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Paraoxonase anti oxidant response and oxidative stress in children with chronic renal failure        
Yazarlar
A Ece
Y Atamer
F Gürkan
M Davutoglu
M Bilici
M Tutanç
 Ali GÜNEŞ Ali GÜNEŞ
Kırşehir Ahi Evran Üniversitesi
Özet
Increased oxidative stress is believed to contribute to an increased risk of cardiovascular disease in uraemia. In children with chronic renal failure (CRF), an anti-oxidant enzyme, paraoxonase (PON), that inhibits oxidation of LDL-cholesterol, has not been previously investigated. In this study we aimed to investigate PON activity, total anti-oxidant response (TAR), total peroxide (TPX), oxidative stress index (OSI) and some pro-oxidant cytokines in 29 children with CRF [mean age 10.2 +/- 3.5 years; 19 pre-dialysis, ten on continuous ambulatory peritoneal dialysis (CAPD)] and in 25 control subjects. Children with CRF had lower PON and TAR and higher TPX and OSI values than did controls (P<0.05). Except for lower TAR and serum albumin levels of the CAPD subgroup (P<0.05), other parameters were similar in non-dialysis and CAPD patients (P>0.05). Patients had significant positive correlation between TAR and serum albumin (P<0.05). Serum urea had significant positive correlation with TPX and OSI (P<0.05). Increased oxidative stress and decreased anti-oxidants measured by serum PON activity and TAR were found in children with CRF. We can hypothesize, on the basis of statistical correlations, that low levels of serum albumin and high levels of uraemic metabolites might be responsible for increased oxidative stress in children with CRF. Further studies with larger sample sizes are needed to verify these results.
Anahtar Kelimeler
Albumin | Children | Chronic renal failure | Cytokines | Oxidative stress | Paraoxonase
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı PEDIATRIC NEPHROLOGY
Dergi ISSN 0931-041X
Dergi Tarandığı Indeksler SSCI
Makale Dili İngilizce
Basım Tarihi 02-2006
Cilt No 21
Sayı 2
Sayfalar 239 / 245
Doi Numarası 10.1007/s00467-005-2079-2