Indobufen possesses
anticoagulant and antithrombotic effects that can improve micro-
inflammation and renal function. This study aimed to examine whether
indobufen could improve the microinflammatory state in patients on
continuous ambulatory peritoneal dialysis (
CAPD) and explore its
therapeutic effects on peritoneal transport function. A total of 60 patients undergoing
CAPD from October 2019 to October 2020 were selected and randomized to the control and
indobufen groups. All patients received conventional treatments. Blood routine and the serum and peritoneal effusion levels of
tumor necrosis factor-α (TNF-α), transforming growth factor-β1 (TGF-β1), cellular
fibronectin (cFN), and
vascular endothelial growth factor were determined before and after 6 months of treatment. The peritoneal equilibrium test (PET) was used to evaluate peritoneal transport function. There were no significant differences in PET results, microinflammatory state, and biochemical indices between the two groups before treatment (P > 0.05). After 6 months of treatment, platelet-to-lymphocyte ratio and serum and peritoneal effusion TNF-α levels in the
indobufen group were decreased compared with the control group (P < 0.05). Serum and peritoneal effusion TGF-β1 and cFN levels in the
indobufen group were reduced compared with the control group (P < 0.05). PET results in the
indobufen group were decreased compared with baseline (P < 0.05). The difference in PET results between the two groups before and
after treatment was statistically significant (P < 0.05).
Indobufen could improve the peritoneal transport function in patients undergoing
CAPD. The underlying mechanism might be related to the improvement of the microinflammatory state and
peritoneal fibrosis. SIGNIFICANCE STATEMENT: Microinflammation and
peritoneal fibrosis can lead to peritoneal failure in
CAPD.
Indobufen is a novel
antiplatelet drug that can alleviate renal
fibrosis and improve renal function in patients with
diabetic nephropathy.
Indobufen can improve the peritoneal transport function in patients undergoing
CAPD. The mechanism of
indobufen improving the peritoneal function might be related to the improvement of the microinflammatory state and
peritoneal fibrosis.