract::Accelerated atherosclerosis is both a cause and a consequence of chronic renal failure. Vascular smooth muscle cells (VSMCs) are an important component of atherosclerotic plaques, responsible for promoting plaque stability in advanced lesions. In contrast, VSMC apoptosis has been implicated in a number of deleterious ...
journal_title:American journal of nephrology
pub_type: 杂志文章,评审
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journal_title:American journal of nephrology
pub_type: 临床试验,杂志文章
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journal_title:American journal of nephrology
pub_type: 杂志文章
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更新日期:2009-01-01 00:00:00
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journal_title:American journal of nephrology
pub_type: 杂志文章
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doi:10.1159/000455389
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journal_title:American journal of nephrology
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pub_type: 历史文章,杂志文章
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journal_title:American journal of nephrology
pub_type: 杂志文章
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journal_title:American journal of nephrology
pub_type: 杂志文章
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journal_title:American journal of nephrology
pub_type: 杂志文章
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更新日期:2000-03-01 00:00:00
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journal_title:American journal of nephrology
pub_type: 传,历史文章,杂志文章
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journal_title:American journal of nephrology
pub_type: 杂志文章
doi:10.1159/000137684
更新日期:2008-01-01 00:00:00
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journal_title:American journal of nephrology
pub_type: 杂志文章
doi:10.1159/000046280
更新日期:2001-09-01 00:00:00
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journal_title:American journal of nephrology
pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
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journal_title:American journal of nephrology
pub_type: 杂志文章
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更新日期:2015-01-01 00:00:00
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journal_title:American journal of nephrology
pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
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journal_title:American journal of nephrology
pub_type: 杂志文章
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journal_title:American journal of nephrology
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journal_title:American journal of nephrology
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journal_title:American journal of nephrology
pub_type: 杂志文章
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更新日期:2003-07-01 00:00:00
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journal_title:American journal of nephrology
pub_type: 杂志文章,meta分析,评审
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更新日期:2009-01-01 00:00:00
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journal_title:American journal of nephrology
pub_type: 杂志文章
doi:10.1159/000168284
更新日期:1991-01-01 00:00:00
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journal_title:American journal of nephrology
pub_type: 杂志文章
doi:10.1159/000327820
更新日期:2011-01-01 00:00:00
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journal_title:American journal of nephrology
pub_type: 传,历史文章,杂志文章
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journal_title:American journal of nephrology
pub_type: 杂志文章
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journal_title:American journal of nephrology
pub_type: 杂志文章
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journal_title:American journal of nephrology
pub_type: 杂志文章
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journal_title:American journal of nephrology
pub_type: 临床试验,杂志文章
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