Yasuda Hidenori, Amakasu Kohei, Tochigi Yuki, Katayama Kentaro, Suzuki Hiroetsu
Laboratory of Veterinary Physiology, Unit of Functional Morphology, Department of Basic Veterinary Medicine, School of Veterinary Medicine, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan.
Comp Med. 2016 Feb;66(1):10-20.
Renal hypoplasia due to a congenitally reduced number of nephrons progresses to chronic kidney disease and may cause renal anemia, given that the kidneys are a major source of erythropoietin in adults. Hypoplastic kidney (HPK) rats have only about 20% of the normal number of nephrons and develop CKD. This study assessed the renal function and hematologic changes in HPK rats from 70 to 210 d of age. HPK rats demonstrated deterioration of renal excretory function, slightly macrocytic erythropenia at all days examined, age-related increases in splenic hemosiderosis accompanied by a tendency toward increased hemolysis, normal plasma erythropoietin levels associated with increased hepatic and decreased renal erythropoietin production, and maintenance of the response for erythropoietin production to hypoxic conditions, with increased interstitial fibrosis at 140 d of age. These results indicate that increases in splenic hemosiderosis and the membrane fragility of RBC might be associated with erythropenia and that hepatic production of erythropoietin might contribute to maintaining the blood Hgb concentration in HPK rats.
由于先天性肾单位数量减少导致的肾发育不全可进展为慢性肾病,并可能引发肾性贫血,因为在成年人中,肾脏是促红细胞生成素的主要来源。肾发育不全(HPK)大鼠的肾单位数量仅为正常数量的约20%,并会发展为慢性肾病。本研究评估了70至210日龄HPK大鼠的肾功能和血液学变化。HPK大鼠表现出肾排泄功能恶化,在所有检测日均有轻度大细胞性红细胞减少,脾含铁血黄素沉着症随年龄增长而增加,并伴有溶血增加的趋势,血浆促红细胞生成素水平正常,但肝脏促红细胞生成素产生增加而肾脏促红细胞生成素产生减少,对缺氧条件下促红细胞生成素产生的反应得以维持,在140日龄时出现间质纤维化增加。这些结果表明,脾含铁血黄素沉着症增加和红细胞膜脆性增加可能与红细胞减少有关,并且肝脏促红细胞生成素的产生可能有助于维持HPK大鼠的血红蛋白浓度。