ESRD-associated immune phenotype depends on dialysis modality and iron status: clinical implications.

ABSTRACT:

Background

End-stage renal disease (ESRD) causes premature ageing of the immune system. However, it is not known whether hemodialysis (HD) and peritoneal dialysis (PD) similarly affect the T cell system.

Methods

The aim of our study was to analyse whether dialysis modality may mitigate ESRD-induced immune senescence. We explored a large population of patients (675 ESRD patients) and both confirmed and refined the results in a second cohort (84 patients).

Results

HD patients exhibited higher inflammatory monocytes counts (44/mm³ (1-520) vs 36/mm³ (1-161); p = 0.005). Patients on HD also had higher frequency of CD8 T cells (24% (7-61) vs 22% (8-42); p = 0.003) and reduced CD4/CD8 ratio. Such results were confirmed in the second cohort

SUBMITTER: Ducloux D 

PROVIDER: S-EPMC6050655 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature