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Published on: October 2, 2020
Unfermented grape juice reduce genomic damage on patients undergoing hemodialysis
Zuray Corredor1, Lara Rodríguez-Ribera1, Elisabeth Coll2
1Grup de Mutagènesi, Departament de Genètica i de Microbiologia, Edifici C, Universitat Autònoma de Barcelona, 08193 Bellaterra, Cerdanyola del Vallès, Spain.
Abstract:
Chronic kidney disease (CKD) patients in dialysis (HD) are considered to be submitted to a continuous oxidative stress. This stress can cause damage on DNA and, consequently, contribute to the high levels of DNA damage observed in these patients. Due to the well-known role of polyphenols as antioxidant agents we proposed its use to reduce the levels of genotoxicity present in HD-CKD patients. The objective of this study was to evaluate the antigenotoxic effects of unfermented grape juice (UGJ) on HD-CKD patients. The levels of DNA damage were analyzed using different biomarkers, such as breaks and oxidized DNA bases by the comet assay, chromosome damage by the micronucleus test. In addition, TEAC (Trolox equivalent antioxidant capacity) was also evaluated. Thirty-nine patients were followed for six months, of whom 25 were supplemented by UGJ and 14 were not supplemented. The obtained results showed a significant decrease in the underlying levels of oxidative DNA damage, in the supplemented group. Regarding the clinical parameters, LDL and cholesterol, were significantly reduced in the patients studied after the supplementation period, although cholesterol was also decreased in the non-supplemented patients. In conclusion, in our studied group the supplementation with UGJ reduced the levels of oxidative DNA damage of HD-CKD patients.
Insights
Unfermented grape juice (UGJ) supplementation significantly reduced oxidative DNA damage in hemodialysis chronic kidney disease (HD-CKD) patients. This antioxidant intervention offers potential benefits for managing genotoxicity in this vulnerable population.
Area of Science:
- Nephrology
- Oxidative Stress Research
- Nutritional Science
Background:
- Patients with chronic kidney disease (CKD) undergoing hemodialysis (HD) experience continuous oxidative stress.
- This oxidative stress contributes to elevated DNA damage levels in HD-CKD patients.
- Polyphenols are recognized for their antioxidant properties, suggesting potential therapeutic use.
Purpose of the Study:
- To investigate the antigenotoxic effects of unfermented grape juice (UGJ) in hemodialysis chronic kidney disease (HD-CKD) patients.
- To assess whether UGJ supplementation can mitigate DNA damage and oxidative stress markers.
Main Methods:
- A six-month study involving 39 HD-CKD patients, with 25 receiving UGJ supplementation and 14 serving as a control group.
- DNA damage was quantified using the comet assay (DNA breaks, oxidized bases) and micronucleus test (chromosome damage).
- Antioxidant capacity was evaluated using the Trolox equivalent antioxidant capacity (TEAC) assay.
Main Results:
- UGJ supplementation led to a significant reduction in oxidative DNA damage levels.
- LDL cholesterol and cholesterol levels decreased significantly in the supplemented group.
- Cholesterol levels also showed a decrease in the non-supplemented group, but the reduction in DNA damage was specific to the UGJ group.
Conclusions:
- Supplementation with unfermented grape juice (UGJ) effectively reduced oxidative DNA damage in the studied HD-CKD patients.
- UGJ demonstrates potential as an intervention to combat genotoxicity associated with oxidative stress in dialysis patients.
- Further research may explore UGJ's role in improving clinical parameters and overall health outcomes in CKD patients.
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