Abstractpromised as shown by decreased GSH concentrations, both suggesting increased oxidative stress. Background. Living cells are protected by free radical scavenging enzymes against oxygen radical-mediated damage. It has been suggested that granulocytes are Key words: extracorporeal circulation; free radical activated on the surface of dialyser membranes, scavenging enzyme activity; granulocyte; haemofiltraresulting in the generation of free radicals. We have tion; haemodialysis; oxygen radicals recently reported a lack of plasma lipid peroxidation and unchanged glutathione peroxidase (GSH-Px) as well as glutathione reductase (GSSG-R) activities in Introduction red blood cells of haemodialysis patients. However, because mature red cells are free of DNA and RNA, Oxygen radicals are toxic and are thought to be free radical scavenging enzymes (FRSE ) cannot be involved in the pathogenesis of a variety of diseases regulated on the gene level in response to an acute including chronic renal failure (CRF ) [1]. Haemooxidative stress. In contrast to erythrocytes, granulodialysis treatment has been suggested to impose an cytes are nucleated cells and FRSE protein concentraadditional oxidative stress to patients with CRF by tions can therefore be modulated.activation of granulocytes on dialyser membranes [1-3] Methods. GSH-Px, GSSG-R, superoxide dismutase or the energy of light to which blood components are (SOD) activities and total glutathione (GSH ) were usually not exposed under physiological conditions [4]. determined spectrophotometrically using a Cobas Fara Granulocytes take part in inflammatory reactions in semi-automatic analyser in granulocytes of 31 healthy the body. They are activated by mediators such as blood donors and in 28 patients with chronic renal cytokines or arachidonic acid metabolites to perform failure (CRF ) for more than 6 months before as well their phagocytic inflammatory reactions. Once activas immediately after a single dialysis treatment.ated, they undergo a respiratory burst with the conPatients were treated either by haemodialysis (n=17) comitant release of oxygen-derived free radicals using low-flux polysulphone membranes or by haeincluding superoxide anion (O 2 −), hydrogen peroxide mofiltration (n=11) usings high-flux polysulphone (H 2 O 2 ), hydroxyl radicals (OH ), and hypochlorous membranes.acid (HOCl ). Indiscriminate activation of granulocytes Results. Compared to healthy controls, SOD and leads to tissue damage shown as oxidation of lipid GSSG-R activities were increased in granulocytes of membranes of adjacent cells [5,6 ] as well as of granulo-HD and HF patients, GSH and GSH-Px were cytes themselves [7]. Former investigations indicated a decreased before a single treatment. After dialysis SOD dysfunction of granulocytes in patients undergoing and GSH-PX activities were significantly induced by long-term haemodialysis [8,9]. both HD and HF whereas GSSG-R activities andThe release of oxygen radicals from granulocytes GSH were decreased.has been suggested to be involved in the ...