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1.
Biosystems ; 230: 104931, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-37330035

RESUMEN

Cardiovascular diseases can be attributed to irregular blood pressure, which may be caused by malfunctioning kidneys that regulate blood pressure. Research has identified complex oscillations in the mechanisms used by the kidney to regulate blood pressure. This study uses established physiological knowledge and earlier autoregulation models to derive a fractional order nephron autoregulation model. The dynamical behaviour of the model is analyzed using bifurcation plots, revealing periodic oscillations, chaotic regions, and multistability. A lattice array of the model is used to study collective behaviour and demonstrates the presence of chimeras in the network. A ring network of the fractional order model is also considered, and a diffusion coupling strength is adopted. A basin of synchronization is derived, considering coupling strength, fractional order or number of neighbours as parameters, and measuring the strength of incoherence. Overall, the study provides valuable insights into the complex dynamics of the nephron autoregulation model and its potential implications for cardiovascular diseases.


Asunto(s)
Enfermedades Cardiovasculares , Humanos , Modelos Biológicos , Circulación Renal/fisiología , Nefronas/irrigación sanguínea , Nefronas/fisiología , Riñón
2.
J Int Med Res ; 48(6): 300060520926736, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32489122

RESUMEN

A horseshoe kidney is a congenital kidney malformation commonly associated with complications such as hydronephrosis, renal calculi, and infections of the renal pelvis. Renal cell carcinoma is extremely rare in a horseshoe kidney; once it occurs, however, it is intractable because of vascular abnormalities. This is especially true in laparoscopic nephron-sparing surgery, even for tumors of <4 cm in diameter. We herein report a case involving an asymptomatic 65-year-old man with an incidental finding of a 4-cm solid mass near the isthmus of a horseshoe kidney on B-mode ultrasonography. Preoperative computed tomography of the renal artery revealed six arterial vessels supplying the affected kidney. Laparoscopic partial nephrectomy was performed. The outcome of this case suggests that laparoscopic nephron-sparing surgery might be a successful treatment method for a horseshoe kidney but that preoperative vessel evaluation and experienced laparoscopic skills are needed.


Asunto(s)
Carcinoma de Células Renales/cirugía , Riñón Fusionado/complicaciones , Neoplasias Renales/cirugía , Laparoscopía/métodos , Nefrectomía/métodos , Nefronas/irrigación sanguínea , Tratamientos Conservadores del Órgano/métodos , Anciano , Enfermedades Asintomáticas/terapia , Carcinoma de Células Renales/irrigación sanguínea , Carcinoma de Células Renales/complicaciones , Carcinoma de Células Renales/diagnóstico , Riñón Fusionado/diagnóstico , Humanos , Imagenología Tridimensional , Hallazgos Incidentales , Neoplasias Renales/irrigación sanguínea , Neoplasias Renales/complicaciones , Neoplasias Renales/diagnóstico , Masculino , Nefronas/diagnóstico por imagen , Nefronas/patología , Nefronas/cirugía , Arteria Renal/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Ultrasonografía
3.
Semin Nephrol ; 40(2): 101-113, 2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-32303274

RESUMEN

The kidney is a highly metabolic organ that requires substantial adenosine triphosphate for the active transport required to maintain water and solute reabsorption. Aberrations in energy availability and energy utilization can lead to cellular dysfunction and death. Mitochondria are essential for efficient energy production. The pathogenesis of acute kidney injury is complex and varies with different types of injury. However, multiple distinct acute kidney injury syndromes share a common dysregulation of energy metabolism. Pathways of energy metabolism and mitochondrial dysfunction are emerging as critical drivers of acute kidney injury and represent new potential targets for treatment. This review shows the basic metabolic pathways that all cells depend on for life; describes how the kidney optimizes those pathways to meet its anatomic, physiologic, and metabolic needs; summarizes the importance of metabolic and mitochondrial dysfunction in acute kidney injury; and analyzes the mitochondrial processes that become dysregulated in acute kidney injury including mitochondrial dynamics, mitophagy, mitochondrial biogenesis, and changes in mitochondrial energy metabolism.


