Peritoneal dialysis fluid inhibition of polymorphonuclear leukocyte respiratory burst activation is related to the lowering of intracellular pH.

Abstract:

:In order to elucidate the mechanism of peritoneal dialysis fluid inhibition of cell functions, laboratory-prepared fluids were used to investigate the specific influences of low pH and high lactate concentration on neutrophil viability, phagocytosis, respiratory burst activation and leukotriene B4 (LTB4) generation. In the absence of any reduction of viability, respiratory burst activation, stimulated by serum-treated zymosan (STZ), was significantly inhibited by fluids of low pH containing high concentrations of sodium lactate. Neither low pH nor lactate concentration alone, however, caused significant suppression of this parameter of cell activation. Under the same conditions, the phagocytosis of STZ was partially inhibited in a lactate- and pH-dependent manner. In contrast, the generation of LTB4 in response to STZ was unaffected by pH and lactate concentration. The incubation of polymorphonuclear leukocytes (PMN) in fluids containing 35 mM lactate at pH 5.2 resulted in an immediate and profound lowering in intracellular pH ([pH]i) which was not observed in lactate-containing fluids at neutral pH or at low pH in the absence of lactate. We postulate that the critical lowering of [pH]i in PMN, caused by the combination of high lactate concentration and low pH of the dialysis fluids, is responsible for the observed inhibition of respiratory burst activation. It is also possible that under these conditions, the lactate ion acts as a proton carrier across the cell membrane following the [H+] gradient. The time course of this [pH]i change suggests that host defence mechanisms may be impaired following short-time exposure to unused dialysis fluid prior to its equilibration in vivo.

journal_name

Nephron

journal_title

Nephron

authors

Liberek T,Topley N,Jörres A,Petersen MM,Coles GA,Gahl GM,Williams JD

doi

10.1159/000187485

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

260-5

issue

2

eissn

1660-8151

issn

2235-3186

journal_volume

65

pub_type

杂志文章

相关文献

NEPHRON文献大全
  • Estimation of statistical moments for desferrioxamine and its iron and aluminum chelates: contribution to optimisation of therapy in uremic patients.

    abstract::We investigated the best time of administration of desferrioxamine (DFO) with respect to the dialysis session, using the approach of the stochastic dynamic system, integrated with the classical pharmacokinetic models. In the 6 patients studied, the mean arrival times of DFO, aluminoxamine (AlO) and ferrioxamine (FO) w...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000188845

    authors: Andriani M,Nordio M,Saporiti E

    更新日期:1996-01-01 00:00:00

  • Home hemodialysis. Revival of a superior dialysis treatment.

    abstract:BACKGROUND:Home hemodialysis is usually considered a superior therapy, whose decline is related to demographic, social, psychological and financial factors as well as to competition with renal transplantation and PD. METHODS:A home hemodialysis program was started in November 1998 in the University of Torino, Italy (2...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000063319

    authors: Piccoli GB,Bermond F,Mezza E,Quaglia M,Pacitti A,Jeantet A,Segoloni GP

    更新日期:2002-10-01 00:00:00

  • Autonomic dysfunction in hemodialysis patients with persistent hypotension.

    abstract::To investigate autonomic mechanisms underlying persistent hypotension in long-term hemodialysis patients, high-frequency (HF, > 0.15 Hz) and low-frequency (LF, 0.04-0.15 Hz) components of heart rate variability and plasma noradrenaline were analyzed in 10 persistently hypotensive hemodialysis patients (group H), 11 no...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000188906

    authors: Takahashi H,Matsuo S,Toriyama T,Kawahara H,Hayano J

    更新日期:1996-01-01 00:00:00

  • Circulating immune complexes during various forms of renal allograft rejection episodes.

    abstract::Previous reports on the nephritogenic and immunological enhancing capacity of posttransplant circulating immune complexes (CICs) are conflicting and have been confined to the study of acute rejection episode (AR). This study was undertaken to assess the nephritogenicity of CICs in patients undergoing accelerated acute...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000182633

    authors: Jordan SC,Sakai R,Ettenger RB,Fine RN

    更新日期:1982-01-01 00:00:00

  • Vocational rehabilitation in dialyzed patients. A cross-sectional study.

    abstract::The physicians in charge of 15 German hemodialysis units furnished data on 713 dialysis patients. Data relating to the vocational status were examined for 612 patients aged 60 years or below. It was found that the current working status varies with psychological and social factors. The data show that the vocational st...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000181968

    authors: Tews HP,Schreiber WK,Huber W,Zelt J,Ritz E

    更新日期:1980-01-01 00:00:00

  • Suppression of parathyroid hormone by therapy with a mixture of keto analogues/amino acids in hemodialysis patients.

