Simultaneous use of oxalate-degrading bacteria and herbal extract to reduce the urinary oxalate in a rat model: A new strategy

ABSTRACT Objective: Urinary stones with oxalate composition can cause kidney failure. Recent findings evidenced that probiotics are effective in reducing oxalate absorption in these subjects based on their high colonic absorption levels at baseline. The purpose of this study was to evaluate the effect of the simultaneous use of oxalate-degrading bacteria, Urtica dioica and T. terrestris extract in reducing urinary oxalate. Materials and Methods: Anti-urolithiatic activity of Urtica dioica and T. terrestris extract and probiotic by using ethylene glycol induced rat model. In this study, 4 strains of Lactobacillus and 2 strains of Bifidobacterium and also 2 strains of L. paracasei (that showed high power in oxalate degrading in culture media) were used. Male Wistar rats were divided into four groups (n=6). The rats of group-I received normal diet (positive control group) and groups-II (negative control group), III, IV rats received diet containing ethylene glycol (3%) for 30 days. Groups III rats received Urtica dioica and T. terrestris extract. Groups IV rats received extracts + probiotic for 30 days. Findings: The results show that the use of herbal extracts (Urtica dioica and T. terrestris) reduced the level of urinary oxalate and other parameters of urine and serum. Also, the accumulation of calcium oxalate crystals in the kidney tissue was significantly reduced. Conclusion: Considering that the formation of calcium oxalate crystals can cause inflammation and tissue damage in the kidney, the use of herbal extracts with oxalate degrading bacteria can be a new therapeutic approach to preventing the formation of kidney stones.

2D map of proteins from human renal stone matrix and evaluation of their effect on oxalate induced renal tubular epithelial cell injury

Purpose Proteins constitute a major portion of the organic matrix of human calcium oxalate (CaOx) renal stones and the matrix is considered to be important in stone formation and growth. The present study evaluates the effect of these proteins on oxalate injured renal epithelial cells accompanied by a 2D map of these proteins. Materials and Methods Proteins were isolated from the matrix of kidney stones containing CaOx as the major constituent using EGTA as a demineralizing agent. The effect of more than 3kDa proteins from matrix of human renal (calcium oxalate) CaOx stones was investigated on oxalate induced cell injury of MDCK renal tubular epithelial cells. A 2D map of >3kDa proteins was also generated followed by protein identification using MALDI-TOF MS. Results The >3kDa proteins enhanced the injury caused by oxalate on MDCK cells. Also, the 2D map of proteins having MW more than 3kDa suggested the abundance of proteins in the matrix of renal stone. Conclusion Studies indicate that the mixture of >3kDa proteins in the matrix of human renal stones acts as promoter of calcium oxalate crystal nucleation and growth as it augments the renal epithelial cell injury induced by oxalate. The effect of promoters masks the inhibitors in the protein mixture thereby leading to enhanced renal cell injury. 2D map throws light on the nature of proteins present in the kidney stones. .

Biopsy-Proven Type 1 Renal Tubular Acidosis in a Patient with Metabolic Acidosis

No abstract available.

Effects of herbicide on the kidneys of two Venezuelan cultured fish: Caquetaia kraussii and Colossoma macropomum (Pisces:Ciclidae and Characeae)

The use of chemical pesticides and herbicides has increased environmental pollution and affected ichthyofauna in the watersheds where they are used.We studied the effect of an herbicide, triazine, on the kidneys of two species (Caquetaia kraussii and Colossoma macropomum )widely found in Caribbean and South American rivers.In Venezuela,these species are abundant and have a high aquaculture potential because they may be cultured and reproduced in captivity.Four kidney samples from juveniles of each species exposed to the herbicide were examined by Transmission Electron Microscopy.Kidney tubule alterations included loss of plasmalemma and cell interdigitations, misshaped mitochondria,decrease in rough endoplasmic reticulum and free polysomes,and the presence of autophagic vacuoles and primary lysosomes.These alterations at the cellular level may explain fish behaviour in terms of kidney tubule pathology,and relative amounts and conditions of organelles within affected cells

Net urate handling by renal tubules in maturity onset diabetics

An oral glucose tolerance test [OGTT] was performed and the serum levels of urate and creatinine were determined in 36 maturity-onset diabetics [MOD] and 10 normal controls. The rate of urine flow, the concentration of urate and creatinine were determined on 24 hours collected urine. From these determinations, creatinine clearance [C.C.], urate clearance [U.C.], urate load, final urate excretion per minute and net tubular urate reabsorption were calculated. When the diabetic patients, as a whole, were compared with normal controls, there is significant decrease in the C.C. and nonsignificant increase in U.C.; but when the nonproteinuric diabetics were compared with the controls, a significant elevation in U.C. was noticed. Both proteinuric and nonproteinuric diabetic patients showed a significant decrease in both the filtered urate load to renal tubules and tubular urate reabsorption, but the urate excretion is not significantly changed in the proteinuric 01 nonproteinuric diabetic patients. It is suggested that the increased urate clearance, reported in diabetics in the present investigation, is due to the presence of increased amounts of glucose in the tubular filtrate