Effects of coenzyme Q10 supplementation on C-reactive protein and homocysteine as the inflammatory markers in hemodialysis patients; a randomized clinical trial

Background: The most leading cause of death in end-stage renal disease (ESRD) patients are cardiovascular disease and inflammatory markers are related to coronary events. CO-Q10 (coenzyme Q10) is a protective supplement from free radical oxidative damage. In addition, hyperhomocysteinemia is an inde...

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Main Authors: Narges-Sadat Zahed, Maryam Ghassami, Hajar Nikbakht
Format: Article
Language:English
Published: Society of Diabetic Nephropathy Prevention 2016-01-01
Series:Journal of Nephropathology
Subjects:
Online Access:https://nephropathol.com/PDF/JNP-5-38.pdf
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author Narges-Sadat Zahed
Maryam Ghassami
Hajar Nikbakht
author_facet Narges-Sadat Zahed
Maryam Ghassami
Hajar Nikbakht
author_sort Narges-Sadat Zahed
collection DOAJ
description Background: The most leading cause of death in end-stage renal disease (ESRD) patients are cardiovascular disease and inflammatory markers are related to coronary events. CO-Q10 (coenzyme Q10) is a protective supplement from free radical oxidative damage. In addition, hyperhomocysteinemia is an independent coronary artery disease (CAD) risk factor. Objectives: Due to increasing oxidative stress in dialysis patients, and the effect of CO-Q10 in decrease oxidative stress, in this work, we assessed the effect of CO-Q10 on C-reactive protein (CRP) level as an inflammatory marker and homocysteine in dialysis patients. Patients and Methods: This was a single-blind, randomized cross over clinical trial. Patients with ESRD were randomly allotted to two groups. All patients received placebo and C0- Q10 100mg/d during the three months in each stage, with two week washout period. Plasma level of CRP and homocysteine from the start of the work and at the conclusion of each menses, are evaluated. Results: Thirty-four patients randomized, but 26 patients complete study protocol. The treatment effect of CO-Q10 on CRP level is significant (P < 0.001) (95% CI = -20.1 to -10.5) and it was also significant for the increasing albumin level. (P = 0.044) (95% CI = 0. 0-0.6), But there was not any substantial effect on serum homocysteine level (P = 0.630). Conclusions: CO-Q10 could significantly decrease CRP level as an inflammatory marker and can protect cardiovascular events.
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spelling doaj.art-5c4aa08c82254745a26ddcf4099cbf292023-05-13T11:33:19ZengSociety of Diabetic Nephropathy PreventionJournal of Nephropathology2251-83632251-88192016-01-0151384310.15171/jnp.2016.07JNP_20160112124457Effects of coenzyme Q10 supplementation on C-reactive protein and homocysteine as the inflammatory markers in hemodialysis patients; a randomized clinical trialNarges-Sadat Zahed0Maryam Ghassami1Hajar Nikbakht2Departement of Nephrology, Loghman Hakim Hospital, Shahid-Beheshti University of Medical Sciences, Tehran, IranDepartment of Internal Medicine, Loghman Hakim Hospital, Shahid-Beheshti University of Medical Sciences , Tehran, IranDepartement of Nephrology, Loghman Hakim Hospital, Shahid-Beheshti University of Medical Sciences, Tehran, IranBackground: The most leading cause of death in end-stage renal disease (ESRD) patients are cardiovascular disease and inflammatory markers are related to coronary events. CO-Q10 (coenzyme Q10) is a protective supplement from free radical oxidative damage. In addition, hyperhomocysteinemia is an independent coronary artery disease (CAD) risk factor. Objectives: Due to increasing oxidative stress in dialysis patients, and the effect of CO-Q10 in decrease oxidative stress, in this work, we assessed the effect of CO-Q10 on C-reactive protein (CRP) level as an inflammatory marker and homocysteine in dialysis patients. Patients and Methods: This was a single-blind, randomized cross over clinical trial. Patients with ESRD were randomly allotted to two groups. All patients received placebo and C0- Q10 100mg/d during the three months in each stage, with two week washout period. Plasma level of CRP and homocysteine from the start of the work and at the conclusion of each menses, are evaluated. Results: Thirty-four patients randomized, but 26 patients complete study protocol. The treatment effect of CO-Q10 on CRP level is significant (P < 0.001) (95% CI = -20.1 to -10.5) and it was also significant for the increasing albumin level. (P = 0.044) (95% CI = 0. 0-0.6), But there was not any substantial effect on serum homocysteine level (P = 0.630). Conclusions: CO-Q10 could significantly decrease CRP level as an inflammatory marker and can protect cardiovascular events.https://nephropathol.com/PDF/JNP-5-38.pdfhomocysteinec-reactive proteinrenal insufficiencycoenzyme q10
spellingShingle Narges-Sadat Zahed
Maryam Ghassami
Hajar Nikbakht
Effects of coenzyme Q10 supplementation on C-reactive protein and homocysteine as the inflammatory markers in hemodialysis patients; a randomized clinical trial
Journal of Nephropathology
homocysteine
c-reactive protein
renal insufficiency
coenzyme q10
title Effects of coenzyme Q10 supplementation on C-reactive protein and homocysteine as the inflammatory markers in hemodialysis patients; a randomized clinical trial
title_full Effects of coenzyme Q10 supplementation on C-reactive protein and homocysteine as the inflammatory markers in hemodialysis patients; a randomized clinical trial
title_fullStr Effects of coenzyme Q10 supplementation on C-reactive protein and homocysteine as the inflammatory markers in hemodialysis patients; a randomized clinical trial
title_full_unstemmed Effects of coenzyme Q10 supplementation on C-reactive protein and homocysteine as the inflammatory markers in hemodialysis patients; a randomized clinical trial
title_short Effects of coenzyme Q10 supplementation on C-reactive protein and homocysteine as the inflammatory markers in hemodialysis patients; a randomized clinical trial
title_sort effects of coenzyme q10 supplementation on c reactive protein and homocysteine as the inflammatory markers in hemodialysis patients a randomized clinical trial
topic homocysteine
c-reactive protein
renal insufficiency
coenzyme q10
url https://nephropathol.com/PDF/JNP-5-38.pdf
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