The Relationship between Carotid Atherosclerosis, Inflammatory Cytokines, and Oxidative Stress in Middle-Aged and Elderly Hemodialysis Patients

Objective. To identify the relationship between microinflammation, oxidative stress, and carotid arterial stiffness in hemodialysis patients. Methods. The CAS β and PWV obtained by ultrasound technology were used to assess carotid arterial stiffness. We divided the patients into either the CAS group...

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Main Authors: Hongqi Ren, Xuan Zhou, Zhiyong Luan, Xiaomei Luo, Shujing Han, Qing Cai, Wang Rui, Yan Li
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Nephrology
Online Access:http://dx.doi.org/10.1155/2013/835465
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author Hongqi Ren
Xuan Zhou
Zhiyong Luan
Xiaomei Luo
Shujing Han
Qing Cai
Wang Rui
Yan Li
author_facet Hongqi Ren
Xuan Zhou
Zhiyong Luan
Xiaomei Luo
Shujing Han
Qing Cai
Wang Rui
Yan Li
author_sort Hongqi Ren
collection DOAJ
description Objective. To identify the relationship between microinflammation, oxidative stress, and carotid arterial stiffness in hemodialysis patients. Methods. The CAS β and PWV obtained by ultrasound technology were used to assess carotid arterial stiffness. We divided the patients into either the CAS group or the non-CAS group based on the presence or absence of CAS. The parameters of ALB, Ca, P, TC, HDL, LDL, TG, glucose, creatinine, and hs-CRP levels were routinely tested in both groups of patients. The levels of TNF-α, IL-6, and 8-isoprostane F2α were measured by ELISA. Results. A total of 42 patients were enrolled in the CAS group and 20 patients were enrolled in the non-CAS group. No significant differences between the CAS group and the non-CAS group were observed with respect to age, dialysis duration, DBP, BUN, Cr, TC, TG, HDL, LDL, and Hb. However, SBP , pulse pressure, and 8-isoprostane levels of the CAS group were higher than those of the non-CAS group. The hs-CRP, TNF-α, and IL-6 levels were elevated in both groups but showed no significant differences. Conclusions. Maintenance of hemodialysis patients exhibits a microinflammatory state that may lead to atherosclerosis. The roles of hypertension and oxidative stress may be more important.
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institution Kabale University
issn 2090-214X
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language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series International Journal of Nephrology
spelling doaj-art-d606203f070c4814a8716d824b84dde42025-02-03T05:48:39ZengWileyInternational Journal of Nephrology2090-214X2090-21582013-01-01201310.1155/2013/835465835465The Relationship between Carotid Atherosclerosis, Inflammatory Cytokines, and Oxidative Stress in Middle-Aged and Elderly Hemodialysis PatientsHongqi Ren0Xuan Zhou1Zhiyong Luan2Xiaomei Luo3Shujing Han4Qing Cai5Wang Rui6Yan Li7Department of Nephrology, Huaihai Hospital of Xuzhou Medical College, 226 Tongsan Road, Xuzhou 221004, ChinaDepartment of Nephrology, Huaihai Hospital of Xuzhou Medical College, 226 Tongsan Road, Xuzhou 221004, ChinaDepartment of Special Diagnosis, Huaihai Hospital of Xuzhou Medical College, 226 Tongsan Road, Xuzhou 221004, ChinaClinical Laboratory, Huaihai Hospital of Xuzhou Medical College, 226 Tongsan Road, Xuzhou 221004, ChinaDepartment of Nephrology, Huaihai Hospital of Xuzhou Medical College, 226 Tongsan Road, Xuzhou 221004, ChinaDepartment of Nephrology, Huaihai Hospital of Xuzhou Medical College, 226 Tongsan Road, Xuzhou 221004, ChinaDepartment of Nephrology, Huaihai Hospital of Xuzhou Medical College, 226 Tongsan Road, Xuzhou 221004, ChinaDepartment of Nephrology, Huaihai Hospital of Xuzhou Medical College, 226 Tongsan Road, Xuzhou 221004, ChinaObjective. To identify the relationship between microinflammation, oxidative stress, and carotid arterial stiffness in hemodialysis patients. Methods. The CAS β and PWV obtained by ultrasound technology were used to assess carotid arterial stiffness. We divided the patients into either the CAS group or the non-CAS group based on the presence or absence of CAS. The parameters of ALB, Ca, P, TC, HDL, LDL, TG, glucose, creatinine, and hs-CRP levels were routinely tested in both groups of patients. The levels of TNF-α, IL-6, and 8-isoprostane F2α were measured by ELISA. Results. A total of 42 patients were enrolled in the CAS group and 20 patients were enrolled in the non-CAS group. No significant differences between the CAS group and the non-CAS group were observed with respect to age, dialysis duration, DBP, BUN, Cr, TC, TG, HDL, LDL, and Hb. However, SBP , pulse pressure, and 8-isoprostane levels of the CAS group were higher than those of the non-CAS group. The hs-CRP, TNF-α, and IL-6 levels were elevated in both groups but showed no significant differences. Conclusions. Maintenance of hemodialysis patients exhibits a microinflammatory state that may lead to atherosclerosis. The roles of hypertension and oxidative stress may be more important.http://dx.doi.org/10.1155/2013/835465
spellingShingle Hongqi Ren
Xuan Zhou
Zhiyong Luan
Xiaomei Luo
Shujing Han
Qing Cai
Wang Rui
Yan Li
The Relationship between Carotid Atherosclerosis, Inflammatory Cytokines, and Oxidative Stress in Middle-Aged and Elderly Hemodialysis Patients
International Journal of Nephrology
title The Relationship between Carotid Atherosclerosis, Inflammatory Cytokines, and Oxidative Stress in Middle-Aged and Elderly Hemodialysis Patients
title_full The Relationship between Carotid Atherosclerosis, Inflammatory Cytokines, and Oxidative Stress in Middle-Aged and Elderly Hemodialysis Patients
title_fullStr The Relationship between Carotid Atherosclerosis, Inflammatory Cytokines, and Oxidative Stress in Middle-Aged and Elderly Hemodialysis Patients
title_full_unstemmed The Relationship between Carotid Atherosclerosis, Inflammatory Cytokines, and Oxidative Stress in Middle-Aged and Elderly Hemodialysis Patients
title_short The Relationship between Carotid Atherosclerosis, Inflammatory Cytokines, and Oxidative Stress in Middle-Aged and Elderly Hemodialysis Patients
title_sort relationship between carotid atherosclerosis inflammatory cytokines and oxidative stress in middle aged and elderly hemodialysis patients
url http://dx.doi.org/10.1155/2013/835465
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