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Updated: Aug 12, 2026

Cytosolic Calcium Measurements in Renal Epithelial Cells by Flow Cytometry
Published on: October 28, 2014
[Changes in RBC Ca2(+)-ATPase activity and red-cell calcium concentration during dialysis in patients with uremia]
Insights
Uremia patients undergoing dialysis showed decreased red blood cell (RBC) Ca2(+)-ATPase activity and increased calcium levels. Hemodialysis and continuous ambulatory peritoneal dialysis (CAPD) partially improved these RBC parameters.
Area of Science:
- Nephrology
- Biochemistry
- Cell Physiology
Background:
- Uremia is associated with altered cellular ion transport.
- Red blood cell (RBC) calcium homeostasis may be disrupted in uremic patients.
Purpose of the Study:
- To investigate the impact of dialysis on RBC Ca2(+)-ATPase activity and intracellular calcium concentration in uremic patients.
Main Methods:
- Observational study involving 19 uremic patients undergoing either hemodialysis or CAPD.
- Measurement of RBC Ca2(+)-ATPase activity and red cell calcium concentration before and after dialysis treatments.
Main Results:
- Hemodialysis patients exhibited significantly lower RBC Ca2(+)-ATPase activity and higher red cell calcium compared to controls.
- Hemodialysis led to a significant increase in Ca2(+)-ATPase activity and a decrease in red cell calcium.
- CAPD patients also showed reduced RBC Ca2(+)-ATPase activity and elevated red cell calcium.
- One month of CAPD resulted in a slight increase in Ca2(+)-ATPase activity and a significant reduction in red cell calcium.
Conclusions:
- Dialysis significantly impacts RBC calcium regulation in uremic patients.
- Hemodialysis appears to offer a more immediate improvement in RBC calcium handling compared to CAPD.
- Further research is needed to fully elucidate the long-term effects of different dialysis modalities on RBC function in uremia.
Abstract:
The changes of RBC Ca2(+)-ATPase activity and red cell calcium concentration during dialysis were observed in 19 patients with uremia. The results showed that in 12 patients treated by haemodialysis the RBC Ca2(+)-ATPase activity was lowered an average of 35 U than that in the controls (P less than 0.001); whereas red cell calcium was increased about 5 times (P less than 0.001). After a four-hour haemodialysis, the Ca2(+)-ATPase activity increased 20 U (P less than 0.05); and red cell calcium decreased 45 mumol/L cells (P less than 0.05). In 7 patients treated by CAPD the RBC Ca2(+)-ATPase activity was reduced to 60% of that in the controls (P less than 0.001); and red cell calcium was about 5 times as high as that in the controls (P less than 0.001). After one month of CAPD, the Ca2(+)-ATPase activity increased only 10 U (P greater than 0.05); but red cell calcium decreased 66 mumol/L cells (P less than 0.01).
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