scholarly journals GATA3 Is a Useful Immunohistochemical Marker to Differentiate Variants of Renal Tubular Lesions from Different Segments of Renal Tubules

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S152-S153
Author(s):  
M Deebajah ◽  
Z Qu ◽  
P Zhang
Keyword(s):  
Renal Mass ◽  
Clear Cell ◽  
Mesangial Cells ◽  
Proximal Tubules ◽  
Polycystic Kidney ◽  
Collecting Ducts ◽  
Papillary Rcc ◽  
Distal Tubules ◽  
Renal Tubular ◽  
Mass Lesions

Abstract Introduction/Objective GATA3 is found in glomerular mesangial cells, and the distal tubules & collecting ducts in metanephros and eventual kidneys, but not associated with the proximal tubules and loops of Henle. We hypothesize that GATA3 can be used as a marker to identify the origin of tubular differentiation in most renal tumors. Methods/Case Report Ten negative controls and 43 renal mass lesions (RCC, papillary, clear cell papillary, and chromophobe carcinomas, oncocytoma, and polycystic kidney disease). GATA3 nuclear stain was graded as negative (absent stain), equivocal and positive (< 5 and > 5% cells, respectively). Details of their GATA3 nuclear expression was analyzed for identifying their tubular segmental origins. Results (if a Case Study enter NA) In 10 normal renal parenchyma, GATA3 was positive in mesangial cells, distal tubules, and collecting ducts, but was negative in the proximal tubules and loop of Henle. The cystic lining of glomerulocystic renal disease was stained negatively for GATA3 (proximal tubular origin), whereas pediatric and adult variants of polycystic kidney diseases was positive for GATA3 staining (distal tubular origin). 1/10 ten clear cell RCC and papillary RCC showed focal positive GATA3 stain. GATA3 showed weakly positive staining in some oncocytomas (4/11) and some chromophobe RCC (4/11), indicating that they might be derived from the junctional segment between the loop of Henle and the distal tubules. By contrast, all clear cell papillary RCC (distal tubule origin) were diffusely positive. Conclusion Our results indicate that GATA3 is a useful immunohistochemical marker to determine the developmental origin in the specific renal tubular segment for the majority of renal mass lesions. Thus, it may be useful for routine differential diagnosis of these lesions.

Ochratoxin A and Citrinin Induced Nephrosis in Beagle Dogs II. Pathology

1977 ◽  
Vol 14 (3) ◽  
pp. 261-272 ◽  
Author(s):  
D. N. Kitchen ◽  
W. W. Carlton ◽  
J. Tuite
Keyword(s):  
Ochratoxin A ◽  
Proximal Tubules ◽  
Lymphoid Tissues ◽  
Tubular Epithelial Cells ◽  
Beagle Dogs ◽  
Peripheral Lymph ◽  
Collecting Ducts ◽  
Gross Lesions ◽  
Colon And Rectum ◽  
Distal Tubules

Beagle dogs were given ochratoxin A (0.1 and 0.2 mg/kg) and citrinin (5 and 10 mg/kg) alone and in two dose combinations for 14 days. The gross lesions included focal peritonitis and intestinal intussusceptions in dogs given citrinin. Changes in the kidneys of dogs given ochratoxin A were degeneration and necrosis with desquamation of tubular epithelial cells, primarily in the straight segment of the proximal tubules. Dogs given 10 mg/kg citrinin had similar changes in the distal tubules and collecting ducts. Dogs given combined doses of citrinin and ochratoxin A had degeneration and necrosis in proximal and distal tubules, and in thin segments and the collecting ducts; there were desquamated cells and granular casts in the lumina. Dogs given ochratoxin A had necrosis of lymphoid tissues in the spleen, tonsil, thymus, peripheral lymph nodes and lymph nodules of the ileum, colon and rectum. There was ulceration of the mucosa of the intestine in dogs given large combined doses of ochratoxin A and citrinin.

scholarly journals Roles of Akt and SGK1 in the Regulation of Renal Tubular Transport

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Nobuhiko Satoh ◽  
Motonobu Nakamura ◽  
Masashi Suzuki ◽  
Atsushi Suzuki ◽  
George Seki ◽  
...  
Keyword(s):  
Proximal Tubules ◽  
Kidney Cortex ◽  
Sodium Reabsorption ◽  
Serine Threonine Kinase ◽  
Akt Phosphorylation ◽  
Renal Transporters ◽  
Collecting Ducts ◽  
Tubular Transport ◽  
Renal Tubular Transport ◽  
Renal Tubular

