Serveur d'exploration sur la glutarédoxine

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Serum Glutaredoxin Activity as a Marker of Oxidative Stress in Chronic Kidney Disease: A Pilot Study.

Identifieur interne : 000215 ( Main/Exploration ); précédent : 000214; suivant : 000216

Serum Glutaredoxin Activity as a Marker of Oxidative Stress in Chronic Kidney Disease: A Pilot Study.

Auteurs : Anna Levin [Suède] ; Deepika Nair [Suède] ; Abdul Rashid Qureshi [Suède] ; Peter Bárány [Suède] ; Olof Heimburger [Suède] ; Björn Anderstam [Suède] ; Peter Stenvinkel [Suède] ; Annette Bruchfeld [Suède] ; Johanna S. Ungerstedt [Suède]

Source :

RBID : pubmed:30253414

Descripteurs français

English descriptors

Abstract

BACKGROUND

Inflammation and oxidative stress play important roles in the pathogenesis and progression of chronic kidney disease (CKD) and in its complications, in particular cardiovascular disease, a major cause of death among patients undergoing dialysis treatment. We recently described that Glutaredoxin1 (Grx), an intracellular antioxidant, catalyzes oxidoreductase reactions also extracellularly, and that serum Grx levels correlate to disease severity in type 2 diabetes.

AIM

In the current study we assess Grx as a potential clinical marker of oxidative stress in CKD.

METHODS

We examined Grx activity in 25 patients with different stages of chronic kidney failure, 19 control subjects, and 36 patients at initiation of dialysis and after 2 years of dialysis.

RESULTS

We found that Grx activity was significantly higher in CKD patients compared to control subjects, indicating an oxidized extracellular environment in CKD. Grx levels correlated to interleukin-6 and pentosidine, but not to age or GFR. In dialysis patients with Grx sampling before dialysis start and after 2 years of dialysis, Grx levels increased more in hemodialysis (HD) patients than in peritoneal dialysis patients, indicating an increased oxidative stress imbalance in HD patients. Patients who experienced a stroke or myocardial infarction at any time had a significantly higher increase in Grx during the 2 years of dialysis, compared to patients without stroke or myocardial infarction, indicating a possible association between high Grx levels and a cardiovascular event.

CONCLUSION

Our pilot study indicates that Grx may be a useful marker for assessing the degree of oxidative stress in CKD, however this needs further investigation in a larger prospective patient cohort.


DOI: 10.1159/000492500
PubMed: 30253414


Affiliations:


