RT Journal Article T1 Biocompatibility reduces inflammation-induced apoptosis in mesothelial cells exposed to peritoneal dialysis Fluid A1 Santamaria, Beatriz A1 Ucero Herrería, Álvaro Conrado A1 Benito Martín, Alberto A1 Vicent, María Jesús A1 Orzáez, Mar A1 Celdrán, Ángel A1 Selgas, Rafael A1 Ruíz Ortega, Marta A1 Ortiz, Alberto AB Background/Aims: Peritonitis is a major complication that arises out of peritoneal dialysis (PD), leading to death and loss of mesothelium and peritoneal injury, which may impede PD. We studied the combined impact of inflammatory mediators and PD fluids on mesothelial cell death. Methods: Cultured human mesothelial cells. Results: Inflammatory cytokines (TNF-α and interferon-γ) cooperate with bioincompatible PD fluids containing high glucose degradation product (GDP) concentrations to promote mesothelial cell death. Thus, the inflammatory cytokine cocktail induced a higher rate of death in cells cultured in high GDP PD fluid than in low GDP PD fluid or cell culture medium (cell death expressed as % hypodiploid cells: TNF-α and interferon-γ in RPMI: 14.15 ± 1.68, TNF-α and interferon-γ in 4.25% low GDP PD fluid 13.16 ± 3.29, TNF-α and interferon-γ in 4.25% high GDP PD fluid 25.88 ± 2.18%, p < 0.05 vs. the other two groups). BclxL BH4 peptides, Apaf-1 inhibition or caspase inhibition failed to protect from apoptosis induced by the combination of inflammatory cytokines and bioincompatible PD fluids, although they protected from other forms of mesothelial cell apoptosis. Conclusion: Inflammation cooperates with high GDP PD fluids to promote mesothelial cell death, which is resistant to several therapeutic approaches. This information provides a framework for selection of PD fluid during peritonitis PB Karger SN 0253-5068 YR 2015 FD 2015-03-05 LK https://hdl.handle.net/20.500.14352/133187 UL https://hdl.handle.net/20.500.14352/133187 LA eng NO Santamaría B, Ucero AC, Benito-Martin A, Vicent MJ, Orzáez M, Celdrán A, Selgas R, Ruíz-Ortega M, Ortiz A. Biocompatibility reduces inflammation-induced apoptosis in mesothelial cells exposed to peritoneal dialysis fluid. Blood Purification. 2015;39(1-3):200-209. doi:10.1159/000374103. PMID: 25792041. NO Instituto de Salud Carlos III NO Unión Europea NO Sociedad Española de Nefrología NO Comunidad Autónoma de Madrid NO Fresenius Medical Care DS Docta Complutense RD 30 mar 2026