N-acetylcysteine treatment attenuates hemodialysis access-related limb pathophysiology in mice with chronic kidney disease

Author:

Kim Kyoungrae1ORCID,Cort Tomas A.1,Kunz Eric M.1,Moerschel Jack1,Palzkill Victoria R.1,Dong Gengfu1,Moparthy Chatick N.1,Anderson Erik M.23ORCID,Fazzone Brian23ORCID,O’Malley Kerri A.23,Robinson Scott T.23,Berceli Scott A.23,Ryan Terence E.14ORCID,Scali Salvatore T.23ORCID

Affiliation:

1. Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida, United States

2. Division of Vascular Surgery and Endovascular Therapy, University of Florida, Gainesville, Florida, United States

3. Malcom Randall Veteran Affairs Medical Center, University of Florida, Gainesville, Florida, United States

4. Center for Exercise Science, University of Florida, Gainesville, Florida, United States

Abstract

Hemodialysis via autogenous arteriovenous fistula (AVF) is the preferred first-line modality for renal replacement therapy in patients with end-stage kidney disease. However, patients undergoing AVF surgery frequently experience a spectrum of hand disability symptoms postsurgery including weakness and neuromotor dysfunction. Unfortunately, no treatment is currently available to prevent or mitigate these symptoms. Here, we provide evidence that daily N-acetylcysteine supplementation can attenuate some aspects of limb neuromotor function in a preclinical mouse model of AVF.

Funder

American Historical Association

HHS | NIH | National Heart, Lung, and Blood Institute

Publisher

American Physiological Society

Subject

Physiology

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