PMID- 17434051 OWN - NLM STAT- MEDLINE DCOM- 20070511 LR - 20131121 IS - 1590-3729 (Electronic) IS - 0939-4753 (Linking) VI - 17 IP - 4 DP - 2007 May TI - Erythrocyte transmembrane electron transfer in haemodialysis patients. PG - 288-93 AB - BACKGROUND AND AIMS: Patients with chronic renal failure, especially those treated with haemodialysis, have an increased risk of developing atherosclerotic vascular disease probably as a result of enhanced oxidative stress. The human cell membrane possesses electron transfer systems which protect against extracellular pro-oxidant challenge. We evaluated (1) the erythrocyte velocity of ferricyanide reduction (RBC vfcy) in 25 uraemic patients (aged 25-71 years; 14 males), (2) the changes induced by a single haemodialysis session and (3) biomarkers of oxidative stress. METHODS AND RESULTS: Before and after a mid-week dialysis session, we measured RBC vfcy, erythrocyte glutathione (RBC GSH), plasma and red cell membrane malondialdehyde (P and RBC MDA), plasma sulphydryl groups (P SH), plasma vitamin C levels and haemolysis percentage. Pre-dialysis RBC GSH (0.68+/-0.13 vs 0.80+/-0.13 mg/mL, p<0.01), P SH (266+/-74 vs 406+/-78 micromol/L, p<0.01) and plasma vitamin C (7.0+/-5.1 vs 21.5+/-8.5mg/L, p<0.001) were lower than in 25 age-sex-matched healthy controls; P MDA (1.57+/-0.52 vs 0.54+/-0.29 nmol/mL, p<0.001), RBC MDA (0.42+/-0.13 vs 0.34+/-0.16 nmol/mL, p<0.05) and haemolysis (1.2+/-0.3 vs 0.7+/-0.3%, p<0.001) were increased. Baseline RBC vfcy did not differ from normals (13.1+/-5.2 vs 12.9+/-3.2 mmol/mL/h). Following dialysis, RBC vfcy (to 8.9+/-4.5 mmol/mL/h, p<0.001) decreased, as well as P MDA, RBC MDA and plasma vitamin C (to 2.5+/-1.4 mg/L, p<0.001), whereas P SH groups increased (to 413+/-99 micromol/L, p<0.001); haemolysis percentage remained high. RBC vfcy values were correlated to RBC GSH and vitamin C levels. CONCLUSIONS: Uraemic patients showed signs of oxidative stress. Pre-dialysis RBC vfcy is maintained in the normal range on account of a reduced intracellular content of GSH and in spite of low plasma ascorbate. A single haemodialysis treatment reduced biomarkers of protein and lipid oxidation but markedly impaired transmembrane electron transfer, which could be explained by acute depletion of electron donors. FAU - Matteucci, Elena AU - Matteucci E AD - Department of Internal Medicine, University of Pisa, Via Rome 67, 56126 Pisa, Italy. ematteuc@int.med.unipi.it FAU - Cupisti, Adamasco AU - Cupisti A FAU - Caprioli, Raffaele AU - Caprioli R FAU - Battipaglia, Elena AU - Battipaglia E FAU - Favilla, Stefania AU - Favilla S FAU - Rindi, Paolo AU - Rindi P FAU - Barsotti, Giuliano AU - Barsotti G FAU - Giampietro, Ottavio AU - Giampietro O LA - eng PT - Journal Article DEP - 20060320 PL - Netherlands TA - Nutr Metab Cardiovasc Dis JT - Nutrition, metabolism, and cardiovascular diseases : NMCD JID - 9111474 RN - 0 (Free Radicals) RN - 0 (Sulfhydryl Compounds) RN - 4Y8F71G49Q (Malondialdehyde) RN - PQ6CK8PD0R (Ascorbic Acid) SB - IM MH - Adult MH - Aged MH - Ascorbic Acid/metabolism MH - Electron Transport MH - Erythrocyte Membrane/*metabolism MH - Female MH - Free Radicals MH - Humans MH - Male MH - Malondialdehyde/blood MH - Middle Aged MH - Oxidation-Reduction MH - *Oxidative Stress MH - *Renal Dialysis MH - Sulfhydryl Compounds/blood EDAT- 2007/04/17 09:00 MHDA- 2007/05/12 09:00 CRDT- 2007/04/17 09:00 PHST- 2005/05/23 00:00 [received] PHST- 2005/11/24 00:00 [revised] PHST- 2005/11/24 00:00 [accepted] PHST- 2007/04/17 09:00 [pubmed] PHST- 2007/05/12 09:00 [medline] PHST- 2007/04/17 09:00 [entrez] AID - S0939-4753(05)00255-3 [pii] AID - 10.1016/j.numecd.2005.11.011 [doi] PST - ppublish SO - Nutr Metab Cardiovasc Dis. 2007 May;17(4):288-93. doi: 10.1016/j.numecd.2005.11.011. Epub 2006 Mar 20.