Variations in the lipid profile of patients with chronic renal failure treated with pyridoxine

Autores
Tacconi de Gómez Dumm, Irma Nelva; Giammona, Ana María; Touceda, Luis Alberto
Año de publicación
2003
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Hyperhomocysteinemia and lipid abnormalities are commonly found in patients with chronic renal failure; both are recognized as risk factors for atherosclerosis. The homocysteine-lowering effect of pyridoxine is controversial. This study was performed to determine the effect of a high dose of pyridoxine (300 mg i.v. three times a week) on plasma and red blood cell lipid profile and plasma homocysteine concentration in twelve chronic renal failure patients on regular hemodialysis. Fasting blood samples were taken at the beginning of the study (basal 1), after 30 and 60 days of treatment and 4 months after withdrawal (basal 2). Results: Pyridoxine supplementation induced a significant decrease in total plasma homocysteine level and also a lowering effect in plasma total cholesterol and triglycerides. These biochemical data increased when the samples were taken at basal 2, reaching the levels obtained at the beginning of the experiment. LDL cholesterol increased whereas HDL cholesterol was reduced during the treatment. In erythrocyte membranes vitamin B6 therapy enhanced the cholesterol/phospholipid ratio as well as the fluorescence anisotropy of diphenyl-hexatriene. Conclusions: We conclude that high doses of pyridoxine represent an effective strategy to ameliorate both plasma homocysteine levels and lipid profiles in chronic renal failure patients, protecting them from atherosclerosis. Further research using a long-term treatment would be necessary in an attempt to restore the fatty acid pattern and the fluidity of red cell membranes.
Facultad de Ciencias Exactas
Materia
Ciencias Exactas
Ciencias Médicas
homocysteine
membrane phospholipid
pyridoxine
triacylglycerol
amino acid blood level
Anisotropía
cell membrane fluidity
erythrocyte membrane
Nivel de accesibilidad
acceso abierto
Condiciones de uso
http://creativecommons.org/licenses/by/3.0/
Repositorio
SEDICI (UNLP)
Institución
Universidad Nacional de La Plata
OAI Identificador
oai:sedici.unlp.edu.ar:10915/37014

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network_name_str SEDICI (UNLP)
spelling Variations in the lipid profile of patients with chronic renal failure treated with pyridoxineTacconi de Gómez Dumm, Irma NelvaGiammona, Ana MaríaTouceda, Luis AlbertoCiencias ExactasCiencias Médicashomocysteinemembrane phospholipidpyridoxinetriacylglycerolamino acid blood levelAnisotropíacell membrane fluidityerythrocyte membraneBackground: Hyperhomocysteinemia and lipid abnormalities are commonly found in patients with chronic renal failure; both are recognized as risk factors for atherosclerosis. The homocysteine-lowering effect of pyridoxine is controversial. This study was performed to determine the effect of a high dose of pyridoxine (300 mg i.v. three times a week) on plasma and red blood cell lipid profile and plasma homocysteine concentration in twelve chronic renal failure patients on regular hemodialysis. Fasting blood samples were taken at the beginning of the study (basal 1), after 30 and 60 days of treatment and 4 months after withdrawal (basal 2). Results: Pyridoxine supplementation induced a significant decrease in total plasma homocysteine level and also a lowering effect in plasma total cholesterol and triglycerides. These biochemical data increased when the samples were taken at basal 2, reaching the levels obtained at the beginning of the experiment. LDL cholesterol increased whereas HDL cholesterol was reduced during the treatment. In erythrocyte membranes vitamin B6 therapy enhanced the cholesterol/phospholipid ratio as well as the fluorescence anisotropy of diphenyl-hexatriene. Conclusions: We conclude that high doses of pyridoxine represent an effective strategy to ameliorate both plasma homocysteine levels and lipid profiles in chronic renal failure patients, protecting them from atherosclerosis. Further research using a long-term treatment would be necessary in an attempt to restore the fatty acid pattern and the fluidity of red cell membranes.Facultad de Ciencias Exactas2003-09-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArticulohttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdf1-6http://sedici.unlp.edu.ar/handle/10915/37014enginfo:eu-repo/semantics/altIdentifier/url/http://www.lipidworld.com/content/pdf/1476-511X-2-7.pdfinfo:eu-repo/semantics/altIdentifier/issn/1476-511Xinfo:eu-repo/semantics/altIdentifier/doi/10.1186/1476-511X-2-1info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/3.0/Creative Commons Attribution 3.0 Unported (CC BY 3.0)reponame:SEDICI (UNLP)instname:Universidad Nacional de La Platainstacron:UNLP2025-10-29T15:02:49Zoai:sedici.unlp.edu.ar:10915/37014Institucionalhttp://sedici.unlp.edu.ar/Universidad públicaNo correspondehttp://sedici.unlp.edu.ar/oai/snrdalira@sedici.unlp.edu.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:13292025-10-29 15:02:49.63SEDICI (UNLP) - Universidad Nacional de La Platafalse
dc.title.none.fl_str_mv Variations in the lipid profile of patients with chronic renal failure treated with pyridoxine
title Variations in the lipid profile of patients with chronic renal failure treated with pyridoxine
spellingShingle Variations in the lipid profile of patients with chronic renal failure treated with pyridoxine
