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Published on: July 19, 2018
Preserved residual renal function is associated with lower oxidative stress in peritoneal dialysis patients
Sophie Ignace1, Denis Fouque, Walid Arkouche
1Hospices Civils de Lyon, Department of Nephrology and Hypertension, Edouard Herriot Hospital, 5, Place d'Arsonval, 69 347 Lyon Cedex 03, France. sophie.ignace@free.fr
Background:
Residual renal function (RRF) correlates with survival in peritoneal dialysis (PD). We investigated the association between oxidative stress and RRF in PD.
Methods:
Adequacy of dialysis, total and free malondialdehydes (MDA), and lipid hydroperoxides (LHP) were obtained from 23 stable PD patients.
Results:
Free MDA level decreased with total weekly Kt/V urea (r = -0.51, P = 0.013) and urinary Kt/V (KRU) (r = -0.53, P = 0.009), but not with peritoneal Kt/V. Similar results were found with LHP level. In multivariate analysis, total weekly Kt/V urea and KRU remained associated with free MDA and LHP, independently of gender, nutritional or inflammatory status, and peritoneal permeability.
Conclusion:
A preserved RRF is associated with lower serum levels of lipid peroxidation products among PD patients.
Insights
Preserved residual renal function (RRF) in peritoneal dialysis (PD) patients is linked to lower levels of oxidative stress markers. This suggests RRF may protect against lipid peroxidation in PD.
Area of Science:
- Nephrology
- Biochemistry
Background:
- Residual renal function (RRF) is crucial for survival in peritoneal dialysis (PD) patients.
- Oxidative stress is implicated in the progression of kidney disease.
Purpose of the Study:
- To investigate the relationship between oxidative stress and RRF in patients undergoing PD.
- To determine if markers of lipid peroxidation are associated with RRF in PD.
Main Methods:
- Assessed dialysis adequacy, malondialdehydes (MDA), and lipid hydroperoxides (LHP) in 23 stable PD patients.
- Utilized multivariate analysis to identify independent associations.
Main Results:
- Free MDA and LHP levels were inversely correlated with total weekly Kt/V urea and urinary Kt/V (KRU).
- These associations remained significant after adjusting for clinical factors, including peritoneal permeability.
Conclusions:
- Preserved RRF in PD patients is associated with reduced markers of lipid peroxidation.
- Lower oxidative stress may contribute to better outcomes in PD patients with preserved RRF.
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