Review Article

Oxidative Stress in the Pathophysiology of Kidney Disease: Implications for Noninvasive Monitoring and Identification of Biomarkers

Table 1

Main advantages and disadvantages of blood, urine, and saliva collection and of measuring markers of oxidative stress and antioxidant status in these body fluids.

Blood collectionUrine collectionSaliva collection

AdvantagesStable environment
Collectible in sufficient amounts
Established referenced values
Noninvasive, without stress
Easy to collect at home
Easy to collect in sufficient amounts
Inexpensive and fast collection
No risk of infection
Low organic/inorganic metal amount: no artificial increase of oxidative stress
Noninvasive, without stress
Easy to collect at home
Inexpensive and fast collection
No risk of infection
Low organic/inorganic metal amount: no artificial increase of oxidative stress

DisadvantagesInvasive and stressful
Risk of vessel injury and infection
Requires equipment
Requires a trained staff
Time consuming
Organic/inorganic metals present: artificial increase of oxidative stress
Not established (missing reference values)
High variability (hydration status, gender, age, weight, local changes, etc.)
Not established (missing reference values)
High variability (flow rate, hydration status, gender, age, weight, blood contamination, local changes, etc.)