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Correlation between MDA, AOPP, Nrf2, GSH levels and acute kidney injury after laparoscopic partial nephrectomy
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Yu-Yan Dong1, Yong-Zhe Liu1, 2, *
Medical Journal of Chinese People’s Liberation Army | 2024, 49(6) : 670 - 678
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Medical Journal of Chinese People’s Liberation Army | 2024, 49(6): 670-678
Clinical Research
Correlation between MDA, AOPP, Nrf2, GSH levels and acute kidney injury after laparoscopic partial nephrectomy
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Yu-Yan Dong1, Yong-Zhe Liu1, 2, *
Affiliations
  • 1College of Anesthesiology, Shanxi Medical University, Taiyuan, Shanxi 030001, China
  • 2Department of Anesthesiology, the Third Medical Center of Chinese PLA General Hospital, Beijing 100039, China
Published: 2024-06-28 doi: 10.11855/j.issn.0577-7402.2255.2023.0604
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Objective To analyze the correlation of malondialdehyde (MDA), advanced oxidation protein products (AOPP), nuclear factor erythroid-2 related factor 2 (Nrf2), glutathione (GSH) levels with postoperative acute kidney injury (AKI) among patients undergoing laparoscopic partial nephrectomy (LPN). Methods A total of 110 patients with renal cell carcinoma who were admitted to the Department of Urology, the Third Medical Center of Chinese PLA General Hospital from February to August 2022 were included in the study. Patients were divided into AKI group (n=30) and non-AKI group (n=80) based on the Kidney Disease: Improving Global Outcomes (KDIGO) criteria, and then divided into elderly AKI (>65 years old, n=14), middle-aged AKI (50-65 years old, n=16), elderly non-AKI (>65 years old, n=30), and middle-aged non-AKI (50-65 years old, n=50) four sub-groups based on age. Clinical characteristics and laboratory examination data were recorded. Venous blood was collected from the patients before the operation (T1), immediately after the surgery (T2), and 24 h after surgery (T3), and MDA, AOPP, Nrf2 and GSH levels were measured. MDA, AOPP, Nrf2 and GSH levels were compared between the four subgroups at different time points, and their correlation with the occurrence of AKI after LPN were explored. The risk factors for AKI after LPN were analyzed using the univariate and multivariate logistic regression. Results Spearman correlation analysis revealed that AKI was not associated with the MDA level at each time point (P>0.05), was positively associated with AOPP-T3 level (r=0.315, P=0.037), was negatively associated with the Nrf2-T3 level (r=-0.365, P=0.015) and GSH-T2 level (r=-0.338, P=0.025) in elderly patients after LPN. AKI was not associated with MDA, AOPP, Nrf2, and GSH levels (P>0.05) in middle-aged patients after LPN. Multivariate logistic regression analysis showed that BMI (OR=2.724, P=0.040) and surgically resected kidney volume (OR=1.309, P=0.049) were independent risk factors for AKI in elderly patients after LPN, GSH-T2 (OR=0.271, P=0.042) was an independent protective factor for AKI in elderly patients after LPN. Intraoperative colloid fluid intake (OR=1.006, P=0.007) was an independent risk factor for AKI in middle-aged patients after LPN, intraoperative urine output (OR=0.104, P=0.007) was an independent protective factor for AKI in middle-aged patients after LPN. Conclusions The AKI after LPN may be related to the increase of AOPP level and the decrease of Nrf2 and GSH levels in elderly patients, and the postoperative GSH is an independent protective factor for AKI in elderly patients after LPN. The correlation of AKI after LPN is not significant with the levels of MDA, AOPP, Nrf2 and GSH in the middle-aged patients.

laparoscopic  /  partial nephrectomy  /  acute kidney injury  /  nuclear factor erythroid-2 related factor 2  /  glutathione
Yu-Yan Dong, Yong-Zhe Liu. Correlation between MDA, AOPP, Nrf2, GSH levels and acute kidney injury after laparoscopic partial nephrectomy[J]. Medical Journal of Chinese People’s Liberation Army, 2024 , 49 (6) : 670 -678 . DOI: 10.11855/j.issn.0577-7402.2255.2023.0604
Year 2024 volume 49 Issue 6
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doi: 10.11855/j.issn.0577-7402.2255.2023.0604
  • Receive Date:2022-10-31
  • Online Date:2025-11-21
  • Published:2024-06-28
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  • Received:2022-10-31
  • Accepted:2023-02-03
Affiliations
    1College of Anesthesiology, Shanxi Medical University, Taiyuan, Shanxi 030001, China
    2Department of Anesthesiology, the Third Medical Center of Chinese PLA General Hospital, Beijing 100039, China

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表12种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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