“…Therefore it is worthwhile to concentrate primarily on plasma GSH-Px in CKD patients. Studies on this enzyme have shown that although GSH-Px 3 is synthesized in a range of tissues, the renal proximal tubular epithelial cells are the main source from which it is secreted into plasma (Avissar et al, 1994;Whitin et al, 1998). Many reports indicate that patients with CKD have very low plasma GSH-Px activity (Yoshimura et al, 1996, Zachara et al, 2004a, Ceballos-Picot et al, 1996 including those undergoing HD (Yoshimura et al, 1996, Roxborough et al, 1999, Ceballos-Picot et al, 1996, Zachara et al, 2001a.…”