PLASMA CYTOKINES LEVELS IN PATIENTS UNDERGOING LONG-TERM HAEMODIALYSIS

Аbstract.  Patients  with  end-stage  renal  disease  need  their  kidney  functions  to  be  replaced.  Chronic haemodialysis represents a most common method of such substitution treatment. This procedure results in successful survival of such patients for years. Chronic haemodialysis is accompanie...

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Autores principales: D. S. Polyakov, O. M. Domashenko, P. V. Beloborodov, K. A. Syssoev, M. M. Shavlovsky, Areg A. Totolian
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Publicado: SPb RAACI 2014
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Acceso en línea:https://doaj.org/article/b9f4b999df6742ceae3f4b1e2761a647
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spelling oai:doaj.org-article:b9f4b999df6742ceae3f4b1e2761a6472021-11-18T08:03:42ZPLASMA CYTOKINES LEVELS IN PATIENTS UNDERGOING LONG-TERM HAEMODIALYSIS1563-06252313-741X10.15789/1563-0625-2011-2-3-211-218https://doaj.org/article/b9f4b999df6742ceae3f4b1e2761a6472014-07-01T00:00:00Zhttps://www.mimmun.ru/mimmun/article/view/513https://doaj.org/toc/1563-0625https://doaj.org/toc/2313-741XАbstract.  Patients  with  end-stage  renal  disease  need  their  kidney  functions  to  be  replaced.  Chronic haemodialysis represents a most common method of such substitution treatment. This procedure results in successful survival of such patients for years. Chronic haemodialysis is accompanied by a complication which is known as β2-microglobulin amyloidosis. In this case, amyloid substance consisting of β2-microglobulin (β2-MG) accumulates in bones, ligaments and joints. Biological causes of β2-MG amyloidosis are still not established. To elucidate the role of inflammation in the pathogenesis of β2-MG amyloidosis, the levels of  IL-2,  IL-4,  IL-6,  IL-8,  IL-10,  GM-CSF,  IFNγ, TNFα were quantified in plasma of patients undergoing  long-term haemodialysis. Mean amounts of all the mentioned cytokines in haemodialysis patients proved to be significantly higher than in control group consisting of healthy subjects. When comparing a group receiving standard  dialysis  procedure  versus  a  subgroup  receiving  haemodiafiltration,  a  single  reliable  difference  was revealed for GM-CSF levels (p < 0.04), without any differences shown for other cytokines. With increasing terms of chronic haemodialysis, the levels of IL-2, IL-4, IL-6, IL-8, GM-CSF, IFNγ, TNFα were increased, or, at least, they did not decrease. After three years of dialysis, IL-10 concentrations were statistically indistinguishable from normal levels. In patients undergoing haemodiafiltration, plasma levels of IL-2, IL-4, IL-8, GM-CSF, IFNγ, TNFα did not drop with increasing terms of dialysis. The levels of IL-6 and IL-10 decreased after three years of dialysis, to near-normal levels.In general, these results suggest that IL-10 and IL-6 may be regarded as candidates for further studies as potential markers of β2-microglobulin amyloidosis. (Med. Immunol., 2011, vol. 13, N 2-3, pp 211-218)D. S. PolyakovO. M. DomashenkoP. V. BeloborodovK. A. SyssoevM. M. ShavlovskyAreg A. TotolianSPb RAACIarticlecytokineshaemodialysisinflammationβ2-microglobulinamyloidosisImmunologic diseases. AllergyRC581-607RUMedicinskaâ Immunologiâ, Vol 13, Iss 2-3, Pp 211-218 (2014)
institution DOAJ
collection DOAJ
language RU
topic cytokines
haemodialysis
inflammation
β2-microglobulin
amyloidosis
Immunologic diseases. Allergy
RC581-607
spellingShingle cytokines
haemodialysis
inflammation
β2-microglobulin
amyloidosis
Immunologic diseases. Allergy
RC581-607
D. S. Polyakov
O. M. Domashenko
P. V. Beloborodov
K. A. Syssoev
M. M. Shavlovsky
Areg A. Totolian
PLASMA CYTOKINES LEVELS IN PATIENTS UNDERGOING LONG-TERM HAEMODIALYSIS
description Аbstract.  Patients  with  end-stage  renal  disease  need  their  kidney  functions  to  be  replaced.  Chronic haemodialysis represents a most common method of such substitution treatment. This procedure results in successful survival of such patients for years. Chronic haemodialysis is accompanied by a complication which is known as β2-microglobulin amyloidosis. In this case, amyloid substance consisting of β2-microglobulin (β2-MG) accumulates in bones, ligaments and joints. Biological causes of β2-MG amyloidosis are still not established. To elucidate the role of inflammation in the pathogenesis of β2-MG amyloidosis, the levels of  IL-2,  IL-4,  IL-6,  IL-8,  IL-10,  GM-CSF,  IFNγ, TNFα were quantified in plasma of patients undergoing  long-term haemodialysis. Mean amounts of all the mentioned cytokines in haemodialysis patients proved to be significantly higher than in control group consisting of healthy subjects. When comparing a group receiving standard  dialysis  procedure  versus  a  subgroup  receiving  haemodiafiltration,  a  single  reliable  difference  was revealed for GM-CSF levels (p < 0.04), without any differences shown for other cytokines. With increasing terms of chronic haemodialysis, the levels of IL-2, IL-4, IL-6, IL-8, GM-CSF, IFNγ, TNFα were increased, or, at least, they did not decrease. After three years of dialysis, IL-10 concentrations were statistically indistinguishable from normal levels. In patients undergoing haemodiafiltration, plasma levels of IL-2, IL-4, IL-8, GM-CSF, IFNγ, TNFα did not drop with increasing terms of dialysis. The levels of IL-6 and IL-10 decreased after three years of dialysis, to near-normal levels.In general, these results suggest that IL-10 and IL-6 may be regarded as candidates for further studies as potential markers of β2-microglobulin amyloidosis. (Med. Immunol., 2011, vol. 13, N 2-3, pp 211-218)
format article
author D. S. Polyakov
O. M. Domashenko
P. V. Beloborodov
K. A. Syssoev
M. M. Shavlovsky
Areg A. Totolian
author_facet D. S. Polyakov
O. M. Domashenko
P. V. Beloborodov
K. A. Syssoev
M. M. Shavlovsky
Areg A. Totolian
author_sort D. S. Polyakov
title PLASMA CYTOKINES LEVELS IN PATIENTS UNDERGOING LONG-TERM HAEMODIALYSIS
title_short PLASMA CYTOKINES LEVELS IN PATIENTS UNDERGOING LONG-TERM HAEMODIALYSIS
title_full PLASMA CYTOKINES LEVELS IN PATIENTS UNDERGOING LONG-TERM HAEMODIALYSIS
title_fullStr PLASMA CYTOKINES LEVELS IN PATIENTS UNDERGOING LONG-TERM HAEMODIALYSIS
title_full_unstemmed PLASMA CYTOKINES LEVELS IN PATIENTS UNDERGOING LONG-TERM HAEMODIALYSIS
title_sort plasma cytokines levels in patients undergoing long-term haemodialysis
publisher SPb RAACI
publishDate 2014
url https://doaj.org/article/b9f4b999df6742ceae3f4b1e2761a647
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AT kasyssoev plasmacytokineslevelsinpatientsundergoinglongtermhaemodialysis
AT mmshavlovsky plasmacytokineslevelsinpatientsundergoinglongtermhaemodialysis
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