Jp. Cristol et al., ENHANCEMENT OF REACTIVE OXYGEN SPECIES PRODUCTION AND CELL-SURFACE MARKERS EXPRESSION DUE TO HEMODIALYSIS, Nephrology, dialysis, transplantation, 9(4), 1994, pp. 389-394
Leukocyte activation during haemodialysis (HD) was evaluated by reacti
ve oxygen species (ROS) production and cell surface markers expression
(CD11b: C3bi receptor and CD25: IL2 receptor). Eight end-stage renal
disease patients were exposed to three dialysis phases according to a
A/B/A protocol study. During phase A polysulphone (PS) membranes were
used and during phase B cuprophane (CU) membranes were used. Each phas
e lasted 3 weeks. Timed samples were collected during the last session
of each phase at 0, 15, and 30 min of HD. Flow cytometry analysis was
performed both on monocytes (MO), polymorphonuclears (PMN), and lymph
ocytes (Ly). Hydroethydine was used as a marker of cell-ROS production
. Specific monoclonal antibodies were used to analyse the cell surface
markers. CU increased ROS production in PMN and MO by 10- and 2.4-fol
d respectively and had no significant effect on Ly. CU enhanced 16-fol
d CD11b expression on PMN, and increased also CD11b and CD25 expressio
n on MO by 7- and 40-fold respectively. On the contrary, PS did not af
fect either ROS production or cell surface markers expression in MO, P
MN, Ly. We conclude that oxydative metabolism and cell surface markers
expression of PMN and MO were significantly increased with cuprophane
membranes and not with polysulphone membranes, suggesting that comple
x cell-cell interactions were involved in membrane-related bioincompat
ibility phenomena.