    abstract::In the present study the influence of a mixture of keto analogues/amino acids (KA) on PTH levels in 18 RDT patients was examined. Ten of them were treated with KA over a period of 3 months, while the other 8 patients served as control group. The KA-treated patients showed a significant fall in PTH and plasma phosphate...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000183804

    authors: Lindenau K,Kokot F,Fröhling PT

    更新日期:1986-01-01 00:00:00

  • Do Endocannabinoids Regulate Glucose Reabsorption in the Kidney?

    abstract::Diabetic nephropathy (DN), a distinct manifestation of diabetic kidney disease, affects approximately 30% of patients with diabetes. While most attention has been focused on glomerular changes related to DN, there is growing evidence that tubulopathy is a key feature in the pathogenesis of this disease. The renal prox...

    journal_title:Nephron

    pub_type: 杂志文章,评审

    doi:10.1159/000494512

    authors: Hinden L,Tam J

    更新日期:2019-01-01 00:00:00

  • SGLT-2 Inhibition: A Potential New Treatment for Diabetic Kidney Disease?

    abstract::Diabetic nephropathy is the leading cause of kidney failure. Treatments with drugs that block the renin-angiotensin system have proven beneficial in slowing kidney disease progression among those with diabetes; their benefit is limited and they do not stop disease progression. Despite multiple clinical trials of vario...

    journal_title:Nephron

    pub_type: 杂志文章,评审

    doi:10.1159/000450895

    authors: Toto RD

    更新日期:2017-01-01 00:00:00

  • Effect of parathyroid hormone on antioxidant enzyme activity and lipid peroxidation of erythrocytes in five-sixths nephrectomized rats.

    abstract::The purpose of the study was to investigate the effects of parathyroid hormone (PTH) infusion on antioxidant enzyme activity and lipid peroxidation of erythrocytes in five-sixths nephrectomized (Nx) rats. Five-sixths Nx rats had a higher osmotic fragility in red blood cells (RBC). Thyroparathyroidectomy (TPTX) effecti...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000189046

    authors: Chen SM,Young TK

    更新日期:1996-01-01 00:00:00

  • Effect of simvastatin on qualitative and quantitative changes of lipoprotein metabolism in CAPD patients.

    abstract::The efficacy of simvastatin, a competitive inhibitor of 3-hydroxy-3-methyl glutaryl coenzyme A reductase, was investigated in 12 patients treated with continuous ambulatory peritoneal dialysis (CAPD), displaying hypercholesterolemia and moderate hypertriglyceridemia. After a 4-week placebo period, simvastatin was admi...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000186993

    authors: Wanner C,Lubrich-Birkner I,Summ O,Wieland H,Schollmeyer P

    更新日期:1992-01-01 00:00:00

  • Establishing the relationship between complement activation and stimulation of phagocyte oxidative metabolism in hemodialyzed patients: a randomized prospective study.

    abstract::The present prospective study was conducted in order to establish the relationship between complement activation and stimulation of phagocyte oxidative metabolism observed in long-term hemodialysis (HD) patients during the early phase of dialysis with cellulosic membranes. Two groups of 10 randomized (HD) patients tre...

    journal_title:Nephron

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000186565

    authors: Descamps-Latscha B,Goldfarb B,Nguyen AT,Landais P,London G,Haeffner-Cavaillon N,Jacquot C,Herbelin A,Kazatchkine M

    更新日期:1991-01-01 00:00:00

  • UK Renal Registry 17th Annual Report: Chapter 6 Adequacy of Haemodialysis in UK Adult Patients in 2013: National and Centre-specific Analyses.

    abstract:BACKGROUND:Outcomes in patients treated with haemodialysis(HD) are potentially influenced by the delivered dose of dialysis. The UK Renal Association publishes clinical practice guidelines recommendations for dialysis dose. The urea reduction ratio (URR) is a widely used measure of dialysis dose and has been historical...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000370276

    authors: Shaw C,Steenkamp R,Davenport A

    更新日期:2015-01-01 00:00:00

  • Permanent loss of ultrafiltration capacity of the peritoneum in long-term peritoneal dialysis: an epidemiological study.

    abstract::Permanent loss of the ultrafiltration (UF) capacity of the peritoneum has been observed with an increasing frequency among our patients treated by long-term intermittent (IPD) and/or continuous ambulatory peritoneal dialysis (CAPD). The analysis of various characteristics of our PD population (patients age, dialysis t...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000182927

    authors: Slingeneyer A,Canaud B,Mion C

    更新日期:1983-01-01 00:00:00

  • Decreased serum antioxidant activity of hemodialysis patients demonstrated by methylguanidine synthesis and microsomal lipid peroxidation.

