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논문 기본 정보

자료유형
학술저널
저자정보
Ashkan Karbasi (Hamadan University of Medical Sciences) Ali Abbasi (Tehran University of Medical Sciences) Abbas Mohagheghi (Tehran University of Medical Sciences) Jalal Poorolajal (Department of Epidemiology & Biostatistics, Research Center for Health Sciences, Hamadan University) Farzad Emami (Hamadan University of Medical Sciences) Shirin Moradkhani (Hamadan University of Medical Sciences) Iraj Khodadadi (Hamadan University of Medical Sciences) Mahmoud Gholyaf (Hamadan University of Medical Sciences) Heidar Tavilani (Hamadan University of Medical Sciences)
저널정보
전남대학교 의과학연구소 전남의대학술지 Chonnam Medical Journal Vol.60 No.1
발행연도
2024.1
수록면
59 - 68 (10page)

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Contrast-induced acute kidney injury (CI-AKI) is a frequent challenge following the injection of contrast media and its subsequent oxidative stress. The aim of the present study was to evaluate the preventive effects of coenzyme Q10 (Q10), as a mitochondrial-targeted antioxidant in CI-AKI in diabetic patients, who account for a large proportion of angiographic cases. A total of 118 diabetic patients were randomly assigned to receive 120 mg of oral coenzyme Q10 (Q10 group) or placebo (Placebo group) for four days, starting 24 hours before contrast media injection. Blood urea nitrogen (BUN), serum and urinary creatinine, estimated glomerular filtration rate (eGFR), urinary malondialdehyde (UMDA), urinary total antioxidant capacity (UTAC), and urinary mitochondrial to nuclearDNA ratios (mtDNA/nDNA ratio) were evaluated before and after the treatment period. Urine sediments were also evaluated to report the urine microscopy score (UMS).The levels of BUN, serum and urine creatinine, and UMS were similar in the Q10 and placebo groups. EGFR was lower in the Q10 group before the treatment (p=0.013) but not after. The urinary mtDNA/nDNA ratio was 3.05±1.68 and 3.69±2.58 in placebo and Q10 groups, but UTAC was found to be lower in Q10 both before (p=0.006) and after the treatment (p<0.001). The incidence of CI-AKI was 14.40% and the mtDNA/nNDA ratio was similar between CI-AKI and non-CI-AKI patients. In conclusion, Q10 treatment shows no favorable effect on prevention of CI-AKI or a urinary mtDNA/nDNA ratio among diabetic patients.

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