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  • 1
    ISSN: 1440-1797
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: SUMMARY: Advanced glycation end products (AGEs) have been found to accumulate in the amyloid deposits, skin and plasma of haemodialysis patients (HD), implicating the possible involvement of AGE-modified protein in pathogenesis in dialysis-related amyloidosis. Pentosidine, an AGE cross-link, is a specific marker for AGEs. Plasma pentosidine levels in HD patients were increased dramatically. In the present study, plasma pentosidine, fructoselysine, advanced oxidation protein products (AOPP) and glutathione peroxidase (GSHPx) levels were measured to elucidate the role of oxidative stress in pentosidine formation in nondiabetic HD patients. Plasma pentosidine did not correlate with fructoselysine; plasma AOPP levels were significantly higher than those in normal subjects (201.45 ± 57.93 vs. 55.91 ± 6.57 μmol/L, P〈0.001) and correlated positively with plasma pentosidine in HD patients (r=0.52, P〈0.005); plasma GSHPx levels were significantly lower than those in normal subjects (168.40 ± 65.08 vs. 348.87 ± 86.10 U/I, P〈0.001) and correlated negatively with plasma pentosidine (r=0.54, P〈0.001) in HD patients. Decreased GSHPx levels may lead to the accumulation of hydrogen peroxide. These findings implicate the involvement of oxidative stress in the accelerated formation of pentosidine in uraemia and suggest that pentosidine could be considered as an oxidative stress biomarker to estimate the degree of oxidative-stress-mediated protein damage.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Clinical and experimental nephrology 2 (1998), S. 240-244 
    ISSN: 1437-7799
    Keywords: pirarubicin ; doxorubicin ; nephrotoxicity ; rats
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background Our objectives were to determine whether pirarubicin induces nephrotic syndrome or chronic renal failure similar to doxorubicin in rats; and to compare the nephrotoxicity of pirubicin with that of doxorubicin. Methods Wistar rats were given doxorubicin (6.5 mg/kg and 3.25 mg/kg) or pirarubicin (9 mg/kg). The lethal dose 50 for doxirubicin is 13 mg/kg, and for pirarubicin, 18 mg/kg. In the pirarubicin groups, additional doses of 9 mg/kg or 4.5 mg/kg of pirarubicin were given 36 days after the first injection. We measured urinary protein, BUN, serum creatinine, and total cholesterol, and performed histologic studies of the kidneys. Results Rats given doxorubicin (6.5 mg/kg or 3.25 mg/kg) showed severe persistent proteinuria. Hypoalbuminemia and hypercholesterolemia appeared after the doxorubicin injection. BUN and creatinine in the doxorubicin (6.5 mg/kg) group of rats began to increase significantly after 10 weeks, and the rats died within 11 weeks. Pirarubicin groups did not show any significant increase in urine protein after 36 days. After an additional injection of 9 mg/kg of pirarubicin, the rats showed an increase in urine protein. However, the pirarubicin-treated rats did not show nephrotic syndrome or chronic renal failure during the observation period. Conclusion Because pirarubicin has far less nephrotoxicity than doxorubicin, it would be a safer and useful antitumor drug.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1437-7799
    Keywords: nutrition ; mortality ; hemodialysis ; albumin ; creatinine ; nitrogen balance
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background Whereas the creatinine generation rate may reflect only the protein nutritional status by way of muscle mass, the predialysis serum albumin concentration may well reflect a variety of aspects of a patient's pathophysiologic status, including the protein nutritional status. The aim of this study was to clarify whether or not serum albumin concentration and the creatinine generation rate reflect the same pathophysiologic status. Methods The risk of death associated with the creatinine generation rate was studied with and without adjustment for the serum albumin concentration in 1588 patients undergoing hemodialysis. A comparison was also made between the death risk associated with serum albumin concentrations with and without adjustment for the creatinine generation rate. Possible correlations between the creatinine generation rate and serum albumin concentration were evaluated. Results The death risk associated with the creatinine generation rate was little changed when adjusted for serum albumin concentration. However, the death risk associated with serum albumin concentration remained high even after being adjusted by the creatinine generation rate. Moreover, the correlation was very weak between the creatinine generation rate and the serum albumin concentration. Conclusions Serum albumin concentration and the creatinine generation rate do not reflect the same pathophysiologic status.
    Type of Medium: Electronic Resource
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