Relationship between red blood cell membrane disorders and Doppler ultrasound indices of renal blood flow in patients with chronic kidney disease

Keywords: chronic kidney disease, Doppler ultrasonography, renal circulation, red blood cells morphology.

Abstract

the study aimed to investigate the relationship between red blood cell membrane disorders and Doppler ultrasound indices of renal blood flow in patients with chronic kidney disease (CKD) stages1-2.

Methods. The complex clinical, laboratory and instrumental (color duplex Doppler scanning of renal parenchyma vessels) examination was conducted in 131 CKD stage 1-2 patients. Among them, there were 47 patients with pyelonephritis, 48 patients with diabetic nephropathy, and 36 patients with primary glomerulonephritis. Each patients’ group was divided into 2 subgroups: with and without arterial hypertension. Twenty healthy volunteers were also included for the study control.

Results. A significant correlation between indices of the erythrocytes morphology and basic Doppler ultrasonography parameters of the kidney vessels circulation, namely a.interlobaris was demonstrated in CKD patients with arterial hypertension. The most significant changes were observed in diabetic patients.

Conclusion. The results of our study indicated a high informative value of renal Doppler ultrasonography as a non-invasive technique to diagnose the CKD progression in patients with comorbid hypertension

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References

Chmiel B, Karkoszka H, Cierpka L, Wiecek A. Rheological properties of red blood cells in kidney transplant recipients: The role of lipid profile and type of immunosuppression. Transplantation Proceedings 2005; 37: 1885-1888. doi: 10.1016/j.transproceed.2005.03.075.

Konstantinova E, Ivanova L, Tolstaya T, Mironova E. Rheological properties of blood and parameters of platelets aggregation in arterial hypertension. Clinical Hemorheology and Microcirculation 2006; 35: 135-138. Available from: https://europepmc.org/article/med/16899917.

Saldanha C. Instrumental analysis applied to erythrocyte properties. Journal of Cellular Biotechnology 2015; 1:81-93. doi: 10.3233/jcb-15008.

Kung CM, Tseng ZL, Wang HL. Erythrocyte fragility increases with level of glycosylated hemoglobin in type 2 diabetic patients. Clinical Hemorheology and Microcirculation 2009; 43: 345-351. doi: 10.3233/CH-2009-1245.

Agrawal R, Smart T, Nobre-Cardoso J. et al. Assessment of red blood cell deformability in type 2 diabetes mellitus and diabetic retinopathy by dual optical tweezers stretching technique. Scientific Reports 2016; 6: 15873. doi: 10.1038/srep15873.

Brown C, Ghali H, Zhao Z, Thomas L, Friedman E. Association of reduced red blood cell deformability and diabetic nephropathy. Kidney International 2005; 67: 295-300. https://doi.org/10.1111/j.1523-1755.2005.00082.

An X, Mohandas N. Disorders of red cell membrane. British Journal of Haematology 2008; 141: 367-75. doi: 10.1111/j.1365-2141.2008.07091.x.

Orbach A, Zelig O, Yedgar S, Barshtein G. Biophysical and biochemical markers of red blood cell fragility. Transfusion Medicine and Hemotherapy 2017; 44: 183-7. doi: 10.1159/000452106.

Tannert C, Lux W. Spreding of red blood cell suspensions on paper as simple test of cell deformability. Acta biologica et medica Germanica 1981; 40(6): 739-42. Available from: https://pubmed.ncbi.nlm.nih.gov/7324704/.

Bonomini M, Pandolfi A, Sirolli V, Arduini A, Liberato L, Pietro N. Erythrocyte alterations and increased cardiovascular risk in chronic renal failure. Nephro-Urology Monthly 2017; 9: e45866. doi: 10.2174/1874303X01811010028.

Botdorf J, Chaudhary K, Whaley-Connell A. Hypertension in cardiovascular and kidney disease. CardioRenal Medicine 2011; 1 (3): 183-192. doi: 10.1159/000329927.

Boddi M. Renal ultrasound (and Doppler sonography) in hypertension: an update. Advances in Experimental Medicine and Biology 2016; 956: 191-208. doi: 10.1007/5584_2016_170.

Buffet L, Ricchetti C. Chronic kidney disease and hypertension: A destructive combination. US Pharmacist 2012; 37: 26-9. Available from: https://www.uspharmacist.com/article/chronic-kidney-disease-and-hypertension-a-destructive-combination-35118.

Segura J, Ruilope L. Hypertension in moderate-to-severe nondiabetic CKD patients. Advances in Chronic Kidney Disease 2011; 18: 23-27. International Journal of Hypertension 2011. doi: 10.1053/j.ackd.2010.11.001.

Tedla FM, Brar A, Browne R, Brown C. Hypertension in chronic kidney disease: navigating the evidence. International Journal of Hypertension 2011. doi.org/10.4061/2011/132405.

,Lee S, Oh H, Lee E. et al. Blood pressure control during chronic kidney disease progression. American Journal of Hypertension 2017; 30: 610-616. doi: 10.1093/ajh/hpx017.

Mohanty JG, Nagababu E, Rifkind JM. Red blood cell oxidative stress impairs oxygen delivery and induces red blood cell aging. Frontiers in Physiology 2014; 5: 84. doi: 10.3389/fphys.2014.00084.

Brzeszczynska J, Luciak M, Gwozdzinski K. Alterations of erythrocyte structure and cellular susceptibility in patients with chronic renal failure: Effect of haemodialysis and oxidative stress. Free Radical Research 2008; 42: 40-8. doi: 10.1080/10715760701787693.

Kolesnyk M, Korol L, Migal L, Burdeyna O, Novakivskyy V. Indicators of oxidative stress and resistance of erythrocytes in patients with chronic kidney disease stage depending on modality of renal replacement therapy. Ukrainian Journal of Nephrology and Dialysis 2015; 3: 57-64. https://doi.org/10.31450/ukrjnd.3(47).2015.10. [In Ukrainian].

Senchenkova EY, Skvertchinskaya E, Dobrylko I. et al. Experimental oxidative stress-induced death of erythrocytes. FASEB Journal 2017; 31: lb761. https://doi.org/10.1096/fasebj.31.1_supplement.lb761.


Abstract views: 413
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Published
2020-08-09
How to Cite
Novychenko, S., & Zub, L. (2020). Relationship between red blood cell membrane disorders and Doppler ultrasound indices of renal blood flow in patients with chronic kidney disease. Ukrainian Journal of Nephrology and Dialysis, (4(68), 38-44. https://doi.org/10.31450/ukrjnd.4(68).2020.06