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SİGARANIN HEMODİYALİZ HASTALARINDA OKSİDATİF STRES ÜZERİNE ETKİSİ

THE EFFECTS OF SMOKING ON OXIDATIVE STRESS IN HEMODIALYSIS PATIENTS

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Abstract (2. Language): 
Oxidative stress has been shown in either hemodialysis patients or smokers in relation with an increased production of free radicals. We want to assess the effects of smoking on oxidative stress markers; malondialdehyde (MDA), protein carbonyl content and total sulfhydryl groups, in chronic hemodialysis (HD) patients. Ten smoker HD patients (6 men and 4 women, ages 44 ± 14 years), ten non-smoker HD patients (6 men and 4 women, ages 55 ± II years) and ten non-smoker healty subjects as a control were recruited. The results showed that serum MDA and protein carbonyl levels were found to be significantly increased either in smoker HD patients (p<0.05, p<0.05) or in non-smoker HD patients (p<0.05, p<0,05). Also there was a significant difference in serum MDA and carbonyl content levels between smoker and non-smoker HD patients (p<0.05). Serum total sulfhydryl groups in smoker and non-smoker patients were significantly lower than those in controls. (p<0.05, p<0,05). Conclusion; We demonstrate smoking may aggrevate oxidative stress in hemodialysis patient.
Abstract (Original Language): 
Hem hemodiyaliz hastalarında hem de sigara içenlerde serbest radikal oluşumu ile oksidatif stresin arttığı gösterilmiştir. Biz bu çalışmamızda kronik hemodiyaliz (HD) hastalarında sigaranın oksidatif stres markerları olan malondialdehid (MDA), protein karbonil içeriği ve total sülfıdril grupları üzerine etkisini araştırdık. Çalışmaya 10 sigara içen HD hastası (6 erkek,4 kadın yaş:44 ± 14), 10 sigara içmeyen HD hastası (6 erkek, 4 kadın yaş: 55 ± 11) ve kontrol olarak 10 sigara içmeyen sağlıklı kişi alındı. Çalışmanın sonucunda serum MDA ve protein karbonil içeriği hem sigara içen (p<0,05, p<0,05) hem de içmeyen (p<0,05, p<0,05) HD hastalarında kontrolden anlamlı olarak yüksek bulundu. MDA ve protein karbonil içeriği sigara içen HD hastalarında içmeyenlerden anlamlı olarak yüksekti (p<0.05, p<0,05). Total sülfıdril grupları düzeyi ise her iki grupta da kontrolden anlamlı olarak düşüktü (p<0,05, p<0,05). Sonuç olarak sigara, hemodiyaliz hastalarında oksidatif stresin daha da artmasına yol açmıştır.
FULL TEXT (PDF): 
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REFERENCES

References: 

