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Polymorphonuclear leukocyte rigidity is defective in patients with chronic renal failure
A T Skoutelis1, V E Kaleridis, D S Goumenos
1Department of Medicine, Patras University Medical School, Patras University, Patras, Greece.
Background:
The purpose of the study was to investigate the rigidity of polymorphonuclear leukocytes (PMNs) in non-dialysed chronic renal failure (CRF) and haemodialysis (HD) patients.
Methods:
PMN rigidity as well as tumour necrosis factor alpha (TNF-alpha) and interleukin 1beta (IL-1beta) plasma levels were assessed in 10 early-stage CRF, 10 late-stage non-HD, and 10 HD patients, before and during dialysis. In HD patients both cellulose acetate and polysulphone membranes were used. Ten healthy subjects served as controls. Rigidity was tested by counting the deformability in morphologically passive PMNs by the micropipette method. Cytokine levels were measured by enzyme-linked immunosorbent assay.
Results:
PMN rigidity was significantly increased in end-stage CRF patients regardless of HD but not in early-stage CRF. In HD patients PMN rigidity increased significantly 60 min after initiation of HD. There was an increase of TNF-alpha and IL-1beta levels in end-stage non-HD and HD patients and a further increase at 60 min after initiation of HD. The percentage of morphologically activated PMNs was increased only during dialysis. The nature of the HD membrane had no influence on rigidity, PMN activation, or cytokine production.
Conclusions:
The results indicate that PMN rigidity is defective in end-stage chronic CRF patients and is further increased 60 min after initiation of HD, regardless of the nature of the HD membrane used. PMN activation, increased TNF-alpha and IL-1beta levels, or a direct PMN impairment may cause the observed cell rigidity.
Insights
Polymorphonuclear leukocyte (PMN) rigidity increases in end-stage chronic renal failure (CRF) patients and further elevates during haemodialysis (HD). This study investigated PMN rigidity and inflammatory markers in CRF and HD patients.
Area of Science:
- Nephrology
- Immunology
- Cell Biology
Background:
- Chronic renal failure (CRF) impacts immune cell function.
- Haemodialysis (HD) may further alter polymorphonuclear leukocyte (PMN) behavior.
Purpose of the Study:
- To investigate polymorphonuclear leukocyte (PMN) rigidity in non-dialysed CRF and haemodialysis (HD) patients.
- To assess the impact of HD on PMN rigidity and inflammatory markers.
Main Methods:
- Assessed PMN rigidity, TNF-alpha, and IL-1beta levels in CRF and HD patients.
- Utilized micropipette method for PMN deformability and ELISA for cytokine analysis.
- Compared results between early-stage CRF, late-stage non-HD, HD patients, and healthy controls.
Main Results:
- PMN rigidity was significantly increased in end-stage CRF patients, independent of HD.
- Haemodialysis significantly increased PMN rigidity and inflammatory cytokine levels (TNF-alpha, IL-1beta) within 60 minutes.
- The type of HD membrane did not influence PMN rigidity, activation, or cytokine production.
Conclusions:
- PMN rigidity is impaired in end-stage CRF and exacerbated by haemodialysis.
- Increased PMN rigidity during HD may be linked to PMN activation and elevated inflammatory cytokines.
- Findings suggest a direct PMN impairment or inflammatory response contributes to altered cell rigidity in CRF and HD.
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