Use of intravoxel incoherent motion MRI to assess renal fibrosis in a rat model of unilateral ureteral obstruction.

PURPOSE: To investigate the potential of intravoxel incoherent motion (IVIM) magnetic resonance imaging (MRI) in assessment of renal fibrosis using a rat model of unilateral ureteral obstruction (UUO). MATERIALS AND METHODS: Thirty-two UUO rats were created by complete ligation of the left ureter. IVIM was performed on a clinical 3.0T whole-body MRI scanner before the ligation (day 0) and on days 1, 3, 5, and 7 after ligation, and followed by histological analysis to examine α-smooth muscle actin (α-SMA) expression and tubulointerstitial lesion (TIL). IVIM parameters of renal cortex and medulla were measured. Changes in each parameter with time were analyzed and correlated with α-SMA expression level and grades of TIL. RESULTS: The apparent diffusion coefficient (ADC), true diffusion (D), and fractional perfusion (f) values between the cortex and inner medulla and between the cortex and outer medulla were found to be significantly different (P < 0.01). The average ADC, D, D*, and f values of renal cortex, outer medulla, and inner medulla on the UUO side significantly decreased over time (P < 0.05), and negatively correlated with both α-SMA expression level and TIL grades (Spearman Correlation Coefficient r: ADC and α-SMA.805, -0.707, -0.805; ADC and TIL: -0.758, -0.761, -0.810; D and α-SMA: -0.782, -0.486, -0.833; D and TIL: -0.518, -0.504, -0.826; D* and α-SMA: -0.707, -0.605, -0.639; D* and TIL: -0.450, -0.670, -0.701; f and α-SMA: -0.866, -0.872, -0.863; and TIL: -0.870, -0.875, -0.863). CONCLUSIONS: IVIM MRI shows great potential in noninvasive assessment of renal fibrosis induced by UUO. J. Magn. Reson. Imaging 2016;44:698-706.

Assessment of renal function in patients with unilateral ureteral obstruction using whole-organ perfusion imaging with 320-detector row computed tomography.

BACKGROUND: Obstructed nephropathy is a common complication of several disease processes. Accurate evaluation of the functional status of the obstructed kidney is important to achieve a good outcome. The purpose of this study was to investigate renal cortical and medullary perfusion changes associated with unilateral ureteral obstruction (UUO) using whole-organ perfusion imaging with 320-detector row computed tomography (CT). METHODOLOGY/PRINCIPLE FINDINGS: Sixty-four patients with UUO underwent whole-organ CT perfusion imaging. Patients were divided into 3 groups, mild, moderate, and severe, based on hydronephrosis severity. Twenty sex- and age-matched patients without renal disease, who referred to abdominal CT, were chosen as control subjects. Mean cortical and medullary perfusion parameters of obstructed and contralateral kidneys were compared, and mean perfusion ratios between obstructed and contralateral kidneys were calculated and compared. Mean cortical or medullary blood flow (BF) and blood volume (BV) of the obstructed kidneys in the moderate UUO and BF, BV, and clearance (CL) in the severe UUO were significantly lower than those of the contralateral kidneys (p < 0.05). The mean cortical or medullary BF of the obstructed kidney in the moderate UUO, and BF, BV, and CL in the severe UUO were significantly lower than those of the kidneys in control subjects (p < 0.05). Mean cortical or medullary BF of the non-obstructed kidneys in the severe UUO were statistically greater than that of normal kidneys in control subjects (p < 0.05). An inverse correlation was observed between cortical and medullary perfusion ratios and grades of hydronephosis (p < 0.01). CONCLUSIONS/SIGNIFICANCE: Perfusion measurements of the whole kidney can be obtained with 320-detector row CT, and estimated perfusion ratios have potential for quantitatively evaluating UUO renal injury grades.

Anti-tumor effects of Astragalus on hepatocellular carcinoma in vivo.

OBJECTIVE: The objective of the present study is to investigate the anti-proliferation activity of Astragalus on human hepatocellular carcinoma (HCC) cells and its mechanism. MATERIALS AND METHODS: Hepatic cancer H22 bearing mice were used to study the anti-hepatocarcinoma activity of Astragalus in vivo. The growth curve and inhibitory rate of tumor growth were measured. Cell apoptosis of each group was measured by flow cytometry (FCM). Protein expression of Bax and Bcl-2 were analyzed by immunohistochemistry (IHC). The Statistical Package for Social Sciences version 13.0 (SPSS Inc, Chicago, IL) was used for standard statistical analysis including one-way ANOVA and Student's t-test. A value of P<0.05 was considered to be statistically significant. RESULTS: Astragalus significantly inhibited the growth of H22 carcinoma, with an inhibitory rate of 17.28-52.36%. FCM and immunohistochemical assay show that the cell apoptosis rate and protein expression of Bax and Bax/Bcl-2 ratio of H22 transplanted tumor in Astragalus treated group were significantly higher than the control group (P<0.05). The protein expression of Bcl-2 was significantly lower than control (P<0.05). CONCLUSION: The results of the present study suggest that Astragalus has significant anti-tumor effect in vivo in inducing apoptosis of H22 tumor cells by promoting protein expression of Bax, decreasing protein expression of Bcl-2 gene, and markedly increasing the Bax/Bcl-2 ratio.

Some essential elements on the inlC promoter for prfA-dependent regulation in Listeria monocytogenes.

To study some essential elements of a PrfA-dependent promoter of Listeria monocytogenes, a series of promoter mutants incorporated into upstream of a promoterless lacZ gene were constructed from a known listerial PrfA-dependent promoter, inlC promoter, by PCR-mediated site-directed mutagenesis and recombinant PCR technique and then electroporated into L. monocytogenes wild-type strain P14, prfA * mutant Pl4a and prfA deletion mutant A42. The corresponding transcription activities of altered promoters were measured by the beta-galactosidase assay. The results showed that a PrfA-box-like sequence ("pseudo-PrfA-box"), TTAACAGCGTTTGTTAA, 22bp downstream of the transcriptional start site of PinlC had no ability to enhance or inhibit the PrfA-dependent transcription of inlC promoter, even it was modified to the "ideal PrfA-box" TTAACATTTGTTAA. However, there was almost no PrfA-dependent transcriptional activity from the mutants deletion of the inlC original PrfA-box. Moreover, altered spacing between 3'-end of the PrfA-box and 5'-end of the -10 box in the inlC promoter region affected transcription efficiency dramatically, which also happened in another promoter-dependent promoter, plcA promoter. Those above suggested that besides the "PrfA-box", additional unknown PrfA-dependent promoter structure(s) or sequence(s) might be required for the PrfA binding to the promoter and initiation of transcription. Furthermore, the distance between the PrfA-box and the -10 box should be fixed to 22 or 23bp for the PrfA-dependent transcription.