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Unlabelled: Hemodialysis (HD) is a dynamic process, which occurs during movement through a semipermeable membrane, water soluble substances of low molecular weight. Transport across the membranes of low-flux (LF) dialyzers is based mainly on diffusion and through the membranes of high-flux (HF) dialyzers, diffusion and convection. The aim of the study was to compare the adequacy of hemodialyses conducted on the basis of the low-flux dialyzers with polysulfone membrane, and the high-flux dialyzers with helixone membrane., Material and Methods: The study included 60 patients (23 women and 37 men) aged 24-84 years (mean 60.73 +/- 15.75) treated with maintenance hemodialysis (three times per week). The study enrolled clinically stable patients after a minimum 3-months period of HD. Blood tests were performed 1 time a month before the middle week dialysis session. For the first six months HD was based on LF dialyzers with polysulfone membrane, and then for an additional 6 months based on HF dialyzers with helixone membrane., Results: The performed study demonstrated a statistically significant higher values of: spKtV and URR% and lower values of the urea before and after HD sessions performed based on HF-HD as compared with LF-HD (spKt/V LF = 1.26 +/- 0.23 vs. spKtV HF = 1.37 +/- 0.17; p < 0.001, URR% LF = 66.74 +/- 5.86 vs. URR% HF = 70.57 +/- 3.71; p < 0.001, urea before LF-HD = 21.57 +/- 4.57 mmol/I vs. HF-HD = 20.57 +/- 4.21 mmol/I; p < 0.01 and the urea after LF. HD = 7.19 +/- 2.25 mmol/l vs. HF-HD = 6.03 +/- 1.55 mmol/l; p < 0.001). Conclusions: The study showed better adequacy of HD treatment performed based on the high-flux dialyzers with helixone membrane as compared with low-flux dialyzers with polysulfone membrane.

Reactive oxygen and nitrogen species are attributed to initiation and propagation of many diseases. The demonstration of elevated activity of myeloperoxidase and the level of 3-chlorotyrosine in atherosclerosis, kidney diseases and chronic inflammations brought about the interest in the biological role of another strong oxidant--hypochlorite. Concentration of this compound is extremely difficult to estimate in vivo and in vitro because of its high reactivity. The reaction of hypochlorite with biological compounds lead to formation of chlorohydrins, glutathione sulfonamides, chloramines, 3- and 3,5-dichlorotyrosines and chlorinated DNA bases (8-chloroadenine, 8-chloroguanine, 5-chlorocytosine and 5-chlorouracil). At least some of these products of hypochlorite action are believed to provide specific HOCl-biomarkers, useful especially in the analysis of clinical samples, using sensitive detection techniques.