Cárdenas A, Bernard A, Lauwerys R
Industrial Toxicology and Occupational Medicine Unit, Faculty of Medicine, Catholic University of Louvain, Brussels, Belgium.
Toxicology. 1992 Dec 4;76(3):219-31. doi: 10.1016/0300-483x(92)90191-g.
The aim of the present work was to assess the effects of long-term exposure to Cd on the sulfatation of glomerular membranes and their relation with proteinuria and urinary glycosaminoglycans (GAG). For this purpose the in vitro incorporation of [35S]sulfate was investigated in female Sprague-Dawley rats given 100 ppm of Cd in drinking water for 7 months. When compared with their controls, glomeruli from Cd-treated rats showed a 12.8% decrease in the incorporation of the label into glomerular membranes. This effect, which was not explained by differences in viability or in sulfate uptake by the glomeruli, suggests that sulfatation of glomerular membranes is impaired in Cd-treated rats. In support of this, in another independent experiment, a decrease, 17.4% on average, of the sulfate content of glomerular membranes was observed in long-term Cd-treated rats (100 ppm in drinking water for 4 months). This effect was significantly correlated with albuminuria and transferrinuria but not with beta 2-microglobinuria, suggesting that a loss of heparan sulfate of the glomerular capillary wall could be involved in the Cd-induced glomerular proteinuria. On the other hand an enhanced urinary excretion of GAG, negatively correlated with the sulfate content of glomerular membranes, was also observed in Cd-treated rats. Moreover GAG excretion was associated with tubular and glomerular proteinuria, which suggests that GAG might be a useful marker of Cd-induced nephrotoxicity.
本研究的目的是评估长期接触镉对肾小球膜硫酸化作用的影响及其与蛋白尿和尿糖胺聚糖(GAG)的关系。为此,对饮用含100 ppm镉的水7个月的雌性Sprague-Dawley大鼠,研究了[35S]硫酸盐的体外掺入情况。与对照组相比,镉处理大鼠的肾小球中标记物掺入肾小球膜的量减少了12.8%。这种效应不能用肾小球活力或硫酸盐摄取的差异来解释,这表明镉处理大鼠的肾小球膜硫酸化作用受到损害。支持这一点的是,在另一项独立实验中,长期镉处理大鼠(饮用含100 ppm镉的水4个月)的肾小球膜硫酸盐含量平均下降了17.4%。这种效应与白蛋白尿和转铁蛋白尿显著相关,但与β2-微球蛋白尿无关,这表明肾小球毛细血管壁硫酸乙酰肝素的丢失可能与镉诱导的肾小球蛋白尿有关。另一方面,在镉处理大鼠中也观察到GAG尿排泄增加,且与肾小球膜硫酸盐含量呈负相关。此外,GAG排泄与肾小管和肾小球蛋白尿有关,这表明GAG可能是镉诱导肾毒性的一个有用标志物。