Source:http://linkedlifedata.com/resource/pubmed/id/18591891
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2008-7-1
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pubmed:abstractText |
Advanced glycation end products (AGE) increase as a consequence of diabetic hyperglycemia and, in nephropathic patients, following renal function loss. Protein-bound AGE behave as immunogens, inducing formation of specific antibodies (Ab-AGE). In this work AGE immunogenicity was studied in 42 diabetic patients, 26 nephropathic patients on hemodialysis and 26 patients with end-stage renal disease who underwent kidney transplantation and in 20 normal subjects. Non-oxidation-derived AGE (nox-AGE), oxidation-derived AGE (ox-AGE) and Ab-AGE were measured by competitive or direct enzyme-linked immunosorbent assay (ELISA) and circulating immune complexes (CIC) by C1q ELISA. Nox- AGE increased significantly in all patient groups (p < or = 0.05 to < or = 0.0001) except in patients on hemodialysis for less than 6 yr. Ox-AGE were only significantly increased in patients transplanted more than 3 yr previously (p < 0.05). Ab-AGE were significantly lower than controls in both diabetic groups and in patients on hemodialysis for more than 6 yr (p < 0.005 to < 0.0001) and not unlike controls in the other groups. These results demonstrate that hemodialysis or renal transplantation can, initially, reduce either nox- or ox-AGE levels, which however go back to being high in time. Renal transplantation fails to normalize nox-AGE. More importantly, plasma Ab-AGE levels are reduced or unchanged in all patient groups in comparison with controls, despite higher circulating AGE levels. This suggests the importance of tissue-bound AGE as Ab-AGE targets. Additional interventions are needed to control AGE levels in treated nephropathic patients. The search and quantification of specific Ab-AGE would give more meaningful results if performed over specific tissue specimens.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
1720-8386
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
31
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
558-62
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pubmed:meshHeading |
pubmed-meshheading:18591891-Adult,
pubmed-meshheading:18591891-Aged,
pubmed-meshheading:18591891-Diabetes Mellitus,
pubmed-meshheading:18591891-Female,
pubmed-meshheading:18591891-Glomerulonephritis, Membranous,
pubmed-meshheading:18591891-Glycosylation End Products, Advanced,
pubmed-meshheading:18591891-Humans,
pubmed-meshheading:18591891-Kidney Failure, Chronic,
pubmed-meshheading:18591891-Kidney Transplantation,
pubmed-meshheading:18591891-Male,
pubmed-meshheading:18591891-Middle Aged,
pubmed-meshheading:18591891-Renal Dialysis,
pubmed-meshheading:18591891-Time Factors
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pubmed:year |
2008
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pubmed:articleTitle |
Immunogenicity of advanced glycation end products in diabetic patients and in nephropathic non-diabetic patients on hemodialysis or after renal transplantation.
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pubmed:affiliation |
Department of Hematology, Oncology and Molecular Medicine, National Institute of Health, 00161 Rome, Italy. angela.buongiorno@iss.it
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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