    abstract::This study aims to raise the possibility of methylguanidine, a peroxidative product of creatinine, as a measure of the peroxidative state. As a known standard, we measured the inhibitory effect of uremic serum on the NADPH-dependent microsomal lipid peroxidation. This is an established method for evaluating the peroxi...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000189451

    authors: Nagase S,Aoyagi K,Hirayama A,Gotoh M,Ueda A,Tomida C,Kikuchi H,Takemura K,Koyama A

    更新日期:1996-01-01 00:00:00

  • Effects of tumor necrosis factor on glomerular mesangial and epithelial cells in culture.

    abstract::We have previously documented the importance of tumor necrosis factor (TNF) alpha in the pathogenesis of nephrotoxic-serum nephritis in rats. In this study, we evaluated the possible relevance of the well-established cytocidal TNF activity to the mechanism of glomerular injury by assessing sensitivity of rat mesangial...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000186185

    authors: Hruby ZW,Cybulsky AV,Lowry RP

    更新日期:1990-01-01 00:00:00

  • Influence of splenectomy on human acute tubular necrosis.

    abstract::The incidence of acute tubular necrosis (need for hemodialysis immediately after transplantation) and its severity (the number of days dialysis was needed) were studied in 299 patients who were randomized prior to transplantation into undergoing splenectomy or not having splenectomy. There was no difference in the inc...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000183150

    authors: Pru CE,Fryd DS,Kjellstrand CM

    更新日期:1984-01-01 00:00:00

  • High-renin malignant hypertension secondary to an aldosterone-producing adenoma.

    abstract::Malignant hypertension and high plasma renin activity was found in a 39-year-old woman with an aldosterone-producing adenoma. Only 3 similar cases have been previously reported, and all patients died before or after identification of the adenoma. The present paper documents the first reported case of a successfully ma...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000185866

    authors: Ideishi M,Kishikawa K,Kinoshita A,Sasaguri M,Ikeda M,Takebayashi S,Arakawa K

    更新日期:1990-01-01 00:00:00

  • Patterns of Dialysis Initiation Affect Outcomes of Incident Hemodialysis Patients.

    abstract:AIMS:There is a trend toward deferring the initiation of chronic dialysis until absolutely indicated. This strategy, however, might lead to increased uncertainties in the timing of dialysis access creation prior to dialysis onset for patients approaching end-stage renal disease (ESRD), and the impact of which on hard e...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000442168

    authors: Chen YM,Wang YC,Hwang SJ,Lin SH,Wu KD

    更新日期:2016-01-01 00:00:00

  • Vancomycin during the Last Hour of the Hemodialysis Session: A Pharmacokinetic Analysis.

    abstract:BACKGROUND:Vancomycin is usually administered after the dialysis sessions to patients undergoing hemodialysis. Administration of vancomycin during (as opposed to after) sessions would save time, and would be more acceptable to patients and staff, but may lead to vancomycin underexposure. The aim of this study was to pr...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000453005

    authors: Ghouti-Terki L,Chasseuil E,Rabot N,Paintaud G,François M,Birmelé B,Darrouzain F,Büchler M,Halimi JM,Ternant D

    更新日期:2017-01-01 00:00:00

  • Experimental immunoglobulin A nephropathy induced by gram-negative bacteria.

    abstract::A study was conducted to determine whether intraperitoneal and oral administration of formalin-fixed gram-negative bacteria induced immunohistologically and ultrastructurally evident glomerular deposition of IgA and C3 in C3H/HeN mice. Separate treatments with strains of Pseudomonas aeruginosa, Escherichia coli, Haemo...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000187474

    authors: Endo Y,Kanbayashi H,Hara M

    更新日期:1993-01-01 00:00:00

  • Blood and peritoneal levels of endothelin in continuous ambulatory peritoneal dialysis patients.

    abstract::We have determined the plasma levels of endothelin-1 (ET-1) in patients with end-stage renal disease treated with continuous ambulatory peritoneal dialysis (CAPD). In 10 CAPD patients mean plasma ET levels (7.01 +/- 0.5 pg/ml) were found higher than in normal subjects (3.6 +/- 0.6 pg/ml). Peritoneal clearance of ET-1 ...

    journal_title:Nephron

    pub_type: 临床试验,杂志文章

    doi:10.1159/000188469

    authors: Vlassopoulos D,Deray G,Carayon A,Maistre G,Jacobs C

    更新日期:1995-01-01 00:00:00

  • A blind controlled trial of phase-contrast microscopy by two observers for evaluating the source of haematuria.

    abstract::Two observers, unaware of each other's findings and of the diagnosis, examined red cells in the urine of 109 patients by phase-contrast microscopy. All specimens were examined uncentrifuged by inverted microscopy, and 48 of the 109 were also examined under a light microscope after centrifugation. We were unable to con...

