Clinical Factors Associated With the Culture of Primary Human Peritoneal Mesothelial Cell From Peritoneal Dialysate Effluent
Abstract Background: The culture of primary human peritoneal mesothelial cell (HPMC) provides us an in vitro tool to investigate peritoneal fibrosis and ultrafiltration failure. The aim of the present study was to establish the method of culturing HPMC and to explore clinical factors associated with the success rate of culture.Methods: HPMCs were aseptically harvested by centrifuge from peritoneal dialysate effluent (PDE) of patients with end-stage renal disease (ESRD) who underwent peritoneal dialysis (PD) catheterization for less than 2 weeks and were cultured in vitro. Cells were identified by simple morphological observation and immunofluorescent staining. Clinical data of PD patients was collected. Comparison between groups and binary logistic regression analysis were employed to explore the clinical factors associated with the success rate of culture.Results: The study included 36 patients (26 male (72.2%); mean age 53.9±15.6 years). HPMC from PDE successfully grew and survived in 22 patients. A typical cobblestone-like appearance was observed by inverted phase contrast microscope. Immunofluorescence staining showed positive expression of cytokeratin-18 (CK-18) and Vimentin. Comparison between groups demonstrated significant differences in diabetes (P=0.041), days from catheterization (P=0.002) and the use of erythrocyte lysate (P=0.019) between the two groups. Multivariate logistic regression analysis revealed that the success rate was correlated with days from catheterization (OR=0.318, 95%CI=0.107-0.946, P=0.039) and the level of C-reactive protein (CRP, OR=0.893, 95%CI=0.805-0.991, P=0.032). Conclusions: The method of culturing primary HPMC from PDE has been successfully established. The success rate of culture is correlated with CRP level and days from catheterization.