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http://ntur.lib.ntu.edu.tw/handle/246246/169122
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| Title: | Ascorbate Supplement Reduces Oxidative Stress in Dyslipidemic Patients Undergoing Apheresis |
| Authors: | 鄭劍廷;張維典;陳惠文;王宗道;劉紹毅;陳再晉;張炎林;李源德;許世明
CHIEN, CHIANG-TING;CHANG, WEI-TIEN;CHEN, HUEI-WEN;WANG, TZUNG-DAU;LIOU, SHAW-YIH;CHEN, TZAY-JINN;CHANG, YEN-LIN;LEE, YUAN-THE;HSU, SU-MING |
| Contributors: | 醫學研究部 |
| Date: | 2004 |
| Issue Date: | 2009-09-30T07:34:02Z |
| Abstract: | Objective - The effect of ascorbate treatment on apheresis- induced oxidative stress in uremic and dyslipidemic patients was evaluated. Methods and Results - We developed a chemiluminescence-emission spectrum and high-performance liquid chromatography analysis to assess the effect of ascorbate supplement on plasma reactive oxygen species (ROS) scavenging activity and oxidized lipid/protein production in hyperlipidemic and uremic patients undergoing apheresis. Apheresis was efficient in reduction of atherogenic lipoproteins, complement, fibrinogen, soluble intercellular adhesion molecule-1, and oxidative parameters including phosphatidylcholine hydroperoxide (PCOOH), malonaldehyde, methylguanidine, and diotyrosine. Apheresis itself, however, activated leukocytes to increase ROS activity and reduced the plasma ROS scavenging activity. Ascorbate administration selectively diminished apheresis-enhanced H2O2 and inflammatory mediators such as tumor necrosis factor alpha ( TNF-alpha ) and monocyte chemoattractant protein-1. Chronically dyslipidemic and uremic patients undergoing biweekly apheresis plus ascorbate treatment had lower levels of C-reactive protein and PCOOH than did those without ascorbate treatment during a 6-month follow-up study period. Conclusions - We demonstrate that apheresis with ascorbate treatment provides a therapeutic potential in reducing atherosclerotic risk via inhibition of H 2O2-induced oxidative stress in patients with uremia or dyslipidemia. |
| Relation: | ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY v.24 n.6 pp.1111-1117 |
| Appears in Collections: | [附設醫院醫學研究部] Periodical Articles
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