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Clinical Chemistry and Laboratory Medicine (CCLM)

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Volume 51, Issue 5 (May 2013)


Antibodies against Nε-homocysteinylated proteins in patients on different methods of renal replacement therapy

Marek Kolarz
  • Corresponding author
  • AVITUM Poland, Hemodialysis Unit Miechow ul. Szpitalna 3 32–200 Miechow, Poland
  • Email:
/ Jolanta Małyszko
  • Department of Nephrology, Medical University in Bialystok, Bialystok, Poland
/ Tomasz Stompór
  • Department of Nephrology, Hypertension and Internal Medicine, University of Warmia and Mazury, Olsztyn, Poland
/ Alicja Całka
  • Department of Nephrology, Hypertension and Internal Medicine, University of Warmia and Mazury, Olsztyn, Poland
/ Anetta Undas
  • Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
/ Michał Myśliwiec
  • Department of Nephrology, Medical University in Bialystok, Bialystok, Poland
Published Online: 2012-11-23 | DOI: https://doi.org/10.1515/cclm-2012-0527


Background: High levels of antibodies against Nε-homocysteinylated (Nε-Hcy) proteins have been observed in patients on long-term hemodialysis (HD). We sought to investigate whether these antibodies are present in patients on peritoneal dialysis (PD) in comparable titers and to characterize the factors that determine levels of those antibodies in both patient groups.

Methods: The study involved 80 patients on HD and age- and sex-matched 75 subjects on PD. Serum IgG antibodies against Nε-Hcy-albumin and -hemoglobin were determined using in-house enzyme-linked immunosorbent assays. Total homocysteine (tHcy), folate, 8-isoprostaglandin F (8-iso-PGF) and paraoxonase-1 (PON-1) activity were also measured.

Results: Patients on PD and those on HD had similar levels of anti-Nε-Hcy-albumin [absorbancy at 490 nm: 0.571 (0.519–0.609) vs. 0.583 (0.523–0.625), p=0.41, respectively] and anti-Nε-Hcy-hemoglobin antibodies [0.659 (0.597–0.705) vs. 0.664 (0.597–0.722), p=0.60, respectively]. In both groups levels of the antibodies correlated with tHcy (r from 0.54 to 0.77, p<0.0001), 8-iso-PGF (r from 0.57 to 0.77, p<0.0001), and folate (r from −0.59 to −0.74, p<0.0001) levels, but not with the cause of renal disease, dialysis vintage, a history of coronary artery disease or PON-1 activity. In the multivariate logistic regression, after adjustment for potential confounders, plasma tHcy was the independent predictor of antibodies against Nε-Hcy-proteins irrespective of the method of dialysis.

Conclusions: Levels of antibodies against Nε-Hcy-proteins are similar in patients on long-term PD and HD. The level of tHcy is the only independent predictor of both antibodies irrespective of the dialysis method.

Keywords: autoantibodies; end-stage renal disease; homocysteine; protein homocysteinylation; renal replacement therapy


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About the article

Corresponding author: Marek Kolarz, MD, PhD, AVITUM Poland, Hemodialysis Unit Miechow ul. Szpitalna 3 32–200 Miechow, Poland, Phone/fax: +48 41 3820290

Received: 2012-08-17

Accepted: 2012-10-25

Published Online: 2012-11-23

Published in Print: 2013-05-01

Citation Information: Clinical Chemistry and Laboratory Medicine, ISSN (Online) 1437-4331, ISSN (Print) 1434-6621, DOI: https://doi.org/10.1515/cclm-2012-0527. Export Citation

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