Nath K A, Salahudeen A K
Department of Medicine, University of Minnesota, Minneapolis 55455.
J Clin Invest. 1990 Oct;86(4):1179-92. doi: 10.1172/JCI114824.
We report induction of renal growth and injury in the intact rat kidney using a diet deficient in vitamin E and selenium. This diet was imposed in 3-wk-old male weanling rats, and after 9 wk, enhancement of growth, characterized by increased wet weight, dry weight, protein content, and DNA content appeared. Morphometric analyses revealed increased kidney volume, tubular epithelial volume, and mean glomerular volume. There were no differences in nephron number. The animals on the deficient diet displayed increased urinary protein excretion at 9 wk. Renal injury was also characterized by an interstitial cellular infiltrate and diminutions in glomerular filtration rate. Enhanced growth and injury were antedated by increased renal ammoniagenesis. The deficient diet did not induce metabolic acidosis, potassium depletion, glucose intolerance, or elevated plasma amino acid concentration. Enhancement of renal growth and ammoniagenesis by the deficient diet was not suppressible by chronic alkali therapy. Stimulation of renal growth could not be ascribed to increased intrarenal iron, induction of ornithine decarboxylase, or alterations in glomerular hemodynamics. Stimulation of renal ammoniagenesis by dietary deficiency of antioxidants is a novel finding, as is induction of growth and injury. We suggest that increased renal ammoniagenesis contributes to induction of renal growth and injury.
我们报告了在完整大鼠肾脏中使用缺乏维生素E和硒的饮食诱导肾脏生长和损伤的情况。这种饮食施加于3周龄的雄性断奶大鼠,9周后,出现了以湿重、干重、蛋白质含量和DNA含量增加为特征的生长增强。形态计量分析显示肾脏体积、肾小管上皮体积和平均肾小球体积增加。肾单位数量没有差异。缺乏饮食的动物在9周时尿蛋白排泄增加。肾脏损伤还表现为间质细胞浸润和肾小球滤过率降低。肾脏产氨增加先于生长增强和损伤。缺乏饮食并未诱导代谢性酸中毒、钾缺乏、葡萄糖不耐受或血浆氨基酸浓度升高。缺乏饮食对肾脏生长和产氨的增强作用不能被慢性碱疗法抑制。肾脏生长的刺激不能归因于肾内铁增加、鸟氨酸脱羧酶的诱导或肾小球血流动力学的改变。饮食中抗氧化剂缺乏对肾脏产氨的刺激是一个新发现,肾脏生长和损伤的诱导也是如此。我们认为肾脏产氨增加有助于诱导肾脏生长和损伤。