Department of Biology, College of Natural Sciences, University of Hawaii at Manoa, Honolulu, HI 96822, USA.
Am J Physiol Renal Physiol. 2013 May 15;304(10):F1252-7. doi: 10.1152/ajprenal.00714.2012. Epub 2013 Mar 20.
Techniques to measure morphological parameters, such as glomerular (and thereby nephron) number, glomerular size, and kidney volume, have been vital to understanding factors contributing to chronic kidney disease (CKD). These techniques have also been important to understanding the associations between CKD and other systemic and cardiovascular diseases and have led to the identification of developmental risk factors for these pathologies. However, existing techniques in quantitative kidney morphology are resource- and time-consuming and are destructive to the organ. This review discusses the emerging generation of techniques to study kidney morphology quantitatively using magnetic resonance imaging (MRI) using the intravenous injection of the superparamagnetic nanoparticle cationic ferritin, which binds to the glomerular basement membrane. A primary advantage of MRI over previously established techniques is the ability to quantify morphology in the intact organ with minimal sample preparation. We highlight areas of research where MRI-based morphological measurements will be helpful in animal models and possibly diagnostic clinical nephrology, discuss technical challenges in light of the progress in MRI techniques to date, and identify novel measurements that may be possible using MRI, both ex vivo and in vivo.
测量形态学参数的技术,如肾小球(进而包括肾单位)数量、肾小球大小和肾脏体积,对于了解导致慢性肾脏病(CKD)的因素至关重要。这些技术对于了解 CKD 与其他全身和心血管疾病之间的关联也很重要,并导致了这些病变的发育风险因素的确定。然而,现有的定量肾脏形态学技术资源密集且耗时,对器官具有破坏性。本综述讨论了使用静脉注射超顺磁纳米颗粒阳离子铁蛋白定量研究肾脏形态学的新兴技术,该技术可与肾小球基底膜结合。与以前建立的技术相比,MRI 的主要优势在于能够在最小的样本制备下对完整器官进行形态学定量。我们强调了在动物模型中以及在可能的诊断临床肾脏病学中,MRI 形态测量将有助于研究的领域,根据迄今为止 MRI 技术的进展讨论了技术挑战,并确定了使用 MRI 进行离体和体内可能的新测量。
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