1. Differential hemoglobin A sequestration between hemodialysis modalities
- Author
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Jawed Shafqat, Jonas Axelsson, Theres Jägerbrink, Uzma Naseeb, Shamshad Zarina, and Hans Jörnvall
- Subjects
Adult ,Male ,Proteomics ,QH301-705.5 ,medicine.medical_treatment ,030232 urology & nephrology ,hemodialysis modalities ,030204 cardiovascular system & hematology ,Pharmacology ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,0302 clinical medicine ,Renal Dialysis ,Hemofiltration ,medicine ,Humans ,Biology (General) ,Chromatography, High Pressure Liquid ,Dialysis ,plasma ,Chemistry ,Hemoglobin A ,Blood Proteins ,General Medicine ,hemoglobin ,medicine.disease ,Blood proteins ,Membrane ,Membrane protein ,Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization ,Hemoglobin ,Hemodialysis ,protein ,Kidney disease - Abstract
This report evaluates plasma protein patterns, dialysates and protein analysis of used dialysis membranes from the same patient under hemodialysis in three separate modalities, using high-flux membranes in concentration-driven transport (HD), convection-driven hemofiltration (HF) and combined hemodialfiltration (HDF). The plasma protein changes induced by each of the three dialysis modalities showed small differences in proteins identified towards our previous plasma analyses of chronic kidney disease (CKD) patients. The used dialysate peptide concentrations likewise exhibited small differences among the modalities and varied in the same relative order as the plasma changes, with protein losses in the order HD>HDF>HF. The membrane protein deposits allowed quantification of the relative Hb removal ratios as ~1.7 for HD and ~1.2 for HDF vs. ~1.0 for HF. Hence, plasma protein alterations, dialysate peptide contents and membrane Hb deposits all identify HD as the modality with the most extensive filtration results and exemplifies the accessibility of protein analysis of used membrane filters for evaluation of dialysis efficiencies.
- Published
- 2017