Asunto(s)
Lesión Renal Aguda/metabolismo , Metabolismo Energético , Riñón/metabolismo , Mitocondrias/metabolismo , Animales , Humanos , Riñón/irrigación sanguínea , Corteza Renal/irrigación sanguínea , Corteza Renal/metabolismo , Médula Renal/irrigación sanguínea , Médula Renal/metabolismo , Redes y Vías Metabólicas , Dinámicas Mitocondriales , Mitofagia , Nefronas/irrigación sanguínea , Nefronas/metabolismo , Biogénesis de Organelos
4.
Semin Cell Dev Biol ; 91: 132-146, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-29879472

RESUMEN

The kidney vasculature has a unique and complex architecture that is central for the kidney to exert its multiple and essential physiological functions with the ultimate goal of maintaining homeostasis. An appropriate development and coordinated assembly of the different vascular cell types and their association with the corresponding nephrons is crucial for the generation of a functioning kidney. In this review we provide an overview of the renal vascular anatomy, histology, and current knowledge of the embryological origin and molecular pathways involved in its development. Understanding the cellular and molecular mechanisms involved in renal vascular development is the first step to advance the field of regenerative medicine.


Asunto(s)
Riñón/irrigación sanguínea , Neovascularización Fisiológica/fisiología , Nefronas/irrigación sanguínea , Arteria Renal/anatomía & histología , Venas Renales/anatomía & histología , Animales , Regulación del Desarrollo de la Expresión Génica , Humanos , Riñón/embriología , Riñón/metabolismo , Neovascularización Fisiológica/genética , Nefronas/embriología , Nefronas/metabolismo , Medicina Regenerativa/métodos , Medicina Regenerativa/tendencias , Arteria Renal/embriología , Arteria Renal/metabolismo , Venas Renales/embriología , Venas Renales/metabolismo
5.
Am J Physiol Renal Physiol ; 315(4): F852-F860, 2018 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-29465303

RESUMEN

A proper morphogenesis of the renal microvasculature is crucial not only for fulfilling the renal function but also to slow down the progression of chronic kidney disease in adulthood. However, the current description of the developing microvasculature is incomplete. The present study investigated the morphogenesis and volume densities of the renal microvasculature using computer-assisted tubular tracing, immunohistochemistry for CD34, and unbiased stereology. The earliest glomerular capillaries were observed at the lower cleft of the S-shaped nephrons, as simple loops connecting the afferent and efferent arterioles. In parallel with this, the peritubular capillaries were established. Noticeably, from early nephrogenesis on, the efferent arterioles of the early-formed glomeruli ran in close proximity to their own thick ascending limbs. In addition, the ascending vasa recta arising from the arcuate or interlobular veins also ran in close proximity to the thick descending limb. Thus, the tubules and vessels formed the typical countercurrent relation in the medulla. No loop bends were observed between descending and ascending vasa recta. The volume density of the cortical and medullary peritubular capillary increased 3.3- and 2.6-fold, respectively, from 2.34 (0.13) and 7.03 (0.09)% [means (SD)] at embryonic day 14.5 (E14.5) to 7.71 (0.44) and 18.27 (1.17)% at postnatal day 40 (P40). In contrast, the volume density of glomeruli changed only slightly during kidney development, from 4.61 (0.47)% at E14.5 to 6.07 (0.2)% at P7 to 4.19 (0.47)% at P40. These results reflect that the growth and formation of the renal microvasculature closely correspond to functional development of the tubules.


Asunto(s)
Riñón/irrigación sanguínea , Riñón/patología , Microvasos/patología , Nefronas/crecimiento & desarrollo , Animales , Capilares/fisiología , Riñón/crecimiento & desarrollo , Glomérulos Renales/irrigación sanguínea , Glomérulos Renales/crecimiento & desarrollo , Médula Renal/irrigación sanguínea , Ratones , Microvasos/fisiología , Nefronas/irrigación sanguínea , Organogénesis/fisiología , Venas/crecimiento & desarrollo
6.
Am J Physiol Renal Physiol ; 315(4): F806-F811, 2018 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-28424211

RESUMEN

Unilaterally nephrectomized rats (UNx) have higher glomerular capillary pressure (PGC) that can cause significant glomerular injury in the remnant kidney. PGC is controlled by the ratio of afferent (Af-Art) and efferent arteriole resistance. Af-Art resistance in turn is regulated by two intrinsic feedback mechanisms: 1) tubuloglomerular feedback (TGF) that causes Af-Art constriction in response to increased NaCl in the macula densa; and 2) connecting tubule glomerular feedback (CTGF) that causes Af-Art dilatation in response to an increase in NaCl transport in the connecting tubule via the epithelial sodium channel (ENaC). Resetting of TGF post-UNx can allow systemic pressure to be transmitted to the glomerulus and cause renal damage, but the mechanism behind this resetting is unclear. Since CTGF is an Af-Art dilatory mechanism, we hypothesized that CTGF is increased after UNx and contributes to TGF resetting. To test this hypothesis, we performed UNx in Sprague-Dawley (8) rats. Twenty-four hours after surgery, we performed micropuncture of individual nephrons and measured stop-flow pressure (PSF). PSF is an indirect measurement of PGC. Maximal TGF response at 40 nl/min was 8.9 ± 1.24 mmHg in sham-UNx rats and 1.39 ± 1.02 mmHg in UNx rats, indicating TGF resetting after UNx. When CTGF was inhibited with the ENaC blocker benzamil (1 µM/l), the TGF response was 12.29 ± 2.01 mmHg in UNx rats and 13.03 ± 1.25 mmHg in sham-UNx rats, indicating restoration of the TGF responses in UNx. We conclude that enhanced CTGF contributes to TGF resetting after UNx.


