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Intracellular calcium and transmembrane calcium fluxes in chronic renal failure patients

Dissertation (MSc)--University of Pretoria, 2000.

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Other Authors: Viljoen, Margaretha
Format: Thesis
Published: University of Pretoria 2013
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access_status_str Open Access
author2 Viljoen, Margaretha
author_browse Viljoen, Margaretha
author_facet Viljoen, Margaretha
collection Thesis
dc_rights_str_mv © 2000 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Dissertation (MSc)--University of Pretoria, 2000.
format Thesis
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institution University of Pretoria (South Africa)
last_indexed 2026-06-10T12:40:13.972Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2013
publishDateRange 2013
publishDateSort 2013
publisher University of Pretoria
publisherStr University of Pretoria
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source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/28059 Intracellular calcium and transmembrane calcium fluxes in chronic renal failure patients Viljoen, Margaretha Kruger, Marlena C. upetd@up.ac.za Koorts, Alida Maria Transmission electron microscopy Fluorescent calcium indicator Intracellular calcium Haemodialysis patients Recombinant human erythropoietin UCTD Dissertation (MSc)--University of Pretoria, 2000. Intracellular calcium is a major determinant of a wide variety of cell functions and thus of organ function. In order to get a clear picture of the intracellular calcium status it is preferable to assess the content of the various intracellular calcium pools as well as the characteristics of the transmembrane calcium movements, Le., the magnitude of the transmembrane Ca2+ flux upon stimulation and the rate of the subsequent return to baseline levels. The first aim of this study was to establish and evaluate the methods in the laboratory. The methods investigated include atomic absorption spectrometry, graphite furnace atomic absorption spectrometry and inductively coupled plasma mass spectrometry for the determination of the total cell calcium content, fluorescence spectrophotometry for the determinations of intracellular free Ca2+ and transmembrane Ca2+ movements and transmission electron microscopy for the localisation of intracellular calcium. The methods eventually identified as feasible included fluorescence spectrophotometry for the determination of intracellular free Ca2+ and transmembrane Ca2+ movements and transmission electron microscopy for the localisation of intracellular calcium. The newly developed fluorescent calcium indicator, fura-PE3, was presently shown to be the most reliable fluorescent indicator for the intracellular free Ca2+ determinations. The best method for the calcium localisation by transmission electron microscopy was an adaptation of the antimonate precipitation technique. The following objectives were set in order to contribute to the knowledge in chronic renal failure; examination of the intracellular free Ca2+ content in the neutrophils of end stage renal failure patients on maintenance haemodialysis treatment, as the result of renal failure, dialysis treatment and medication combined; examination of the characteristics of the transmembrane Ca2+ movements; investigation of the intracellular calcium distribution in the neutrophils; exploration of a possible link between the alterations in intracellular calcium status and factors known to influence the calcium status, including the lipid composition of the membrane, the oxidative status as reflected by anti-oxidant vitamin levels, as well as the levels of parathyroid hormone, and ionised serum calcium. This study involved 14 chronic renal failure patients on maintenance haemodialysis. An increase in intracellular free Ca2+, the magnitude of the transmembrane Ca2+ flux upon fMLP stimulation and an increase in the rate of the subsequent decrease in intracellular free calcium were found. In separating the patients into those receiving rHuEPO and those not receiving rHuEPO, it was seen that the significance in the increase in intracellular free Ca2+ could be ascribed to the values obtained in those patients receiving rHuEPO - despite the fact that they were the only patients receiving calcium channel blockers. No overt indications of oxidative stress could be detected by anti-oxidant vitamin levels. Nevertheless, a decrease in the content of specific membrane fatty acids occurred, supporting the previous suggestions of the presence of a mild chronic inflammatory condition in the chronic renal failure patient on maintenance haemodialysis treatment. These results suggest that factors other than those associated with uraemia, such as rHuEPO administration, might result in an increase in intracellular free Ca2+ in cells of CRF/MHT patients. The magnitude of the rHuEPD-induced increase in intracellular free Ca2+ and the effects of the various calcium channel blockers need urgent further investigation as ineffective counteraction of the rHuEPO effect, as indicated by the relative ineffectivity of Norvasc, may have serious side-effects. Physiology unrestricted 2013-09-07T12:48:58Z 2010-09-20 2013-09-07T12:48:58Z 2000-11-01 2000 2010-09-20 Dissertation Koorts, AM 2000, Intracellular calcium and transmembrane calcium fluxes in chronic renal failure patients, MSc dissertation, University of Pretoria, Pretoria, viewed yymmdd < http://hdl.handle.net/2263/28059 > H1070/ag http://hdl.handle.net/2263/28059 http://upetd.up.ac.za/thesis/available/etd-09202010-115338/ © 2000 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf application/pdf application/pdf application/pdf application/pdf University of Pretoria
spellingShingle Transmission electron microscopy
Fluorescent calcium indicator
Intracellular calcium
Haemodialysis patients
Recombinant human erythropoietin
UCTD
Intracellular calcium and transmembrane calcium fluxes in chronic renal failure patients
title Intracellular calcium and transmembrane calcium fluxes in chronic renal failure patients
title_full Intracellular calcium and transmembrane calcium fluxes in chronic renal failure patients
title_fullStr Intracellular calcium and transmembrane calcium fluxes in chronic renal failure patients
title_full_unstemmed Intracellular calcium and transmembrane calcium fluxes in chronic renal failure patients
title_short Intracellular calcium and transmembrane calcium fluxes in chronic renal failure patients
title_sort intracellular calcium and transmembrane calcium fluxes in chronic renal failure patients
topic Transmission electron microscopy
Fluorescent calcium indicator
Intracellular calcium
Haemodialysis patients
Recombinant human erythropoietin
UCTD
url http://hdl.handle.net/2263/28059
http://upetd.up.ac.za/thesis/available/etd-09202010-115338/