{"id":26586,"date":"2019-10-20T12:00:14","date_gmt":"2019-10-20T18:00:14","guid":{"rendered":"http:\/\/www.salud.carlosslim.org\/english2\/?p=26586"},"modified":"2019-10-21T16:19:05","modified_gmt":"2019-10-21T22:19:05","slug":"citric-acid-on-dialysis-prevents-vascular-calcification","status":"publish","type":"post","link":"http:\/\/www.salud.carlosslim.org\/english2\/citric-acid-on-dialysis-prevents-vascular-calcification\/","title":{"rendered":"Citric acid on dialysis prevents vascular calcification"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-26630\" src=\"http:\/\/www.salud.carlosslim.org\/english2\/wp-content\/uploads\/2019\/10\/hemodialisis.jpg\" alt=\"\" width=\"196\" height=\"130\" srcset=\"http:\/\/www.salud.carlosslim.org\/english2\/wp-content\/uploads\/2019\/10\/hemodialisis.jpg 600w, http:\/\/www.salud.carlosslim.org\/english2\/wp-content\/uploads\/2019\/10\/hemodialisis-300x199.jpg 300w, http:\/\/www.salud.carlosslim.org\/english2\/wp-content\/uploads\/2019\/10\/hemodialisis-250x166.jpg 250w\" sizes=\"auto, (max-width: 196px) 100vw, 196px\" \/>Spanish researchers have found that <strong>replacing acetate with citrate in the dialysis bath prevents the formation of vascular calcifications<\/strong>. The advance, published in <em>Scientific Reports<\/em>, opens a <strong>new door to improve the quality of life of hemodialysis patients<\/strong>.<\/p>\n<p>Every year around 43,000 people in Spain undergo dialysis treatment to eliminate toxins that are not expelled naturally due to lack of renal function. This <strong>treatment offers a possibility of improving the quality of life, even when there is a risk of vascular calcifications<\/strong>.<\/p>\n<p>Now, researchers from the Jim\u00e9nez D\u00edaz Foundation, the Autonomous University of Madrid (UAM) and the 12 de Octubre University Hospital have <strong>identified that the use of citrate in the dialysis bath could prevent the formation of such calcifications<\/strong>, typically associated with patients on dialysis.<\/p>\n<p>\u201c<strong><em>Citrate, like bicarbonate, is a good pH regulator. It also has the property of capturing calcium and, therefore, preventing the formation of calcifications in the vascular system<\/em><\/strong>,\u201d says research director Ricardo Villa-Bellosta.<\/p>\n<p>\u201c<em>During the standard dialysis session with bicarbonate-acetate the blood citrate concentration is reduced by half. On the contrary, the <strong>concentration of citrate in plasma increases fivefold when a bicarbonate-citrate bath is used<\/strong><\/em>,\u201d adds the researcher.<\/p>\n<h3>Dialysis treatment<\/h3>\n<p>To carry out the functions that cells perform in the body, they need to feed. But <strong>in the same way that the cells feed, they also produce and release their wastes into the blood, which are filtered and disposed of through the urine thanks to the kidney<\/strong>. But when the kidney stops working, these wastes (toxins) cannot be eliminated, resulting in accelerated aging.<\/p>\n<p>The <strong>main consequence of the accumulation of these wastes is the reduction of blood pH, which is known as acidosis<\/strong>. To counteract it, during the dialysis session bicarbonate is used, a substance that increases and maintains the blood pH in normal values.<\/p>\n<p>To avoid the formation of calcium and magnesium precipitates in the dialysis fluid, <strong>acetate has been used so far, a substance that maintains the pH of the dialysis fluid within the optimum range<\/strong>.<\/p>\n<p>&#8220;<em>The replacement of acetate with citrate is a therapeutic alternative, with no added costs and easy application to combat the formation of vascular calcifications<\/em>,&#8221; notes Villa-Bellosta.<\/p>\n<p>\u201c<em><strong>Chronic kidney disease is one of the causes of death that is growing faster in our country<\/strong>. In the not too distant future, it will be part of the group of diseases associated with aging that our increasingly aging society will have to face due to its socio-economic impact<\/em>,\u201d concludes the researcher.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Source: <\/strong><em>SINC<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Spanish researchers have found that replacing acetate with citrate in the dialysis bath prevents the formation of vascular calcifications. The advance, published in Scientific Reports, opens a new door to improve the quality of life of hemodialysis patients. Every year around 43,000 people in Spain undergo dialysis treatment to eliminate toxins that are not expelled &#8230;<\/p>\n","protected":false},"author":7,"featured_media":26630,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[3],"tags":[15,13],"class_list":["post-26586","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualidad-en-la-salud","tag-casalud","tag-renal","cat-3-id","has_thumb"],"_links":{"self":[{"href":"http:\/\/www.salud.carlosslim.org\/english2\/wp-json\/wp\/v2\/posts\/26586","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.salud.carlosslim.org\/english2\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.salud.carlosslim.org\/english2\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.salud.carlosslim.org\/english2\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"http:\/\/www.salud.carlosslim.org\/english2\/wp-json\/wp\/v2\/comments?post=26586"}],"version-history":[{"count":6,"href":"http:\/\/www.salud.carlosslim.org\/english2\/wp-json\/wp\/v2\/posts\/26586\/revisions"}],"predecessor-version":[{"id":26631,"href":"http:\/\/www.salud.carlosslim.org\/english2\/wp-json\/wp\/v2\/posts\/26586\/revisions\/26631"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.salud.carlosslim.org\/english2\/wp-json\/wp\/v2\/media\/26630"}],"wp:attachment":[{"href":"http:\/\/www.salud.carlosslim.org\/english2\/wp-json\/wp\/v2\/media?parent=26586"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.salud.carlosslim.org\/english2\/wp-json\/wp\/v2\/categories?post=26586"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.salud.carlosslim.org\/english2\/wp-json\/wp\/v2\/tags?post=26586"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}