Department of Nephrology, Second Hospital of Shanxi Medical University, Taiyuan, People's Republic of China.
Shanxi Kidney Disease Institute, Taiyuan, People's Republic of China.
Ren Fail. 2022 Dec;44(1):1568-1584. doi: 10.1080/0886022X.2022.2126790.
Acute kidney injury (AKI) is an important cause of chronic kidney disease (CKD), but the underlying mechanisms are unclear. Animal models are tools for studying the AKI-CKD progression. Kidney ischemia-reperfusion injury (IRI) models, especially the unilateral IRI (uIRI) model with delayed contralateral kidney resection, are commonly used to induce fibrotic progression to CKD after AKI. However, in previous studies, we found that details of the operation had a significant impact on the long-term outcomes of the kidney in this uIRI model. In this study, we investigated the effects of resection timing of the contralateral intact kidney, core body temperatures during ischemia, and time length of kidney ischemia on kidney function, histological injury and kidney fibrosis after AKI, using a mouse uIRI model with delayed contralateral nephrectomy. The results showed that all these parameters significantly affected the AKI-CKD transition. The post-AKI fibrosis worsened and the survival rate declined with a longer interval between contralateral nephrectomy and uIRI, higher ischemic body temperature, or longer ischemic duration when the other two variables were fixed. In conclusion, in the uIRI model with delayed contralateral nephrectomy, kidney fibrosis after AKI is influenced by many factors. Strictly controlling the experimental conditions is very important for the stability and consistency of the model.
急性肾损伤 (AKI) 是慢性肾脏病 (CKD) 的重要病因,但发病机制尚不清楚。动物模型是研究 AKI-CKD 进展的工具。肾脏缺血再灌注损伤 (IRI) 模型,尤其是单侧肾脏 IRI (uIRI) 合并对侧肾脏延迟切除模型,常用于诱导 AKI 后向 CKD 的纤维化进展。然而,在以往的研究中,我们发现该 uIRI 模型中手术细节对肾脏的长期结局有显著影响。在这项研究中,我们使用延迟对侧肾脏切除的单侧肾脏 IRI (uIRI) 模型,研究了对侧完整肾脏切除的时机、缺血期核心体温和肾脏缺血时间长度对 AKI 后肾功能、组织学损伤和肾脏纤维化的影响。结果表明,所有这些参数均显著影响 AKI-CKD 的转化。在其他两个变量固定时,随着对侧肾脏切除与 uIRI 之间的间隔时间延长、缺血期核心体温升高或缺血时间延长,AKI 后纤维化加重,存活率下降。结论:在延迟对侧肾脏切除的 uIRI 模型中,AKI 后肾脏纤维化受多种因素影响。严格控制实验条件对于模型的稳定性和一致性非常重要。