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Association of Protein Energy Wasting and Oxidative Stress Markers in Peritoneal Dialysis.

Iran J Kidney Dis

December 2024

Department of Health Sciences-Illness as an Individual Process, University Center of Tonala, University of Guadalajara, Guadalajara, Jalisco, Mexico.

Introduction: Protein-energy wasting (PEW) is highly prevalent among patients undergoing peritoneal dialysis (PD), and it has been proposed that oxidative stress (OS) may contribute to its pathogenesis. This study was an attempt to determine the association between the presence of PEW and OS levels in PD patients.

Methods: This analytical cross-sectional study involved 62 clinically stable PD patients aged ≥ 18 years, between September 2017 and July 2018.

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Thyroid cancer (TC) is a prevalent endocrine malignancy, with a significant increase in incidence worldwide. Ferroptosis is a novel form of programmed cell death, primarily caused by iron overload and reactive oxygen species (ROS)-dependent accumulation of lipid peroxides. The main manifestations of cellular ferroptosis are rupture of the outer membrane, crumpling of the mitochondria and shrinkage or disappearance of the mitochondrial cristae, thus leading to cell death.

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Article Synopsis
  • The study examined oxidative stress levels in peritoneal dialysis patients, focusing on those with and without type 2 diabetes mellitus (DM).
  • Increased levels of lipoperoxides and oxidative DNA damage markers were found in both patient groups compared to healthy controls, indicating higher oxidative stress.
  • Antioxidant enzymes superoxide dismutase (SOD) and glutathione peroxidase (GPx) showed significantly elevated activity in patients, suggesting a compensatory response to the oxidative imbalance, highlighting their potential as therapeutic targets in chronic kidney disease management.
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Aims: Cardiovascular complications, including myocarditis, are observed in coronavirus disease 2019 (COVID-19). Major cardiac involvement is a potentially lethal feature in severe cases. We sought to describe the underlying pathophysiological mechanism in COVID-19 lethal cardiogenic shock.

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Peritoneal dialysis (PD) is an alternative for managing the end-stage renal disease (ESRD). The peritoneal membrane (PM) is not just a membrane that passively responds to diffusion and convection. The characteristics of PM result in the peritoneal equilibrium test (PET) and with this test is possible to obtain the type of peritoneal transport (PT).

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