ABSTRACT
Objective To compare the clinical manifestations,renal histological lesions,and the levels of urinary protein markers between the children with IgA nephropathy (IgAN) and those with IgM nephropathy (IgMN), and to determine whether urinary protein markers could predict the severity of renal histological lesions in children with IgAN and IgMN.Methods Seventy-four children with renal biopsy-proven IgAN and IgMN from January 2002 to October 2014 were enrolled in the study.The levels of IgG, albumin (Alb), transferrin (TRF), α1-microglobulin (α1-MG) ,β2-microglobulin (β2-MG) and N-acetyl-β-glucosaminidase (NAG) in morning urine samples before biopsy were measured.The semi-quantitative scores of mesangial hypercellularity (MC), glomerulosclerosis (GS), and tubule-interstitial damage (TID) were used to assess renal histological lesions.Multivariate Logistic regression analysis was used to determine whether urinary protein levels were independently associated with renal histological lesions.The area under the receiver-operating-characteristic curve (AUC) was calculated to assess the predictive ability of urinary protein markers.Results Seventy-four children (44 cases with IgAN,30 cases with IgMN) were included.The urinary levels of α1-MG and Alb were significantly higher in children with IgAN as compared to those with IgMN.The differences, however, did not remain significant after adjustment for age.The urine protein, as an independent factor associated with severe MC(＞ 5 mesangial cells per mesangial area) was TRF(B =0.010), and severe GS (≥ 10％ glomeruli showing segmental adhesion or sclerosis) was significantly correlated with Alb(B =0.001) ,and severe TID (focal or diffuse tubular and interstitial lesions) was significantly correlated with NAG(B =0.038).Urinary β2-MG was not significantly associated with severe MC, GS and TID.Urinary TRF, Alb and NAG achieved the best AUC of 0.85 (P ＜ 0.001) ,0.78 (P =0.002), and 0.78 (P =0.003), respectively, for predicting severe MC, GS, and TID.Conclusions Urinary proteins are useful to predict the severity of renal histological lesions in children with IgAN and IgMN.Urinary TRF, Alb and NAG have better predictive value.
ABSTRACT
Neste estudo objetivou-se validar dois órgãos (brânquia e fígado) de Hoplias malabaricus para análise de biomarcadores de contaminação aquática na Área de Proteção Ambiental (APA) do Maracanã em São Luís-MA. Exemplares de traíra foram capturados em uma lagoa de policultivo e no Rio Ambude, localizados na APA do Maracanã. A biometria foi realizada em laboratório. Brânquias e o fígado de cada espécime foram fixados em formol a 10% e mantidos em álcool a 70% até a execução da técnica histológica usual. Cortes de aproximadamente 5µm de espessura foram corados em hematoxilina e eosina (HE). Os resultados referentes à biometria dos peixes capturados durante o período de estiagem indicaram que o comprimento total e padrão dos exemplares foram maiores quando comparados com os indivíduos do período chuvoso. As alterações hepáticas identificadas foram: lipidose, necrose, infiltração leucocitária, vacuolização do citoplasma, hemossiderina e centro de melanomacrófagos. Constataram-se as seguintes lesões branquiais: fusão lamelar, aneurisma lamelar, deslocamento e necrose do epitélio, proliferações de células do muco e dilatação capilar. As respostas biológicas de H. malabaricus, registradas em nível branquial e hepático, podem ser caracterizadas como biomarcadores de contaminação aquática. As brânquias mostraram-se como os melhores órgãos para esse tipo de análise na espécie. Esses resultados indicam que os peixes da região apresentam a saúde comprometida por poluentes presentes nos ambientes analisados...
The aim of the present work was to validate two organs (liver and gill) of Hoplias malabaricus for analysis of aquatic contamination biomarkers in the Maracanã Environmental Protected Area (APA) in São Luís-MA. Trahira animals were captured in a pond polyculture and Ambude River located in Maracanã APA. Biometric analysis was performed in the laboratory. Gills and liver of each specimen were fixed in 10% formalin and kept in 70% alcohol to running the usual histological technique. Cuts of approximately 5μm thick were stained with hematoxylin and eosin (HE). The results concerning the biometrics of the fish caught during the dry season indicated that the total and standard length were higher when compared to the rainy season. The liver changes identified were: lipidosis, necrosis, leukocyte infiltration, vacuolization of the cytoplasm, hemosiderin and melanomacrophages centres. We found the following gill lesions: melting lamellar, lamellar aneurysm displacement, necrosis of the epithelium, proliferation of mucous cells and capillary dilation. The biological responses of H. malabaricus, recorded in gill and liver level, can be characterized as biomarkers of aquatic contamination. The gills appeared as the best organs for this kind of analysis in the species. These results indicate that the fish have health problems caused by pollutants present in the analyzed environments...