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Nephrol Dial Transplant (2000) 15: 574-578
© 2000 European Renal Association-European Dialysis and Transplant Association


Editorial Comments

Blood monocyte phenotypes and soluble endotoxin receptor CD14 in systemic inflammatory diseases and patients with chronic renal failure

Juergen E. Scherberich and Wolfgang A. Nockher1

2nd Medical Department, Hospital München-Harlaching, Akademisches Lehrkrankenhaus der Ludwig-Maximilians-Universität, and 1 Institute of Clinical Chemistry, Krankenhaus München-Bagenhausen, München, Germany

Introduction

Patients with end-stage renal failure undergoing chronic renal replacement therapy reveal several signs of an impaired humoral and cellular immune response [1,2]. As a consequence patients are more susceptible to bacterial infections, exhibit defective phagocytosis, altered B-/T-cell and disturbed killer cell activity, low response rate to hepatitis B vaccine, and increased risk for cancer. On the other hand, secondary immunodeficiency in chronic uraemia is masked by dialysis-related blood-membrane interactions which show chronic signs of complement and monocyte activation. In addition, changes in proinflammatory cytokine synthesis and secretion (IL1, IL6, TNF-{alpha}) and rise in acute phase reactants revealing inadequate ‘immunostimulation’ apparently contribute to progressive atherosclerotic lesions and increased cardiovascular events [3,4].

Monocytes are closely involved in antigen presentation, T- and B-cell cooperation and secretion of various monokines, and play a pivotal role not only as targets in biocompatibility but are also responsible . . . [Full Text of this Article]

CD14, a major monocyte receptor antigen

Soluble CD14 (sCD14)

CD14+/CD16+ monocytes: the proinflammatory subset

Monocyte phenotypes in patients undergoing intermittent haemodialysis (HD)

Peritoneal dialysis

Activated monocytes and drug response

CD14 and apoptosis

Monocytes/macrophages and progressive renal disease:

Notes

References


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