Asunto(s)
Retroalimentación , Glomérulos Renales/irrigación sanguínea , Túbulos Renales/irrigación sanguínea , Nefrectomía , Nefronas/irrigación sanguínea , Animales , Arteriolas/fisiología , Presión Sanguínea/fisiología , Canales Epiteliales de Sodio/metabolismo , Tasa de Filtración Glomerular/fisiología , Túbulos Renales/fisiología , Nefrectomía/métodos , Ratas Sprague-Dawley
7.
Nat Rev Dis Primers ; 3: 17088, 2017 Nov 23.
Artículo en Inglés | MEDLINE | ID: mdl-29168475

RESUMEN

Chronic kidney disease (CKD) is defined by persistent urine abnormalities, structural abnormalities or impaired excretory renal function suggestive of a loss of functional nephrons. The majority of patients with CKD are at risk of accelerated cardiovascular disease and death. For those who progress to end-stage renal disease, the limited accessibility to renal replacement therapy is a problem in many parts of the world. Risk factors for the development and progression of CKD include low nephron number at birth, nephron loss due to increasing age and acute or chronic kidney injuries caused by toxic exposures or diseases (for example, obesity and type 2 diabetes mellitus). The management of patients with CKD is focused on early detection or prevention, treatment of the underlying cause (if possible) to curb progression and attention to secondary processes that contribute to ongoing nephron loss. Blood pressure control, inhibition of the renin-angiotensin system and disease-specific interventions are the cornerstones of therapy. CKD complications such as anaemia, metabolic acidosis and secondary hyperparathyroidism affect cardiovascular health and quality of life, and require diagnosis and treatment.


Asunto(s)
Prevalencia , Insuficiencia Renal Crónica/diagnóstico , Insuficiencia Renal Crónica/fisiopatología , Enfermedades Cardiovasculares/complicaciones , Complicaciones de la Diabetes/fisiopatología , Fibrosis/complicaciones , Fibrosis/etiología , Humanos , Hipertensión/complicaciones , Riñón/anatomía & histología , Riñón/irrigación sanguínea , Riñón/metabolismo , Trasplante de Riñón/métodos , Nefronas/irrigación sanguínea , Nefronas/fisiopatología , Insuficiencia Renal Crónica/epidemiología , Factores de Riesgo
8.
Sci Rep ; 7(1): 3273, 2017 06 12.
Artículo en Inglés | MEDLINE | ID: mdl-28607473

RESUMEN

The renal vasculature is required for blood filtration, blood pressure regulation, and pH maintenance, as well as other specialised kidney functions. Yet, despite its importance, many aspects of its development are poorly understood. To provide a detailed spatiotemporal analysis of kidney vascularisation, we collected images of embryonic mouse kidneys at various developmental time-points. Here we describe the first stages of kidney vascularisation and demonstrate that polygonal networks of vessels (endothelial plexuses) form in cycles at the periphery of the kidney. We show that kidney vascularisation initiates at E11, when vessels connected to the embryonic circulation form a ring around the ureteric bud. From E13.5, endothelial plexuses organise around populations of cap mesenchymal and ureteric bud cells in a cyclical, predictable manner. Specifically, as the ureteric bud bifurcates, endothelia form across the bifurcation site as the cap mesenchyme splits. The plexuses are vascular, carry erythrocytes, are enclosed within a basement membrane, and can always be traced back to the renal artery. Our results are a major step towards understanding how the global architecture of the renal vasculature is achieved.


