Review Article

Systemic Redox Imbalance in Chronic Kidney Disease: A Systematic Review

Table 3

Redox status before and after the HD treatment.

AuthorsGroupsHD modality and periodAOPPOx-LDLFree sulfhydrylProtein carbonylsTBARS/MDAF2-isoprostanesGSHSODGPxGR reductaseCATTAS

Ward et al., 2003 [53]11 HD patients, (age 51 ± 5 yr) (a) polysulfone membrane
(b) cellulose membrane
49 ± 11 months
(a) 190 ± 37
(b) 163 ± 26 (μmol/L)
(a) ↑425 ± 15
(b) ↑408 ± 23 (μmol/L)
(a) ↑0.175 ± 0.03
(b) ↑0.178 ± 0.04 (nmol/mg)

Westhuyzen et al., 2003 [75]13 HD patients, (age: 69.2 ± 15.6 yr) Vitamin E membrane, 3x/wk
(a) Baseline
(b) At 6 wk
(c) At 13 wk
(a) 0.99 ± 0.17
(b) 1.08 ± 0.16
(c) 1.04 ± 0.20 (mmol/L)
(a) 725 ± 102
(b) 746 ± 130
(c) 771 ± 151 (U/g Hb)
(a) 46.8 ± 14.8
(b) ↑55.7 ± 14.8
(c) ↑56.7 ± 17.2 (U/g Hb)

Trimarchi et al., 2003 [71]12 HD patients, (age: 65.5 ± 13.1 yr) Cellulose membrane, for 20.83 months, 3x/wk 4.62 ± 0.9 (μmol/L)

Smith et al., 2003 [73]11 HD patients, (age: 64 ± 4 yr) Polysulfone membrane, 3x/wk602 ± 105 (pg/mL)

Stepniewska et al., 2006 [55](a) 25 HD patients, (age: 50.3 ± 13.7 yr)
(b) 26 HD patients (age: 60.5 ± 13.5 yr)
(a) Polysulfone membrane, glucose-free fluid, for 27.44 ± 15.87 months, 3x/week/4 h
(b) Polysulfone glucose fluid, for 24.43 ± 12.68 months, 3x/week/4 h
(a) ↑18.3 ± 7.2
(b) 19.8 ± 8.2 (mmol/g Hb)
(a) 2.69 ± 0.95
(b) ↑2.05 ±
0.59 (U/g H)

Huang et al., 2006 [76]25 HD patients, (age: 58 ± 3 yr)HD for 12 months↓0.5 (mmol/L)

Malindretos et al., 2007 [74]20 HD patients, (age: 64.7 ± 17.3 yr):Polysulfone membrane, 3x/wk/4 h14.52 ± 8.3 (mU/L)

Dolegowska et al., 2007 [50](a) 22 HD patients, (age: 53.1 ± 11.4 yr)
(b) 22 HD patients, (age: 57.7 ± 14.7 yr)
(a) Polysulfone membrane, glucose-free fluid, 3x/week/4 h
(b) Polysulfone glucose fluid, 3x/week/4 h
(a) ↑Plasma: 0.18 ± 0.17
RBC: 7.40 ± 11.22
(b) Plasma: 0.16 ± 0.10
RBC: 7.62 ± 7.03 (ng/mL), (ng/g Hb)

Ramos and Martínez-Castelao, 2008 [72]34 HD patients, (age: 57 ± 1 yr)Cellulose membrane0.28 ± 0.19 (ng/g HDL)

Bober et al., 2010 [29](a) 22 HD patients, (age: 55.9 ± 14.8 yr)
(b) 23 HD patients, (age: 64.3 ± 12.1 yr)
(a) Polysulfone membrane, glucose-free fluid, 3x/week
(b) Polysulfone HD glucose fluid, 3x/week
(a) ↑2.01 ± 0.55
(b) ↓1.17 ± 0.31 (μmol/L)
(a) ↓8.82 ± 2.22
(b) ↑11.07 ± 3.28 (nmol/g Hb)

Ogunro et al., 2014 [70](a) 35 HD patients, (age: 51.9 ± 12.4 yr)
(b) 38 HD patients, (age: 49.8 ± 10.6 yr)
(a) Cellulose membrane
(b) Polysulfonate membrane,
3x/wk/4-5 h
(a) ↑6.05 ± 0.9
(b) 4.71 ± 0.7 (nmol/mL)
(a) ↓2.09 ± 0.3
(b) 3.68 ± 0.2 (μmol/g Hb)
(a) ↓378 ± 13.2
(b) ↓418 ± 19.7 (U/g Hb)
(a) 22.5 ± 3.1
(b) 27.5 ± 4.2 (U/g Hb)
(a) 1231 ± 41.6
(b) ↑1370 ± 39.4 (U/g Hb)
(a) ↓1.0. ± 0.7
(b) 1.16 ± 0.2 (mmol/L trolox)

AOPP: advanced oxidation protein product; Ox-LDL: oxidized low density lipoprotein; MDA: malondialdehyde; GSH: reduced glutathione; SOD: superoxide dismutase; GPX: glutathione peroxidase; CAT: catalase; TAS: total antioxidant status; yr: years; ↑: versus before the HD treatment; ↓: versus before the HD treatment; ± stands for standard deviation except in cases of studies of Ward et al. (2003) [53] and Huang et al. (2006) [76] and Smith et al. (2003) [73] where ± stands for standard error.