The Influence of
Cytokines and Antioxidant Defence System Status in Cadaveric Kidney Donors and
Recipients in the Early Posttransplantation Period on Graft Function 90 Days after
Transplantation
Živný P. 1 , Živná H. 4 , Navrátil P. 2 , Černý V. 3 , Palička V. 1 , Vávrová J. 1
1 Ústav klinické biochemie a diagnostiky, FN, Hradec Králové, 2 Urologická klinika, FN, Hradec Králové, 3 Klinika anesteziologie, resuscitace a intenzivní medicíny, FN, Hradec Králové, 4 Ústav fyziologie, LF, Hradec Králové, UK Praha |
|
Summary:
The aim of this study was to estimate the changes in cytokine concentrations and antio xidant defence status
in cadaveric kidney donors and recipients in the perioperative period and to assess their possible influence on
graft function 90 days after transplantation. Twenty-three kidney graft recipients and correspondent donors
were enrolled in this study. Ten recipients had 90 days after transplantation a creatinine clearance (CC) lower
than 1.0 ml/s („poor recipients“ and corresponding „poor donors“). Thirteen kidney recipients had 90 days after
transplantation CC higher than 1.0 ml/s („better recipients“ and corresponding „better donors“). The samples of
blood and urine were collected from donors 2 hours after cerebral death diagnosis and fro m recipients 24 hours
after transplantation. TNF- a, IL-6, IL-8 and sIL-2R were estimated in blood and urine samples, C-reactive protein,
malondialdehyde and selenium concentration in blood, and activity of glutathione-peroxidase were estimated
in erythrocytes. There were no significant differences in any of the above mentioned p arameters between „poor
recipients“ and „better recipients“ as well as between „poor donors“ and „better donors“. These results are
consistent with the results of Chertow et al. (3). They state that chronic graft dysfunctio n is – among others – the
result of important (non-immunological) antigen-independent factors, for instance age, gender and race of donor
and body surface area of recipient and time of cold ischaemia.
Key words:
kidney transplantation, cytokines, graft function.
|