Serum Levels of Calcitonin in Uremic Patients in the Predialytic Phase and on Regular Dialytic Treatment

Author(s):  
D. Di Landro ◽  
G. Luisetto ◽  
L. Tizian ◽  
C. Pennetta ◽  
M. Urso ◽  
...  

Nephron ◽  
1995 ◽  
Vol 69 (4) ◽  
pp. 438-443 ◽  
Author(s):  
Toshimitsu Niwa ◽  
Naohito Takeda ◽  
Takashi Miyazaki ◽  
Hideo Yoshizumi ◽  
Akira Tatematsu ◽  
...  


1988 ◽  
Vol 11 (2) ◽  
pp. 102-106 ◽  
Author(s):  
P. Simon ◽  
K.S. Ang ◽  
Y. Cavarle ◽  
G. Cam ◽  
M. Catheline ◽  
...  

The present study was undertaken to evaluate the immune function of 5 hemodialysis patients with dialysis-related amyloidosis as compared to 6 without, both groups having a dialytic age from 7 to 21 years, and 5 healthy controls. We investigated serum levels of immunoglobulins (IgG, IgA, IgM), made skin tests and measured peripheral lymphocyte subsets using monoclonal antibodies. 1) The absolute numbers of T3, T4 and T8 cells were significantly lower in hemodialysis patients than controls and T3, T4 cells were lower in patients with amyloidosis than in those without: T3 (m ± SD/μl), 387 ± 253 vs 744 ± 207 (p = 0.03); T4, 262 ± 115 vs 589 ± 297 (p = 0.04). 2) Serum levels of IgG and IgM were significantly lower in patients with amyloidosis than in the others: IgG (m ± SD, g/l), 10.2 ± 1.4 vs 15.4 ± 3.2 (p < 0.001); IgM, 0.65 ± 0.28 vs 1.65 ± 0.37 (p < 0.001). 3) Delayed hypersensitivity studied by skin tests showed less than 3 positive antigens in 4/5 patients with amyloidosis against 1/6 patients without. These data suggest there is a marked defect of T-cell help in uremic patients with dialysis-related amyloidosis.



1978 ◽  
Vol 1 (6) ◽  
pp. 260-265 ◽  
Author(s):  
F. Antonucci ◽  
P. Vezzadini ◽  
M. Cecchettin ◽  
G. Bonora ◽  
A. Adami ◽  
...  

Fortyseven uremic patients on RDT underwent a gastric secretion study and a contemporary evaluation of serum levels of Calcium (Ca), Phosphate (iP), Magnesium (Mg), Alkaline Phosphatase (AP), immunoreactive gastrin (Gas), parathyroid hormone (PTH), calcitonin (CT). Secretory test (pentagastrin 6 μg/kg) was performed in the morning, after 12 hours of fasting, in the interdialytic interval. Female patients, male patients on RDT from less 1 year and hyposecretor patients were excluded from the study. On the basis of these criteria 25 normal or hyper-secretor males between 20 and 55 years old were selected. A significant positive correlation was found between PTH and CT, while a negative significant correlation was found between CT and BAO and CT and PAO. Similarly, a significant negative correlation was found between PTH and BAO and PTH and PAO. Multiple regression study showed that the negative influence of CT on BAO and PAO is more relevant than the positive influence of PTH. These data suggest that PTH and CT are involved in gastric acid secretion in uremia. Since the inhibitory effect of CT is prevailing on the stimulating effect of PTH, patients with higher levels of PTH and CT have a lower gastric acid secretion. CT might therefore be considered as a protective factor against hypersecretion in uremia.



2019 ◽  
Vol 39 (10) ◽  
Author(s):  
Tingting Ren ◽  
Jingyuan Xiong ◽  
Guangliang Liu ◽  
Shaoyong Wang ◽  
Zhongqi Tan ◽  
...  

