Serum biological antioxidant potential predicts the prognosis of hemodialysis patients

Tomoko Ishii, Takayasu Ohtake, Koji Okamoto, Yasuhiro Mochida, Kunihiro Ishioka, MacHiko Oka, Kyoko Maesato, Ryota Ikee, Hidekazu Moriya, Sumi Hidaka, Kent Doi, Eisei Noiri, Toshiro Fujita, Shuzo Kobayashi

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)


Background: It is well known that oxidative stress is enhanced in patients with end-stage renal disease. However, little is known about the relationship between serum antioxidant capacity and clinical outcome in hemodialysis (HD) patients. Methods: We examined the relationship between serum biomarkers of oxidative stress and clinical outcomes including all-cause mortality, hospitalization rate and incidence of cardiovascular events in HD patients. As biomarkers of oxidative stress, we measured serum levels of coenzyme Q10 (CoQ10) and biological antioxidant potential (BAP). Results: 108 patients were observed for 30 months as the follow-up periods. The survival group (n = 83) showed significantly higher BAP values compared with those in death groups (n = 25; p < 0.05). When serum BAP levels were divided into two groups by their median value, the group with higher BAP values had a better survival rate than that with lower BAP values on the Kaplan-Meier survival analysis (p = 0.05). Although serum levels of CoQ10 did not show any association with clinical outcomes, lower BAP was selected as an independent risk factor for all-cause mortality as well as the absence of angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers therapy by age-adjusted Cox regression analysis. Conclusions: This study indicated that BAP could predict the prognosis of HD patients.

Original languageEnglish
Pages (from-to)c230-c236
JournalNephron - Clinical Practice
Issue number3
Publication statusPublished - 2011 Feb
Externally publishedYes


  • Angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers
  • Antioxidant
  • Biological antioxidant potential BAP
  • Hemodialysis patients

ASJC Scopus subject areas

  • Nephrology


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