Tacconi de Gómez Dumm, Irma Nelva
Ciencias Exactas
Ciencias Médicas
homocysteine
membrane phospholipid
pyridoxine
triacylglycerol
amino acid blood level
Anisotropía
cell membrane fluidity
erythrocyte membrane
title_short Variations in the lipid profile of patients with chronic renal failure treated with pyridoxine
title_full Variations in the lipid profile of patients with chronic renal failure treated with pyridoxine
title_fullStr Variations in the lipid profile of patients with chronic renal failure treated with pyridoxine
title_full_unstemmed Variations in the lipid profile of patients with chronic renal failure treated with pyridoxine
title_sort Variations in the lipid profile of patients with chronic renal failure treated with pyridoxine
dc.creator.none.fl_str_mv Tacconi de Gómez Dumm, Irma Nelva
Giammona, Ana María
Touceda, Luis Alberto
author Tacconi de Gómez Dumm, Irma Nelva
author_facet Tacconi de Gómez Dumm, Irma Nelva
Giammona, Ana María
Touceda, Luis Alberto
author_role author
author2 Giammona, Ana María
Touceda, Luis Alberto
author2_role author
author
dc.subject.none.fl_str_mv Ciencias Exactas
Ciencias Médicas
homocysteine
membrane phospholipid
pyridoxine
triacylglycerol
amino acid blood level
Anisotropía
cell membrane fluidity
erythrocyte membrane
topic Ciencias Exactas
Ciencias Médicas
homocysteine
membrane phospholipid
pyridoxine
triacylglycerol
amino acid blood level
Anisotropía
cell membrane fluidity
erythrocyte membrane
dc.description.none.fl_txt_mv Background: Hyperhomocysteinemia and lipid abnormalities are commonly found in patients with chronic renal failure; both are recognized as risk factors for atherosclerosis. The homocysteine-lowering effect of pyridoxine is controversial. This study was performed to determine the effect of a high dose of pyridoxine (300 mg i.v. three times a week) on plasma and red blood cell lipid profile and plasma homocysteine concentration in twelve chronic renal failure patients on regular hemodialysis. Fasting blood samples were taken at the beginning of the study (basal 1), after 30 and 60 days of treatment and 4 months after withdrawal (basal 2). Results: Pyridoxine supplementation induced a significant decrease in total plasma homocysteine level and also a lowering effect in plasma total cholesterol and triglycerides. These biochemical data increased when the samples were taken at basal 2, reaching the levels obtained at the beginning of the experiment. LDL cholesterol increased whereas HDL cholesterol was reduced during the treatment. In erythrocyte membranes vitamin B6 therapy enhanced the cholesterol/phospholipid ratio as well as the fluorescence anisotropy of diphenyl-hexatriene. Conclusions: We conclude that high doses of pyridoxine represent an effective strategy to ameliorate both plasma homocysteine levels and lipid profiles in chronic renal failure patients, protecting them from atherosclerosis. Further research using a long-term treatment would be necessary in an attempt to restore the fatty acid pattern and the fluidity of red cell membranes.
Facultad de Ciencias Exactas
description Background: Hyperhomocysteinemia and lipid abnormalities are commonly found in patients with chronic renal failure; both are recognized as risk factors for atherosclerosis. The homocysteine-lowering effect of pyridoxine is controversial. This study was performed to determine the effect of a high dose of pyridoxine (300 mg i.v. three times a week) on plasma and red blood cell lipid profile and plasma homocysteine concentration in twelve chronic renal failure patients on regular hemodialysis. Fasting blood samples were taken at the beginning of the study (basal 1), after 30 and 60 days of treatment and 4 months after withdrawal (basal 2). Results: Pyridoxine supplementation induced a significant decrease in total plasma homocysteine level and also a lowering effect in plasma total cholesterol and triglycerides. These biochemical data increased when the samples were taken at basal 2, reaching the levels obtained at the beginning of the experiment. LDL cholesterol increased whereas HDL cholesterol was reduced during the treatment. In erythrocyte membranes vitamin B6 therapy enhanced the cholesterol/phospholipid ratio as well as the fluorescence anisotropy of diphenyl-hexatriene. Conclusions: We conclude that high doses of pyridoxine represent an effective strategy to ameliorate both plasma homocysteine levels and lipid profiles in chronic renal failure patients, protecting them from atherosclerosis. Further research using a long-term treatment would be necessary in an attempt to restore the fatty acid pattern and the fluidity of red cell membranes.
publishDate 2003
dc.date.none.fl_str_mv 2003-09-18
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Articulo
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
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dc.identifier.none.fl_str_mv http://sedici.unlp.edu.ar/handle/10915/37014
url http://sedici.unlp.edu.ar/handle/10915/37014
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/http://www.lipidworld.com/content/pdf/1476-511X-2-7.pdf
info:eu-repo/semantics/altIdentifier/issn/1476-511X
info:eu-repo/semantics/altIdentifier/doi/10.1186/1476-511X-2-1
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/
Creative Commons Attribution 3.0 Unported (CC BY 3.0)
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/3.0/
Creative Commons Attribution 3.0 Unported (CC BY 3.0)
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