EVALUATION OF TOTAL ANTIOXIDANT STATUS (FRAP) IN CKD AND MHD PATIENTS Authors: Salma Mahaboob R , MOHANA LAKSHMI T, E.PRABHAKAR REDDY*
ABSTRACT
Chronic kidney disease (CKD) is a major condition in which oxidative processes are implicated by the
amplification of inflammatory responses. Hemodialysis (HD) represents a state of chronic stress for
the patient where the oxidative reactions are mainly due to bio incompatibility of components of
dialysis apparatus leading to the production of ROS by inflammatory cells. Lipid peroxidation leads to
alterations in the biological membranes and is involved in the progression of renal injury. FRAP is
said to give more biologically relevant information than that provided by individual antioxidant
measurements and which may describe the dynamic equilibrium between pro-oxidants and
antioxidants in the plasma. A significant increase in plasma MDA was found in CKD and Pre HD
patients and in Hemodialysis with pre HD Increased levels were found when comparing with post
HD (P<0.05), along with significant decrease in the antioxidants like Uric acid and FRAP levels were
found in Pre HD comparing with CKD and Pre HD with Post HD (P<0.05). FRAP is being used as a
single test to estimate total antioxidant capacity (TAC) of blood. FRAP may be considered as an easy,
cost effective method to measure the antioxidant power and it might be incorporated into risk
prediction in dialysis and CKD.
Keywords: Chronic kidney disease, Hemodialysis, Oxidative stress; Free radicals, Antioxidants Publication date: 1/1/21 https://ijbpas.com/pdf/2021/January/MS_IJBPAS_2021_JAN_SPCL_1003.pdfDownload PDFhttps://doi.org/10.31032/IJBPAS/2021/10.1.1003