Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.14/3481
Título: Neutrophil and monocyte activation in chronic kidney disease patients under hemodialysis and its relationship with resistance to recombinant human erythropoietin and to the hemodialysis procedure
Autor: Pereira, Rui
Costa, Elísio
Gonçalves, Marta
Miranda, Vasco
Faria, Maria do Sameiro
Quintanilha, Alexandre
Belo, Luís
Lima, Margarida
Santos-Silva, Alice
Palavras-chave: rhEPO therapy
resistance
neutrophil activation
monocyte activation
Data: 2010
Editora: Wiley Blackwell
Citação: "Hemodialysis International". ISSN 1492-7535. 14:3 (2010) 295-301
Resumo: The aim of the present work was to further clarify leukocyte activation due to hemodialysis (HD) procedures and to investigate its relationship with recombinant human erythropoietin resistance. Therefore, we studied the expression of CXCR1 and CD11b on neutrophils, as well as the monocyte expression of CD11b, HLA-DR, and CD14. We studied 34 chronic kidney disease (CKD) patients under HD and recombinant human erythropoietin treatment (26 responders and 8 nonresponders to recombinant human erythropoietin therapy). All CKD patients’ blood samples were collected before and immediately after the HD procedure. Eighteen healthy individuals (blood donors) were also studied as a control group. Hematological data, neutrophil (CD11b and CXCR1), and monocyte (CD11b, HLA-DR, and CD14) cell surface markers were measured in all patients (before and after the HD procedure) and controls. When compared with the controls, CKD patients presented a significant decrease in CXCR1 neutrophil expression, and in CD14 monocyte expression, accompanied by a significant increase in HLA-DR monocyte expression. When comparing the 2 groups of patients, we found that nonresponders showed an additional decrease in CXCR1 neutrophil expression. After the HD procedure, a statistically significant increase in CD14 and CD11b monocyte surface markers and a decrease in CXCR1 neutrophil expression and in HLA-DR monocyte expression was found. These data further strengthen our previous studies, showing that neutrophils and monocytes are activated in CKD patients, particularly in nonresponder patients. Moreover, this activation is due, at least in part, to the HD procedure, although we should not exclude that it can also be due to the enhanced inflammatory process observed in nonresponder patients.
URI: http://hdl.handle.net/10400.14/3481
Versão do Editor: The definitive version is available at http://onlinelibrary.wiley.com/doi/10.1111/j.1542-4758.2010.00450.x/abstract
Aparece nas colecções:ICS(P) - Artigos em revistas internacionais com Arbitragem / Papers in international journals with Peer-review

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