title: Functions and oxidative stress status of leukocytes in patients with nephrotic syndrome.
abstract: This study was conducted to establish the functions and oxidative stress status in leukocytes of adult patients with nephrotic syndrome. Thirty adult patients with nephrotic syndrome and 32 controls were included. Phagocytosis ability, the killing ability of the micro-organism phagosited of polymorphonuclear leukocytes (PMNL) and monocytes, along with oxidative stress parameters of PMNLs were assessed. There was no statistically significant difference in phagocytosis function of PMNLs and monocytes of patients when compared to those of controls. PMNL burst activities of the patient and control groups also showed no difference; however, the monocyte burst activities of patients were significant (p = 0.012). The glutathione peroxidase (GSH-Px) activities in PMNLs of the patients with nephrotic syndrome were significantly higher (p = 0.026) when compared to those of controls. In comparison with those of the control subjects, the patients had also higher selenium levels in their PMNLs (p < 0.001). Although PMNL malonyldialdehyde (MDA) levels of the patients seem to be higher than those of controls, the difference had no statistical significance (p = 0.071). Conclusively, in the patients with nephrotic syndrome, PMNLs appear to be exposed to an oxidative stress as indicated by their increased GSH-Px activities and selenium content. However, PMNLs in nephrotic syndrome patients seem to be coping with the insulting oxidative stress, as suggested by their near-normal MDA productions. Furthermore, these data suggest that nephrotic syndrome appears not to have an influence on phagocytosis and killing abilities of granulocytes and monocytes as long as these cells can overcome the oxidative stress to which they are exposed in this disease.
authors: Internal Medicine Department, Military Hospital, Ardahan, Turkey.
authors: Taner
authors: T
authors: Akyol
authors: Fatih
authors: F
authors: Bulucu
authors: Osman
authors: O
authors: Sener
authors: Levent
authors: L
authors: Yamanel
authors: Ahmet
authors: A
authors: Aydin
authors: Volkan
authors: V
authors: Inal
authors: Ergun
authors: E
authors: Bozoglu
authors: Erkan
authors: E
authors: Demirkaya
authors: Ayse
authors: A
authors: Eken
authors: Ugur
authors: U
authors: Musabak
mesh_terms: D000328:Adult; D005260:Female; D005979:Glutathione Peroxidase / Q000378:metabolism; D006801:Humans; D007962:Leukocytes / Q000166:cytology* / Q000378:metabolism*; D008297:Male; D008954:Models, Biological; D009404:Nephrotic Syndrome / Q000097:blood* / Q000378:metabolism; D009504:Neutrophils / Q000378:metabolism; D018384:Oxidative Stress; D010587:Phagocytosis; D012643:Selenium / Q000032:analysis; D017392:Thiobarbituric Acid Reactive Substances / Q000378:metabolism
chemical_list: D017392:Thiobarbituric Acid Reactive Substances; D005979:Glutathione Peroxidase; D012643:Selenium