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Gewählte Publikation:

Roob, JM; Rabold, T; Hayn, M; Khoschsorur, G; Resch, U; Holzer, H; Winklhofer-Roob, BM.
Ex vivo low-density lipoprotein oxidizability and in vivo lipid peroxidation in patients on CAPD.
Kidney Int Suppl. 2001; 78(1):S128-S136 Doi: 10.1046/j.1523-1755.2001.59780128.x [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Roob Johannes
Co-Autor*innen der Med Uni Graz
Holzer Herwig
Khoschsorur Gholamali
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Abstract:
BACKGROUND: Chronic renal failure is associated with accelerated atherosclerosis and a high incidence of cardiovascular disease. Oxidative modification of low-density lipoprotein (LDL) is considered a key event in atherogenesis. METHODS: We studied the ex vivo oxidizability of LDL exposed to Cu2+ ions (lag time, rate of propagation, maximum conjugated diene formation) and its relationship with LDL density, fatty acids, and antioxidants, along with plasma malondialdehyde (MDA) and autoantibodies against Cu2+-, MDA-, and hypochlorous acid-modified LDL and plasma antioxidants in 17 continuous ambulatory peritoneal dialysis (CAPD) patients and 21 healthy control subjects. RESULTS: LDL alpha- and gamma-tocopherol and total polyunsaturated fatty acid (PUFA) concentrations were significantly higher in the CAPD patients. LDL density was shifted to small, dense LDL. LDL oxidizability was comparable to that of healthy subjects. Lag time correlated positively with LDL alpha-tocopherol and inversely with both total PUFA concentrations and density; the rate of oxidation and LDL density correlated positively with total PUFA and total fatty acid concentrations, respectively. Ratios of autoantibody titers against oxidized to native LDL did not differ between the two groups. While plasma alpha- and gamma-tocopherol concentrations and tocopherol to cholesterol ratios were significantly higher, vitamin C concentrations were very low in the CAPD patients. MDA concentrations were 1.7 times higher than in healthy subjects. CONCLUSIONS: (1) Ex vivo LDL oxidizability is normal in CAPD patients as a result of efficient protection by LDL-associated lipophilic antioxidants, although the LDL composition is altered toward high oxidizability; and (2) the plasma antioxidant screen is insufficient due to impaired vitamin C status.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Aged, 80 and over -
Antioxidants - metabolism
Autoantibodies - blood
Case-Control Studies - blood
Fatty Acids - blood
Fatty Acids, Unsaturated - blood
Female - blood
Humans - blood
Kidney Failure, Chronic - blood
Lipid Peroxidation - blood
Lipoproteins, LDL - blood
Male - blood
Malondialdehyde - blood
Middle Aged - blood
Oxidation-Reduction - blood
Oxidative Stress - blood
Peritoneal Dialysis, Continuous Ambulatory - adverse effects

Find related publications in this database (Keywords)
continuous ambulatory peritoneal dialysis
atherogenesis
vitamin C
lipophilic antioxidants
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