Renal biomarkers of male and female Wistar rats (Rattus norvegicus) undergoing renal ischemia and reperfusion

PURPOSE: To investigate biomarkers of acute renal injury in Wistar rats, subjected to left renal ischemia for 10 minutes, and then compare reperfusion at 24 hours, and at 5, 7, 14 and 21 days after the procedure. METHODS: Eight female and male rats between 60 and 81 days old were used in the Central Animal Facility of the UFMS. Assessed biomarkers included urine protein, urea, creatinine, glucose, sodium, potassium, urine alkaline phosphatase and gamma-glutamyl transferase activities, and protein-to-creatinine ratio; and in serum: urea, creatinine, sodium and potassium, fractional excretion of sodium, potassium, urine flow and creatinine clearance. RESULTS: Greater variance was observed in the parameters at 24 hours and at five days (p<0.05) after reperfusion. On the 21st day, these parameters approximated those obtained for the control group. CONCLUSIONS: Renal ischemia for 10 minutes was sufficient to raise urine levels of protein, glucose, fractional excretion of potassium, urea, creatinine clearance, urine activity of gamma-glutamyltransferase and alkaline phosphatase enzymes in the first 24 hours, up to five days after reperfusion, which may indicate risk of acute kidney injury, according to the RIFLE classification. .

Urinary markers for early detection of Diabetic Nephropathy in type 1 Diabetes Mellitus

Background: diabetic nephropathy [DN] is a serious complication of diabetic mellitus associated with increased risk of morbidity and mortality. Diagnostic markers to detect DN at early stage are important as early intervention can slow loss of kidney functions and improve patient outcomes. N-acetyl Beta d-glucosaminidase [NAG] is a lysosomal enzyme, present in high concentrations in renal proximal tubular cells, Gamma-glutamyltransferase [GGT] is an enzyme which located along the proximal tubular brush border, Malondialdehyde [MDA] is a highly toxic product, formed in part by lipid oxidation derived free radicals, Reactive carbonyl derivatives [RCD[S]] is an oxidative stress marker in urine, as a measure of the oxidative modification of proteins and beta-2-microglobulin is filtered by the glomerulus, absorbed and catabolized by the proximal tubules. The aim of this study is to investigate the urinary outcome of these markers as early detectors of diabetic nephropathy in type 1 diabetic children

Subjects and methods: This case-control study included 67 children with type 1 diabetes mellitus [33 male; 34 female], age [11.03 +/- 1.05 years] and thirty one age [10.58 +/- 1.11 years] and sex [13 male; 18 female] matched healthy children [13 male; 18 female]. Type 1 diabetic children were further subdivided into microalbuminuric and normoalbuminuric subgroups according to microalbuminuria concentration [30 mg/ g creatinine]. Age, sex, diabetic duration and the current daily insulin dose, and family history of diabetes, weight, height, body mass index, systolic and diastolic blood pressure were recorded. Fasting plasma glucose, glycated hemoglobin, blood urea nitrogen, plasma creatinine, urinary creatinine, micoalbumin, N-acetyl-B-D glucosaminidase [NAG], Gama glutamyl transferase [GGT], Beta-2-microglobulin, Malondialdehyde [MDA] and Reactive carbonyl groups [RCDS[S]] were measured in all subjects

Results: a significant increase in tubular injury markers of diabetes [NAG, GGT, beta-2-microglobulin] and oxidative stress parameters [MDA, RCDS[S]] as compared to control subjects was found. Microalbuminuric subjects showed a significant elevatation in the urinary markers including NAG, GGT, beta-2-microglobulin, MDA, RCDS[S] as compared to normoalbuminuric subjects. The studied urinary tubular enzymes [NAG, GGT], oxidative stress markers [MDA, RCDS[S]] and Beta-2- microglobulin showed positive correlations with one another

Conclusion: The results of this study introduced the possibility of depending on tubular enzymes [NAG, GGT], oxidative stress markers [MDA, RCDS[S]] and Beta2 microglobulin as early, reliable, and sensitive predictors for diabetic nephropathy. The NAG activity index proved to be the most sensitive biomarker, then beta-2- microglobulin for early discovering the tubule cells damage

Urinary oxalate, citrate, and gamma glutamyl transferase alterations after administration of Cynodon dactylon extract in cats

