镉对大鼠肾皮质结合反应的影响

通过体内和体外试验分别研究了镉对肾皮质微粒体谷胱甘肽转移酶(GST)及游离肾近曲小管细胞中葡萄糖醛酸(GA)结合反应的影响.结果表明:(1)体外试验中,在10~(-7)—10~(-3)mol/L浓度范围内,镉可抑制肾皮质微粒休GST活力;(2)体内腹腔注射CdCl_2(2.4mg/kg,连续3天)后,大鼠肾皮质GST活力无明显改变;(3)按同样方式腹腔注射CdCl_2后,可降低游离肾近曲小管细胞中GA和7-羟基香豆素(7-HC)的结合反应;(4)体外试验中,低浓度镉(10~(-7)mol/L)可使肾皮质细胞中GA和7-HC的结合反应增强,而在10~(-6)—10~(-2)mol/L浓度范围内,镉可降低GA和7-HC的结合反应.     

肾移植患者社会支持对其心理健康影响的研究进展

综述了影响肾移植患者心理健康的原因以及社会支持与心理健康的相关性,并探讨通过社会支持提高肾移植患者心理健康水平的途径.从而提示护理工作者在工作中应尽可能调动肾移植患者本人、家庭成员及社会的主观能动性,以提高肾移植患者的心理健康水平.     

The value of chromosome analysis in cases of neural tube defects: A case of anencephaly associated with fetal DUP(2) (p24→pter)

A family is described in which two anencephalic fetuses were identified in two pregnancies. Autopsy revealed kidney anomalies in both fetuses. Chromosome analysis was performed only on the second fetus, which had a 46,XY,lOq+ karyotype. Parental chromosome analysis showed the maternal karyotype to be 46,XX,t(2;10) (p24;q26) thus demonstrating that the fetus was carrying a duplication 2(p24→pter). Recurrence risks for anencephaly based on the cytogenetic abnormality were much higher than those which would be quoted for isolated anencephaly. This points out the necessity for complete diagnostic studies when a fetus with a neural tube defect is identified. The literature in regard to the 2p duplication phenotype is reviewed. It is possible that the duplication of the distal segment of 2p results in a neural tube defect/kidney anomaly phenotype.     

Renal lesions in Greenland sledge dogs ( Canis familiaris ) exposed to a natural dietary cocktail of persistent organic pollutants

Persistent organic pollutants such as Polychlorinated biphenyls (PCB) and dichloro diphenyl trichloroethane (DDT) are known to exert various adverse health effects in wildlife mammals. The impact from dietary intake of minke whale (Balaenoptera acutorostrata) blubber high in organohalogen and other chemical contaminants on renal morphology and function was investigated via a controlled study on West Greenland sledge dogs (Canis familiaris). Our results showed significantly higher frequencies of glomerular, tubular, and interstitial lesions in the exposed group. Furthermore, higher urine protein?:?creatinine ratio and plasma urea levels were found in the exposed group, which indicated a negative impact on kidney function via tubular and glomerular dysfunctions. The lesions were similar to those observed in top predator marine species–such as seals and polar bears–and humans exposed via diet to persistent environmental pollutants. The lesions may have impacts on the overall health of these animals. It is reasonable to suggest that chronic exposure to organic pollutants via a country diet of high trophic level marine organisms may have an impact on renal morphology and function in Arctic apex predators in general as well as Inuit people.     

