Laboratorio de Investigaciones Químico Clínicas, Facultad de Ciencias Químicas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico.
Departamento de Toxicología, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional, México, Mexico.
Biol Trace Elem Res. 2021 May;199(5):1941-1953. doi: 10.1007/s12011-020-02317-2. Epub 2020 Aug 13.
Metabolic syndrome (MetS) represents a cluster of related metabolic abnormalities, including central obesity, hypertension, dyslipidemia, hyperglycemia, and insulin resistance. These metabolic derangements present significant risk factors for chronic kidney disease that carries to loss of essential micronutrients, which accelerates comorbidity apparition. The work aimed was to evaluate the trace element homeostasis regarding morphological adaptations and renal function in MetS early-onset. Fifty male Wistar rats were divided into two groups: (a) control group and (b) hypercaloric diet group that developed MetS early-onset after 3 months. Classical zoometric parameters do not show changes; however, biochemical modifications were observed such as hyperglycemia, protein glycation, insulin resistance, dyslipidemia, hyperinsulinemia, and hypoadiponectinemia. MetS early-onset group observed renal structural modifications, but no functional changes. The structural modifications observed were minimal glomerular injury, glomerular basement membrane thickening, as well as mesangial and tubular cells that showed growth and proliferation. In serum and kidney (cortex and medulla), the concentrations of Zn, Fe, Cr, Mg, Mn, Cu, Co, and Ni were no differences between the experimental groups, but excretory fractions of these were lower in the hypercaloric diet group. In conclusion, MetS early-onset coexist renal structural modification and a hyperreabsorptive activity of essential trace elements that avoid its loss; thus, the excretory fraction of oligo-elements could be used a biomarker of early renal injury caused by metabolic diseases in the clinical practice.
代谢综合征(MetS)代表了一组相关的代谢异常,包括中心性肥胖、高血压、血脂异常、高血糖和胰岛素抵抗。这些代谢紊乱是慢性肾脏病的重要危险因素,会导致必需微量营养素的丢失,加速合并症的出现。本研究旨在评估微量元素稳态与代谢综合征早期发病的形态适应性和肾功能的关系。50 只雄性 Wistar 大鼠被分为两组:(a)对照组和(b)高热量饮食组,高热量饮食组在 3 个月后发展为代谢综合征早期发病。经典的体型参数没有变化;然而,观察到生化改变,如高血糖、蛋白质糖基化、胰岛素抵抗、血脂异常、高胰岛素血症和低脂联素血症。代谢综合征早期发病组观察到肾脏结构改变,但没有功能变化。观察到的结构改变包括最小的肾小球损伤、肾小球基底膜增厚,以及肾小球和肾小管细胞的生长和增殖。在血清和肾脏(皮质和髓质)中,Zn、Fe、Cr、Mg、Mn、Cu、Co 和 Ni 的浓度在实验组之间没有差异,但在高热量饮食组中,这些元素的排泄分数较低。总之,代谢综合征早期发病存在肾脏结构改变和必需微量元素的高吸收活性,从而避免其丢失;因此,微量元素排泄分数可能成为代谢性疾病引起的早期肾损伤的临床标志物。