2013
DOI: 10.1155/2013/358985
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Effect of Different Stages of Chronic Kidney Disease and Renal Replacement Therapies on Oxidant-Antioxidant Balance in Uremic Patients

Abstract: Oxidative stress seems to be involved in the path physiology of cardiovascular complications of chronic kidney disease (CKD). In this study, we determined the effect of different stages of CKD and substitutive therapies on oxidative stress. One hundred sixty-seven patients (age: 44 ± 06 years; male/female: 76/91) with CKD were divided into 6 groups according to the National Kidney Foundation classification. Prooxidant status was assessed by assaying thiobarbituric acid reactive substances, hydroperoxides, and … Show more

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Cited by 73 publications
(65 citation statements)
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References 35 publications
(36 reference statements)
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“…Thus, the potentiation of this antioxidant pathway could be a promising strategy to prevent uremia-induced endothelial dysfunction. In fact, a decrease in plasma levels of GSH or GPx have been shown in CKD patients [9,[45][46][47], and a decreased GSH/GSSG ratio in ECs exposed to uremic media have been previously reported [35]. This later finding is in contrast to our results, since a slight increase in GSH in uremic endothelial cells has been observed, which could be a compensatory response against the prooxidant state present in endothelial cells in response to the uremic milieu.…”
Section: Discussioncontrasting
confidence: 89%
“…Thus, the potentiation of this antioxidant pathway could be a promising strategy to prevent uremia-induced endothelial dysfunction. In fact, a decrease in plasma levels of GSH or GPx have been shown in CKD patients [9,[45][46][47], and a decreased GSH/GSSG ratio in ECs exposed to uremic media have been previously reported [35]. This later finding is in contrast to our results, since a slight increase in GSH in uremic endothelial cells has been observed, which could be a compensatory response against the prooxidant state present in endothelial cells in response to the uremic milieu.…”
Section: Discussioncontrasting
confidence: 89%
“…21 In contrast, CRF quantifies the overall corneal viscoelastic resistance to indentation. 18 Patients with chronic renal disease have high levels of oxidative stress, 22 and oxidative stress has been shown to affect collagen synthesis and extracellular matrix compounds. [23][24][25] Uremic toxins may disrupt the balance between proapoptotic and antiapoptotic factors as well as between preinflammatory and anti-inflammatory factors.…”
Section: Discussionmentioning
confidence: 99%
“…The level of TBARS and lipid hydroperoxides and protein carbonyls increased with stage of chronic kidney disease in another study, and there was an inverse change in activity of superoxide dismutase, catalase, glutathione reductase, glutathione peroxidase and levels of vitamin E [74]. …”
Section: Chronic Diseases Associated With Oxidative Stressmentioning
confidence: 99%