Bazzano Telma, Restel Tamy Ingrid, Porfirio Lenir Cardoso, Souza Albert Schiaveto de, Silva Iandara Schettert
UFMS, Campo Grande, MS, Brazil.
UFES, Vitoria, ES, Brazil.
Acta Cir Bras. 2015 Apr;30(4):277-88. doi: 10.1590/S0102-865020150040000007. Epub 2015 Apr 1.
To investigate biomarkers of acute renal injury in Wistar rats, subjected to left renal ischemia for 10 minutes, and then compare reperfusion at 24 hours, and at 5, 7, 14 and 21 days after the procedure.
Eight female and male rats between 60 and 81 days old were used in the Central Animal Facility of the UFMS. Assessed biomarkers included urine protein, urea, creatinine, glucose, sodium, potassium, urine alkaline phosphatase and gamma-glutamyl transferase activities, and protein-to-creatinine ratio; and in serum: urea, creatinine, sodium and potassium, fractional excretion of sodium, potassium, urine flow and creatinine clearance.
Greater variance was observed in the parameters at 24 hours and at five days (p<0.05) after reperfusion. On the 21st day, these parameters approximated those obtained for the control group.
Renal ischemia for 10 minutes was sufficient to raise urine levels of protein, glucose, fractional excretion of potassium, urea, creatinine clearance, urine activity of gamma-glutamyltransferase and alkaline phosphatase enzymes in the first 24 hours, up to five days after reperfusion, which may indicate risk of acute kidney injury, according to the RIFLE classification.
研究Wistar大鼠急性肾损伤的生物标志物,对其左肾进行10分钟的缺血处理,然后比较术后24小时以及术后5、7、14和21天再灌注时的情况。
在UFMS的中央动物设施中使用了8只60至81日龄的雌性和雄性大鼠。评估的生物标志物包括尿蛋白、尿素、肌酐、葡萄糖、钠、钾、尿碱性磷酸酶和γ-谷氨酰转移酶活性以及蛋白与肌酐比值;血清中的尿素、肌酐、钠和钾、钠和钾的分数排泄、尿流量和肌酐清除率。
再灌注后24小时和5天时观察到参数的差异更大(p<0.05)。在第21天,这些参数接近对照组获得的参数。
根据RIFLE分类,10分钟的肾缺血足以在再灌注后的头24小时内直至5天内提高尿中蛋白质、葡萄糖、钾的分数排泄、尿素、肌酐清除率、γ-谷氨酰转移酶和碱性磷酸酶的尿活性,这可能表明存在急性肾损伤风险。