Implication of changes in xanthine oxidase activity following hemodialysis
Abstract Background Xanthine oxidase activity has a key role in the development of oxidative stress and progression of cardiovascular diseases. However, the change of xanthine oxidase activity following hemodialysis and its prognostic impact remain uncertain. Methods We prospectively included hemodi...
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | BMC Nephrology |
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| Online Access: | https://doi.org/10.1186/s12882-023-03062-z |
| _version_ | 1797946017696448512 |
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| author | Hayato Fujioka Tsutomu Koike Teruhiko Imamura Kota Kakeshita Hidenori Yamazaki Koichiro Kinugawa |
| author_facet | Hayato Fujioka Tsutomu Koike Teruhiko Imamura Kota Kakeshita Hidenori Yamazaki Koichiro Kinugawa |
| author_sort | Hayato Fujioka |
| collection | DOAJ |
| description | Abstract Background Xanthine oxidase activity has a key role in the development of oxidative stress and progression of cardiovascular diseases. However, the change of xanthine oxidase activity following hemodialysis and its prognostic impact remain uncertain. Methods We prospectively included hemodialysis patients who did not take any anti-hyperuricemic agents and measured their xanthine oxidase activity before and after the index hemodialysis. The impact of change in xanthine oxidase activity during hemodialysis on cardiovascular death were investigated. Results A total of 46 patients (median 72 years old, 29 men) were included. During hemodialysis, a common logarithm of xanthine oxidase activity decreased significantly from 1.16 (0.94, 1.27) to 1.03 (0.80, 1.20) (p < 0.01). Of them, xanthine oxidase activity remained unchanged or increased in 16 patients, who had a greater decrease in blood pressure and more hemoconcentration compared with others. Two–year survival from cardiovascular death was not significantly stratified by the changes in xanthine oxidase activity (p = 0.43). Conclusions During hemodialysis, xanthine oxidase activity decreased among the overall cohort, whereas some patients experienced its increases, which might be associated with hypotension and hemoconcentration during hemodialysis. Further larger-scale studies are required to validate our findings and find clinical implication of change in xanthine oxidase activity during hemodialysis. |
| first_indexed | 2024-04-10T21:04:14Z |
| format | Article |
| id | doaj.art-65a4653e6c8f4613baae2cd22ea0fc7b |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-04-10T21:04:14Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-65a4653e6c8f4613baae2cd22ea0fc7b2023-01-22T12:06:57ZengBMCBMC Nephrology1471-23692023-01-012411810.1186/s12882-023-03062-zImplication of changes in xanthine oxidase activity following hemodialysisHayato Fujioka0Tsutomu Koike1Teruhiko Imamura2Kota Kakeshita3Hidenori Yamazaki4Koichiro Kinugawa5The Second Department of Internal Medicine, Toyama UniversityThe Second Department of Internal Medicine, Toyama UniversityThe Second Department of Internal Medicine, Toyama UniversityThe Second Department of Internal Medicine, Toyama UniversityThe Second Department of Internal Medicine, Toyama UniversityThe Second Department of Internal Medicine, Toyama UniversityAbstract Background Xanthine oxidase activity has a key role in the development of oxidative stress and progression of cardiovascular diseases. However, the change of xanthine oxidase activity following hemodialysis and its prognostic impact remain uncertain. Methods We prospectively included hemodialysis patients who did not take any anti-hyperuricemic agents and measured their xanthine oxidase activity before and after the index hemodialysis. The impact of change in xanthine oxidase activity during hemodialysis on cardiovascular death were investigated. Results A total of 46 patients (median 72 years old, 29 men) were included. During hemodialysis, a common logarithm of xanthine oxidase activity decreased significantly from 1.16 (0.94, 1.27) to 1.03 (0.80, 1.20) (p < 0.01). Of them, xanthine oxidase activity remained unchanged or increased in 16 patients, who had a greater decrease in blood pressure and more hemoconcentration compared with others. Two–year survival from cardiovascular death was not significantly stratified by the changes in xanthine oxidase activity (p = 0.43). Conclusions During hemodialysis, xanthine oxidase activity decreased among the overall cohort, whereas some patients experienced its increases, which might be associated with hypotension and hemoconcentration during hemodialysis. Further larger-scale studies are required to validate our findings and find clinical implication of change in xanthine oxidase activity during hemodialysis.https://doi.org/10.1186/s12882-023-03062-zXanthine oxidaseHemodialysisHemodynamicsUremia |
| spellingShingle | Hayato Fujioka Tsutomu Koike Teruhiko Imamura Kota Kakeshita Hidenori Yamazaki Koichiro Kinugawa Implication of changes in xanthine oxidase activity following hemodialysis BMC Nephrology Xanthine oxidase Hemodialysis Hemodynamics Uremia |
| title | Implication of changes in xanthine oxidase activity following hemodialysis |
| title_full | Implication of changes in xanthine oxidase activity following hemodialysis |
| title_fullStr | Implication of changes in xanthine oxidase activity following hemodialysis |
| title_full_unstemmed | Implication of changes in xanthine oxidase activity following hemodialysis |
| title_short | Implication of changes in xanthine oxidase activity following hemodialysis |
| title_sort | implication of changes in xanthine oxidase activity following hemodialysis |
| topic | Xanthine oxidase Hemodialysis Hemodynamics Uremia |
| url | https://doi.org/10.1186/s12882-023-03062-z |
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