Peritoneal Dialysis Vintage and Glucose Exposure but Not Peritonitis Episodes Drive Peritoneal Membrane Transformation During the First Years of PD.

EMT TGF-ß VEGF glucose glucose degradation products peritoneal dialysis peritoneal membrane peritonitis

Journal

Frontiers in physiology
ISSN: 1664-042X
Titre abrégé: Front Physiol
Pays: Switzerland
ID NLM: 101549006

Informations de publication

Date de publication:
2019
Historique:
received: 07 01 2019
accepted: 14 03 2019
entrez: 20 4 2019
pubmed: 20 4 2019
medline: 20 4 2019
Statut: epublish

Résumé

The impact of peritoneal dialysis (PD) associated peritonitis on peritoneal membrane integrity is incompletely understood. Children are particularly suited to address this question, since they are largely devoid of preexisting tissue damage and life-style related alterations. Within the International Peritoneal Biobank, 85 standardized parietal peritoneal tissue samples were obtained from 82 children on neutral pH PD fluids with low glucose degradation product (GDP) content. 37 patients had a history of peritonitis and 16 of the 37 had two or more episodes. Time interval between tissue sampling and the last peritonitis episode was 9 (4, 36) weeks. Tissue specimen underwent digital imaging and molecular analyses. Patients with and without peritonitis were on PD for 21.0 (12.0, 36.0) and 12.8 (7.3, 27.0) months (

Identifiants

pubmed: 31001140
doi: 10.3389/fphys.2019.00356
pmc: PMC6455046
doi:

Types de publication

Journal Article

Langues

eng

Pagination

356

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Auteurs

Maria Bartosova (M)

Center for Pediatric and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.

Betti Schaefer (B)

Center for Pediatric and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.

Karel Vondrak (K)

Department of Pediatrics, Motol University Hospital, Prague, Czechia.

Peter Sallay (P)

1st Department of Pediatrics, Semmelweis University, Budapest, Hungary.

Christina Taylan (C)

Pediatric Nephrology, Children's and Adolescent's Hospital, University Hospital of Cologne, Cologne, Germany.

Rimante Cerkauskiene (R)

Children's Clinic, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Maria Dzierzega (M)

Department of Pediatric Emergency, Medicine University Hospital, Polish-American Institute of Pediatrics, Jagiellonian University Medical College, Krakow, Poland.

Gordana Milosevski-Lomic (G)

Nephrology Department, University Children's Hospital, Belgrade, Serbia.

Rainer Büscher (R)

Pediatric Nephrology, University Children's Hospital, Essen, Germany.

Ariane Zaloszyc (A)

Department of Pediatrics 1, Strasbourg University Hospital, Strasbourg, France.

Philipp Romero (P)

Division of Pediatric Surgery, Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Heidelberg, Germany.

Felix Lasitschka (F)

Department of General Pathology, Institute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.

Bradley A Warady (BA)

Children's Mercy Kansas City, Kansas City, MO, United States.

Franz Schaefer (F)

Center for Pediatric and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.

Akos Ujszaszi (A)

Division of Nephrology, University Hospital Heidelberg, Heidelberg, Germany.

Claus Peter Schmitt (CP)

Center for Pediatric and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.

Classifications MeSH