The Indonesian Biomedical Journal
Vol 10, No 3 (2018)

Could Complete Blood Count Parameters and Non-fasting Cholesterol Profile Describe Inflammation and Oxidative Stress in Chronic Kidney Disease?

Ika Nindya Kadariswantiningsih (Department of Medical Microbiology, Faculty of Medicine, Airlangga University, Jl. Mayjen Prof. Dr. Moestopo 47, Surabaya)
Mochammad Thaha (Department of Internal Medicine, Faculty of Medicine, Airlangga University, Jl. Mayjen Prof. Dr. Moestopo 47, Surabaya)
Cahyo Wibisono Nugroho (Department of Internal Medicine, Faculty of Medicine, Airlangga University, Jl. Mayjen Prof. Dr. Moestopo 47, Surabaya)
Berliana Hamidah (Department of Medical Biology, Faculty of Medicine, Airlangga University, Jl. Mayjen Prof. Dr. Moestopo 47, Surabaya)
Haerani Rasyid (Department of Internal Medicine, Faculty of Medicine, Hasanuddin University, Jl. Perintis Kemerdekaan Km. 10, Makassar)
Zaky El Hakim (Medical Science Program, Faculty of Medicine, Airlangga University, Jl. Mayjen Prof. Dr. Moestopo 47, Surabaya)
Maulana Muhtadin Suryansyah (Medical Science Program, Faculty of Medicine, Airlangga University, Jl. Mayjen Prof. Dr. Moestopo 47, Surabaya)
Mohammad Yusuf Alsagaff (Department of Cardiology, Faculty of Medicine, Airlangga University, Jl. Mayjen Prof. Dr. Moestopo 47, Surabaya)
Djoko Santoso (Department of Medical Microbiology, Faculty of Medicine, Airlangga University, Jl. Mayjen Prof. Dr. Moestopo 47, Surabaya)
Maulana Antiyan Empitu (Department of Pharmacology, Faculty of Medicine, Airlangga University, Jl. Mayjen Prof. Dr. Moestopo 47, Surabaya)
Yusuke Suzuki (Division of Nephrology, Juntendo University School of Medicine, 2-1-1, Hongo, Bunkyo-ku, Tokyo)



Article Info

Publish Date
28 Dec 2018

Abstract

BACKGROUND: Establishment of inexpensive clinical laboratory tests to evaluate inflammation and oxidative stress is urgently needed in the limited resources settings. This study aims to investigate the potential of complete blood count (CBC) parameters and non-fasting cholesterol profile parameters to describe inflammation and oxidative stress in chronic kidney disease (CKD) patients.METHODS: Measurement of CBC, non-fasting cholesterol profile, high sensitivity C-reactive protein (hs-CRP) and malondialdehyde (MDA) were performed in 71 CKD patients grouped into hemodialysis (HD) and non-hemodialysis (non-HD). Correlation analysis were performed to assess the potential of CBC and cholesterol profile to describe the level of hs-CRP and MDA.RESULTS: In the HD group, total cholesterol was moderately associated with hs-CRP while total cholesterol/HDL-C ratio, monocyte/HDL-C ratio, monocyte/LDL-C ratio, neutrophil/HDL-C ratio, neutrophil/LDL-C ratio, platelet/HDL-C ratio and platelet/LDL-C ratio were strongly associated with hs-CRP. In the non-HD group,only neutrophil/total cholesterol ratio and platelet/total cholesterol ratio that were associated with hs-CRP. Total cholesterol, monocyte/LDL-C ratio, neutrophil/LDL-C ratio and platelet/LDL-C ratio were moderately associated with MDA while total cholesterol/HDL-C ratio, monocyte/HDL-C ratio, neutrophil/HDL-C ratio and platelet/HDL-C ratio were strongly associated respectively with MDA in HD group. In the non-HD group, total cholesterol/HDL-C ratio, neutrophil/HDL-C ratio and platelet/HDL-C ratio were moderately associated with MDA in non-HD group while monocyte/HDL-C ratio was weakly associated with MDA.CONCLUSION: Some CBC parameters and non-fasting cholesterol profile such as cholesterol/HDL-C, monocyte/HDL-C, neutrophil/HDL-C and platelet/HDL-C ratio showed a potential to describe the inflammation and stress oxidative markers, given some strong associations with the level of hs-CRP and MDA. Further study is needed to assess whether this parameter represent long-term prognostic value among CKD patients.KEYWORDS: inflammation, oxidative stress, CRP, MDA, TAC, 8-OHdG, CBC, cholesterol

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