PMID- 20805696 OWN - NLM STAT- MEDLINE DCOM- 20120109 LR - 20151119 IS - 1660-2110 (Electronic) IS - 1660-2110 (Linking) VI - 117 IP - 3 DP - 2011 TI - Serum biological antioxidant potential predicts the prognosis of hemodialysis patients. PG - c230-6 LID - 10.1159/000320201 [doi] AB - BACKGROUND: It is well known that oxidative stress is enhanced in patients with end-stage renal disease. However, little is known about the relationship between serum antioxidant capacity and clinical outcome in hemodialysis (HD) patients. METHODS: We examined the relationship between serum biomarkers of oxidative stress and clinical outcomes including all-cause mortality, hospitalization rate and incidence of cardiovascular events in HD patients. As biomarkers of oxidative stress, we measured serum levels of coenzyme Q10 (CoQ10) and biological antioxidant potential (BAP). RESULTS: 108 patients were observed for 30 months as the follow-up periods. The survival group (n = 83) showed significantly higher BAP values compared with those in death groups (n = 25; p < 0.05). When serum BAP levels were divided into two groups by their median value, the group with higher BAP values had a better survival rate than that with lower BAP values on the Kaplan-Meier survival analysis (p = 0.05). Although serum levels of CoQ10 did not show any association with clinical outcomes, lower BAP was selected as an independent risk factor for all-cause mortality as well as the absence of angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers therapy by age-adjusted Cox regression analysis. CONCLUSIONS: This study indicated that BAP could predict the prognosis of HD patients. CI - Copyright (c) 2010 S. Karger AG, Basel. FAU - Ishii, Tomoko AU - Ishii T AD - Department of Nephrology, Immunology, and Vascular Medicine, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan. FAU - Ohtake, Takayasu AU - Ohtake T FAU - Okamoto, Koji AU - Okamoto K FAU - Mochida, Yasuhiro AU - Mochida Y FAU - Ishioka, Kunihiro AU - Ishioka K FAU - Oka, Machiko AU - Oka M FAU - Maesato, Kyoko AU - Maesato K FAU - Ikee, Ryota AU - Ikee R FAU - Moriya, Hidekazu AU - Moriya H FAU - Hidaka, Sumi AU - Hidaka S FAU - Doi, Kent AU - Doi K FAU - Noiri, Eisei AU - Noiri E FAU - Fujita, Toshiro AU - Fujita T FAU - Kobayashi, Shuzo AU - Kobayashi S LA - eng PT - Comparative Study PT - Journal Article DEP - 20100831 PL - Switzerland TA - Nephron Clin Pract JT - Nephron. Clinical practice JID - 101159763 RN - 0 (Antioxidants) RN - 0 (Biomarkers) SB - IM MH - Aged MH - Aged, 80 and over MH - Antioxidants/*metabolism MH - Biomarkers/blood MH - Female MH - Follow-Up Studies MH - Humans MH - Kidney Diseases/*blood/*diagnosis/mortality MH - Lipid Peroxidation/physiology MH - Male MH - Middle Aged MH - Oxidative Stress/*physiology MH - Predictive Value of Tests MH - Prognosis MH - Prospective Studies MH - *Renal Dialysis/adverse effects/mortality MH - Survival Rate/trends EDAT- 2010/09/02 06:00 MHDA- 2012/01/10 06:00 CRDT- 2010/09/01 06:00 PHST- 2009/12/22 00:00 [received] PHST- 2010/06/04 00:00 [accepted] PHST- 2010/09/01 06:00 [entrez] PHST- 2010/09/02 06:00 [pubmed] PHST- 2012/01/10 06:00 [medline] AID - 000320201 [pii] AID - 10.1159/000320201 [doi] PST - ppublish SO - Nephron Clin Pract. 2011;117(3):c230-6. doi: 10.1159/000320201. Epub 2010 Aug 31.