Asunto(s)
Vasos Sanguíneos/embriología , Riñón/irrigación sanguínea , Riñón/embriología , Nefronas/irrigación sanguínea , Nefronas/embriología , Organogénesis , Animales , Biomarcadores , Vasos Sanguíneos/metabolismo , Endotelio/metabolismo , Técnica del Anticuerpo Fluorescente , Membrana Basal Glomerular/metabolismo , Riñón/metabolismo , Mesodermo/embriología , Mesodermo/metabolismo , Ratones , Modelos Biológicos , Nefronas/metabolismo
9.
Am J Physiol Renal Physiol ; 313(2): F351-F360, 2017 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-28424208

RESUMEN

Among solid organs, the kidney's vascular network stands out, because each nephron has two distinct capillary structures in series and because tubuloglomerular feedback, one of the mechanisms responsible for blood flow autoregulation, is specific to renal tubules. Tubuloglomerular feedback and the myogenic mechanism, acting jointly, autoregulate single-nephron blood flow. Each generates a self-sustained periodic oscillation and an oscillating electrical signal that propagates upstream along arterioles. Similar electrical signals from other nephrons interact, allowing nephron synchronization. Experimental measurements show synchronization over fields of a few nephrons; simulations based on a simplified network structure that could obscure complex interactions predict more widespread synchronization. To permit more realistic simulations, we made a cast of blood vessels in a rat kidney, performed micro-computed tomography at 2.5-µm resolution, and recorded three-dimensional coordinates of arteries, afferent arterioles, and glomeruli. Nonterminal branches of arcuate arteries form treelike structures requiring two to six bifurcations to reach terminal branches at the tree tops. Terminal arterial structures were either paired branches at the tops of the arterial trees, from which 52.6% of all afferent arterioles originated, or unpaired arteries not at the tree tops, yielding the other 22.9%; the other 24.5% originated directly from nonterminal arteries. Afferent arterioles near the corticomedullary boundary were longer than those farther away, suggesting that juxtamedullary nephrons have longer afferent arterioles. The distance separating origins of pairs of afferent arterioles varied randomly. The results suggest an irregular-network tree structure with vascular nodes, where arteriolar activity and local blood pressure interact.


Asunto(s)
Arteriolas/diagnóstico por imagen , Angiografía por Tomografía Computarizada/métodos , Nefronas/irrigación sanguínea , Arteria Renal/diagnóstico por imagen , Microtomografía por Rayos X , Animales , Arteriolas/anatomía & histología , Masculino , Modelos Anatómicos , Modelos Cardiovasculares , Ratas Sprague-Dawley , Arteria Renal/anatomía & histología , Técnicas de Réplica
10.
Georgian Med News ; (262): 20-24, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-28252422

RESUMEN

The electron microscopic changes of the nephron structural components under conditions of dimethylhydrazine (DMH)-induced carcinogenesis with the development of colorectal adenocarcinoma in situ were evaluated. Destructive changes in epitheliocytes of proximal and distal tubules of the nephron, microcirculation disturbances in renal corpuscles and tubular structure are evidences of disorder in urine formation stages. Аdministration of cytostatics aggravates the degree of destructive changes in the kidney. The application of carbon enterosorbent of IV generation "Carboline" for chronic neoplastic endotoxemia correction in combination with chemotherapy components significantly reduces the structural changes of the cortical substance of the kidneys, activates processes of reparative regeneration. The normalization of the morphological structure of the nephron components is an indication of the recovery of the test organ functions.


Asunto(s)
Adenocarcinoma/terapia , Antineoplásicos/toxicidad , Carbono/uso terapéutico , Neoplasias del Colon/terapia , Doxorrubicina/toxicidad , Metotrexato/toxicidad , Nefronas/efectos de los fármacos , 1,2-Dimetilhidrazina , Adenocarcinoma/inducido químicamente , Adenocarcinoma/patología , Adsorción , Animales , Neoplasias del Colon/inducido químicamente , Neoplasias del Colon/patología , Masculino , Microcirculación , Nefronas/irrigación sanguínea , Nefronas/ultraestructura , Ratas
11.
Am J Physiol Renal Physiol ; 312(6): F925-F950, 2017 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-28179254

