2006
DOI: 10.1093/ndt/gfl359
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Polymorphonuclear leucocyte priming in long intermittent nocturnal haemodialysis patients--is melatonin a player?

Abstract: The nocturnal HD process does not affect plasma melatonin levels or rhythms, suggesting that melatonin is not dialysed. Higher endogenous melatonin levels are associated with better sleep and lower PMNL priming. The lower PMNL priming in patients with higher plasma melatonin levels suggests that melatonin overrides the oxidative burden induced by the dialysis process.

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Cited by 7 publications
(4 citation statements)
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“…This property can be of interesting value in this patient group as oxidative stress is often seen in CKD patients. A primed state of polymorphonuclear cells, responsible for oxidative stress in haemodialysis patients, was associated with lower nocturnal plasma melatonin levels [24]. In addition, melatonin has also been associated with the immune response, impairing the mounting of an inflammatory response, while melatonin produced at the site of the injury by immunocompetent cells exerts antiinflammatory effects [25].…”
Section: Melatoninmentioning
confidence: 99%
“…This property can be of interesting value in this patient group as oxidative stress is often seen in CKD patients. A primed state of polymorphonuclear cells, responsible for oxidative stress in haemodialysis patients, was associated with lower nocturnal plasma melatonin levels [24]. In addition, melatonin has also been associated with the immune response, impairing the mounting of an inflammatory response, while melatonin produced at the site of the injury by immunocompetent cells exerts antiinflammatory effects [25].…”
Section: Melatoninmentioning
confidence: 99%
“…The melatonin rhythm was more likely to be diminished in hemodialysis patients than in patients with chronic renal insufficiency who were not, concluding that hemodialysis affects the rhythm [ 23 ]. Diminished melatonin levels are associated with more pronounced sleep disturbances in hemodialysis patients [ 27 ].…”
Section: Discussionmentioning
confidence: 99%
“…Human leucocyte reactive oxygen species show circadian variations and they might possibly influence the occurrence of cardiovascular incidents (Larsen and Lyberg 2006). The finding of lower superoxide release from granulocytes at higher melatonin levels opens up new research opportunities for melatonin therapy (Geron et al 2006). Some patients with low melatonin activity may benefit from both improvement in their sleep quality and a reduction of granulocyte mediated oxidative stress after melatonin administration.…”
Section: Haemato-immune Oscillationsmentioning
confidence: 99%