Skip to main content

Advertisement

Log in

Effect of vitamin E supplementation on oxidative stress in hemodialysis patients

  • Published:
Indian Journal of Clinical Biochemistry Aims and scope Submit manuscript

Abstract

Hemodialysis represents a chronic stress status for its recipients. Many hypotheses state that this may be associated with oxidative stress. Thus, there may be deficiency of antioxidants like erythrocytic superoxide dismutase, catalase, vitamin E or increased generation of free radicals like superoxide anions. A study was carried out to investigate oxidant and antioxidant status in chronic renal failure patients undergoing hemodialysis and effect of vitamin E supplementation on these two status. Blood samples were collected from patients before and after hemodialysis and from controls. The samples were analyzed for quantitation of MDA as index of lipid peroxide, nitric oxide, vitamin E, vitamin C and enzymatic antioxidants namely erythrocyte SOD and catalase. As compared to controls, the levels of serum MDA were significantly increased and activities of erythrocyte SOD and catalase, levels of serum nitric oxide, serum vitamin E and plasma vitamin C were significantly decreased both before and after hemodialysis. The efficiency of vitamin E therapy in hemodialysis patients was assessed by re-evaluating oxidant and antioxidant status of same patients after supplementation of vitamin E. Vitamin E supplementation caused decrease in serum MDA and increase in levels of serum nitric oxide, vitamin E, vitamin C and activities of erythrocytic SOD and catalase. Our results suggest the presence of oxidative stress and the possible preventive role of vitamin E therapy in hemodialysis patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Amparo M, Alicia M, Mariano L, Alfonso P, Rosa M. Evidence of increased susceptibility of lipid peroxidation in RBCs of CRF patients. Nephron 1988; 50:64–65.

    Article  Google Scholar 

  2. Sharma BK, Sagar S, Kallo IJ, Karl N, Ganguly NK. Oxygen free radical in essential hypertension. Molecular and Cellular Biochem 1992; 111:103–108.

    Google Scholar 

  3. Amero A, Bonaudo R, Ghigo D, Arese M, Costamagna C, Cirina P, et al. Enhanced production of nitric oxide by blood — dialysis membrane interaction. J Am Soc Nephrol 1995;6:1278–1283.

    Google Scholar 

  4. Sarkar SR, Kaitwatcharachai C, Levin NW. Nitric oxide and hemodialysis. Semin Dial 2004;17:224–228.

    Article  PubMed  Google Scholar 

  5. Lin SH, Chu P, Yu FC, Diang LK, Lin YF. Increased nitric production in hypotensive hemodialysis patients. ASAIO J 1996;42:M895–M899.

    Article  PubMed  CAS  Google Scholar 

  6. Aymelek G, Yesim A, Mehmat NO, Bolkan S. Lipid peroxidation and antioxidant systems in hemodialyzed patients. Dial Transplant 2002;31:88–96.

    Google Scholar 

  7. Satoh K. Serum lipid peroxide in cerebrovascular disorder determined by a new colorimetric method. Clin Chim Acta 1978;90:37–43.

    Article  PubMed  CAS  Google Scholar 

  8. Cortas NK, Wakid NW. Determination of inorganic nitrate in serum and urine by a kinetic cadmium reduction method. Clin Chem 1990;36:1440–1443.

    PubMed  CAS  Google Scholar 

  9. Baker and Frank. Determination of serum tocopherol by colorimetric method. In: Gowenlock AH ed. Varley’s practical clinical biochemistry, 6th edition: Heinemann professional publishing; 1988.p.902–903.

  10. Caraway WT. Carbohydrates. In; Tietz NL ed. Fundamentals of clinical chemistry. WB Saunder’s company; 1970. p.173–176.

  11. Kajari Das. A modified spectrophotometric assay of superoxide dismutase using nitrate formation by superoxide radical. Ind J Biochem Biophy 2000;57:201–204.

    Google Scholar 

  12. Aebi H. Catalase. In; Bergmeyer HU, ed. Methods of enzymatic analysis. New York: Academic press; 1974. p.673–678.

    Google Scholar 

  13. Nath KA, Fischereder M, Hostetter TH. The role of oxidants in progressive renal injury. Kidney Int 1994;S111–S115.

  14. Dakshinamurty KV, Srinivas Rao PVLN, Saibaba KSS, Sheela RB, Venkataramana G, Shyam C, Sreekrishna V. Antioxidant status in patients on maintenance hemodialysis. Ind J Nephrol 2002;12:77–80.

    Article  Google Scholar 

  15. Saran R, Novak JE, Desai A, Abdhulhayoglu E, Warren JS, Bustami R, et al. Impact of vitamin E on plasma asymmetric dimethylarginine (ADMA) in chronic kidney disease (CKD): a pilot study. Nephrol Dial Transplant 2003;18:2415–2420.

    Article  PubMed  CAS  Google Scholar 

  16. Salo DC, Lin SW, Pacifici RE, Davies KJ. Superoxide dismutase is preferentially degraded by a proteolytic system from red blood cells following oxidative modification by hydrogen peroxide. Free Radic Biol Med 1998;5:335–339.

    Article  Google Scholar 

  17. Sinet PM, Garber P. Inactivation of the human Cu-Zn superoxide dismutase during exposure to O2 and H2O2. Arch Biochem Biophys 1981;212:411–416.

    Article  PubMed  CAS  Google Scholar 

  18. Hernandez de Rojas A, Martin Mateo MC. Superoxide dismutase and catalase activities in patients undergoing hemodialysis and continuous ambulatory peritoneal dialysis. Renal Failure 1996;18:937–946.

    Article  PubMed  CAS  Google Scholar 

  19. Chauhan DP, Gupta PH, Namporthic MRN, Singal PC. Determination of RBC superoxide dismutase, catalase, G-6-PD, reduced glutathione and MDA in uremia. Clin Chem Acta 1982;123:153–159.

    Article  CAS  Google Scholar 

  20. Kiklugawa K, Kosugi H, Asakura T. Effect of MDA, a product of lipid peroxidation on the function and stability of hemoglobin. Arch Biochem Biophys 1984;229:7–14.

    Article  Google Scholar 

  21. Muray RK, Keeley FW. Structure and function of lipid soluble vitamins. In: Murray RK, Granner DK, Mayes PA, Rodwell VW, Harper’s Biochemistry, 25th ed 57; Lange medical Books, Stamford, Connecticut Mc Graw hill 2000: 648–650.

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bhogade, R.B., Suryakar, A.N., Joshi, N.G. et al. Effect of vitamin E supplementation on oxidative stress in hemodialysis patients. Indian J Clin Biochem 23, 233–237 (2008). https://doi.org/10.1007/s12291-008-0052-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12291-008-0052-0

Key words

Navigation