Abstract | BACKGROUND: Uremic patients have a bleeding tendency associated with a platelet dysfunction. We evaluated the impact of a repeated hemodialysis procedure on primary hemostasis by analyzing different aspects of platelet activation in uremic patients. METHODS: RESULTS: No changes in the clinical parameters analyzed were observed among the different study groups. Aggregation and platelet adhesion only improved when patients were shifted from hemodialysis to continuous ambulatory peritoneal dialysis (P < 0.05 for both percentage of surface covered by platelets and aggregate formation). The association of cytoskeletal proteins in platelets from patients under hemodialysis treatment was statistically decreased with respect to the corresponding values in platelets from patients not subjected to dialysis (P < 0.01 for actin). However, after two months on peritoneal dialysis, these values increased to almost control values (P < 0.001 for actin, vs. hemodialysis). Similarly, translocation of tyrosine-phosphorylated proteins to the cytoskeletal fraction was impaired in platelets from hemodialyzed patients, and it recovered partially after the patients transferred to continuous ambulatory peritoneal dialysis. CONCLUSIONS: Our present data support the concept that repeated platelet stress during hemodialysis has a deleterious effect on the organization of platelet cytoskeleton, which seems to impair the translocation of signal transduction proteins within platelets compromising the platelet function in uremia.
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Authors | M Díaz-Ricart, E Estebanell, A Cases, J Calls, J López-Pedret, M Carretero, R Castillo, A Ordinas, G Escolar |
Journal | Kidney international
(Kidney Int)
Vol. 57
Issue 5
Pg. 1905-14
(May 2000)
ISSN: 0085-2538 [Print] United States |
PMID | 10792609
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Adult
- Aged
- Blood Platelets
(metabolism)
- Cytoskeleton
(chemistry)
- Female
- Humans
- Male
- Middle Aged
- Peritoneal Dialysis, Continuous Ambulatory
- Phosphorylation
- Platelet Aggregation
- Platelet Count
- Renal Dialysis
- Signal Transduction
- Thrombin
(pharmacology)
- Tyrosine
(metabolism)
- Uremia
(blood)
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