RESUMEN

A model of the rat nephron (Weinstein. Am J Physiol Renal Physiol 308: F1098-F1118, 2015) has been extended with addition of medullary vasculature. Blood vessels contain solutes from the nephron model, plus additional species from the model of Atherton et al. (Am J Physiol Renal Fluid Electrolyte Physiol 247: F61-F72, 1984), representing hemoglobin buffering. In contrast to prior models of the urine-concentrating mechanism, reflection coefficients for DVR are near zero. Model unknowns are initial proximal tubule pressures and flows, connecting tubule pressure, and medullary interstitial pressures and concentrations. The model predicts outer medullary (OM) interstitial gradients for Na+, K+, CO2, and [Formula: see text], such that at OM-IM junction, the respective concentrations relative to plasma are 1.2, 3.0, 2.7, and 8.0; within IM, there is high urea and low [Formula: see text], with concentration ratios of 11 and 0.5 near the papillary tip. Quantitative similarities are noted between K+ and urea handling (medullary delivery and permeabilities). The model K+ gradient is physiologic, and the urea gradient is steeper due to restriction of urea permeability to distal collecting duct. Nevertheless, the predicted urea gradient is less than expected, suggesting reconsideration of proposals of an unrecognized reabsorptive urea flux. When plasma K+ is increased from 5.0 to 5.5 mM, Na+ and K+ excretion increase 2.3- and 1.3-fold, respectively. The natriuresis derives from a 3.3% decrease in proximal Na+ reabsorption and occurs despite delivery-driven increases in Na+ reabsorption in distal segments; kaliuresis derives from a 30% increase in connecting tubule Na+ delivery. Thus this model favors the importance of proximal over distal events in K+-induced diuresis.


Asunto(s)
Diuresis , Capacidad de Concentración Renal , Modelos Biológicos , Nefronas/irrigación sanguínea , Nefronas/metabolismo , Potasio/metabolismo , Sodio/metabolismo , Animales , Bicarbonatos/metabolismo , Dióxido de Carbono/metabolismo , Concentración de Iones de Hidrógeno , Microcirculación , Potasio/sangre , Potasio/orina , Ratas , Circulación Renal , Eliminación Renal , Reabsorción Renal , Sodio/sangre , Sodio/orina , Urea/metabolismo
12.
Acta Radiol ; 58(4): 505-510, 2017 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-27439400

RESUMEN

Background No non-invasive method of observing renal microcirculation in vivo has been established as yet. Although angiography is considered to be ideally suited for the purpose, conventional X-rays cannot be used to image structures smaller than 100 µm. Purpose To develop a method for visualizing the renal arterioles, glomeruli, and proximal tubules of rats in vivo making use of synchrotron radiation. Material and Methods Male Wistar rats were anesthetized, and a catheter was inserted via laparotomy into the abdominal aorta with its tip placed above the renal arteries. The rats were paralyzed with a neuromuscular blocking agent and mechanically ventilated. An inorganic iodine contrast medium was injected via the catheter. The SR derived X-rays transmitted through the subjects were recorded with a CCD camera. Two-dimensional images with a pixel size of 9 µm were obtained. The exposure time was fixed at 50 ms, with a maximum acquisition rate of three images/s. Results Renal arterioles as small as 18 µm in diameter, glomeruli with an average diameter of 173 ± 21 µm, as well as proximal tubules, were clearly visualized. In addition, glomerular density at the peripheral renal cortex was measurable. Conclusion Rat renal microcirculation could be successfully observed in real-time, without exteriorization of the kidney in this study.


Asunto(s)
Angiografía/métodos , Microcirculación , Nefronas/irrigación sanguínea , Nefronas/diagnóstico por imagen , Radiografía/métodos , Sincrotrones , Angiografía/instrumentación , Animales , Arteriolas/diagnóstico por imagen , Medios de Contraste , Aumento de la Imagen/instrumentación , Aumento de la Imagen/métodos , Riñón/irrigación sanguínea , Riñón/diagnóstico por imagen , Masculino , Radiografía/instrumentación , Ratas , Ratas Wistar
13.
PLoS Comput Biol ; 12(7): e1004922, 2016 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-27447287

RESUMEN

Through regulation of the extracellular fluid volume, the kidneys provide important long-term regulation of blood pressure. At the level of the individual functional unit (the nephron), pressure and flow control involves two different mechanisms that both produce oscillations. The nephrons are arranged in a complex branching structure that delivers blood to each nephron and, at the same time, provides a basis for an interaction between adjacent nephrons. The functional consequences of this interaction are not understood, and at present it is not possible to address this question experimentally. We provide experimental data and a new modeling approach to clarify this problem. To resolve details of microvascular structure, we collected 3D data from more than 150 afferent arterioles in an optically cleared rat kidney. Using these results together with published micro-computed tomography (µCT) data we develop an algorithm for generating the renal arterial network. We then introduce a mathematical model describing blood flow dynamics and nephron to nephron interaction in the network. The model includes an implementation of electrical signal propagation along a vascular wall. Simulation results show that the renal arterial architecture plays an important role in maintaining adequate pressure levels and the self-sustained dynamics of nephrons.


