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Medicine
单侧肾缺血再灌注损伤的有效小鼠模型
单侧肾缺血再灌注损伤的有效小鼠模型
JoVE Journal
Medicine
This content is Free Access.
JoVE Journal Medicine
An Effective Mouse Model of Unilateral Renal Ischemia-Reperfusion Injury

单侧肾缺血再灌注损伤的有效小鼠模型

Full Text
8,405 Views
05:53 min
July 15, 2021

DOI: 10.3791/62749-v

José R. Godoy1, Grace Watson1, Carly Raspante1, Oscar Illanes1

1Department of Veterinary Biomedical Sciences,Long Island University College of Veterinary Medicine

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Please note that some of the translations on this page are AI generated. Click here for the English version.

Overview

This study presents a mouse model of unilateral renal ischemia-reperfusion injury, a condition linked to acute renal failure. The model is effective for examining the pathophysiological changes in the kidney following ischemic events.

Key Study Components

Area of Science

  • Nephrology
  • Pathophysiology
  • Animal Models

Background

  • Renal ischemia-reperfusion injury is a significant cause of acute renal failure.
  • The model allows for longer ischemic times while ensuring high survival rates.
  • Understanding the morphological changes post-injury is crucial for developing therapeutic strategies.
  • Pathological assessments can provide insights into the injury mechanisms.

Purpose of Study

  • To establish a reliable mouse model for studying renal ischemia-reperfusion injury.
  • To document the sequential pathological changes in the kidney.
  • To evaluate the effects of ischemia on renal morphology and function.

Methods Used

  • Unilateral renal ischemia was induced by clamping the renal artery and vein.
  • Surgical techniques were employed to expose the kidney and apply the clamp.
  • Histological analyses were conducted using various staining methods.
  • Body weight changes and renal morphology were monitored post-surgery.

Main Results

  • Body weight reduction was observed in some mice post-surgery.
  • Pathological changes included tubular dilation, necrosis, and fibrosis over time.
  • Infiltration of immune cells was noted at various time points.
  • A tubular injury scoring system was developed to assess damage severity.

Conclusions

  • The model is effective for studying renal ischemia-reperfusion injury.
  • Sequential changes in renal morphology provide insights into injury progression.
  • Findings may inform future research and therapeutic approaches.

Frequently Asked Questions

What is renal ischemia-reperfusion injury?
It is a condition that occurs when blood supply to the kidney is temporarily interrupted and then restored, leading to potential damage.
How does the mouse model help in research?
The model allows researchers to study the effects of ischemia on kidney function and morphology in a controlled environment.
What are the key pathological changes observed?
Key changes include tubular dilation, necrosis, and infiltration of immune cells over time.
What methods were used to assess kidney injury?
Histological staining techniques such as hematoxylin-eosin and Masson's Trichrome were used to evaluate kidney morphology.
What is the significance of the tubular injury scoring system?
It categorizes the extent of kidney damage over time, aiding in the assessment of injury severity.
How long does it take for mice to recover after surgery?
Most mice recover their initial body weight between days 4 and 7 post-surgery.

肾缺血再灌注损伤与住院患者的高发病率和死亡率相关。在这里,我们提出了一种简单有效的单侧肾缺血再灌注损伤小鼠模型,并提供了在肾脏中观察到的代表性病理变化的顺序概述。

肾缺血再灌注损伤是急性肾功能衰竭的主要原因。该模型对于了解缺血性损伤后肾脏发生的病理生理变化非常有帮助。该模型具有时效性和成本效益,可提供高度可重复的数据。

除此之外,这种单侧肾缺血模型允许研究人员在保持高存活率的同时进行更长的缺血时间。首先,将麻醉的鼠标放在手术台上。手术区域灭菌后,使用手术刀刀片在肋骨后面的右侧侧翼做一个大约一厘米的背侧手术切口,并继续与腰椎中线平行约一厘米。

用剪刀横断腹部肌肉组织,观察腹膜后间隙。使用无菌棉签去除肌肉切片过程中产生的少量血液。接下来,将右肾从腹腔中推出。

缓慢而小心地用灰色镊子暴露肾脏并识别肾蒂。然后小心地去除椎弓根周围的脂肪组织。使用Halsted蚊子止血剂来操纵血管钳。

为了诱导缺血,将血管钳放在肾动脉和肾小板静脉上,避免钳夹相邻的输尿管。用浸泡在盐水中的无菌纱布覆盖夹紧的肾脏,以避免干燥。将肾脏放在纱布上30分钟,并定期监测纱布的麻醉深度和湿度。

在缺血期结束前不久,揭开肾脏并握住Halsted蚊子止血剂,准备取出钳子。在缺血期结束时,用止血器打开血管钳并取下钳夹以允许肾脏灌注。对于假控制动物,在不夹住肾蒂的情况下进行演示的手术。

验证肾脏颜色变化后,将肾脏放回腹腔。用可吸收的缝合线5-0以十字形模式关闭腹部肌肉。用可吸收的缝合线5-0以水平床垫模式关闭皮肤。

用聚维酮碘溶液清洁伤口。缺血灌注损伤后,在一些小于初始体重10%的小鼠中观察到体重减轻。然而,大多数小鼠在术后第4天和第7天之间恢复了初始体重。

对照小鼠在手术后没有表现出任何体重变化。使用苏木精 - 曙红,周期性酸 - 希夫和Masson的三色染色鉴定术后肾脏形态的几种变化。四小时后观察到肾小管腔中存在蛋白质铸模。

在8小时检测到肾小管扩张,并在IRI手术后16小时注意到髓质段的肾小管石膏以及细胞坏死。手术24小时后,观察到肾小管扩张。48 h后检测到淋巴细胞和巨噬细胞浸润以及细胞核增大。

到第4天,观察有丝分裂的肾小管细胞,并在IRI手术后第7天检测到局灶性纤维化。使用PAS染色监测早期再灌注期间小鼠的肾皮质,并可见刷子边界的逐渐衰减。手术后第7天的间质纤维化区域使用Masson的毛状体染色可视化。

开发了一种管状损伤评分系统,用于对随时间变化的损伤进行分类。肾小管损伤评分最高的是在肾脏 IRI 后 8 小时至 24 小时内获得的。一些最关键的步骤是将血管钳正确放置在肾上,并在手术过程中保持恒定的体温。

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