BACKGROUND Long-term peritoneal dialysis with glucose- based dialysis solutions has been associated with diabetiform alterations of peritoneal tissue. A peritoneal infusion model in the rat was developed to study the effect of chronic infusion of a glucose-based dialysis solution and an isotonic non-glucose solution on the ultrastructure of the basement membranes of peritoneal capillaries. The ...

The mortality of patients with acute renal failure (ARF) remains high, and in several large studies approaches 60%. This mortality is particularly high in patients with ARF who require dialysis and has not changed substantially over several years, despite the introduction of major advances in monitoring and treatment. Increasing prevalence of comorbidities has been suggested as the major factor...

We studied the suitability of in vitro dialysis with polyacrylonitrile (PAN) membranes to remove small amounts of interleukin-1(3 (ILlp) and tumor necrosis factor (TNF) from plasma to be used as diluent for the standards in radioimmunoassays (RIA). Incubation o f PAN membrane fragments with radiolabeled IL-1(3 or TNF yielded a significant binding of both cytokines to the membrane (percentage of...

Although iron deficiency is probably the most important factor affecting response to recombinant erythropoietin (Epo, epoetin), other factors are of significance, including dialysis adequacy. Additionally, water treatment and distribution, sterilizants and the quality of the dialysate in terms of trace elements (particularly chloramine) are of importance in relation to erythropoiesis inhibition...

We studied the suitability of in vitro dialysis with polyacrylonitrile (PAN) membranes to remove small amounts of interleukin-1 beta (IL-1 beta) and tumor necrosis factor (TNF) from plasma to be used as diluent for the standards in radioimmunoassays (RIA). Incubation of PAN membrane fragments with radiolabeled IL-1 beta or TNF yielded a significant binding of both cytokines to the membrane (per...

Tumor necrosis factor-alpha (TNF-alpha) has been shown to have somnogenic properties. Plasma levels of this cytokine have been found to increase significantly during dialysis with a bioincompatible (cuprophane) membrane in patients with postdialysis fatigue (PDF). We conducted a crossover study with random assignment to ascertain whether a biocompatible membrane might attenuate the increase of ...

BACKGROUND Vitamin E (VE) bonded polysulfone dialysis membranes have putative erythropoiesis stimulating agent (ESA)-sparing and anti-inflammatory properties based on data from a small number of studies. We sought to investigate this in a large, prospective 12-month randomized controlled trial. METHODS Two-hundred and sixty prevalent haemodialysis (HD) patients were randomized to dialysis wit...