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Le document en format XML

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<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Biomarkers (blood)</term>
<term>Disease Progression (MeSH)</term>
<term>Female (MeSH)</term>
<term>Glomerular Filtration Rate (MeSH)</term>
<term>Glutaredoxins (blood)</term>
<term>Humans (MeSH)</term>
<term>Interleukin-6 (blood)</term>
<term>Kidney Function Tests (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Oxidative Stress (MeSH)</term>
<term>Peritoneal Dialysis (MeSH)</term>
<term>Pilot Projects (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Renal Insufficiency, Chronic (blood)</term>
<term>Renal Insufficiency, Chronic (therapy)</term>
<term>Young Adult (MeSH)</term>
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<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Dialyse péritonéale (MeSH)</term>
<term>Débit de filtration glomérulaire (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Glutarédoxines (sang)</term>
<term>Humains (MeSH)</term>
<term>Insuffisance rénale chronique (sang)</term>
<term>Insuffisance rénale chronique (thérapie)</term>
<term>Interleukine-6 (sang)</term>
<term>Jeune adulte (MeSH)</term>
<term>Marqueurs biologiques (sang)</term>
<term>Mâle (MeSH)</term>
<term>Projets pilotes (MeSH)</term>
<term>Stress oxydatif (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Tests de la fonction rénale (MeSH)</term>
<term>Études prospectives (MeSH)</term>
<term>Évolution de la maladie (MeSH)</term>
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<term>Biomarkers</term>
<term>Glutaredoxins</term>
<term>Interleukin-6</term>
</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en">
<term>Renal Insufficiency, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr">
<term>Glutarédoxines</term>
<term>Insuffisance rénale chronique</term>
<term>Interleukine-6</term>
<term>Marqueurs biologiques</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Renal Insufficiency, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr">
<term>Insuffisance rénale chronique</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Glomerular Filtration Rate</term>
<term>Humans</term>
<term>Kidney Function Tests</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Oxidative Stress</term>
<term>Peritoneal Dialysis</term>
<term>Pilot Projects</term>
<term>Prospective Studies</term>
<term>Young Adult</term>
</keywords>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Dialyse péritonéale</term>
<term>Débit de filtration glomérulaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Projets pilotes</term>
<term>Stress oxydatif</term>
<term>Sujet âgé</term>
<term>Tests de la fonction rénale</term>
<term>Études prospectives</term>
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<p>
<b>BACKGROUND</b>
</p>
<p>Inflammation and oxidative stress play important roles in the pathogenesis and progression of chronic kidney disease (CKD) and in its complications, in particular cardiovascular disease, a major cause of death among patients undergoing dialysis treatment. We recently described that Glutaredoxin1 (Grx), an intracellular antioxidant, catalyzes oxidoreductase reactions also extracellularly, and that serum Grx levels correlate to disease severity in type 2 diabetes.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>AIM</b>
</p>
<p>In the current study we assess Grx as a potential clinical marker of oxidative stress in CKD.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We examined Grx activity in 25 patients with different stages of chronic kidney failure, 19 control subjects, and 36 patients at initiation of dialysis and after 2 years of dialysis.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>We found that Grx activity was significantly higher in CKD patients compared to control subjects, indicating an oxidized extracellular environment in CKD. Grx levels correlated to interleukin-6 and pentosidine, but not to age or GFR. In dialysis patients with Grx sampling before dialysis start and after 2 years of dialysis, Grx levels increased more in hemodialysis (HD) patients than in peritoneal dialysis patients, indicating an increased oxidative stress imbalance in HD patients. Patients who experienced a stroke or myocardial infarction at any time had a significantly higher increase in Grx during the 2 years of dialysis, compared to patients without stroke or myocardial infarction, indicating a possible association between high Grx levels and a cardiovascular event.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>Our pilot study indicates that Grx may be a useful marker for assessing the degree of oxidative stress in CKD, however this needs further investigation in a larger prospective patient cohort.</p>
</div>
</front>
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<DateCompleted>
<Year>2019</Year>
<Month>10</Month>
<Day>02</Day>
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<Year>2019</Year>
<Month>10</Month>
<Day>02</Day>
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<Issue>4</Issue>
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<Title>Nephron</Title>
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<Abstract>
<AbstractText Label="BACKGROUND">Inflammation and oxidative stress play important roles in the pathogenesis and progression of chronic kidney disease (CKD) and in its complications, in particular cardiovascular disease, a major cause of death among patients undergoing dialysis treatment. We recently described that Glutaredoxin1 (Grx), an intracellular antioxidant, catalyzes oxidoreductase reactions also extracellularly, and that serum Grx levels correlate to disease severity in type 2 diabetes.</AbstractText>
<AbstractText Label="AIM">In the current study we assess Grx as a potential clinical marker of oxidative stress in CKD.</AbstractText>
<AbstractText Label="METHODS">We examined Grx activity in 25 patients with different stages of chronic kidney failure, 19 control subjects, and 36 patients at initiation of dialysis and after 2 years of dialysis.</AbstractText>
<AbstractText Label="RESULTS">We found that Grx activity was significantly higher in CKD patients compared to control subjects, indicating an oxidized extracellular environment in CKD. Grx levels correlated to interleukin-6 and pentosidine, but not to age or GFR. In dialysis patients with Grx sampling before dialysis start and after 2 years of dialysis, Grx levels increased more in hemodialysis (HD) patients than in peritoneal dialysis patients, indicating an increased oxidative stress imbalance in HD patients. Patients who experienced a stroke or myocardial infarction at any time had a significantly higher increase in Grx during the 2 years of dialysis, compared to patients without stroke or myocardial infarction, indicating a possible association between high Grx levels and a cardiovascular event.</AbstractText>
<AbstractText Label="CONCLUSION">Our pilot study indicates that Grx may be a useful marker for assessing the degree of oxidative stress in CKD, however this needs further investigation in a larger prospective patient cohort.</AbstractText>
<CopyrightInformation>© 2018 S. Karger AG, Basel.</CopyrightInformation>
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<ForeName>Annette</ForeName>
<Initials>A</Initials>
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<Affiliation>Department of Clinical Science, Intervention and Technology, Stockholm, Sweden.</Affiliation>
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<Affiliation>Hematology Center, Karolinska University Hospital, Stockholm, Swedenjohanna.ungerstedt@ki.se.</Affiliation>
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<Month>09</Month>
<Day>25</Day>
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<Country>Switzerland</Country>
<MedlineTA>Nephron</MedlineTA>
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<NameOfSubstance UI="C516005">GLRX protein, human</NameOfSubstance>
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<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D054477">Glutaredoxins</NameOfSubstance>
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<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="C508600">IL6 protein, human</NameOfSubstance>
</Chemical>
<Chemical>
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<MeshHeading>
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<MeshHeading>
<DescriptorName UI="D015415" MajorTopicYN="N">Biomarkers</DescriptorName>
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<Keyword MajorTopicYN="Y">Diabetes</Keyword>
<Keyword MajorTopicYN="Y">Dialysis</Keyword>
<Keyword MajorTopicYN="Y">Glutaredoxin</Keyword>
<Keyword MajorTopicYN="Y">Interleukin -6</Keyword>
<Keyword MajorTopicYN="Y">Oxidative stress</Keyword>
<Keyword MajorTopicYN="Y">Pentosidine</Keyword>
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<Year>2018</Year>
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<name sortKey="Anderstam, Bjorn" sort="Anderstam, Bjorn" uniqKey="Anderstam B" first="Björn" last="Anderstam">Björn Anderstam</name>
<name sortKey="Barany, Peter" sort="Barany, Peter" uniqKey="Barany P" first="Peter" last="Bárány">Peter Bárány</name>
<name sortKey="Bruchfeld, Annette" sort="Bruchfeld, Annette" uniqKey="Bruchfeld A" first="Annette" last="Bruchfeld">Annette Bruchfeld</name>
<name sortKey="Heimburger, Olof" sort="Heimburger, Olof" uniqKey="Heimburger O" first="Olof" last="Heimburger">Olof Heimburger</name>
<name sortKey="Nair, Deepika" sort="Nair, Deepika" uniqKey="Nair D" first="Deepika" last="Nair">Deepika Nair</name>
<name sortKey="Qureshi, Abdul Rashid" sort="Qureshi, Abdul Rashid" uniqKey="Qureshi A" first="Abdul Rashid" last="Qureshi">Abdul Rashid Qureshi</name>
<name sortKey="Stenvinkel, Peter" sort="Stenvinkel, Peter" uniqKey="Stenvinkel P" first="Peter" last="Stenvinkel">Peter Stenvinkel</name>
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<name sortKey="Ungerstedt, Johanna S" sort="Ungerstedt, Johanna S" uniqKey="Ungerstedt J" first="Johanna S" last="Ungerstedt">Johanna S. Ungerstedt</name>
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</record>

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