Urinary oxalate and citrate are the key factors in caox urolithiasis of cats and Gamma Glutamyl Transferase is a good test for assessment of kidney damage. Favorable effects of Cynodon dactylon on calcium oxalate stone formation have recently been proved in rats. The present study was designed to investigate the alteration of urinary oxalate, citrate, and GGT after administration of the hydroalcoholic extract of Cynodon dactylon to experimental hyperoxaluric cats. No scientific study has been done so far to demonstrate the beneficial effect of this plant in cats. 13 mature male cats were randomly divided into 3 groups: group A received standard diet and drinking water while, group B and C also received ethylene glycol at sub-toxic dose [130 mg/kg] daily for 30 days. Group C received hydroalcoholic extract of C.dactylon [400 mg/kg] from day 0 to 30, as well. Urine samples were collected on days 0, 15, and 30 and were analyzed for oxalate, citrate, and GGT levels. Urine oxalate level in group B was significantly higher than group C on days 15 and 30. Urinary citrate excretion was significantly higher in group C compared to the other groups on day 15; however, it decreased during the entire experiment in groups B and C. Urinary Gamma Glutamyl Transferase level was increased in hyperoxaluric cats and decreased in the treated group during the experiment. Based on our results, C.dactylon extract could reduce the hyperoxaluria and has beneficial effects on preventing the renal damage in cats. Such findings provide a scientific explanation for applying C.dactylon in prevention and possible treatment of CaOx kidney stones in cats and humans

Nonsteroidal anti-inflammatory therapy: changes on renal function of healthy dogs

PURPOSE: To evaluate the renal function in healthy dogs submitted to nonselective and preferential COX-2 nonsteroidal anti-inflammatory drug (NSAID) therapy. METHODS: Twenty four healthy dogs were distributed into four groups (G) (n=6): ketoprofenG - treated with ketoprofen; nimesulideG - treated with nimesulid; meloxicanG - treated with meloxican; and etodolacG - treated with etodolaco. All the dogs received the NSAIDs for 10 days by oral route. Physical examination and renal function (urinalysis, urinary sodium and gamma-glutamyl transpeptidase (GGT), serum urea, creatinine, potassium and sodium, and endogenous creatinine clearance) were evaluated before, after five and ten days (T0, T5 and T10) of the treatment in all groups. RESULTS: Changes were observed in urinalysis, with a significant increase in renal cells in the urine at T5 and T10 in nimesulideG. Significant reduction in urinary sodium in nimesulideG at T5 was observed. The clearance values were lower in ketoprofenG at T10. CONCLUSIONS: Meloxicam and etodolac were the drugs that have proven to be safer for short-term therapy in healthy dogs in relation to renal function. NSAIDs ketoprofen and nimesulide should be used judiciously in dogs with renal dysfunction, since there are promoted changes in renal function.

effect of exercise on urinary gamma-glutamyltransferase and protein levels in elite female karate athletes

Post exercise proteinuria and increased urinary Gamma-Glutamyl transferase [GGT] levels can be indicative of exercise-induced renal damage. The aim of this investigation is to study the effect of one session of intensive training on renal damage markers and compare their values to those 6 hours after training. In this cross-sectional study with pre- and post-test design, 10 elite volunteer female athletes were selected and participated in one training session [2 hours]. Urine samples were collected before training, one hour after training, and 6 hours after training. Urinary protein [Pr], creatinine [Cr], and GGT values were measured through laboratory methods and then Pr/Cr and GGT/Cr ratios were computed. There were significant differences between values of protein, GGT and Creatinine in the three sampling phases [P<0.05]. However, no significant differences were observed between values for GGT/Cr and Pr/Cr ratio. There were significant differences between the mean values of Creatinine, protein and GGT within pre-exercise and 1 hour post-exercise and within 1 hour post-exercise and 6 hours post-exercise [P<0.05]. It seems that a session of karate training does not result in renal damage and athletes can continue training after 6 hours

