Serum potassium, albumin and vitamin B12 as potential oxidative stress markers of fungal peritonitis

AbstractBackground Biomarkers of oxidative stress (OS) have been poorly explored in fungal peritonitis (FP). Potassium is a regulator of pro-oxidants and antioxidants. Albumin and vitamin B12 (B12) are vital antioxidant agents in the circulatory system. This study aimed to investigate the antioxidat...

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Main Authors: Lingling Liu, Kehang Xie, Mengmeng Yin, Xiaoqiu Chen, Binhuan Chen, Jianting Ke, Cheng Wang
Format: Article
Language:English
Published: Taylor & Francis Group 2021-01-01
Series:Annals of Medicine
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/07853890.2021.1999489
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author Lingling Liu
Kehang Xie
Mengmeng Yin
Xiaoqiu Chen
Binhuan Chen
Jianting Ke
Cheng Wang
author_facet Lingling Liu
Kehang Xie
Mengmeng Yin
Xiaoqiu Chen
Binhuan Chen
Jianting Ke
Cheng Wang
author_sort Lingling Liu
collection DOAJ
description AbstractBackground Biomarkers of oxidative stress (OS) have been poorly explored in fungal peritonitis (FP). Potassium is a regulator of pro-oxidants and antioxidants. Albumin and vitamin B12 (B12) are vital antioxidant agents in the circulatory system. This study aimed to investigate the antioxidative role of serum potassium, albumin and B12 in FP.Methods Serum levels of potassium, albumin and B12 were retrospectively analyzed in 21 patients with a confirmed diagnosis of FP, 105 bacterial peritonitis (BP) patients and 210 patients receiving peritoneal dialysis without peritonitis.Results Serum levels of potassium, albumin and B12 were lower in FP patients than in BP patients. Serum potassium concentration was statistically related to albumin concentration in peritonitis patients. Univariate and multivariate binary logistic regression analysis suggested that serum level of potassium and albumin were independent risk factors of FP when compared with BP. Lower potassium and B12 levels were independently associated with higher rates of technique failure in peritonitis.Conclusion These findings suggest lower serum potassium, albumin and B12 as potential oxidative stress markers of FP and raise the hypothesis that an increased level of OS could contribute to FP.KEY MESSAGESFP remains a serious complication of peritoneal dialysis (PD), with higher morbidity (1–23.8%) and mortality (2–25%), and oxidative stress plays a role in it.Our study suggested serum potassium, albumin and vitamin B12 as potential oxidative stress markers of fungal peritonitis.
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spelling doaj.art-e10508162ada471f81a64960227e3ecd2023-12-19T16:46:26ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602021-01-015312132214110.1080/07853890.2021.1999489Serum potassium, albumin and vitamin B12 as potential oxidative stress markers of fungal peritonitisLingling Liu0Kehang Xie1Mengmeng Yin2Xiaoqiu Chen3Binhuan Chen4Jianting Ke5Cheng Wang6Department of Nephrology, Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, ChinaDepartment of Neurology, Zhuhai Hospital of Integrated Traditional Chinese and Western Medicine, Zhuhai, ChinaDepartment of Nephrology, Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, ChinaDepartment of Nephrology, Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, ChinaDepartment of Nephrology, Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, ChinaDepartment of Nephrology, Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, ChinaDepartment of Nephrology, Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, ChinaAbstractBackground Biomarkers of oxidative stress (OS) have been poorly explored in fungal peritonitis (FP). Potassium is a regulator of pro-oxidants and antioxidants. Albumin and vitamin B12 (B12) are vital antioxidant agents in the circulatory system. This study aimed to investigate the antioxidative role of serum potassium, albumin and B12 in FP.Methods Serum levels of potassium, albumin and B12 were retrospectively analyzed in 21 patients with a confirmed diagnosis of FP, 105 bacterial peritonitis (BP) patients and 210 patients receiving peritoneal dialysis without peritonitis.Results Serum levels of potassium, albumin and B12 were lower in FP patients than in BP patients. Serum potassium concentration was statistically related to albumin concentration in peritonitis patients. Univariate and multivariate binary logistic regression analysis suggested that serum level of potassium and albumin were independent risk factors of FP when compared with BP. Lower potassium and B12 levels were independently associated with higher rates of technique failure in peritonitis.Conclusion These findings suggest lower serum potassium, albumin and B12 as potential oxidative stress markers of FP and raise the hypothesis that an increased level of OS could contribute to FP.KEY MESSAGESFP remains a serious complication of peritoneal dialysis (PD), with higher morbidity (1–23.8%) and mortality (2–25%), and oxidative stress plays a role in it.Our study suggested serum potassium, albumin and vitamin B12 as potential oxidative stress markers of fungal peritonitis.https://www.tandfonline.com/doi/10.1080/07853890.2021.1999489Potassiumalbuminvitamin B12oxidative stressfungal peritonitis
spellingShingle Lingling Liu
Kehang Xie
Mengmeng Yin
Xiaoqiu Chen
Binhuan Chen
Jianting Ke
Cheng Wang
Serum potassium, albumin and vitamin B12 as potential oxidative stress markers of fungal peritonitis
Annals of Medicine
Potassium
albumin
vitamin B12
oxidative stress
fungal peritonitis
title Serum potassium, albumin and vitamin B12 as potential oxidative stress markers of fungal peritonitis
title_full Serum potassium, albumin and vitamin B12 as potential oxidative stress markers of fungal peritonitis
title_fullStr Serum potassium, albumin and vitamin B12 as potential oxidative stress markers of fungal peritonitis
title_full_unstemmed Serum potassium, albumin and vitamin B12 as potential oxidative stress markers of fungal peritonitis
title_short Serum potassium, albumin and vitamin B12 as potential oxidative stress markers of fungal peritonitis
title_sort serum potassium albumin and vitamin b12 as potential oxidative stress markers of fungal peritonitis
topic Potassium
albumin
vitamin B12
oxidative stress
fungal peritonitis
url https://www.tandfonline.com/doi/10.1080/07853890.2021.1999489
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