TY - JOUR A1 - Magliocca, Giorgia A1 - Mone, Pasquale A1 - Di Iorio, Biagio Raffaele A1 - Heidland, August A1 - Marzocco, Stefania T1 - Short-chain fatty acids in Chronic Kidney Disease: focus on inflammation and oxidative stress regulation JF - International Journal of Molecular Sciences N2 - Chronic Kidney Disease (CKD) is a debilitating disease associated with several secondary complications that increase comorbidity and mortality. In patients with CKD, there is a significant qualitative and quantitative alteration in the gut microbiota, which, consequently, also leads to reduced production of beneficial bacterial metabolites, such as short-chain fatty acids. Evidence supports the beneficial effects of short-chain fatty acids in modulating inflammation and oxidative stress, which are implicated in CKD pathogenesis and progression. Therefore, this review will provide an overview of the current knowledge, based on pre-clinical and clinical evidence, on the effect of SCFAs on CKD-associated inflammation and oxidative stress. KW - chronic kidney disease KW - short-chain fatty acids KW - oxidative stress KW - inflammation KW - uremic toxins Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-284587 SN - 1422-0067 VL - 23 IS - 10 ER - TY - JOUR A1 - Rapa, Shara Francesca A1 - Di Iorio, Biagio Raffaele A1 - Campiglia, Pietro A1 - Heidland, August A1 - Marzocco, Stefania T1 - Inflammation and oxidative stress in chronic kidney disease — Potential therapeutic role of minerals, vitamins and plant-derived metabolites JF - International Journal of Molecular Sciences N2 - Chronic kidney disease (CKD) is a debilitating pathology with various causal factors, culminating in end stage renal disease (ESRD) requiring dialysis or kidney transplantation. The progression of CKD is closely associated with systemic inflammation and oxidative stress, which are responsible for the manifestation of numerous complications such as malnutrition, atherosclerosis, coronary artery calcification, heart failure, anemia and mineral and bone disorders, as well as enhanced cardiovascular mortality. In addition to conventional therapy with anti-inflammatory and antioxidative agents, growing evidence has indicated that certain minerals, vitamins and plant-derived metabolites exhibit beneficial effects in these disturbances. In the current work, we review the anti-inflammatory and antioxidant properties of various agents which could be of potential benefit in CKD/ESRD. However, the related studies were limited due to small sample sizes and short-term follow-up in many trials. Therefore, studies of several anti-inflammatory and antioxidant agents with long-term follow-ups are necessary. KW - chronic kidney disease (CKD) KW - inflammation KW - oxidative stress KW - uremic toxins KW - minerals KW - vitamins KW - plant-derived metabolites Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-284998 SN - 1422-0067 VL - 21 IS - 1 ER - TY - JOUR A1 - Schupp, Nicole A1 - Heidland, August A1 - Stopper, Helga T1 - Genomic Damage in Endstage Renal Disease - Contribution of Uremic Toxins N2 - Patients with end-stage renal disease (ESRD), whether on conservative, peritoneal or hemodialysis therapy, have elevated genomic damage in peripheral blood lymphocytes and an increased cancer incidence, especially of the kidney. The damage is possibly due to accumulation of uremic toxins like advanced glycation endproducts or homocysteine. However, other endogenous substances with genotoxic properties, which are increased in ESRD, could be involved, such as the blood pressure regulating hormones angiotensin II and aldosterone or the inflammatory cytokine TNF-. This review provides an overview of genomic damage observed in ESRD patients, focuses on possible underlying causes and shows modulations of the damage by modern dialysis strategies and vitamin upplementation. KW - Toxin KW - dialysis KW - genotoxicity KW - uremic toxins Y1 - 2010 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-68653 ER - TY - THES A1 - Fink, Kristin T1 - Toxins in Renal Disease and Dialysis Therapy : Genotoxic Potential and Mechanisms T1 - Toxine in Nierenerkrankung und Dialyse Therapie : Genotoxisches Potential und Mechanismus N2 - In patients suffering from end-stage renal disease who are treated by hemodialysis genomic damage as well as cancer incidence is elevated. One possible cause for the increased genomic damage could be the accumulation of genotoxic substances in the blood of patients. Two possible sources for those toxins have to be considered. The first possibility is that substances from dialysers, the blood tubing system or even contaminated dialysis solutions may leach into the blood of the patients during dialysis. Secondly, the loss of renal filtration leads to an accumulation of substances which are normally excreted by the kidney. If those substances possess toxic potential, they are called uremic toxins. Several of these uremic toxins are potentially genotoxic. Within this thesis several exemplary uremic toxins have been tested for genotoxic effects (homocysteine, homocysteine-thiolactone,leptine, advanced glycated end-products). Additionally, it was analysed whether substances are leaching from dialysers or blood tubing and whether they cause effects in in vitrotoxicity testing. The focus of chemical analytisis was on bisphenol A (BPA), the main component of plastics used in dialysers and dialyser membranes. N2 - Patienten, die an terminaler Niereninsuffizienz leiden und mittels Hämodialyse behandelt werden, weisen einen erhöhten Genomschaden auf. Dieser könnte ursächlich für die erhöhte Krebsinzidenz dieser Patientengruppe sein. Eine der möglichen Ursachen für den erhöhten Genomschaden stellt die Akkumulation genotoxischer Substanzen im Blut der Patienten dar. Diese Substanzen können prinzipiell aus zwei unterschiedlichen Quellen stammen. Erstens besteht die Möglichkeit, dass während der Dialyse Substanzen aus den Dialysatoren, dem Blutschlauchsystem oder gar aus verunreinigtem Dialysat in das Blut der Patienten übertreten. Zweitens führt der Verlust der Nierenfunktion zu einer stark verminderten Exkretion harnpflichtiger Substanzen. Diese Substanzen akkumulieren im Blut und bilden, sofern sie ein toxisches Potential besitzen, die Gruppe der so genannten urämischen Toxine. Einige dieser urämischen Toxine sind potentiell auch genotoxisch. Im Rahmen der vorliegenden Dissertation wurden exemplarische Vertreter der urämischen Toxine auf ihre genotoxische Wirkung hin untersucht (Homocstein, Homocystein-Thiolacton, Leptin, Advanced Glycation End-Products). Außerdem wurde analysiert, ob Substanzen aus Dialysatormembranen oder dem Blutschlauchsystem austreten und in in vitro-Toxizitätstests Effekte zeigen. Der Fokus der Analytik lag hierbei auf dem Nachweis von Bisphenol A, dem Hauptbestandteil verschiedener Kunststoffe die für Dialysatoren und Dialysatormembranen verwendet werden. KW - Bisphenol A KW - Homocystein KW - Extrakorporale Dialyse KW - Genomschaden KW - Urämische Toxine KW - bisphenol a KW - homocysteine KW - dialysis KW - genomic damage KW - uremic toxins Y1 - 2008 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-31082 ER -