Mineralogy and chemistry of urinary stones: patients from North Jordan

Urinary stone diseases are increasing in the Middle East. The majority of urinary stone cases are found in the northern part of the country. Stone samples taken from patients living in the Irbid area were collected from Princess Basma Hospital. The present study concentrates on the mineralogical and chemical composition of the urinary stones and on the effective environmental factors that assist in developing the different types of urinary stones. Using X-ray diffraction techniques, the mineralogical composition of the urinary stones was found to be as follows: oxalate, cholesten, and uric acid, with cystine stones occuring more frequently than the others. Cholesten and calcium oxalate stones are the most dominant types of stones. Calcium oxalate is the most common type of oxalate stone. Calcium oxalate is represented in: whewellite, wheddellite, and calcium carbonate oxalate hydrate minerals, in addition to other minerals such as brushite, ammonium phosphate, vaterite, valleriite, and bobierrite from other types of stones. Bobierrite (phosphate group) is a new mineral reported in urinary stones, and this has not been determined in any previous study worldwide. Apatite (calcium phosphate) is deduced using scanning electron microscope (SEM) images. The SEM technique determined crystal forms and systems, shapes, morphological features, and the names of the minerals forming urine stones, while optical properties are studied by polarizing microscope. X-ray fluorescence technique determined the concentrations of major and some trace elements. It revealed that Ca is the main constituent of the urinary stones, especially those composed of calcium oxalate and calcium phosphate. The concentration of trace elements was Ba = 1.57, P = 3.61, Fe = 1.78, S = 2.08, Zr = 4.63, Mo = 3.92, Cu = 1.89, Co = 1.56, and F = 4.2% and was higher in the urinary stones of Jordanian patients than in foreigners in the country. Questionnaires completed by patients suggest that the most significant factors directly effecting the formation of stones are water, climate conditions, food rich in protein and rich in different chemicals. Moreover, some drugs and diseases might also help in developing other stones.     

Oxidative stress in the kidney injury of mice following exposure to lanthanides trichloride

Environmental pollution from lanthanides (Ln) has been recognized as a major problem due to a grab exploitation of Ln mine in China. Exposure to Ln has been demonstrated to cause the nephrotoxicity, very little is known about the mechanism of oxidative damage to kidney in animals. In order to understand Ln-induced nephrotoxicity, various biochemical and chemical parameters were assayed in mouse kidney. Intragastric exposures of LaCl₃, CeCl₃, and NdCl₃ at doses of 2, 5, and 10 mg kg⁻¹ BW for 90 consecutive days caused nephritis or epithelial cell necrosis and oxidative stress to kidney. An increase in coefficients of the kidney, La, Ce, and Nd accumulation and histopathological changes in the kidney could be observed, followed by increased reactive oxygen species production and peroxidation levels of lipid, protein and DNA, and decreased activities of superoxide dismutase, catalase, glutathione-S-transferase and glutathione reductase as well as antioxidants such as glutathione, ascorbic acid and thiol contents. Furthermore, La, Ce, and Nd significantly suppressed expression of genes and proteins of these antioxidative enzymes in mouse kidney. In addition, kidney functions were disrupted, including an increase of the creatinine, and reductions of uric acid, urea nitrogen, calcium and phosphonium. These findings suggest that nephritis generation or epithelial cell necrosis in mice following exposure to Ln is closely associated with oxidative stress. Of these damages, the most severe was in the Ce³⁺-exposed kidneys, next in the Nd³⁺-exposed kidneys, and the least in the La³⁺-exposed kidneys, which may be attributed to the 4f electron of Ln.     

Contamination by mercury and cadmium in the cetacean products from Japanese market

Cetaceans hunted coastally in Japan include several species of odontocete (dolphins, porpoises and beaked whales), and fresh and frozen red meat and blubber, as well as boiled internal organs, such as liver, lung, kidney and small intestine, are still sold for human consumption. Furthermore, red meat and blubber products originating from mysticete minke whales caught in the Antarctic and Northern Pacific are also sold for human consumption. We surveyed mercury and cadmium contamination levels in boiled liver, lung, kidney and red meat products being marketed in Japanese retail outlets. We also analyzed the DNA of these products to obtain information concerning gender and species. Total mercury (T-Hg) and methyl mercury (M-Hg) contamination levels in all the cetacean products were markedly higher in odontocete species than in mysticete species, and slightly higher in females than in males. T-Hg contamination in the organs was seen in the following order: boiled liver > boiled KIDNEY=boiled lung > red meat. In particular, T-Hg concentrations in the boiled liver were high enough to cause acute intoxication even from a single ingestion: the mean ±SD (range) of T-Hg was 388 ± 543 (0.12–1980) μg/wet g. In contrast, although M-Hg contamination in the liver was not markedly higher than that in other organs, M-Hg contamination was in the following order: boiled liver > odontocete red meat > boiled kidney > boiled lung. The contamination levels of T-Hg and M-Hg in odontocete red meat, the most popular whale product, were 8.94 ± 13.3 and 5.44 ± 5.72 μg/wet g, respectively. These averages exceeded the provisional permitted levels of T-Hg (0.4 μg/wet g) and M-Hg (0.3 μg/wet g) in marine foods set by the Japanese Ministry of Health, Labor and Welfare by 22 and 18 times, respectively, suggesting the possibility of chronic intoxication by T-Hg and M-Hg with frequent consumption of odontocete red meat. Cadmium contamination levels in boiled liver, kidney and lung were 8.59 ± 12.0, 10.4 ± 8.6 and 1.66 ± 1.27 (μg/wet g), respectively.     

