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吉尔伯特袋鼠(Potorous gilbertii)中的高草酸尿症、高糖糖尿症和肾草酸沉着症。

Hyperoxaluria, hyperglycoluria and renal oxalosis in Gilbert's potoroos (Potorous gilbertii).

作者信息

Forshaw D, Horwitz A M, Ellard K, Friend J A, Greed L, Metz M

机构信息

Department of Agriculture and Food, 444 Albany Highway, Albany, Western Australia 6330, Australia.

Lockyer Avenue Veterinary Hospital, Albany, WA, Australia.

出版信息

Aust Vet J. 2017 Jul;95(7):250-258. doi: 10.1111/avj.12596.

DOI:10.1111/avj.12596
PMID:28653383
Abstract

CASE REPORT

Six Gilbert's potoroos (Potorous gilbertii) in a captive colony, five of which were closely related, died or were euthanased with severe renal disease. Clinical signs were mostly non-specific. Renal calculi were seen on ultrasound of two affected potoroos and oxalate crystalluria was seen in two of three affected potoroos that had urine samples examined. Necropsies revealed extensive severe renal oxalosis in all affected potoroos. These findings and markedly increased concentrations of glycolate in the urine of the four affected potoroos for which it was measured, confirmed a disorder of oxalate metabolism and suggested a condition similar to primary hyperoxaluria type 1 in humans. Liver alanine : glyoxylate aminotransferase activity and intracellular location were assessed as normal in one affected potoroo, which is inconsistent with human primary hyperoxaluria type 1. Although a condition similar to human primary hyperoxaluria type 2 or 3 was not ruled out, other clinicopathological findings were not consistent with those seen in humans with these conditions. A lack of faecal oxalate-degrading activity was observed in two affected potoroos in which it was measured, whereas oxalate-degrading activity was variably present in healthy captive and wild potoroos.

CONCLUSION

Although the pathogenesis of renal oxalosis in these cases was not clear, the biochemical findings of elevated urinary oxalate and glycolate excretion indicate an abnormality of oxalate metabolism. The familial pattern of disease suggests it could be an inherited condition.

摘要

病例报告

圈养种群中的六只吉尔伯特长鼻袋鼠(Potorous gilbertii),其中五只亲缘关系密切,因严重肾病死亡或被实施安乐死。临床症状大多不具特异性。对两只患病长鼻袋鼠进行超声检查时发现肾结石,在三只接受尿液样本检查的患病长鼻袋鼠中,有两只出现草酸结晶尿。尸检显示,所有患病长鼻袋鼠均有广泛的严重肾草酸沉着症。这些发现以及对四只患病长鼻袋鼠尿液中乙醇酸浓度的测定结果显著升高,证实了草酸代谢紊乱,并提示存在一种与人类1型原发性高草酸尿症相似的病症。对一只患病长鼻袋鼠的肝脏丙氨酸:乙醛酸转氨酶活性及细胞内定位进行评估,结果为正常,这与人类1型原发性高草酸尿症不符。尽管不能排除存在与人类2型或3型原发性高草酸尿症相似的病症,但其他临床病理发现与患这些病症的人类情况不一致。在对两只患病长鼻袋鼠进行测定时,观察到其粪便中缺乏草酸降解活性,而健康的圈养和野生长鼻袋鼠中草酸降解活性存在差异。

结论

尽管这些病例中肾草酸沉着症的发病机制尚不清楚,但尿草酸和乙醇酸排泄升高的生化结果表明草酸代谢异常。疾病的家族模式表明这可能是一种遗传性疾病。

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