Asunto(s)
Arteriolas , Hemodinámica/fisiología , Riñón , Modelos Biológicos , Algoritmos , Animales , Arteriolas/anatomía & histología , Arteriolas/fisiología , Biología Computacional , Procesamiento de Imagen Asistido por Computador , Riñón/anatomía & histología , Riñón/irrigación sanguínea , Riñón/fisiología , Nefronas/anatomía & histología , Nefronas/irrigación sanguínea , Nefronas/fisiología , Ratas , Arteria Renal/anatomía & histología , Arteria Renal/fisiología
14.
Math Med Biol ; 33(1): 87-106, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25795767

RESUMEN

The nephron in the kidney regulates its fluid flow by several autoregulatory mechanisms. Two primary mechanisms are the myogenic response and the tubuloglomerular feedback (TGF). The myogenic response is a property of the pre-glomerular vasculature in which a rise in intravascular pressure elicits vasoconstriction that generates a compensatory increase in vascular resistance. TGF is a negative feedback response that balances glomerular filtration with tubular reabsorptive capacity. While each nephron has its own autoregulatory response, the responses of the kidney's many nephrons do not act autonomously but are instead coupled through the pre-glomerular vasculature. To better understand the conduction of these signals along the pre-glomerular arterioles and the impacts of internephron coupling on nephron flow dynamics, we developed a mathematical model of renal haemodynamics of two neighbouring nephrons that are coupled in that their afferent arterioles arise from a common cortical radial artery. Simulations were conducted to estimate internephron coupling strength, determine its dependence on vascular properties and to investigate the effect of coupling on TGF-mediated flow oscillations. Simulation results suggest that reduced gap-junctional conductances may yield stronger internephron TGF coupling and highly irregular TGF-mediated oscillations in nephron dynamics, both of which experimentally have been associated with hypertensive rats.


Asunto(s)
Retroalimentación , Hemodinámica/fisiología , Modelos Biológicos , Nefronas/irrigación sanguínea , Nefronas/fisiología , Dinámicas no Lineales , Humanos
15.
J Am Soc Nephrol ; 25(8): 1774-85, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-24578134

RESUMEN

Sphingosine-1-phosphate (S1P), a bioactive sphingolipid metabolite, has been implicated in regulating vascular tone and participating in chronic and acute kidney injury. However, little is known about the role of S1P in the renal microcirculation. Here, we directly assessed the vasoresponsiveness of preglomerular and postglomerular microvascular segments to exogenous S1P using the in vitro blood-perfused juxtamedullary nephron preparation. Superfusion of S1P (0.001-10 µM) evoked concentration-dependent vasoconstriction in preglomerular microvessels, predominantly afferent arterioles. After administration of 10 µM S1P, the diameter of afferent arterioles decreased to 35%±5% of the control diameter, whereas the diameters of interlobular and arcuate arteries declined to 50%±12% and 68%±6% of the control diameter, respectively. Notably, efferent arterioles did not respond to S1P. The S1P receptor agonists FTY720 and FTY720-phosphate and the specific S1P1 receptor agonist SEW2871 each evoked modest afferent arteriolar vasoconstriction. Conversely, S1P2 receptor inhibition with JTE-013 significantly attenuated S1P-mediated afferent arteriolar vasoconstriction. Moreover, blockade of L-type voltage-dependent calcium channels with diltiazem or nifedipine attenuated S1P-mediated vasoconstriction. Intravenous injection of S1P in anesthetized rats reduced renal blood flow dose dependently. Western blotting and immunofluorescence revealed S1P1 and S1P2 receptor expression in isolated preglomerular microvessels and microvascular smooth muscle cells. These data demonstrate that S1P evokes segmentally distinct preglomerular vasoconstriction via activation of S1P1 and/or S1P2 receptors, partially via L-type voltage-dependent calcium channels. Accordingly, S1P may have a novel function in regulating afferent arteriolar resistance under physiologic conditions.


Asunto(s)
Lisofosfolípidos/farmacología , Microcirculación/efectos de los fármacos , Nefronas/irrigación sanguínea , Circulación Renal/efectos de los fármacos , Esfingosina/análogos & derivados , Vasoconstricción/efectos de los fármacos , Animales , Arteriolas/efectos de los fármacos , Arteriolas/metabolismo , Masculino , Nefronas/efectos de los fármacos , Nefronas/metabolismo , Ratas Sprague-Dawley , Receptores de Lisoesfingolípidos/agonistas , Receptores de Lisoesfingolípidos/antagonistas & inhibidores , Receptores de Lisoesfingolípidos/metabolismo , Esfingosina/farmacología , Técnicas de Cultivo de Tejidos
16.
Am J Physiol Renal Physiol ; 306(3): F321-6, 2014 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-24305474

