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Regenerative potential of platelets in patients with chronic kidney disease

  • Elżbieta Cecerska-HeryćEmail author
  • Rafał Heryć
  • Magda Wiśniewska
  • Anna Michalczyk
  • Barbara Dołęgowska
Nephrology - Original Paper
  • 25 Downloads

Abstract

Introduction

Chronic kidney disease (CKD) is a systemic disease affecting many organs. Progression of renal failure aggravates ongoing inflammation and increases oxidative stress. In the final stage of CKD, it is necessary to use renal replacement therapy. A side effect of dialysis therapy is the synthesis of proinflammatory factors and increased oxidative stress, which activates platelets and immune cells.

Aim of the study

To determine the regenerative potential of platelets in patients with CKD based on the analysis of the relationships between substances with potential regenerative action, as well as analysis of the influence of the type of renal replacement therapy used on regeneration of platelets.

Materials and methods

The study group consisted of 117 patients. Based on the type of therapy used, patients were divided into four groups: hemodialysis, peritoneal dialysis, kidney transplant patients, and conservative treatment (30, 30, 27, and 30 patients). The control group consisted of 30 healthy volunteers. The concentrations of IGF-1, TGF-β, and PDGF-B in the blood serum were measured by ELISA methods.

Results

It was shown that renal replacement therapy significantly influences the concentration of platelet growth factors (IGF-1: p = 0.025 and PDGF-B: p = 0.012). There was a relationship between the type of renal replacement therapy and the duration of dialysis, and the concentration of IGF-1, PDGF-B (p < 0.00001, p < 0.001).

Conclusions

The type of renal replacement therapy has a different effect on the concentration of platelet-derived growth factors IGF-1 and PDGF-B. PD patients had the highest concentrations of all growth factors, and this may be due to the presence of inflammation induced by dialysis-related advanced end-products of glycosylation (AGE).

Keywords

Platelet growth factors IGF-1 PDGF-B TGF-β Chronic kidney disease 

Notes

Acknowledgements

This paper was funded by NCN 2011/01/B/NZ5/04235 and by Pomeranian Medical University no. MB-134-141/15.

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Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.Department of Laboratory MedicinePomeranian Medical University of SzczecinSzczecinPoland
  2. 2.Department of Nephrology, Transplantology and Internal MedicinePomeranian Medical University of SzczecinSzczecinPoland
  3. 3.Department of PsychiatryPomeranian Medical University of SzczecinSzczecinPoland

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