Time-course evaluation of oxidative stress-related biomarkers after renal transplantation

Ren Fail. 2012;34(4):413-9. doi: 10.3109/0886022X.2011.649658. Epub 2012 Jan 23.

Abstract

Patients with chronic renal disease have a high prevalence of oxidative stress (OS), which is associated with the cardiovascular complications occurring in this population. The restoration of kidney function after kidney transplantation (KT) can lead to reduction in the metabolic abnormalities and elimination of the OS. Time-dependent changes in OS-related markers and specific kidney function and metabolic parameters were evaluated in patients (N = 39; 23 males; 16 females; mean age = 57 ± 10 years) before (day 0) and after KT (day 1, 7, 30, 90, and 180) to monitor the graft. In particular, total antioxidant capacity (TAC), levels of advanced oxidation protein products (AOPP), lipid peroxidation as thiobarbituric acid-reactive substances (TBARS) and reduced glutathione (GSH); activities of glutathione peroxidase, catalase, and superoxide dismutase; and kidney function markers were measured. AOPP, TAC, and TBARS were significantly decreased, whereas GSH was significantly increased after KT. Antioxidant enzyme activities were not significantly changed during the monitored period after KT. Apropos specific kidney function markers and glomerular filtration significantly increased and creatinine level significantly decreased after transplantation. Changes in high-density lipoprotein cholesterol were also found. Our results show that successful KT results in normalization of the antioxidant status and lipid metabolism that is connected with both improved renal function and reduced cardiovascular complications.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biomarkers / blood*
  • Female
  • Follow-Up Studies
  • Glutathione / blood*
  • Humans
  • Kidney Failure, Chronic / blood
  • Kidney Failure, Chronic / surgery*
  • Kidney Function Tests
  • Kidney Transplantation / physiology*
  • Lipid Peroxidation
  • Male
  • Middle Aged
  • Oxidative Stress*
  • Prognosis
  • Prospective Studies
  • Superoxide Dismutase / blood*
  • Thiobarbituric Acid Reactive Substances / metabolism*
  • Time Factors

Substances

  • Biomarkers
  • Thiobarbituric Acid Reactive Substances
  • Superoxide Dismutase
  • Glutathione