scholarly journals Differences in Erythrocyte Index and Hyporesponsiveness to Erythropoiesis in Hemodialysis Patients Treated with Different Erythropoiesis-Stimulating Agents

Author(s):  
Osamu Saito ◽  
Yoichi Furusawa ◽  
Kousuke Okuda ◽  
Eiji Kusano
2014 ◽  
Vol 46 (2) ◽  
pp. 453-459 ◽  
Author(s):  
Bassam Bernieh ◽  
Samra Abouchacra ◽  
Yousef Boobes ◽  
Mohammad R. Al Hakim ◽  
Nico Nagelkerke ◽  
...  

2012 ◽  
Vol 28 (7) ◽  
pp. 1936-1945 ◽  
Author(s):  
Manoch Rattanasompattikul ◽  
Miklos Z. Molnar ◽  
Joshua J. Zaritsky ◽  
Parta Hatamizadeh ◽  
Jennie Jing ◽  
...  

2009 ◽  
Vol 53 (5) ◽  
pp. 823-834 ◽  
Author(s):  
Kamyar Kalantar-Zadeh ◽  
Grace H. Lee ◽  
Jessica E. Miller ◽  
Elani Streja ◽  
Jennie Jing ◽  
...  

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Akira Ishimitsu ◽  
Hiroshi Satonaka ◽  
Masahito Furuichi ◽  
Yoshiki Murayama ◽  
Akihiro Tojo ◽  
...  

Abstract Background Though treatment of anemia in chronic kidney disease (CKD) patients has been improved remarkably by erythropoiesis-stimulating agents (ESA), hypo-responsiveness to ESA poses a persistent problem in a subgroup of CKD patients, especially those on dialysis, with deteriorated mortality or cardiovascular risks. Pathomechanism of this condition including cardiovascular implications has not been sufficiently investigated. Methods Clinical parameters of 101 chronic hemodialysis patients which included those hospitalized in our university hospital were examined cross-sectionally. As a marker estimating ESA hypo-responsiveness, erythropoietin resistance index (ERI) was calculated. Numbers of circulating endothelial progenitor cells (EPC) were measured by flow cytometry. Associations among values were analyzed by methods including multiple linear regression. Results Majority (93%) of the subjects were hospitalized patients with various comorbidities. ERI (18.4 [7.2–33.0] IU/week/kg/g/dL) and ESA dose (161.6 [75.0–320.9] IU/week/kg) of all the subjects were relatively high. Factors negatively correlated with EPC included age, HD vintage, CRP, pulse rate, ESA dose and ERI, while male sex and systolic blood pressure were positively correlated. By multiple linear regression analysis, age, sex and ERI (standardized coefficient beta − 0.202, p = 0.039) remained as the independently predicting factors of EPC (log CD133/Flk1+ EPC). Darbepoetin alpha was used in 65 patients, especially predominant when requiring higher ESA doses, but by correlation or multivariable analyses, this did not substantially modify the negative association between ERI and EPC. Conclusions ERI was independently associated with EPC paucity in a cohort with various comorbidities. This may suggest a link which connects ESA hypo-responsiveness to compromised cardiovascular prognosis of dialysis patients.


PLoS ONE ◽  
2017 ◽  
Vol 12 (3) ◽  
pp. e0172735 ◽  
Author(s):  
Valeria Saglimbene ◽  
Suetonia C. Palmer ◽  
Jonathan C. Craig ◽  
Marinella Ruospo ◽  
Antonio Nicolucci ◽  
...  

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