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10.1371/journal.pone.0178171

http://scihub22266oqcxt.onion/10.1371/journal.pone.0178171
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suck abstract from ncbi


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pmid28542479
      PLoS+One 2017 ; 12 (5 ): e0178171
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  • Preliminary study of hypoxia-related cardiovascular mediator-markers in patients with end-stage renal disease with and without diabetes and the effects of haemodialysis #MMPMID28542479
  • Treweeke A ; Hall J ; Lambie S ; Leslie SJ ; Megson IL ; MacRury SM
  • PLoS One 2017[]; 12 (5 ): e0178171 PMID28542479 show ga
  • BACKGROUND: Evidence points to activation of pro-inflammatory and pro-thrombotic stimuli during the haemodialysis process in end-stage renal disease (ESRD) with potential to predispose to cardiovascular events. Diabetes is associated with a higher incidence of cardiovascular disease in haemodialysis patients. We tested the hypothesis that a range of mediators and markers that modulate cardiovascular risk are elevated in haemodialysis patients with diabetes compared to those without. METHODS: Men and women with diabetes (n = 6) and without diabetes (n = 6) aged 18-90 years receiving haemodialysis were recruited. Blood samples were collected and analysed pre- and post-haemodialysis sessions for (platelet-monocyte conjugates (PMC), oxidised LDL (Ox-LDL), endothelin 1 (ET-1) and vascular endothelial growth factor (VEGF-A). RESULTS: PMC levels significantly increased after haemodialysis in both groups (diabetes p = 0.047; non-diabetes p = 0.005). Baseline VEGF-A was significantly higher in people with diabetes (p = 0.009) and post-dialysis levels were significantly reduced in both groups (P = 0.002). Ox-LDL and CRP concentrations were not significantly different between groups nor affected in either group post-dialysis. Similarly, ET-1 concentrations were comparable in all patients at baseline, with no change post-dialysis in either group. CONCLUSIONS: In this pilot study, we have confirmed that circulating PMCs are increased following dialysis irrespective of diabetes status. This is likely to be a mechanistic process and offers a potential explanation for high rates of vascular events associated with haemodialysis. The higher VEGF-A concentrations between patients with and without diabetes is a previously unreported finding in diabetic ESRD. Further research is merited to establish whether VEGF-A is a marker or mediator (or both) of cardiovascular risk in haemodialysis.
  • |*Renal Dialysis [MESH]
  • |Adolescent [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Biomarkers/blood [MESH]
  • |Cardiovascular Diseases/*blood/complications [MESH]
  • |Cholesterol, LDL/blood [MESH]
  • |Diabetes Complications/*blood [MESH]
  • |Endothelin-1/blood [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Hypoxia/*blood/complications [MESH]
  • |Kidney Failure, Chronic/*blood/complications/*therapy [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Pilot Projects [MESH]
  • |Risk [MESH]
  • |Vascular Endothelial Growth Factor A/blood [MESH]


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