Affordable Access

deepdyve-link
Publisher Website

Acute effect of one session of hemodiafiltration with endogenous reinfusion on uremic toxins and inflammatory mediators.

Authors
  • Chen, Xiaohong1, 2, 3, 4, 5
  • Shen, Bo1, 2, 3, 4, 5
  • Cao, Xuesen1, 2, 3, 4, 5
  • Xiang, Fangfang1, 2, 3, 4, 5
  • Zou, Jianzhou1, 2, 3, 4, 5
  • Ding, Xiaoqiang1, 2, 3, 4, 5, 6
  • 1 Shanghai Institute of Kidney and Dialysis, Shanghai, China. , (China)
  • 2 Shanghai Key Laboratory of Kidney and Blood Purification, Shanghai, China. , (China)
  • 3 Hemodialysis Quality Control Center of Shanghai, Shanghai, China. , (China)
  • 4 Department of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, China. , (China)
  • 5 Shanghai Medical Center of Kidney, Shanghai, China. , (China)
  • 6 Blood Purification Center, Zhongshan Hospital, Fudan University, Shanghai, China. , (China)
Type
Published Article
Journal
The International Journal of Artificial Organs
Publisher
SAGE Publications
Publication Date
Jul 01, 2020
Volume
43
Issue
7
Pages
437–443
Identifiers
DOI: 10.1177/0391398819899102
PMID: 31942823
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To investigate the acute effects of hemodiafiltration with endogenous infusion on the elimination of uremic toxins and inflammatory mediators in patients with end-stage renal disease. A total of 37 end-stage renal disease patients undergoing chronic hemodialysis received a single hemodiafiltration with endogenous infusion dialysis treatment. The acute effects of one hemodiafiltration with endogenous infusion session on uremic toxins and inflammatory mediators were assessed by comparing the pre- and post-hemodiafiltration with endogenous infusion concentrations. Hemoglobin and albumin were stable during hemodiafiltration with endogenous infusion therapy. The mean reduction ratios of β2-microglobulin, p-cresyl sulfate, and indoxyl sulfate were 43.60%, 40.91%, and 43.64%, respectively. Tumor necrosis factor-α also decreased significantly at a mean rate of 28.10%, while the concentrations of interleukin-6 and high-sensitivity C-reactive protein remained unchanged after one session of hemodiafiltration with endogenous infusion. The hemodiafiltration with endogenous infusion system is a new dialysis technique that combines diffusion, convection, and adsorption processes. It allows for extensive solute removal, including protein-bound uremic toxins and some pro-inflammatory cytokines, but does not cause nutrient loss and inflammatory response during the treatment. Although the effect after a single hemodiafiltration with endogenous infusion session is limited, it may be improved by repeated and long-term treatment.

Report this publication

Statistics

Seen <100 times