Effect of balance Solution on the Peritoneal Membrane in Automated Peritoneal Dialysis
- PMID: 27659931
- PMCID: PMC5033636
- DOI: 10.3747/pdi.2015.00010
Effect of balance Solution on the Peritoneal Membrane in Automated Peritoneal Dialysis
Abstract
Interference of conventional peritoneal dialysis fluids (cPDFs) with peritoneal membrane cell functions may be attributed to the dialysis fluid's low pH, high glucose concentration, and/or the presence of glucose degradation products (GDPs), the last of which leads to higher levels of advanced glycation end-products (AGEs). It has been suggested that the peritoneal membrane might be better preserved by using biocompatible solutions, including cancer antigetn 125 (CA125). This prospective, open-label, multicentre, randomized, controlled, cross-over phase IV study compared the in vivo biocompatibility of a neutral-pH, low-GDP peritoneal dialysis (PD) solution (balance) with a cPDF in automated PD (APD) patients. Our study revealed a significantly increased appearance rate and concentration of CA125 in the peritoneal effluent of APD patients treated with the neutral-pH, low-GDP solution balance versus a conventional PD solution.
Keywords: Biocompatibility; cancer antigen 125; pH neutral; peritoneal dialysis fluids; residual renal function; ultrafiltration.
Copyright © 2016 International Society for Peritoneal Dialysis.
Similar articles
-
The clinical usefulness of peritoneal dialysis fluids with neutral pH and low glucose degradation product concentration: an open randomized prospective trial.Perit Dial Int. 2008 Mar-Apr;28(2):174-82. Perit Dial Int. 2008. PMID: 18332454 Clinical Trial.
-
The Euro-Balance Trial: the effect of a new biocompatible peritoneal dialysis fluid (balance) on the peritoneal membrane.Kidney Int. 2004 Jul;66(1):408-18. doi: 10.1111/j.1523-1755.2004.00747.x. Kidney Int. 2004. PMID: 15200450 Clinical Trial.
-
Clinical biocompatibility of a neutral peritoneal dialysis solution with minimal glucose-degradation products--a 1-year randomized control trial.Nephrol Dial Transplant. 2007 Feb;22(2):552-9. doi: 10.1093/ndt/gfl559. Epub 2006 Sep 27. Nephrol Dial Transplant. 2007. PMID: 17005526 Clinical Trial.
-
Solutions for APD: special considerations.Semin Dial. 2002 Nov-Dec;15(6):407-13. doi: 10.1046/j.1525-139x.2002.00101.x. Semin Dial. 2002. PMID: 12437535 Review.
-
Biocompatibility of peritoneal dialysis fluid and influence of compositions on peritoneal fibrosis.Ther Apher Dial. 2006 Aug;10(4):372-9. doi: 10.1111/j.1744-9987.2006.00391.x. Ther Apher Dial. 2006. PMID: 16911191 Review.
Cited by
-
Biocompatible dialysis fluids for peritoneal dialysis.Cochrane Database Syst Rev. 2018 Oct 26;10(10):CD007554. doi: 10.1002/14651858.CD007554.pub3. Cochrane Database Syst Rev. 2018. PMID: 30362116 Free PMC article.
References
-
- Schmitt CP, von HD, Rieger S, Arbeiter K, Bonzel KE, Fischbach M, et al. Reduced systemic advanced glycation end products in children receiving peritoneal dialysis with low glucose degradation product content. Nephrol Dial Transplant 2007; 22:2038–44. - PubMed
-
- Wieslander A, Linden T, Kjellstrand P. Glucose degradation products in peritoneal dialysis fluids: how they can be avoided. Perit Dial Int 2001; 21(Suppl 3):S119–24. - PubMed
-
- Williams JD, Topley N, Craig KJ, Mackenzie RK, Pischetsrieder M, Lage C, et al. The Euro-balance trial: the effect of a new biocompatible peritoneal dialysis fluid (balance) on the peritoneal membrane. Kidney Int 2004; 66:408–18. - PubMed
-
- Rippe B, Simonsen O, Heimburger O, Christensson A, Haraldsson B, Stelin G, et al. Long-term clinical effects of a peritoneal dialysis fluid with less glucose degradation products. Kidney Int 2001; 59:348–57. - PubMed
-
- Jones S, Holmes CJ, Krediet RT, Mackenzie R, Faict D, Tranaeus A, et al. Bicarbonate/lactate-based peritoneal dialysis solution increases cancer antigen 125 and decreases hyaluronic acid levels. Kidney Int 2001; 59:1529–38. - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Research Materials
Miscellaneous