    journal_title:Nephron

    pub_type: 临床试验,杂志文章

    doi:10.1159/000184011

    authors: Venkat Raman G,Pead L,Lee HA,Maskell R

    更新日期:1986-01-01 00:00:00

  • Meshwork structures in bovine glomerular and tubular basement membrane as revealed by ultra-high-resolution scanning electron microscopy.

    abstract::We examined the ultrastructure of the bovine glomerular basement membrane (GBM) and tubular basement membrane (TBM) using ultra-high-resolution scanning electron microscopy after conductive staining without metal coating. Purified basement membranes (BMs) were obtained by sonication and acellular BMs by detergent trea...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000187800

    authors: Yamasaki Y,Makino H,Ota Z

    更新日期:1994-01-01 00:00:00

  • Infection-resistant continuous peritoneal dialysis catheters.

    abstract::The techniques of bonding of anionic antibiotics by treatment with cationic surfactants were applied to continuous ambulatory peritoneal dialysis (CAPD) catheters. The elution of 14C-penicillin from tridodecylmethylammonium chloride (TDMAC) treated silicone elastomer catheters in dialysis solution was biphasic, with 9...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000184366

    authors: Trooskin SZ,Donetz AP,Baxter J,Harvey RA,Greco RS

    更新日期:1987-01-01 00:00:00

  • Persistent post-transplant autonomous hyperparathyroidism despite 23 years of excellent renal allograft function.

    abstract::Hyperparathyroidism is a common problem for patients on renal replacement therapy programs. Many long-term dialysis patients require parathyroidectomy while on dialysis. Some patients, however, despite severe renal osteodystrophy, are transplanted, and in these a large proportion show a slow resolution of bony problem...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000046051

    authors: Goldsmith D,Owen WJ

    更新日期:2001-09-01 00:00:00

  • Seroprevalence of antibodies to the human immunodeficiency virus in dialysis workers: results of a multi-center study.

    abstract::The Center for Devices and Radiological Health, in collaboration with the Department of Veterans Affairs Medical Center, Brooklyn, N.Y., conducted a multi-center, multi-institutional study of the seroprevalence of antibodies to the human immunodeficiency virus (HIV) among dialysis workers. Seven dialysis units and 112...

    journal_title:Nephron

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000187095

    authors: Berlyne G,Kaczmarek RG,Hamburger S,Hamilton P,Moore RM Jr,Charney AN,Kahn T,Gruber M,Kaufman CE,Goffinet J

    更新日期:1992-01-01 00:00:00

  • A Case of Transplant Nephrectomy due to Chronic Graft Intolerance Syndrome.

    abstract::We report a case of graft intolerance syndrome in which transplant nephrectomy was performed 11 years after kidney transplantation. A 46-year-old man was admitted to our hospital in February 2018 with a mild fever, left lower abdominal pain, and gross hematuria with enlargement of the transplanted kidney. Urinary trac...

    journal_title:Nephron

    pub_type:

    doi:10.1159/000511558

    authors: Tomonari M,Kobayashi A,Yamamoto I,Hatanaka S,Kawabe M,Yamakawa T,Katsumata H,Katsuma A,Mafune A,Nakada Y,Koike Y,Miki J,Kimura T,Tanno Y,Yamamoto H,Yokoo T

    更新日期:2020-01-01 00:00:00

  • Acute renal failure after rifampicin: a case report and survey of the literature.

    abstract::A new case of acute renal failure after rifampicin is presented, together with a review of the 36 similar cases published up to date in the literature. Evidence is provided that irregularities in drug intake, either as true intermittent treatment or as discontinuation of continuous therapy, play an important role in t...

    journal_title:Nephron

    pub_type: 杂志文章,评审

    doi:10.1159/000180596

    authors: Nessi R,Bonoldi GL,Redaelli B,di Filippo G

    更新日期:1976-01-01 00:00:00

  • Changes in active and inactive renin with haemodialysis.

    abstract::Active (A) and inactive (I) plasma renin concentrations (PRC) were examined during haemodialysis in relation to blood pressure and body weight changes. Patients had either one (n = 15) or two (n = 51) remnant kidneys in situ, or were anephric (n = 4). 6 of the two remnant kidney patients had non-functioning renal allo...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000182848

    authors: Thatcher R,Whitworth JA,Skinner SL

    更新日期:1982-01-01 00:00:00

  • Characteristic cytokine products of Th1 and Th2 cells in hemodialysis patients.

    abstract::Dysfunction of the host defense against infection in hemodialysis (HD) patients has major clinical and socioeconomic implications. T helper type 1 (Th1) and type 2 (Th2) cytokines are implicated in regulating the immune responses and, therefore, may be involved in impaired status. The present study was designed to exa...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000045516

    authors: Daichou Y,Kurashige S,Hashimoto S,Suzuki S

    更新日期:1999-01-01 00:00:00