ISSN 1006-298X      CN 32-1425/R

Chinese Journal of Nephrology, Dialysis & Transplantation

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A model of uremia with high levels of proteinbound uremic toxins in pigs

  

  • Online:2020-02-28 Published:2020-03-19

Abstract: Objective:To establish a model of uremia in pigs with high levels of proteinbound uremic toxins and observe the variation trend of relevant biological parameters in 3 months.
Methodology:A dose of 15 g/kg·d Aristolochia manshuriensis Kom (AMK) extraction was administrated to pigs by gavage on the 1st day and 3rd day,causing acute renal injury in pigs.Subsequently,on the 4th,8th,10 th and 12th days,indoxyl and pcresol were given to pigs by gavage at 50 mg/kg·d and 100 mg/kg·d,respectively.During the experiment,relevant biological parameters were detect continuously,and pathological examinations were performed.
Results:(1) Early stage(120d):  serum creatinine (SCr) and blood urea nitrogen (BUN) sharp increased,and reached the peak level to approximately 129 times(P<001) and 99 times of the basic level (P=0011) at 815d,,together with transient proteinuria,hematuria and persistent renal tubular injury(such as urinary NAG and urinary glucose rising),indoxyl sulfate (IS) and pcresol sulfate(PCS)increased to 65 times(P<001) and 22 times(P<005)of the basic level on the 4th day,and further increased to 733 times and 89 times of the basic level after 4 times of indoxyl and pcresol gavage,respectively (both P<005).(2) Medium stage (2045d):characterized by partial recovery of renal function and decreased SCr,BUN,IS and PCS after reaching the peak level. (3) Late stage (4590d),there was relatively stable renal failure stage.SCr and BUN were stabilized at 62 times and 51 times of the basic level,respectively (both P<005); IS and PCS were stabilized at 125 times and 38 times of the basic level,respectively (both P<005). (4)Anemia and hyperhemocysteinemia were  also observed.(5) Renal pathological investigation showed residual tubular dilatation and interstitial collagen fiber hyperplasia 1mon after modeling,and 3mon later the lesions was more significant.
Conclusion:The method of AMK extraction combined with indoxyl and pcresol by gavage can quickly establish uremic model with high levels of proteinbound uremic toxins in pigs,which can be used in blood purification of proteinbound uremic toxins clearance for future research.