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Circulating levels of ICAM‐1, VCAM‐1, and MCP‐1 are increased in haemodialysis patients: association with inflammation, dyslipidaemia, and vascular events

Background. Increased levels of circulating adhesion molecules and chemokines have been reported in haemodialysis (HD) patients but the influence of the HD membranes on their secretion, as well as their pathophysiological implications, remains largely unknown. Methods. Circulating levels of intercel...

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Published in:Nephrology, dialysis, transplantation dialysis, transplantation, 2002-03, Vol.17 (3), p.435-441
Main Authors: Papayianni, Aikaterini, Alexopoulos, Efstathios, Giamalis, Panagiotis, Gionanlis, Lazaros, Belechri, Anna‐Maria, Koukoudis, Paraschos, Memmos, Dimitrios
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Language:English
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Summary:Background. Increased levels of circulating adhesion molecules and chemokines have been reported in haemodialysis (HD) patients but the influence of the HD membranes on their secretion, as well as their pathophysiological implications, remains largely unknown. Methods. Circulating levels of intercellular adhesion molecule‐1 (ICAM‐1), vascular cell adhesion molecule‐1 (VCAM‐1), and monocyte chemoattractant protein‐1 (MCP‐1) were measured by immunosorbent assay (ELISA) in 81 HD patients (45 male, mean age 57±13 years) and 35 normal subjects. All patients had been stabilized on renal replacement therapy for >3 months and were free of active infection. Thirty‐three patients (40.7%) were routinely dialysed with modified cellulose membranes and 48 patients (59.3%) were dialysed with polysulfone membranes. Blood samples were taken directly from the arteriovenous fistula immediately before and at the end of a routine HD session. Results. Pre‐dialysis levels were significantly elevated in HD patients compared with controls (ICAM‐1 515±177 vs 238±64 ng/ml, P
ISSN:0931-0509
1460-2385
DOI:10.1093/ndt/17.3.435