1. London GM, Drüeke TB. Atherosclerosis and arteriosclerosis in chronic renal failure. Kidney Int 1997;51:1678-1695
2. Parfrey PS, Foley RN, Harnett JD. et al. Outcome and risk factors of ischemic heart disease in chronic uremia. Kidney Int 1996;49:1428-1434
3. Maggi E, Bellazzi R, Falaschi F. Enchanced LDL oxidation in uremic patients: an additional mechanism for accelerated atherosclerosis? Kidney Int 1994;45:876-883
4. Smith JL, Hodges RE. Serum levels of vitamin C in relation to dietary and supplemental intake of vitamin C in smokers and nonsmokers. Ann NY Acad Sci 1987;489:144-152
5. Prince
HMG
, van Poppel G, Vogelezang C. et al. Supplementation with vitamin E but not beta-carotene in vivo protects low density lipoprotein from lipid peroxidation in vitro. Effect of cigarette smoking.
Arterioscler Thromb 1992;12:554-562
6. Descamps-Latscha B, Witko-Sarsat V. Importance of oxidatively modified proteins in chronic renal failure. Kidney Int 2001; 59 (Suppl 78); S 108-113. 7. Dasgupta A, Hussai S, Ahmad S. Increased lipid peroxidation in patients on maintenance hemodialysis.
Nephron 1992;60:56-69
8. Mimic-Oka J, Simic T, Djukanovic L et al. Alteration in plasma antioxidant capacity in various degrees of chronic renal failure. Clin Nephrol 1999;51:233-241.
9. Okhawa H, Ohishi N, Yagi K. Assay for lipid peroxidase in animal tissues by thiobarbituric acid reaction. Anal
Biochem 1979;95:351-358.
10. Koster JF, Biemond P,Swaak AJ et al. Intracellular and extracellular sulfhydryl levels in rheumatoid arthritis.
Ann Rheum Dis 1986;45: 44-46.
11. Levine RL, Garland D, Oliver CN. Determination of carbonyl content in oxidatively modified proteins.
Methods Enzymol 1990; 186: 464-478.
12. Nguyen AT, Lethias C, Zingraff J et al. Hemodialysis membrane-induced activation of phagocyte oxidative metabolism detected in vivo within micro amounth of
whole blood. Kidney Int 1985:28:157-167.
13. Kuwahara T, Markert M, Wauters JP. Neutrophil oxygen radical production by diaysis membranes. Nephrol Dial
Transplant 1988;3:661-665.
14. Yoshimura S, Suemizu H, Nomoto Y et al. Plasma glutathyone peroxidase deficiency caused by renal
dysrunction. Nephron 1996;73:207-211.
15. Peuchant E, Carbonneau MA Dubourg L et al. Lipoperoxidation in plasma and red blood cells of patients undergoing hemodialysis: Vitamins A,E iron status. Free
RadicBiol Med 1996;16:339-346.
16. Girelli D, Olivieri O, Stanzial AM et al. Low platelet

glutathyone peroxidase activity and serum selenium concntration in patients with chronic renal failure: Relationship between dialysis treatments, diet and cardiovascular complication. Clin Sci.1993;84:611-617.
17. Ritz E, Benck U, Franek E, et al. Effects of smoking on renal hemodynamics in healthy volunteers and in patients with glomerular disease. J Am Soc Nephrol 1998;9:1798-1804
123
18. Blann AD, McCollum CN. Adverse influence of cigarette smoking on the endothelium. Thromb Haemostas 1993;70:707-711
19. Appel RG, Bleyer AJ, Reavis S et al. Renovascular disease in older patients beginning renal replecement therapy. Kidney Int 1995;48:171-176
20. Oberai B, Adams CWM, High OB. Myocardial and renal arteriolar thickening in cigarette smoking.
Atherosclerosis 1984;52:85-190.
21. Durak I, Kaçmaz M, Cimen MY et al. Blood oxidant/ antioksidant status of atherosclerotic patients. Int J Cardiol 2001;77(2-3):293-297
22. Zhou JF, Yan XF, Guo FZ et al. Effects of cigarette smokig and smokig cessation on plasma constituents and enzyme activities related to oxidative strees.
Biomed Environ Sci 2000;13:44-55
23. Pacht ER, Davis WB. Decreased ceruloplasmin ferroxidase activity in cigarette smokers. J Lab ClinMed 1988;111:661-668
24. Nadif R, Oryszyn MP, Fradier-Dusch M. Cross sectional and longitudinal study on selenium, glutathione peroxidase, smoking and occupational exposure in coal miners. Occup Environ Med 2001;58:239-245
25. Srour MA, Bilto YY, Juma M. Susceptibility
oferythrocytes from non-insulin-dependent diabetes mellitus and hemodialysis patients, cigarette smokers and normal subjects to in vitro oxidative stress and loss of deformability. Clin Hemorheol Microcirc
2000;22:173-180
26. Orth SR, Viedt C, Ritz E. Adverse effects of smoking in the renal patient. Tohoku J Ex Med 2001; 194:1 -15
27. Orth SR, Stockmann A, Conradt C. Smoking as a risk factor for end-stage renal failure in men with primary
renal disease. Kidney Int 1998;54:926-931
124

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