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Related Experiment Videos

Silicon accumulation in dialysis patients.

H J Gitelman1, F R Alderman, S J Perry

  • 1Division of Nephrology, University of North Carolina School of Medicine, Chapel Hill 27599-7155.

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
|February 1, 1992
PubMed
Summary

Patients undergoing dialysis have elevated plasma silicon levels, primarily due to silicon in dialysis fluids and drinking water. This silicon accumulation did not appear to negatively impact patient health.

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Area of Science:

  • Nephrology
  • Clinical Chemistry
  • Environmental Health

Background:

  • End-stage renal disease (ESRD) patients on chronic dialysis therapy are susceptible to altered mineral metabolism.
  • Silicon is an element present in water and medical supplies, with potential implications for patients with impaired renal function.

Purpose of the Study:

  • To investigate plasma silicon concentrations in patients with ESRD undergoing chronic dialysis.
  • To identify sources and determinants of elevated silicon levels in this patient population.
  • To assess the health impact of silicon accumulation in dialysis patients.

Main Methods:

  • Measurement of plasma silicon concentrations in ESRD patients across different dialysis modalities (hemodialysis and peritoneal dialysis).
  • Analysis of silicon content in dialysis fluids and patient-consumed water sources (well water vs. municipal water).

Related Experiment Videos

  • Assessment of plasma silicon ultrafiltrability through dialysis membranes (Cuprophane).
  • Main Results:

    • Dialysis patients exhibited significantly elevated plasma silicon levels compared to normal concentrations (0.15 +/- 0.02 mg/L).
    • Plasma silicon levels strongly correlated with the silicon content of dialysis fluids used.
    • Hemodialysis patients consuming high-silicon well water had higher plasma silicon than those on lower-silicon municipal water.
    • Silicon ultrafiltrability through Cuprophane membranes was 79 +/- 2%.

    Conclusions:

    • Elevated silicon levels in dialysis fluids and high-silicon water consumption are key factors contributing to silicon accumulation in dialysis patients.
    • No overt adverse health effects were observed in the studied dialysis patients despite elevated silicon levels.