The objective of the present study is to examine whether L-carnitine supplementation may improve the muscle symptom, cardiac function and renal anemia in hemodialysis (HD) patients. Cobimetinib order Methods: L-carnitine of 600 mg/day was administrated to 80 HD outpatients in our dialysis center for 6 months. The incidence of muscle spasm was obtained by the questionary survey,

the cardiac function was examined by echocardiography. Hemoglobin levels (Hb) and dosages of ESA (Erythropoiesis Stimulating Agents) were also obtained from personal data. Results: The blood concentration of total carnitine was significantly increased from 45.4 ± 6.58 μmol/l to 170.4 ± 6.92 μmol/l (normal range: 45–91 μmol/l) (p < 0.01), that of free carnitine was also significantly increased from 27.9 ± 4.20 μmol/l to 107.2 ± 4.42 μmol/l (normal range: 36–74 μmol/l) (p < 0.01). That of TAM Receptor inhibitor acyl carnitine was significantly increased from 17.4 ± 2.55 μmol/l to 63.2 ± 2.68 μmol/l (normal range: 6–23 μmol/l) (p < 0.01). As a result of questionary survey about the muscle spasm, 39% of patients who had HD for more than 4 years have felt the improvement of leg cramps. We didn't obtain any significant findings in echocardiography. The Hemoglobin levels were significantly elevated from 10.3 ± 0.12 g/dl to 10.8 ± 0.13 g/dl (p < 0.05), but dosage of erythropoietin resistance

index (dosage of ESA / body weight / Hb) was not significantly changed. Conclusion: This study showed that the blood concentration of carnitine was significantly increased by administration of L-carnitine. It appears that L-carnitine may improve the muscle spasm and hemoglobin levels in HD patients. TSAI MIN-SUNG1, SHAW HUEY-MEI2, LI YI-JEN3, LIN MENG-TE1

1KUO General Hospital, Tainan City, Taiwan; 2Chia-Nan University of Pharmacy and Science, Tainan City, Taiwan; 3Chang-Jung Christian University, Tainan City, Taiwan Introduction: Tocopherols are potent antioxidants and are effective in significantly reducing the production of membrane lipid peroxidation. Previous studies disclosed that the concentrations of alpha tocopherol (AT) in chronic kidney disease (CKD) patients were varies. There was no benefit of using tocopherol in CKD patients if the goals based Cell press on the decreasing cardiovascular disease events, slowing progression of proteinuria or decreasing progression of CKD. The level of alpha-tocopherol is highly associated with triglyceride. Furthermore, the increase of triglyceride-rich lipoproteins in CKD patients leads to the high prevalence of hypertriglyceridemia. Therefore, the effective tocopherol level needs to adjust the triglyceride level. AT is also associated with metabolic syndrome (MetS). MetS, characterized by insulin resistance, can be improved by supplements rich in tocopherols. However, the application of tocopherol in CKD with MetS had not been demonstrated before. Methods: There was a total 64 CKD patients enrolled in the cross sectional study.