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.

Abstract

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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