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Potential cardiovascular risk protection of bilirubin in end-stage renal disease patients under hemodialysis

dc.contributor.authorSameiro-Faria, M.
dc.contributor.authorKohlova, M.
dc.contributor.authorRibeiro, S.
dc.contributor.authorRocha-Pereira, P.
dc.contributor.authorTeixeira, L.
dc.contributor.authorNascimento, H.
dc.contributor.authorReis, F.
dc.contributor.authorMiranda, V.
dc.contributor.authorBronze-da-Rocha, E.
dc.contributor.authorQuintanilha, A.
dc.contributor.authorBelo, L.
dc.contributor.authorCosta, E.
dc.contributor.authorSantos-Silva, A.
dc.date.accessioned2015-07-14T11:16:40Z
dc.date.available2015-07-14T11:16:40Z
dc.date.issued2014
dc.description.abstractWe evaluated the potential cardiovascular risk protection of bilirubin in hemodialysis (HD) patients. An enlarged set of studies were evaluated in 191 HD patients, including hematological study, lipid profile, iron metabolism, nutritional, inflammatory markers, and dialysis adequacy. The TA duplication screening in the UDP-glucuronosyltransferase 1 A1 (UGT1A1) promoter region was also performed. The UGT1A1 genotype frequencies in HD patients were 49.2%, 42.4%, and 8.4% for 6/6, 6/7, and 7/7 genotypes, respectively. Although no difference was found in UGT1A1 genotype distribution between the three tertiles of bilirubin, significant differences were found with increasing bilirubin levels, namely, a decrease in platelet, leukocyte, and lymphocyte counts, transferrin, oxidized low-density lipoprotein (ox-LDL), ox-LDL/low-density lipoprotein cholesterol ratio, apolipoprotein (Apo) A, Apo B, and interleukin-6 serum levels and a significant increased concentration of hemoglobin, hematocrit, erythrocyte count, iron, transferrin saturation, Apo A/Apo B ratio, adiponectin, and paraoxonase 1 serum levels. After adjustment for age these results remained significant. Our data suggest that higher bilirubin levels are associated with beneficial effects in HD patients, by improving lipid profile and reducing the inflammatory grade, which might contribute to increase in iron availability. These results suggest a potential cardiovascular risk protection of bilirubin in HD patientspor
dc.identifier.citationBiomed Res Int. 2014;2014:175286por
dc.identifier.doihttp://dx.doi.org/10.1155/2014/175286
dc.identifier.issn2314-6141
dc.identifier.urihttp://hdl.handle.net/10400.16/1821
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherHindawi Pub. Co.por
dc.relation.publisherversionhttp://dx.doi.org/10.1155/2014/175286por
dc.titlePotential cardiovascular risk protection of bilirubin in end-stage renal disease patients under hemodialysispor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapor
oaire.citation.titleBioMed Research Internationalpor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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