CHARACTERISTIC OF FREE-RADICAL DAMAGE AND ANTIOXIDANT PROTECTION STATE IN PATIENTS WITH CHRONIC KIDNEY DISEASE AGAINST A BACKGROUND OF MALABSORPTION SYNDROME

А.Е. Shkarutyak
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Abstract

Oxidation processes play an important role in damage of the renal structures, especiallyagainst a background of other serious pathologies, in particular, malabsorptionsyndrome.The study of the mechanisms of mutual aggravation and progression of kidneydamage against a background of malabsorption is a very urgent problem of the presenttime.Purpose - to investigate the state of free radical oxidation of lipids, proteins andantioxidant defense in patients with chronic kidney disease of different ages withoxaluria against a background of malabsorption syndrome.Material and methods. 98 patients with chronic kidney disease of the I-II stages(pyelonephritis) with the presence of oxaluria against a background of malabsorptionsyndrome of different age were examined.The age of the patients under examination was32 - 64. All patients underwent a study of the system of free radical oxidation of lipidsand proteins.Results. chronic kidney disease with the presence of oxaluria is accompanied by asignificant increase in the blood content of free radical oxidation products, namelyaldehyde and ketone dinitrophenylhydrazones, especially of a neutral nature,malondialdehyde, as well as a significant decrease in the indicators of the antioxidantdefense system, which manifested itself to a greater extent in patients with older age.groups.Conclusion. An essential factor in the development and progression of chronic kidneydisease with the presence of oxaluria against a background of malabsorption syndromeis an increase in the intensity of free radical oxidation of lipids and proteins (mainly dueto aldehyde and ketondinitrophenylhydrazones of a neutral nature).
以吸收不良综合征为背景的慢性肾病患者自由基损伤和抗氧化保护状态的特征
氧化过程在肾脏结构损伤中起重要作用,特别是在其他严重病理,特别是吸收不良综合征的背景下。在吸收不良的背景下,研究肾脏损伤相互加重和进展的机制是当前一个非常紧迫的问题。目的:探讨不同年龄慢性肾脏病伴甲氧利尿患者在吸收不良综合征背景下脂质、蛋白质自由基氧化及抗氧化防御状态。材料和方法。本文对98例不同年龄的I-II期慢性肾脏疾病(肾盂肾炎)合并草酸尿合并吸收不良综合征的患者进行了研究。患者年龄32 ~ 64岁。所有患者都接受了脂质和蛋白质自由基氧化系统的研究。慢性肾脏病伴草酸尿伴血液中自由基氧化产物醛、酮二硝基苯腙含量显著升高,尤其是中性丙二醛含量显著升高,抗氧化防御系统各项指标显著降低,且在年龄较大的患者中表现得更明显。以吸收不良综合征为背景,伴有草酸尿的慢性肾病发生和进展的一个重要因素是脂质和蛋白质的自由基氧化强度增加(主要是由于中性醛和酮二硝基苯腙)。
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