INSERM U1082-IRTOMIT, 86000 Poitiers, France.
Int J Mol Sci. 2019 Dec 11;20(24):6246. doi: 10.3390/ijms20246246.
The renal cortex drives renal function. Hypoxia/reoxygenation are primary factors in ischemia-reperfusion (IR) injuries, but renal oxygenation per se is complex and awaits full elucidation. Few mathematical models address this issue: none captures cortical tissue heterogeneity. Using agent-based modeling, we develop the first model of cortical oxygenation at the cell-tissue level (RCM), based on first principles and careful bibliographical analysis. Entirely parameterized with Rat data, RCM is a morphometrically equivalent 2D-slice of cortical tissue, featuring peritubular capillaries (PTC), tubules and interstitium. It implements hemoglobin/O binding-release, oxygen diffusion, and consumption, as well as capillary and tubular flows. Inputs are renal blood flow RBF and PO feeds; output is average tissue PO (tPO). After verification and sensitivity analysis, RCM was validated at steady-state (tPO 37.7 ± 2.2 vs. 36.9 ± 6 mmHg) and under transients (ischemic oxygen half-time: 4.5 ± 2.5 vs. 2.3 ± 0.5 s in situ). Simulations confirm that PO is largely independent of RBF, except at low values. They suggest that, at least in the proximal tubule, the luminal flow dominantly contributes to oxygen delivery, while the contribution of capillaries increases under partial ischemia. Before addressing IR-induced injuries, upcoming developments include ATP production, adaptation to minutes-hours scale, and segmental and regional specification.
肾皮质驱动肾脏功能。缺氧/复氧是缺血再灌注(IR)损伤的主要因素,但肾脏本身的氧合作用很复杂,有待充分阐明。很少有数学模型解决这个问题:没有一个模型能捕捉到皮质组织的异质性。我们使用基于主体的建模方法,根据第一性原理和仔细的文献分析,首次在细胞-组织水平上建立了皮质氧合的模型(RCM)。RCM 完全用大鼠数据进行参数化,是皮质组织的形态等效 2D 切片,具有肾小管周毛细血管(PTC)、肾小管和间质。它实现了血红蛋白/O 的结合-释放、氧扩散和消耗,以及毛细血管和管状流。输入是肾血流量 RBF 和 PO 供应;输出是平均组织 PO(tPO)。在验证和敏感性分析之后,RCM 在稳态(tPO 为 37.7 ± 2.2 对 36.9 ± 6 mmHg)和瞬态(缺血氧半时间:原位 4.5 ± 2.5 对 2.3 ± 0.5 s)下进行了验证。模拟结果证实,PO 基本上与 RBF 无关,除非在低 RBF 值下。它们表明,至少在近端小管中,管腔流主要有助于氧输送,而在部分缺血时,毛细血管的贡献增加。在解决 IR 诱导的损伤之前,即将进行的开发包括 ATP 生成、适应分钟-小时尺度以及节段和区域特异性。