Piepsz A, Collier F, Kinthaert J, Vanden Haute K, Hall M, Ham H R
Department of Radioisotopes, Hôpital Saint-Pierre, Brussels, Belgium.
Pediatr Nephrol. 1994 Dec;8(6):710-4. doi: 10.1007/BF00869097.
It has been suggested that a prolonged course of hyperfiltration could lead to progressive deterioration of renal function. In order to test this hypothesis, the following protocol was applied to 60 male Wistar rats. At 12 weeks of life, the rats were submitted to a surgical procedure: sham operation (25 rats), unilateral nephrectomy (25 rats) or 3/4 nephrectomy (10 rats). The three groups were again divided into two subgroups: one with high-protein intake (36%) and one with a low-protein intake (12%). In order to avoid any additional traumatic procedure which could shorten the animal's life, the glomerular filtration rate (GFR) was measured without blood sampling, using a previously validated technique based on an image recorded by a gamma camera between the 9th and the 10th min after intravenous injection of 99m technetium diethylenetriaminepentaacetate (DPTA). The sum of both kidneys and bladder activity was expressed as a percentage of the injected dose. The test was performed before surgery and every month thereafter. Six weeks after surgery, the highest filtration rate was found in the rats with "two kidneys/high-protein diet", followed by the "two kidneys/low-protein diet", the "one kidney/high-protein diet", the "one kidney/low-protein diet" and the "1/2 kidney". The overall GFR in the one kidney/high-protein diet rat and in the 1/2 kidney rat was respectively 80% and 55% of the pre-operative values. Until 109 weeks of age, the survival rate was comparable in the five groups of rats.(ABSTRACT TRUNCATED AT 250 WORDS)
有人提出,长期的高滤过过程可能导致肾功能的渐进性恶化。为了验证这一假设,对60只雄性Wistar大鼠采用了以下实验方案。在12周龄时,将大鼠进行外科手术:假手术(25只大鼠)、单侧肾切除术(25只大鼠)或3/4肾切除术(10只大鼠)。这三组又被分为两个亚组:一个高蛋白摄入组(36%)和一个低蛋白摄入组(12%)。为了避免任何可能缩短动物寿命的额外创伤性操作,使用一种基于γ相机在静脉注射99m锝二乙三胺五乙酸(DPTA)后第9至10分钟记录的图像的先前验证技术,在不进行采血的情况下测量肾小球滤过率(GFR)。双侧肾脏和膀胱的活性总和以注射剂量的百分比表示。该测试在手术前及此后每月进行一次。手术后六周,“双肾/高蛋白饮食”组大鼠的滤过率最高,其次是“双肾/低蛋白饮食”组、“单肾/高蛋白饮食”组、“单肾/低蛋白饮食”组和“半肾”组。单肾/高蛋白饮食组大鼠和半肾组大鼠的总体GFR分别为术前值的80%和55%。直到109周龄,五组大鼠的存活率相当。(摘要截短至250字)