兔模型中新生儿急性肾损伤和肾单位丢失的易感性窗口期
Windows of susceptibility to neonatal acute kidney injury and nephron loss in a rabbit model.
作者信息
Indugula Shalini, Yarlagadda Sunitha, Drumgool Lucy, Lindquist Diana, Fugate Elizabeth, Walters Savannah, Rudman-Melnick Valeria, Charlton Jennifer R, VandenHeuvel Katherine, Dudley Jonathan, Schuh Meredith P
机构信息
Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7022, Cincinnati, OH, 45229, USA.
Department of Radiology, Imaging Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
出版信息
Sci Rep. 2025 Jul 1;15(1):21160. doi: 10.1038/s41598-025-08685-w.
Nephrogenesis is completed before term birth, but preterm infants continue this process postnatally. It is unknown if preterm neonates are more susceptible to acute kidney injury (AKI) immediately after birth (during nephrogenesis) or later in postnatal development, and if this AKI timing impacts nephron number. Rabbits were exposed to gentamicin (100 mg/kg intraperitoneal) and indomethacin (5 mg/kg orally) on postnatal day (P) 0-3 (early-exposed) or P6-9 (late-exposed). Animals were euthanized three hours after last nephrotoxin dose or at 6 weeks of life. Histologic injury was assessed, and Kidney injury marker 1 (Kim1) expression was quantified. At 6 weeks, blood urea nitrogen (BUN) and serum creatinine (SCr) levels were measured. Ex vivo MRI imaging was performed with automated quantitation of nephron numbers. AKI was induced in early and late-exposed rabbits. At 6 weeks, we identified a mean of 170,972 glomeruli in the controls (n = 5), 159,655 in the early-exposed (n = 4), and 145,748 glomeruli in the late-exposed group (n = 3, a 14.8% reduction compared to control, p = 0.01). Late-exposed rabbits had elevated BUN and SCr relative to early-exposed. This study suggests that exposure to nephrotoxins during early postnatal nephrogenesis causes AKI but may have less impact on long-term nephron number than exposure during nephron maturation.
肾发生在足月出生前完成,但早产儿在出生后仍会继续这一过程。目前尚不清楚早产新生儿在出生后即刻(肾发生期间)还是在出生后发育后期更容易发生急性肾损伤(AKI),以及这种AKI发生时间是否会影响肾单位数量。将兔子在出生后第(P)0 - 3天(早期暴露组)或P6 - 9天(晚期暴露组)暴露于庆大霉素(100mg/kg腹腔注射)和吲哚美辛(5mg/kg口服)。在最后一次给予肾毒素后3小时或在6周龄时对动物实施安乐死。评估组织学损伤,并对肾损伤标志物1(Kim1)的表达进行定量分析。在6周时,测量血尿素氮(BUN)和血清肌酐(SCr)水平。进行离体MRI成像并自动定量肾单位数量。早期和晚期暴露的兔子均诱导出AKI。在6周时,我们在对照组(n = 5)中平均鉴定出170,972个肾小球,在早期暴露组(n = 4)中为159,655个,在晚期暴露组(n = 3)中为145,748个肾小球(与对照组相比减少了14.8%,p = 0.01)。与早期暴露组相比,晚期暴露组兔子的BUN和SCr升高。这项研究表明,出生后早期肾发生期间暴露于肾毒素会导致AKI,但与肾单位成熟期间暴露相比,对长期肾单位数量的影响可能较小。