Chandanathil Merin Iype, Upadhya Subramanya, Upadhya Sharmila, Bhat Gopalakrishna
Department of Physiology, MSU-GEF International Medical School, New BEL road, MSR Nagar, Bangalore, 560054 India.
Department of Pathophysiology, School of Medicine, St. George University, St. George, West Indies.
Cogn Neurodyn. 2015 Apr;9(2):201-11. doi: 10.1007/s11571-014-9315-z. Epub 2014 Oct 28.
In chronic renal failure there is a gradual retention of substances in the tissues and body fluids, called as uremic retention toxins, which can bring about a number of biochemical activities in the body. Chronic renal insufficiency also leads to progressive behavioural conflict. Uremic toxins can affect both the central and the peripheral nervous system. Uremic encephalopathy is also associated with problems in cognition and memory. To study the psychomotor functional disorders in rats with progressive chronic renal failure surgical nephrectomy was done by resection method. The animals were grouped into two control groups, Sham control (SC) and normal control (NC) and two uremic groups, moderate uremia (GM) and severe uremia (GS). Psychomotor analysis was done by passive avoidance and open field in these animals at 4, 8, 12, and 16 weeks. After the incubation period, the nephrectomised groups (GM and GS) showed significant changes in exploratory, locomotor and emotional behaviour when compared to the controls (NC and SC). Psychomotor changes involve poor cognition, reduced memory, reduced locomotor activity and decreased exploratory drive and emotional disturbance like increased fear during the initial stages. During the later stages a restless behaviour was noticed, associated with diminished fear.
在慢性肾衰竭中,组织和体液中会逐渐潴留一些物质,称为尿毒症潴留毒素,这些毒素可在体内引发多种生化活动。慢性肾功能不全还会导致进行性的行为冲突。尿毒症毒素可影响中枢神经系统和外周神经系统。尿毒症性脑病还与认知和记忆问题有关。为了研究进行性慢性肾衰竭大鼠的精神运动功能障碍,采用切除法进行了手术性肾切除术。将动物分为两个对照组,即假手术对照组(SC)和正常对照组(NC),以及两个尿毒症组,即中度尿毒症组(GM)和重度尿毒症组(GS)。在4周、8周、12周和16周时,通过被动回避和旷场试验对这些动物进行精神运动分析。潜伏期过后,与对照组(NC和SC)相比,肾切除组(GM和GS)在探索、运动和情绪行为方面出现了显著变化。精神运动变化包括认知能力差、记忆力减退、运动活动减少、探索驱动力下降以及情绪障碍,如在初始阶段恐惧增加。在后期阶段,观察到一种不安的行为,伴有恐惧减轻。