Concentration effect of trace metals in Jordanian patients of urinary calculi

Due to the increase in the number of urinary calculi disease cases in Jordan, stone samples were collected from patients from various Jordanian hospitals (Princes Basma (PBH), King Abdullah University (KAUH), Al-Basheer (ABH) and Al-Mafraq (AMH)). This study concentrates on the effect of trace metals in patients of urinary calculi. Trace metals were detected in 110 urinary calculi samples using X-ray fluorescence (XRF) and atomic absorption spectroscopy (AAS) techniques. Of the calculi examined, 21 were pure calcium oxalate (CaOax), 29 were mixed calcium oxalate/uric acid, 23 were mixed calcium oxalate/phosphate (apatite), 25 were phosphate calculi (apatite/struvite), five were mixed calcium oxalate monohydrate/struvite, four were urate calculi (mixed ammonium acid urate/sodium acid urate) and three were pure cystine calculi. The concentration measurement of Ca and other trace metals levels has been found useful in understanding the mechanism of stone formation and in evaluating pathological factors. It has been found that Ca is the main constituent of the urinary calculi, especially those stones composed of calcium oxalate and calcium phosphate. The concentration of most of the trace metals that were analyzed was (Ca = 48.18, Na = 1.56, K = 0.9, Mg = 3.08, Fe = 1.17, Al = 0.49, Zn = 0.7, Cu = 0.19, Mn = 0.029, P = 10.35, S = 1.88, Sr = 0.306, Mo = 0.2, Cr = 0.146, Co = 0.05, Ni = 0.014)%. In conclusion, metals concentration in Jordanian patient’s urinary calculi samples was higher than its equivalents of other patients’. It has been noted that there is no concentration of toxic trace elements (like Li, V, Pb, Cd, and As). Some heavy metals, however, were detected Mo, Cr, Co and Ni as traces. P and S ions are present in few calculi stones as traces.     

Antioxidant response versus selenium accumulation in the liver and kidney of the Siberian sturgeon (Acipenser baeri)

The aim of this study was to examine the effects of selenium on concentrations of metabolites and enzyme activities acting as antioxidant markers in liver and kidney of Siberian sturgeon Acipenser baeri. Sturgeons were fed selenium cysteine for 30 and 60 d at 1.25, 5, 20 mg Se kg⁻¹. Selenium level in the control feed was 0.32 mg kg⁻¹. Se concentration was measured in liver, kidney and muscle of every specimen. Sturgeon accumulated Se in tissues with a clear dose-response relationship and the highest Se concentration was recorded in liver. This outcome is lined up with the findings obtained on the antioxidant markers evaluated in both tissues, and in which a dose-response for several biomarkers was recorded in liver. The superoxide dismutase activity in Se-treated fish was generally induced, while catalase activity was lower in liver or unaltered in kidney. The concentrations of glutathione S-transferase, glutathione reductase and total glutathione responded differently for both tissues and were induced in a different way at both endpoints. No changes of glyoxalase I activity were noted for both Se-treated tissues, while for glyoxalase II enzyme in liver a dose-related pattern was found showing a reversible effect (decreased and increased counteractive response) only in the 5 mg kg⁻¹ group. Moreover, the highest Se concentrations did not cause marked changes in malondialdehyde levels of liver and kidney. The enhancement of glutathione peroxidase activity in Se-treated sturgeon might have prevented the lipid peroxidation in both tissues, providing to the Siberian sturgeon a great defense ability versus the prooxidant effect of selenium.