Establishment and application of a new 4/6 infarct nephrectomy rat model for moderate chronic kidney disease.

Acta cirurgica brasileira Pub Date : 2024-03-11 eCollection Date: 2024-01-01 DOI:10.1590/acb391324
Kazuhisa Sugai, Momoko Hirano, Asahi Oda, Masahiko Fujisawa, Saori Shono, Katsumi Ishioka, Tomoyoshi Tamura, Yoshinori Katsumata, Motoaki Sano, Eiji Kobayashi, Yoji Hakamata
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Abstract

Purpose: To develop a new 4/6 infarct nephrectomy (INx) model rat mimicking moderate chronic kidney disease (CKD) and to evaluate its application.

Methods: We modified the conventional 5/6 INx rat model to create the 4/6 INx model by ligating the renal artery branch to induce infarction of one-third of the left kidney after right kidney removal and compared biochemically and histologically both models. To demonstrate the application of the 4/6 INx model, the effects of a supplementary compound containing calcium carbonate, chitosan, palm shell activated charcoal etc., that is effective for both CKD and its complications, were compared between both models.

Results: Impairment of renal function in the 4/6 INx group was significantly more moderate than in the 5/6 INx group (P < 0.05). The 4/6 INx group showed less histological damage in kidney than in the 5/6 INx group. The supplementary compound did not improve CKD in the 5/6 INx group, but ameliorated elevation of blood urea nitrogen in the 4/6 INx group.

Conclusions: We developed the 4/6 INx model, which is more moderate than the conventional 5/6 INx model. This model could potentially demonstrate the effectiveness of drugs and supplements intended to prevent CKD and its progression.

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建立和应用新的 4/6 梗死肾切除大鼠模型治疗中度慢性肾病
目的:开发一种新的模拟中度慢性肾脏病(CKD)的4/6梗死肾切除(INx)模型大鼠,并评估其应用情况:方法:我们对传统的 5/6 INx 大鼠模型进行了改良,通过结扎肾动脉分支,在切除右肾后诱发左肾 1/3 梗死,建立了 4/6 INx 模型,并对两种模型进行了生化和组织学比较。为了证明 4/6 INx 模型的应用,比较了两种模型中含有碳酸钙、壳聚糖、棕榈壳活性炭等对 CKD 及其并发症均有效的辅助化合物的效果:结果:4/6 INx 组的肾功能损害程度明显比 5/6 INx 组轻(P < 0.05)。与 5/6 INx 组相比,4/6 INx 组的肾脏组织学损伤较轻。补充化合物没有改善5/6 INx组的慢性肾脏病,但改善了4/6 INx组血尿素氮的升高:我们开发的 4/6 INx 模型比传统的 5/6 INx 模型更温和。结论:我们开发的 4/6 INx 模型比传统的 5/6 INx 模型更为温和,该模型有可能证明旨在预防慢性肾脏病及其进展的药物和补充剂的有效性。
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