Abstract Background: Regulatory T (Treg) cells are of critical functionality in immune activation and inflammation in uremic patients undergoing hemodialysis (HD). A disruption in balance of Treg cells has potency to elicit infectious disease progression. Here, we examined possible association between ratio imbalance of Th22/Treg cells and microinflammation in uremic patients undergoing HD. Methods: Peripheral blood mononuclear cells (PBMCs) were isolated to allow measurement of the percentage of Th22 cells and Treg cells using flow cytometry. Subsequently, serum levels of related cytokines, interleukin (IL) 22 (IL-22) and IL-10 and inflammatory factors, C-reactive protein (CRP), (TNF-α), IL-6 were determined via enzyme-linked immunosorbent assay (ELISA). Then relationships among dialysis time, microinflammation status (CRP) and dialysis adequacy (immunoreactive parathyroid hormone (iPTH), urea clearance index (Kt/V), β2-MG, serum calcium, and serum phosphorus) were evaluated. Finally, correlation between microinflammation status and dialysis adequacy was analyzed with Pearson’s correlation coefficient. Results: An increased percentage of Th22 and a decreased percentage of Treg cells were evident in uremic patients undergoing HD. Serum levels of IL-22, CRP, TNF-α, and IL-6 were increased, while IL-10 serum level was reduced. An imbalance of Th22/Treg cells was associated with microinflammation status in uremic patients undergoing HD. Furthermore, prolongation of the dialysis time, the microinflammation status and dialysis adequacy were changed. Increased dialysis adequacy was observed to correlate with alleviated microinflammation of uremic patients undergoing HD. Conclusions: Conjointly, an imbalance of Th22/Treg cells may be a potential cause responsible for uremia occurrence, which in turn indicates that uremia could be effectively alleviated by altering the ratio of Th22/Treg cells.



1994 ◽  
Vol 17 (11) ◽  
pp. 576-580 ◽  
Author(s):  
V.A. Mioli ◽  
E. Balestra ◽  
L. Bibiano ◽  
S. Dellabella ◽  
E. Fanciulli ◽  
...  

This Study Was Performed In 97 Hemodialysis Patients (85 On Hd And 12 On Capd) To Investigate The Possible Correlation Between B2-M And Hemodialysis-Related Amyloidosis Syndromes (Hra-S); Differences In B2-M And Hra Behavior Between Patients Hemodialysed With Cellulose And Synthetic Membranes Were Also Included In The Present Study. Data Indicate That B2-M Levels Are Not Correlated With Dialysis Length Or With The Type Of Membrane Used For The Dialysis. On The Contrary, In 16 Patients With The Carpal Tunnel Syndrome, A Significant Correlation Was Found Between The Cts, The Dialysis Length And The Type Of Membrane (Greater Incidence With Cellulosic Membranes).



2010 ◽  
Vol 43 (18) ◽  
pp. 1387-1392 ◽  
Author(s):  
Giovanna Castoldi ◽  
Laura Antolini ◽  
Camila Bombardi ◽  
Lucia Perego ◽  
Paola Mariani ◽  
...  


2020 ◽  
Vol 15 (3) ◽  
pp. 227-230
Author(s):  
Nicola Guglielmo ◽  
Daniele Orso ◽  
Rosalba Mestroni ◽  
Giulia Montanari

Dabigatran etexilate, a direct thrombin inhibitor, was recently introduced in clinical use to prevent thromboembolic events in patients with risk factors (such as non-valvular atrial fibrillation or deep vein thrombosis). Dabigatran is not recommended in patients with creatinine clearance below 30 mL/min. More than 85% of the drug is eliminated by the renal route while the remaining part via the enteral route. Acute renal failure can result in an unexpected increase in serum levels of Dabigatran. In elderly, renal dysfunction, co-morbidity, and concomitant intake of different drugs could make the dosage of Dabigatran challenging. We present a case of an elderly man who suffered a severe accidental dabigatran intoxication with acute liver toxicity recovered after dialytic treatment and Idarucizumab.



Nephron ◽  
1994 ◽  
Vol 67 (2) ◽  
pp. 150-157 ◽  
Author(s):  
Giovanni Luisetto ◽  
Massimo Bertoli


1986 ◽  
Vol 16 (4) ◽  
pp. 517-522
Author(s):  
Alessandra Thea ◽  
Caterina Canavese ◽  
Giovanni Mangiarotti ◽  
Alfonso Pacitti ◽  
Mario Salomone ◽  
...  




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