A clinic study of removing protein-bound toxins by using a noval hemoperfusion apparatus

Objective To study the effect of the novel hemoperfusion apparatus on removing protein-bound toxins,such as advanced glycation end products( AGEs) and indoxyl sulfate( IS). Methods Eighty-eight patients undergoing maintenance hemodialysis( HD) from The Foshan First People’s Hospital and Shanghai Cha...

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Main Authors: ZHANG Yu, LIU Yuan-yuan, XIAO Guan-qing, SHAO Yong-hong, MEI Chang-lin, KONG Yao-zhong
Format: Article
Language:zho
Published: Editorial Department of Journal of Clinical Nephrology 2017-01-01
Series:Linchuang shenzangbing zazhi
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Online Access:http://www.lcszb.com/thesisDetails?columnId=57917483&Fpath=home&index=0
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author ZHANG Yu
LIU Yuan-yuan
XIAO Guan-qing
SHAO Yong-hong
MEI Chang-lin
KONG Yao-zhong
author_facet ZHANG Yu
LIU Yuan-yuan
XIAO Guan-qing
SHAO Yong-hong
MEI Chang-lin
KONG Yao-zhong
author_sort ZHANG Yu
collection DOAJ
description Objective To study the effect of the novel hemoperfusion apparatus on removing protein-bound toxins,such as advanced glycation end products( AGEs) and indoxyl sulfate( IS). Methods Eighty-eight patients undergoing maintenance hemodialysis( HD) from The Foshan First People’s Hospital and Shanghai Changzhen Hospital were randomly divided into two groups. Patients in group A received HA130( the commonly used perfusion apparatus) HP + HD,followed by the combined MG150 HP + HD treatment once,and those in group B were first treated with MG150 HP + HD and then received the HA130 HP + HD treatment. The serum AGEs,IS and β<sub>2</sub>-microglobulin were detected before and after treatment. The effectiveness and safety of the MG150 apparatus on removing protein-bound toxins were observed. Results Forty-four patients were included in each hospital. There was no signifi-cant difference in sex,age,body weight,blood pressure,Kt/V,serum levels of hemoglobin,albumin,β<sub>2</sub>-microglobulin( β<sub>2</sub>-MG),IS and tumor necrosis factor-α( TNF-α),except AGEs( 285. 77 ±107. 03 vs. 456. 89 ± 129. 10 ng/L,P < 0. 01) and C-reactive protein( CRP)( 2. 67 ± 2. 58 vs.6. 38 ± 8. 83 mg/L,P < 0. 01) between the two groups at the beginning of the treatment. Patients treated with HP + HD had higher levels of AGEs and IS. Meanwhile,patients treated with the combined HP+ HD with the MG150 apparatus exhibited significantly lower levels of serum AGEs and IS than HA130. There were 7 cases of slight adverse events. Conclusions The novel hemoperfusion apparatus MG150 combined with HD can effectively remove the protein-bound uremic toxins,and it is deserved to be promoted and used clinically.
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spelling doaj-art-eeca988f69ce43d8b4932596d49e03172025-08-20T03:09:27ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902017-01-0134534857917483A clinic study of removing protein-bound toxins by using a noval hemoperfusion apparatusZHANG YuLIU Yuan-yuanXIAO Guan-qingSHAO Yong-hongMEI Chang-linKONG Yao-zhongObjective To study the effect of the novel hemoperfusion apparatus on removing protein-bound toxins,such as advanced glycation end products( AGEs) and indoxyl sulfate( IS). Methods Eighty-eight patients undergoing maintenance hemodialysis( HD) from The Foshan First People’s Hospital and Shanghai Changzhen Hospital were randomly divided into two groups. Patients in group A received HA130( the commonly used perfusion apparatus) HP + HD,followed by the combined MG150 HP + HD treatment once,and those in group B were first treated with MG150 HP + HD and then received the HA130 HP + HD treatment. The serum AGEs,IS and β<sub>2</sub>-microglobulin were detected before and after treatment. The effectiveness and safety of the MG150 apparatus on removing protein-bound toxins were observed. Results Forty-four patients were included in each hospital. There was no signifi-cant difference in sex,age,body weight,blood pressure,Kt/V,serum levels of hemoglobin,albumin,β<sub>2</sub>-microglobulin( β<sub>2</sub>-MG),IS and tumor necrosis factor-α( TNF-α),except AGEs( 285. 77 ±107. 03 vs. 456. 89 ± 129. 10 ng/L,P < 0. 01) and C-reactive protein( CRP)( 2. 67 ± 2. 58 vs.6. 38 ± 8. 83 mg/L,P < 0. 01) between the two groups at the beginning of the treatment. Patients treated with HP + HD had higher levels of AGEs and IS. Meanwhile,patients treated with the combined HP+ HD with the MG150 apparatus exhibited significantly lower levels of serum AGEs and IS than HA130. There were 7 cases of slight adverse events. Conclusions The novel hemoperfusion apparatus MG150 combined with HD can effectively remove the protein-bound uremic toxins,and it is deserved to be promoted and used clinically.http://www.lcszb.com/thesisDetails?columnId=57917483&Fpath=home&index=0End stage renal diseaseHemoperfusionHemodialysisAdvanced glycation end productsIndoxyl sulfate
spellingShingle ZHANG Yu
LIU Yuan-yuan
XIAO Guan-qing
SHAO Yong-hong
MEI Chang-lin
KONG Yao-zhong
A clinic study of removing protein-bound toxins by using a noval hemoperfusion apparatus
Linchuang shenzangbing zazhi
End stage renal disease
Hemoperfusion
Hemodialysis
Advanced glycation end products
Indoxyl sulfate
title A clinic study of removing protein-bound toxins by using a noval hemoperfusion apparatus
title_full A clinic study of removing protein-bound toxins by using a noval hemoperfusion apparatus
title_fullStr A clinic study of removing protein-bound toxins by using a noval hemoperfusion apparatus
title_full_unstemmed A clinic study of removing protein-bound toxins by using a noval hemoperfusion apparatus
title_short A clinic study of removing protein-bound toxins by using a noval hemoperfusion apparatus
title_sort clinic study of removing protein bound toxins by using a noval hemoperfusion apparatus
topic End stage renal disease
Hemoperfusion
Hemodialysis
Advanced glycation end products
Indoxyl sulfate
url http://www.lcszb.com/thesisDetails?columnId=57917483&Fpath=home&index=0
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