RESUMEN

The vascular bundle (VB) is a complex structure that resides in the inner stripe of the outer medulla. At present, the tubulovascular spatial organization of the VB, which is crucial for the formation of the osmolarity gradient and for solute transport, is still under debate. In this study, we used computer-assisted digital tracing combined with aquaporin-1 immunohistochemistry to reconstruct all tubules and vessels in the VB of the mouse kidney. We found, first, that the descending and ascending vasa recta travelled exclusively through the VB. The ascending vasa recta received no tributaries (no branches) along their entire path in the medulla and were not connected with the capillary plexus in the interbundle region. Second, a specific group of the descending vasa recta were closely accompanied by the longest ascending vasa recta, which connected only to the capillary plexus at the tip of the papilla. Third, the descending thin limbs of all short-looped nephrons travelled exclusively through the outer part of the VB. The loops of these nephrons (both descending and ascending parts) were distributed in a regular pattern based on their length. Finally, the thick ascending limbs of all long-looped nephrons were located at the margin of the VB (except a few within the VB), which formed a layer separating the VB from the interbundle region. In conclusion, our three-dimensional analysis of the VB strongly suggest a lateral osmolarity heterogeneity across the inner stripe of the outer medulla, which might work as a driving force for water and solute transport.


Asunto(s)
Médula Renal/irrigación sanguínea , Animales , Acuaporina 1/metabolismo , Procesamiento de Imagen Asistido por Computador , Inmunohistoquímica , Médula Renal/metabolismo , Asa de la Nefrona/irrigación sanguínea , Masculino , Ratones , Nefronas/irrigación sanguínea
17.
Hypertension ; 62(4): 738-45, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23959547

RESUMEN

In Dahl salt-sensitive rats (Dahl SS), glomerular capillary pressure increases in response to high salt intake and this is accompanied by significant glomerular injury compared with spontaneously hypertensive rats with similar blood pressure. Glomerular capillary pressure is controlled mainly by afferent arteriolar resistance, which is regulated by the vasoconstrictor tubule glomerular feedback (TGF) and the vasodilator connecting TGF (CTGF). We hypothesized that Dahl SS have a decreased TGF response and enhanced TGF resetting compared with spontaneously hypertensive rats, and that these differences are attributable in part to an increase in CTGF. In vivo, using micropuncture we measured stop-flow pressure (a surrogate of glomerular capillary pressure). TGF was calculated as the maximal decrease in stop-flow pressure caused by increasing nephron perfusion, TGF resetting as the attenuation in TGF induced by high salt diet, and CTGF as the difference in TGF response before and during CTGF inhibition with benzamil. Compared with spontaneously hypertensive rats, Dahl SS had (1) lower TGF responses in normal (6.6±0.1 versus 11.0±0.2 mm Hg; P<0.001) and high-salt diets (3.3±0.1 versus 10.1±0.3 mm Hg; P<0.001), (2) greater TGF resetting (3.3±0.1 versus 1.0±0.3 mm Hg; P<0.001), and (3) greater CTGF (3.4±0.4 versus 1.2±0.1 mm Hg; P<0.001). We conclude that Dahl SS have lower TGF and greater CTGF than spontaneously hypertensive rats, and that CTGF antagonizes TGF. Furthermore, CTGF is enhanced by a high-salt diet and contributes significantly to TGF resetting. Our findings may explain in part the increase in vasodilatation, glomerular capillary pressure, and glomerular damage in SS hypertension during high salt intake.


Asunto(s)
Presión Sanguínea/fisiología , Hipertensión/fisiopatología , Glomérulos Renales/fisiopatología , Nefronas/fisiopatología , Vasoconstricción/fisiología , Amilorida/análogos & derivados , Amilorida/farmacología , Animales , Presión Sanguínea/efectos de los fármacos , Glomérulos Renales/irrigación sanguínea , Glomérulos Renales/efectos de los fármacos , Nefronas/irrigación sanguínea , Nefronas/efectos de los fármacos , Ratas , Ratas Endogámicas Dahl , Vasoconstricción/efectos de los fármacos
18.
Am J Physiol Regul Integr Comp Physiol ; 304(7): R488-503, 2013 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-23364530