A serine/threonine kinase Akt is a key mediator in various signaling pathways including regulation of renal tubular transport. In proximal tubules, Akt mediates insulin signaling via insulin receptor substrate 2 (IRS2) and stimulates sodium-bicarbonate cotransporter (NBCe1), resulting in increased sodium reabsorption. In insulin resistance, the IRS2 in kidney cortex is exceptionally preserved and may mediate the stimulatory effect of insulin on NBCe1 to cause hypertension in diabetes via sodium retention. Likewise, in distal convoluted tubules and cortical collecting ducts, insulin-induced Akt phosphorylation mediates several hormonal signals to enhance sodium-chloride cotransporter (NCC) and epithelial sodium channel (ENaC) activities, resulting in increased sodium reabsorption. Serum- and glucocorticoid-inducible kinase 1 (SGK1) mediates aldosterone signaling. Insulin can stimulate SGK1 to exert various effects on renal transporters. In renal cortical collecting ducts, SGK1 regulates the expression level of ENaC through inhibition of its degradation. In addition, SGK1 and Akt cooperatively regulate potassium secretion by renal outer medullary potassium channel (ROMK). Moreover, sodium-proton exchanger 3 (NHE3) in proximal tubules is possibly activated by SGK1. This review focuses on recent advances in understanding of the roles of Akt and SGK1 in the regulation of renal tubular transport.

scholarly journals Evaluation of the Role of Na+/ K+ ATPase Ion Transporters and Na+/K+/ 2Cl and Na+/H+ Exchanger Cotransporters in Nephrons of Periophthalmus Waltoni Using Immunohistochemistry and Histology

2021 ◽  
Author(s):  
Kave Esfandiari ◽  
Mohammad Babaei ◽  
Mina Amiri-Farahani ◽  
Ali Kalantari-Hesari ◽  
Hassan Morovvati
Keyword(s):  
Epithelial Cells ◽  
Kidney Tissue ◽  
Proximal Tubules ◽  
Renal Tubules ◽  
Ion Regulation ◽  
Renal Histology ◽  
Collecting Ducts ◽  
Distal Tubules ◽  
Periophthalmus Waltoni

Abstract Kidneys play an important role in regulating the balance of water and ions in freshwater and seawater fish. However, complex kidney structures impair a comprehensive understanding of kidney function. In this study, in addition to renal histology, Na+/K+/ATPase ion transporter proteins and Na+/K+/2Cl− and NHE3 cotransporters were located in Priophthalmus waltoni kidney tissue to evaluate the ion regulation abilities of epithelial cells in various parts of nephrons. The renal tubules are composed of proximal tubules and distal tubules, followed by collecting tubes and finally collecting ducts. Light microscope immunohistochemistry was utilized to locate Na+/ K+-ATPase along renal tubules and collecting ducts. However, the distribution of the Na+/K+-ATPase immune response varies in different sections. Na+/K+/CL− cotransporter positioning was reported only in collecting tubes and collecting ducts, and proximal tubes and distal tubes did not respond to Na+/K+/Cl− cotransporter immunolocalization. Immunohistochemical response for NHE3 localization was detected only at the apex of epithelial cells of proximal tubules and collecting tubes. The distal tubes showed negative reaction and the collecting ducts showed a weak response to NHE3 safety immunolocalization.

ROLE OF R.E.N.A.L NEPHROMETRY IN PREDICTING TUMOR HISTOLOGY AND GRADE OF RENAL MASS.

2019 ◽  
Vol 3 (11) ◽  
Author(s):  
Dr. Manu Gupta
Keyword(s):  
Partial Nephrectomy ◽  
Renal Mass ◽  
Clear Cell ◽  
Research Centre ◽  
Open Partial Nephrectomy ◽  
Fuhrman Grade ◽  
Nephrometry Score ◽  
Tumor Histology ◽  
Papillary Rcc

Background: The R.E.N.A.L.(radius, exophytic/endophytic properties, nearness of tumor to the collecting systemor sinus in mm, anterior/posterior location relative to polar lines) nephrometry scoring system was recently introduced as an objective reproducible means to describe salient renal tumor anatomy. Objective of this study is to evaluate the role of R.E.N.A.L. Nephrometry score in predicting tumor histology and grade.  Methods: It is a prospective study carried out in Lilawati Hospital and Research Centre, a tertiary care centre consisting of 40 patients including male and female who had T1 renal mass.  Preoperative R.E.N.A.L. Nephrometry scoring  done for every patient and after treatment (Open Partial Nephrectomy, Laproscopic partial Nephrectomy, Radical Nephrectomy)  tumor sent for histopathology to predict tumor histology and grade for solid renal mass. Results: Clear cell histology also increased with R.E.N.A.L score, from 2/6 (33.3%) in patients with low R.E.N.A.L scores ( 4–6) up to 15/17 (88.24%) for patients with high R.E.N.A.L scores( 10–12) . Conversely, the probability of the potentially more indolent papillary RCC decreased with increasing lesion complexity (from 66.67% in low score to 11.76% in moderate score).The Fuhrman grade is an important prognostic indicator for RCCs. In our study Fuhrman grade 1 tumours represented 4/40 (66.7%) low and 2(13%)high- complexity lesions . Conversely, there is no grade 3 lesion in low score (0.0%) compared with 5/40 (33.3%%) moderate complexity lesions, respectively showing more the nephrometry score higher will be Fuhrman grade. Conclusions: Proportion with 
clear cell histology also increases with R.E.N.A.L score and the probability of the potentially more indolent papillary RCC decreased with increasing lesion complexity. The Fuhrman grade also increases with increase in nephrometry score Keywords:  R.E.N.A.L  Nephrometry score, Fuhrman grade, Tumor histology

