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Oxidative stress in hepatitis C infected end-stage renal disease subjects
Mehmet Horoz1, Cengiz Bolukbas, Filiz F Bolukbas
1Harran University, School of Medicine, Department of Internal Medicine, Sanliurfa, Turkey. mehmethoroz@yahoo.com
Insights
Hemodialysis patients experience increased oxidative stress, regardless of hepatitis C infection status. Hepatitis C does not appear to further elevate oxidative stress in these individuals, possibly due to dialysis effects.
Area of Science:
- Nephrology
- Hepatology
- Biochemistry
Background:
- Uremia and hepatitis C infection are linked to elevated oxidative stress.
- The study investigates the impact of hepatitis C on oxidative stress in hemodialysis patients.
Purpose of the Study:
- To determine if hepatitis C infection exacerbates oxidative stress in hemodialysis subjects.
- To compare oxidative stress markers between hepatitis C positive and negative hemodialysis patients and healthy controls.
Main Methods:
- Included 16 hepatitis C (+) hemodialysis subjects, 24 hepatitis C (-) hemodialysis subjects, and 24 healthy controls.
- Measured total antioxidant capacity, total peroxide level, and oxidative stress index in all participants.
Main Results:
- Controls exhibited higher total antioxidant capacity and lower peroxide levels/oxidative stress index compared to both hemodialysis groups (p < 0.05/3).
- Hepatitis C (-) hemodialysis subjects showed higher antioxidant capacity than hepatitis C (+) subjects (p < 0.05/3).
- Peroxide levels and oxidative stress index were similar between hemodialysis groups (p > 0.05/3).
Conclusions:
- Hemodialysis subjects, with or without hepatitis C, have increased oxidative stress.
- Hepatitis C infection does not significantly increase oxidative stress in hemodialysis patients.
- Dialysis treatment might offer a protective effect against further oxidative stress in hepatitis C infected hemodialysis patients.
Background:
Both uremia and hepatitis C infection is associated with increased oxidative stress. In the present study, we aimed to find out whether hepatitis C infection has any impact on oxidative stress in hemodialysis subjects.
Methods:
Sixteen hepatitis C (+) hemodialysis subjects, 24 hepatitis C negative hemodialysis subjects and 24 healthy subjects were included. Total antioxidant capacity, total peroxide level and oxidative stress index were determined in all subjects.
Results:
Total antioxidant capacity was significantly higher in controls than hemodialysis subjects with or without hepatitis C infection (all p < 0.05/3), while total peroxide level and oxidative stress index were significantly lower (all p < 0.05/3). Hepatitis C (-) hemodialysis subjects had higher total antioxidant capacity compared to hepatitis C (+) hemodialysis subjects (all p < 0.05/3). Total peroxide level and oxidative stress index was comparable between hemodialysis subjects with or without hepatitis C infection (p > 0.05/3).
Conclusion:
Oxidative stress is increased in both hepatitis C (+) and hepatitis C (-) hemodialysis subjects. However, hepatitis C infection seems to not cause any additional increase in oxidative stress in hemodialysis subjects and it may be partly due to protective effect of dialysis treatment on hepatitis C infection.
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