RESUMEN

Comparative studies of renal structure and function have potential to provide insights into the urine-concentrating mechanism of the mammalian kidney. This review focuses on the tubular transport pathways for water and urea that play key roles in fluid and solute movements between various compartments of the rodent renal inner medulla. Information on aquaporin water channel and urea transporter expression has increased our understanding of functional segmentation of medullary thin limbs of Henle's loops, collecting ducts, and vasa recta. A more complete understanding of membrane transporters and medullary architecture has identified new and potentially significant interactions between these structures and the interstitium. These interactions are now being introduced into our concept of how the inner medullary urine-concentrating mechanism works. A variety of regulatory pathways lead directly or indirectly to variable patterns of fluid and solute movements among the interstitial and tissue compartments. Animals with the ability to produce highly concentrated urine, such as desert species, are considered to exemplify tubular structure and function that optimize urine concentration. These species may provide unique insights into the urine-concentrating process.(1)


Asunto(s)
Médula Renal/fisiología , Roedores/anatomía & histología , Roedores/fisiología , Urea/metabolismo , Agua/metabolismo , Animales , Transporte Biológico/fisiología , Médula Renal/anatomía & histología , Médula Renal/irrigación sanguínea , Nefronas/anatomía & histología , Nefronas/irrigación sanguínea , Nefronas/fisiología
19.
Nephrology (Carlton) ; 18(3): 180-2, 2013 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23279726

RESUMEN

Preterm birth (birth prior to 37 completed weeks of gestation) may occur at a time when the infant kidney is very immature and nephrogenesis is often ongoing. In autopsied preterm human kidneys and in a baboon model of preterm birth it has been shown that nephrogenesis continues after preterm birth, with a significant increase in the number of glomerular generations and number of nephrons formed within the kidney after birth. Of concern, however, morphologically abnormal glomeruli (with a cystic Bowman's space) are often observed; the abnormal glomeruli are only located in the outer renal cortex, suggesting that it is the recently formed glomeruli (perhaps those formed in the extra-uterine environment) that are affected. The proportion of abnormal glomeruli within the renal cortex differs between infants with some kidneys appearing normal whereas others are severely affected. This suggests that it may be haemodynamic factors and/or factors in the neonatal care of the infant that lead to the glomerular abnormalities. Indeed, the haemodynamic transition at birth where there is a marked increase in systemic blood pressure and renal blood flow are likely to lead to injury of glomerular capillaries, although further studies are required to elucidate this. In order to optimize renal health at the beginning of life in the preterm infant, it is imperative in future studies to gain an understanding of the causes of the glomerular abnormalities in the preterm neonate.


Asunto(s)
Recien Nacido Prematuro , Nefronas/patología , Nacimiento Prematuro/patología , Animales , Diferenciación Celular , Proliferación Celular , Modelos Animales de Enfermedad , Hemodinámica , Humanos , Recién Nacido , Glomérulos Renales/patología , Nefronas/irrigación sanguínea , Nefronas/embriología , Nefronas/crecimiento & desarrollo , Organogénesis , Papio , Nacimiento Prematuro/fisiopatología , Circulación Renal
20.
Am J Physiol Renal Physiol ; 304(1): F88-F102, 2013 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-22975020

RESUMEN

Tubuloglomerular feedback (TGF) and the myogenic mechanism combine in each nephron to regulate blood flow and glomerular filtration rate. Both mechanisms are nonlinear, generate self-sustained oscillations, and interact as their signals converge on arteriolar smooth muscle, forming a regulatory ensemble. Ensembles may synchronize. Smooth muscle cells in the ensemble depolarize periodically, generating electrical signals that propagate along the vascular network. We developed a mathematical model of a nephron-vascular network, with 16 versions of a single nephron model containing representations of both mechanisms in the regulatory ensemble, to examine the effects of network structure on nephron synchronization. Symmetry, as a property of a network, facilitates synchronization. Nephrons received blood from a symmetric electrically conductive vascular tree. Symmetry was created by using identical nephron models at each of the 16 sites and symmetry breaking by varying nephron length. The symmetric model achieved synchronization of all elements in the network. As little as 1% variation in nephron length caused extensive desynchronization, although synchronization was maintained in small nephron clusters. In-phase synchronization predominated among nephrons separated by one or three vascular nodes and antiphase synchronization for five or seven nodes of separation. Nephron dynamics were irregular and contained low-frequency fluctuations. Results are consistent with simultaneous blood flow measurements in multiple nephrons. An interaction between electrical signals propagated through the network to cause synchronization; variation in vascular pressure at vessel bifurcations was a principal cause of desynchronization. The results suggest that the vasculature supplies blood to nephrons but also engages in robust information transfer.


Asunto(s)
Riñón/irrigación sanguínea , Modelos Biológicos , Nefronas/irrigación sanguínea , Circulación Renal/fisiología , Animales , Presión Arterial , Arteriolas/fisiología , Fenómenos Electrofisiológicos , Tasa de Filtración Glomerular , Nefronas/fisiología , Ratas
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