Reduced hemodialysis-induced oxidative stress in end-stage renal disease patients by electrolyzed reduced water
Journal
Kidney International
Journal Volume
64
Journal Issue
2
Pages
704-714
Date Issued
2003
Author(s)
Abstract
Background. Increased oxidative stress in end-stage renal disease (ESRD) patients may oxidize macromolecules and consequently lead to cardiovascular events during chronic hemodialysis. Electrolyzed reduced water (ERW) with reactive oxygen species (ROS) scavenging ability may have a potential effect on reduction of hemodialysis-induced oxidative stress in ESRD patients. Methods. We developed a chemiluminescence emission spectrum and high-performance liquid chromatography analysis to assess the effect of ERW replacement on plasma ROS (H2O2 and HOCl) scavenging activity and oxidized lipid or protein production in ESRD patients undergoing hemodialysis. Oxidized markers, dityrosine, methylguanidine, and phosphatidylcholine hydroperoxide, and inflammatory markers, interleukin 6 (IL-6), and C-reactive protein (CRP) were determined. Results. Although hemodialysis efficiently removes dityrosine and creatinine, hemodialysis increased oxidative stress, including phosphatidylcholine hydroperoxide, and methylguanidine. Hemodialysis reduced the plasma ROS scavenging activity, as shown by the augmented reference H2O2 and HOCl counts (RH2O2 and RHOCl, respectively) and decreased antioxidative activity (expressed as total antioxidant status in this study). ERW administration diminished hemodialyis-enhanced RH2O2 and RHOCl, minimized oxidized and inflammatory markers (CRP and IL-6), and partly restored total antioxidant status during 1-month treatment. Conclusion. This study demonstrates that hemodialysis with ERW administration may efficiently increase the H2O2- and HOCl-dependent antioxidant defense and reduce H2O2- and HOCl-induced oxidative stress.
Subjects
Electrolyzed reduced water; End-stage renal diseases; Hemodialysis; Reactive oxygen species
Other Subjects
C reactive protein; dityrosine; hydrogen peroxide; hypochlorite; interleukin 6; methylguanidine; tyrosine derivative; unclassified drug; water; adult; aged; antioxidant activity; article; chemoluminescence; clinical article; controlled study; female; hemodialysis; high performance liquid chromatography; human; kidney failure; male; oxidative stress; priority journal
Publisher
Blackwell Publishing Inc.
Type
journal article