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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2007-6-4
pubmed:abstractText
Despite recent discoveries of molecules in podocytes, the mechanisms behind most conditions of proteinuria are still poorly understood. To understand more about this delicate barrier, we studied the functional and morphological effects of mild (15 min) renal ischemia-reperfusion injury (IRI). Renal function was studied in rats in vivo, followed by a more detailed analysis of the glomerular barrier in cooled (8 degrees C) isolated perfused kidneys (cIPK). Renal blood flow was quickly restored, whereas the glomerular filtration rate remained halved 30 min after IRI. Tubular cell activity was intact as judged from the unaffected Cr-EDTA U/P concentration ratio. In vivo, the fractional clearance (theta) for albumin increased 16 times. In rats subjected to cIPK starting 30 min after in vivo IRI, theta(albumin) was 15 times and theta(Ficoll_36angstroms) 1.8 times higher than in control cIPKs. According to the heterogeneous charged fiber model, IRI reduced the fiber charge density to 38% of control (P < 0.01, n = 7). Morphometric analysis with electron microscopy did not reveal any changes in the podocytes or the glomerular basement membrane (GBM) after IRI, suggesting more subtle changes of the GBM and/or the endothelial glycocalyx. We conclude that mild renal IRI induces formation of reactive oxygen species, massive proteinuria, and loss of charged fibers with no apparent change in morphology. These novel findings stress the importance of other components of the barrier, such as proteoglycans produced by the glomerular cells, and provide a tentative explanation for the mechanisms behind proteinuria in glomerulonephritis, for example.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1931-857X
pubmed:author
pubmed:issnType
Print
pubmed:volume
292
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
F1802-9
pubmed:dateRevised
2011-4-28
pubmed:meshHeading
pubmed-meshheading:17376766-Albumins, pubmed-meshheading:17376766-Animals, pubmed-meshheading:17376766-Ascorbic Acid, pubmed-meshheading:17376766-Blood Pressure, pubmed-meshheading:17376766-Capillary Permeability, pubmed-meshheading:17376766-Edetic Acid, pubmed-meshheading:17376766-Female, pubmed-meshheading:17376766-Glomerular Filtration Rate, pubmed-meshheading:17376766-Kidney Diseases, pubmed-meshheading:17376766-Kidney Glomerulus, pubmed-meshheading:17376766-Membranes, Artificial, pubmed-meshheading:17376766-Microscopy, Electron, pubmed-meshheading:17376766-Oxidative Stress, pubmed-meshheading:17376766-Proteoglycans, pubmed-meshheading:17376766-Rats, pubmed-meshheading:17376766-Rats, Sprague-Dawley, pubmed-meshheading:17376766-Reperfusion Injury, pubmed-meshheading:17376766-Serum Albumin, Radio-Iodinated
pubmed:year
2007
pubmed:articleTitle
Mild renal ischemia-reperfusion reduces charge and size selectivity of the glomerular barrier.
pubmed:affiliation
Department of Nephrology, Göteborg University, Gothenburg, Sweden.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't