The role of xanthine oxidase (XOD) in patients undergoing chronic hemodialysis treatment (HD) is poorly understood. Geriatric nutritional risk index (GNRI) ≤ 90 could be linked with malnutrition-inflammation complex syndrome. This study measured XOD, myeloperoxidase (MPO), superoxide dismutase (SOD), lipid hydroperoxides, total free thiol groups, and advanced oxidation protein products (AOPP) in 50 HD patients before commencing (pre-HD) and immediately after completion of HD session (post-HD) and in 22 healthy controls. Pre-HD serum hydroperoxides, AOPP, XOD, and SOD were higher and total thiol groups were lower in patients than in controls (P < 0.05, resp.). Compared to baseline values, serum MPO activity was increased irrespective of GNRI status. Serum XOD activity was increasing during HD treatment in the group with GNRI ≤ 90 (P = 0.030) whilst decreasing in the group with GNRI > 90 (P = 0.002). In a multiple regression analysis, post-HD serum XOD activity was independently associated with GNRI ≤ 90 (β  ± SE: 0.398 ± 0.151; P = 0.012) and HD vintage (β  ± SE: −0.349 ± 0.139; P = 0.016). These results indicate that an upregulated XOD may be implicated in HD-induced oxidative injury contributing to accelerated protein damage in patients with GNRI ≤ 90.

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Purpose The impact of cataract maturity on the aqueous humor (AH) oxidant/antioxidant balance is largely controversial. This study was aimed at assessing the relationships between cataract maturity and AH lipid peroxidation markers and enzymatic antioxidants. Patients and methods The concentrations of conjugated dienes (CD), lipofuscin-like fluorescent end-products (LLF), soluble proteins, as well as the activities of superoxide dismutase (SOD) and catalase (CAT) were measured in AH samples from nondiabetic patients with either immature (n ¼ 15) or mature (n ¼ 15) cataract. Results In the overall AH sample, the mean values of CD, LLF, SOD, and CAT were 0.160±0.024 (OD 234 ), 166±27 RFU, 24.5±7.1 U/ml, and 31.9±3.9 pmol/ml, respectively. CD was positively correlated with SOD (r ¼ 0.647; Po0.001), CAT (r ¼ À 0.394; P ¼ 0.031), and LLF (r ¼ À 0.399; P ¼ 0.029). The LLF was negatively correlated with SOD (r ¼ À 0.461; P ¼ 0.010). In samples adjusted for confounding factors, differences between immature and mature cataract groups regarding SOD, CD, LLF, and total proteins were significant (Po0.05; for all variables). The multiple logistic regression analysis identified LLF (OR ¼ 4.08; P ¼ 0.038) and SOD (OR ¼ 4.99; P ¼ 0.031) as independent predictors of cataract maturity. Conclusions These results suggest that AH lipid peroxidation markers and antioxidants may significantly depend on the cataract maturity stage.

These results indicate increased local and systemic oxidative stress, accompanied by impaired redox status, but not total vitamin C deficiency, which persisted during conventional clinical treatment of TBM.