PMID- 29732146 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2049-9434 (Print) IS - 2049-9442 (Electronic) IS - 2049-9434 (Linking) VI - 8 IP - 5 DP - 2018 May TI - Oxidative stress and kidney injury in trans-radial catheterization. PG - 417-425 LID - 10.3892/br.2018.1071 [doi] AB - Oxidative stress is linked to coronary artery disease and is a major mechanism in contrast-induced nephropathy. Trans-radial approach in coronary angiography (CA) with minimized peri-procedural bleeding is expected to reduce acute kidney injury incidence. In the present study, oxidative stress patterns observed in radial CA and their associations with early manifestations of kidney injury are described. A total of 20 stable coronary disease patients submitted to CA and 17 sex-matched patients undergoing computed tomography for myoskeletal reasons were enrolled. Reduced glutathione, catalase, thiobarbituric acid reactive species (TBARS) levels and total anti-oxidant status were measured at various time points postangiography. In ischemic patients baseline TBARS levels were 2-fold lower compared to controls, while carbonyls levels were 35% higher. Glutathione was almost 4-fold lower than the control group. Glutathione and lipid peroxidation in ischemic patients gradually increased after contrast medium administration and reached 180% (P<0.001) and 20% (P=0.021) after 4-6 h, respectively. Four patients presented early evidence of contrast-induced nephropathy postangiography, while no control patient developed acute kidney injury. In the multiple logistic regression analysis, only the creatinine levels at baseline influenced the frequency of early contrast-induced nephropathy development (beta =0.36, 95% CI: 0.285-0.438, P=0.01). Glutathione low levels were dominant in the baseline values of ischemic patients who developed contrast-induced nephropathy. Glutathione levels rapidly increased while protein oxidation decreased at the expense of lipid peroxidation. In conclusion, early oxidative stress changes occur in trans-radial CA patients with a mild profile, sufficient to mobilize patient antioxidant defenses. FAU - Tsarouhas, Konstantinos AU - Tsarouhas K AD - Department of Cardiology, University Hospital of Larissa, 41110 Larissa, Greece. FAU - Tsitsimpikou, Christina AU - Tsitsimpikou C AD - General Chemical State Laboratory of Greece, 11521 Athens, Greece. FAU - Papantoni, Xrisoula AU - Papantoni X AD - Department of Biochemistry-Biotechnology, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece. FAU - Lazaridou, Dimitra AU - Lazaridou D AD - Department of Biochemistry-Biotechnology, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece. FAU - Koutouzis, Michael AU - Koutouzis M AD - 2nd Department of Cardiology, Red Cross Hospital, 11526 Athens, Greece. FAU - Mazzaris, Savvas AU - Mazzaris S AD - Department of Cardiology, Amalia Fleming General Hospital, 15127 Athens, Greece. FAU - Rezaee, Ramin AU - Rezaee R AD - Clinical Research Unit, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Mamoulakis, Charalambos AU - Mamoulakis C AD - Department of Urology, Medical School, University of Crete, 70013 Heraklion, Crete, Greece. FAU - Georgoulias, Panagiotis AU - Georgoulias P AD - Department of Nuclear Medicine, University Hospital of Larissa, 41110 Larissa, Greece. FAU - Nepka, Charitini AU - Nepka C AD - Department of Pathology, University Hospital of Larissa, 41110 Larissa, Greece. FAU - Rentoukas, Elias AU - Rentoukas E AD - Department of Cardiology, Amalia Fleming General Hospital, 15127 Athens, Greece. FAU - Kyriakides, Zenon AU - Kyriakides Z AD - 2nd Department of Cardiology, Red Cross Hospital, 11526 Athens, Greece. FAU - Tsatsakis, Aristidis AU - Tsatsakis A AD - Laboratory of Toxicology, Medical School, University of Crete, 70013 Heraklion, Crete, Greece. FAU - Spandidos, Demetrios A AU - Spandidos DA AD - Department of Virology, Medical School, University of Crete, 70013 Heraklion, Crete, Greece. FAU - Kouretas, Demetrios AU - Kouretas D AD - Department of Biochemistry-Biotechnology, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece. LA - eng PT - Journal Article DEP - 20180228 PL - England TA - Biomed Rep JT - Biomedical reports JID - 101613227 PMC - PMC5920711 OTO - NOTNLM OT - contrast-induced nephropathy OT - oxidative stress OT - trans-radial catheterization EDAT- 2018/05/08 06:00 MHDA- 2018/05/08 06:01 PMCR- 2018/02/28 CRDT- 2018/05/08 06:00 PHST- 2018/01/26 00:00 [received] PHST- 2018/02/28 00:00 [accepted] PHST- 2018/05/08 06:00 [entrez] PHST- 2018/05/08 06:00 [pubmed] PHST- 2018/05/08 06:01 [medline] PHST- 2018/02/28 00:00 [pmc-release] AID - BR-0-0-1071 [pii] AID - 10.3892/br.2018.1071 [doi] PST - ppublish SO - Biomed Rep. 2018 May;8(5):417-425. doi: 10.3892/br.2018.1071. Epub 2018 Feb 28.