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 was 1.58 +/- 0.12 ml/min and 2.3 +/- 0.2 ml/min during an isotonic peritoneal exchange and a hypertonic exchange, respectively. Plasma ET-1 levels decreased slightly but significantly during a hypertonic 4-hour exchange (from 7.01 +/- 0.5 to 6.14 +/- 0.4 pg/ml) (p < 0.05) and were not modified by an isotonic 4-hour exchange (from 5.7 +/- 0.5 to 6.4 +/- 0.4 pg/ml). ET-1 is known to be an important vascular stimulant and thus elevated ET-1 levels may play a role in the genesis of cardiovascular complications which are the leading cause of mortality in these patients.

journal_name

Nephron

journal_title

Nephron

authors

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

doi

10.1159/000188469

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

273-6

issue

3

eissn

1660-8151

issn

2235-3186

journal_volume

69

pub_type

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