Factors that affect albumin concentration in dialysis patients and their relationship to vascular disease

作者: George A. Kaysen , Burl R. Don

DOI: 10.1046/J.1523-1755.63.S84.20.X

关键词:

摘要: Factors that affect albumin concentration in dialysis patients and their relationship to vascular disease. Introduction Hypoalbuminemia is a powerful risk factor for cardiovascular mortality hemodialysis (HD). Inflammation causes decrease synthesis an increase fractional catabolic rate, providing two mechanisms hypoalbuminemia. The inflammatory response alters the endothelium plasma protein composition ways favor injury. Plasma volume expanded HD patients, another mechanism Fibrinogen levels are independent disease (CVD) fibrinogen increased patients. expansion also CVD. Methods Albumin was measured 74 as disappearance of [ 125 I] human over six weeks. plasma. mass product volume. Results correlated positively with ( P Conclusion reduced part acute-phase HD. tends concentration, but elicits its rate synthesis, which, turn, associated levels. Thus, both inflammation factors reduce factors, independently

参考文章(42)
Daniel Rigaud, Jacqueline Hassid, Alain Meulemans, Anne Thérèse Poupard, Alain Boulier, A paradoxical increase in resting energy expenditure in malnourished patients near death: the king penguin syndrome. The American Journal of Clinical Nutrition. ,vol. 72, pp. 355- 360 ,(2000) , 10.1093/AJCN/72.2.355
Reinhard Imoberdorf, Peter J. Garlick, Margaret A. McNurlan, George A. Casella, Edgar Peheim, Meral Turgay, Peter Bärtsch, Peter E. Ballmer, Enhanced synthesis of albumin and fibrinogen at high altitude. Journal of Applied Physiology. ,vol. 90, pp. 528- 537 ,(2001) , 10.1152/JAPPL.2001.90.2.528
Monique G.M. de Sain-van der Velden, George A. Kaysen, Kees de Meer, Frans Stellaard, Hieronymus A.M. Voorbij, Dirk-Jan Reijngoud, Ton J. Rabelink, Hein A. Koomans, Proportionate increase of fibrinogen and albumin synthesis in nephrotic patients : Measurements with stable isotopes Kidney International. ,vol. 53, pp. 181- 188 ,(1998) , 10.1046/J.1523-1755.1998.00729.X
George A. Kaysen, Vijay Rathore, Gregory C. Shearer, Thomas A. Depner, Mechanisms of hypoalbuminemia in hemodialysis patients Kidney International. ,vol. 48, pp. 510- 516 ,(1995) , 10.1038/KI.1995.321
H Dieplinger, C Lackner, F Kronenberg, C Sandholzer, K Lhotta, F Hoppichler, H Graf, P König, Elevated plasma concentrations of lipoprotein(a) in patients with end-stage renal disease are not related to the size polymorphism of apolipoprotein(a). Journal of Clinical Investigation. ,vol. 91, pp. 397- 401 ,(1993) , 10.1172/JCI116213
Pietro Zucchelli, Antonio Santoro, Dry weight in hemodialysis: volemic control. Seminars in Nephrology. ,vol. 21, pp. 286- 290 ,(2001) , 10.1053/SNEP.2001.21672
Peter E. Ballmer, Margaret A. Mcnurlan, Ian Grant, Peter J. Garlick, Down-Regulation of Albumin Synthesis in the Rat by Human Recombinant Interleukin-1β or Turpentine and the Response to Nutrients Journal of Parenteral and Enteral Nutrition. ,vol. 19, pp. 266- 271 ,(1995) , 10.1177/0148607195019004266
RM Bologa, DM Levine, TS Parker, JS Cheigh, D Serur, KH Stenzel, AL Rubin, Interleukin-6 predicts hypoalbuminemia, hypocholesterolemia, and mortality in hemodialysis patients. American Journal of Kidney Diseases. ,vol. 32, pp. 107- 114 ,(1998) , 10.1053/AJKD.1998.V32.PM9669431
H J Moshage, J A Janssen, J H Franssen, J C Hafkenscheid, S H Yap, Study of the molecular mechanism of decreased liver synthesis of albumin in inflammation. Journal of Clinical Investigation. ,vol. 79, pp. 1635- 1641 ,(1987) , 10.1172/JCI113000