Renal tubular dysfunction in patients with type 2 diabetes mellitus

It is well established that the detection of microalbuminuria in patients with diabetes mellitus indicates the presence of glomerular involvement in early renal damage. Recent studies have demonstrated that there iso also a tubular component of renal complications in diabetes, as shown by the detection of renal tubular proteins and enzymes in urine. So, the objective of this study was to determine the activity of urinary enzymes [N-aceiyl-beta-D-glucosaminidase [NAG], a lysosomal enzyme, gamma-glutamyltranspeptidase [GGT], alkaline phosphalase [ALP], brush border enzymes and /32 microglobulin [beta 2MG,] as one of the tubular proteins] as markers of tubular damage which may reflect early stage of diabetic nephropathy [DN] and to clarify the importance of estimation of these enzymes as noninvasive cheap tools in monitoring the course of DN [degree of proteinuria]. Also we studied the serum level of angiolensine converting enzyme [ACE] to evaluate the endothelial disorder in diabetic patients. Patients and Methods: 3 groups of non smoker type 2 diabetic patients were studied, 1[st] group was 20 normo-albuminuric diabetic patients, 2[nd] group was 20 patients with microalbuminurea [urinary albumin is >30 mg - <300 mg/day], and the 3[rd] group was 20 patie!ts with macroalbuminuria [: 300 mg/day]. Another 15 healthy age and sex matched subjects were recruited as a control group. For each patient and control subject the followings were estimated: [1] urinary glucose, 2 hours postprandial blood glucose, and glycated haemoglohin as parameters of gl, vcaemic control [2] blood urea, serum creatinine, 24-hour urinary protein and microalbuminuria to detect DN, ['3,] Serum ACE, urinary NAG. ALP, GGT and beta 2 microglobulin. The serum urinary NAG, ALP, beta 2MG, HbA[1c] and 2-hour postprandial blood glucose were significantly higher in the diabetic groups compared to controls. While GGT was significantly lower in the diabetic groups compared to controls. Also the increase in serum ACE, urinary NAG, ALP and beta 2MG positively correlated with the degree of albuminuria, HbA[1c] and 2-hour postprandial blood glucose while urinary GGT negatively correlated with the previous parameters. The significant progressive increase in ACE activity in the studied groups supports the hypothesis of ACE activity being an essential partner in the development of DN The elevation of the levels of NAG, ALP and beta 2 microglobulin, and the decrease in the level of GGT in the first group and the progressive change in their levels with the pathological increase in the level of urinary albumin, suggest that these changes are useful in the diagnosis of early stage of DN before the development of microalbuminuria. GGT and NAG appear more simple and readily available compared with others

Efeitos renais crônicas em trabalhadores expostos ao chumbo e suas relaçöes com a pressäo arterial / The chronic renal effects in workers occupationally exposed to lead and its correlation with arterial pressure

Determinaram-se as atividades de duas enzimas de membrana: alanina-aminopeptidase (AAP), -glutamil-transpeptidase e da enzima lisossomal N-acetil-B-D-glucosaminidase, os níveis de proteína total, albumina e ácido delta-aminolevulínico em urinas de indivíduos expostos ocupacionalmente ao chumbo e de indivíduos näo expostos. Todos os indivíduos apresentavam creatinina sérica inferior a 1,5 mg/dl. Foram determinados os níveis sangüíneos de chumbo e aferidas pressäo arterial diastólica e pressäo arterial sistólica. Objetivou-se investigar a toxicidade renal crônica do chumbo e sua possível correlaçäo com a pressäo arterial em indivíduos com funçäo renal normal. A pressäo arterial diastóeca foi maior no grupo exposto. Observaram-se correlaçöes das pressöes com tempo de exposiçäo e com chumbo no sangue

Actividad urinaria de la enzima gamma glutamil transpeptidasa y su relación con la infección urinaria / Urinary GGTP activity and urinary tract infection

Se midió la actividad de la G.G.T.P. en orina, con el propósito de observar su comportamiento en los distintos tipos de I.T.U. Se seleccionaron 24 mujeres, que consultaron en el Hospital Naval de Valparaíso, con síntomas de I.T.U. las cuales se dividieron en altas y bajas según los clásicos criterios clínicos. Como grupo control, se contó con mujeres sanas. La actividad de la G.G.T.P. en sangre y orina se midió en un analizador automático y el análisis estadístico mediante el test de Student. Catorce sufrieron I.T.U. alta, y su promedio de actividad en orina fue de 60 ñ 37.8 Uds/L; mientras que 10 sufrieron I.T.U baja, con un promedio de 14 ñ 8.5 Uds/L. La diferencia es estadísticamente significativa (p < 0.001). El grupo control (22 mujeres), tuvo un promedio de 19.9 ñ 7 Uds/L y una diferencia significativa sólo con el grupo de I.T.U. altas. Los resultados de este estudio preliminar demuestran una diferencia significativa en la actividad urinaria de la G.G.T.P. entre las dos formas de I.T.U., por lo que en el futuro este método sencillo, barato y no invasivo puede ser de utilidad en la localización del sitio de la I.T.U. en clínica