A Vitamininin Subteratojenik Dozlarının Sıçan Fetüs Böbreği Üzerine Etkileri: Stereolojik Bir Çalışma

Hakan Ay, Abdullah Ortadeveci, D. Aslan
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Abstract

Background: Vitamin A (retinol) and its derivatives are essential for maintaining cell differentiation in adult organisms as well as for normal embryonic development in fetuses. On the other hand, high amounts of vitamin A are known to be teratogenic. The formation of urogenital structures depends heavily on retinoic acid receptors. The effects of low and moderate dosages of retinol on the urinary system have not been adequately studied. The aim of our study was to investigate the effects of moderate and low doses of vitamin A on the fetal kidney. Materials and Methods: Pregnant rats were divided into 6 groups. On day 10 to 12 of pregnancy (P10-P12) the first group was administered 10000 IU/kg, the second group 20000 IU/kg, the third group 30000 IU/kg, the fourth group 40000 IU/kg and the fifth group 50000 IU/kg oral vitamin A. The control group only received 1 ml of corn oil on the same days. The fetuses were delivered via cesarean section at P19. The kidneys of the fetuses were removed after cardiac perfusion was used to fixate them. After histological preparation of the kidneys, the slides were stained with hematoxylin and eosin. By using stereological methods, the kidneys' volume (V), glomeruli per unit area (NAg), and glomeruli diameter (D) were all estimated. The results were statistically analyzed. Results: The renal volumes of the 20000, 30000 and 40000 IU/kg groups were higher than those of the other groups. It was also found that the NAg levels of the group receiving 50000 IU/kg Vitamin A were lower than those of all other groups. Moreover, the NAg levels of the groups receiving 20000, 30000 and 40000 IU/kg vitamin A were higher than those of the control group and the group receiving 10000 IU/kg. While the glomeruli diameters of the experimental groups were not different from those of the control group, the glomeruli diameters of the group receiving 20000 and 50000 IU/kg retinol were larger than those of the groups receiving 10000 and 40000 IU/kg vitamin A. Conclusions: Given the estimated higher V, Na, and D values of the group receiving 20000 IU/kg vitamin A, we can assume that this particular dose has a significant effect on renal morphology and development.
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背景:维生素A(视黄醇)及其衍生物对于维持成体生物的细胞分化和胎儿的正常胚胎发育至关重要。另一方面,大量的维生素A被认为是致畸的。泌尿生殖结构的形成在很大程度上取决于视黄酸受体。低剂量和中剂量视黄醇对泌尿系统的影响尚未得到充分研究。本研究旨在探讨中、低剂量维生素A对胎儿肾脏的影响。材料与方法:将妊娠大鼠分为6组。妊娠第10 ~ 12天(p10 ~ p12),第1组口服维生素a 10000 IU/kg,第2组口服维生素a 20000 IU/kg,第3组口服维生素a 30000 IU/kg,第4组口服维生素a 40000 IU/kg,第5组口服维生素a 50000 IU/kg,对照组仅给予玉米油1 ml。胎儿于P19时剖宫产。取胎儿肾脏,经心脏灌注固定。肾组织制备后,切片用苏木精和伊红染色。采用体视学方法估计肾脏体积(V)、单位面积肾小球(NAg)和肾小球直径(D)。对结果进行统计学分析。结果:20000、30000、40000 IU/kg组肾容量均高于其他组。研究还发现,摄入50000 IU/kg维生素A组的NAg水平低于其他各组。2万、3万、4万IU/kg维生素A组NAg水平均高于对照组和1万IU/kg维生素A组。虽然实验组的肾小球直径与对照组没有差异,但服用20000和50000 IU/kg视黄醇组的肾小球直径比服用10000和40000 IU/kg维生素A组的肾小球直径大。结论:考虑到服用20000 IU/kg维生素A组估计的V、Na和D值更高,我们可以假设这一特定剂量对肾脏形态和发育有显著影响。
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