Renal excretion of uric acid in the rat: a micropuncture and microperfusion study

1976 ◽  
Vol 230 (3) ◽  
pp. 768-776 ◽  
Author(s):  
F Roch-Ramel ◽  
F Diezi-Chomety ◽  
D De Rougemont ◽  
M Tellier ◽  
J Widmer ◽  
...  
Keyword(s):  
Uric Acid ◽  
Renal Excretion ◽  
Proximal Tubules ◽  
Free Flow ◽  
Collecting Ducts ◽  
Order Of Magnitude ◽  
Plasma Urate ◽  
Distal Tubules

Free-flow micropuncture experiments were done in rats of three strains infused with small amounts of urate [plasma urate (P urate) = 95 +/- 8 muM]. Urate concentrations in tubular fluid were measured by an accurate chemical fluorometric ultramicromethod. In fluid from surface glomeruli, the glomerular fluid-to-plasma urate ratio [GF/P) urate] was 0.99 +/- 0.03 (n=11), i.e., lower than expected for total ultrafiltrability of plasma urate. Along proximal convolutions, net reabsorption of 55% of filtered urate was demonstrated. Small amounts of urate may have been reabsorbed between late proximal and early distal sites. Net transepithelial movements of urate did not occur in distal tubules or collecting ducts. In microperfusion experiments on proximal tubules, both a reabsorptive flow of urate (loss of perfused [2-14C]urate) and a secretory flow (entrance of cold urate into perfusate) of the same order of magnitude were demonstrated. Neither flow was influenced by simultaneous water movements. Microperfusion of Henle's loops indicated a significant but very small net reabsorption.

scholarly journals Light-Microscopic Immunocytochemistry for Gentamicin and Its Use for Studying Uptake of the Drug in Kidney

2009 ◽  
Vol 53 (8) ◽  
pp. 3302-3307 ◽  
Author(s):  
Kunio Fujiwara ◽  
Masashi Shin ◽  
Hayato Matsunaga ◽  
Tetsuya Saita ◽  
Lars-Inge Larsson
Keyword(s):  
Renal Toxicity ◽  
Rat Kidney ◽  
Proximal Tubules ◽  
Proximal Tubule Cells ◽  
Collecting Ducts ◽  
Immunocytochemical Method ◽  
Tubule Cells ◽  
Distal Tubules ◽  
Pretreatment Conditions ◽  
Single Intravenous Administration

ABSTRACT Gentamicin (GM) is a widely used antibiotic but shows renal toxicity. We produced a serum against GM (anti-GM) conjugated to bovine serum albumin with N-(gamma-maleimidobutyryloxy)succinimide. The antiserum was monospecific for GM and did not cross-react with the analog streptomycin, tobramycin, kanamycin, or amikacin. The antiserum also detected glutaraldehyde-fixed GM, and this enabled us to develop an immunocytochemical method for detecting the uptake of GM in rat kidney. Twelve hours after a single intravenous administration of GM, immunocytochemistry revealed that GM accumulated in the S1, S2, and S3 segments of the proximal tubules, as well as in the distal tubules and collecting ducts. By 12 h after injection, the drug was detected in cytoplasmic granules of the proximal tubule cells. However, early (1 h) after injection, drug accumulation was detected in the microvilli of these cells. The distal tubules and collecting ducts contained scattered swollen cells, reminiscent of necrotic cells, in which both the nuclei and the cytoplasm reacted strongly with GM. No staining occurred in the kidneys of saline-injected control rats. These results agree with previous studies showing that GM is endocytosed in the proximal tubules and accumulates in lysosomes. Additionally, our results show that GM also accumulates in the distal tubules and collecting ducts. This was achieved by systematically varying the pretreatment conditions—an approach necessary for detecting GM in different subcellular compartments. This approach should be useful for accurately detecting the uptake and toxicity of the antibiotic in different tissues.

scholarly journals Outbreaks of Renal Failure Associated with Melamine and Cyanuric Acid in Dogs and Cats in 2004 and 2007

2007 ◽  
Vol 19 (5) ◽  
pp. 525-531 ◽  
Author(s):  
Cathy A. Brown ◽  
Kyu-Shik Jeong ◽  
Robert H. Poppenga ◽  
Birgit Puschner ◽  
Doris M. Miller ◽  
...  
Keyword(s):  
Renal Failure ◽  
Cyanuric Acid ◽  
Interstitial Fibrosis ◽  
Renal Tissue ◽  
Proximal Tubules ◽  
Hepatic Enzyme ◽  
Pet Food ◽  
Histologic Change ◽  
Collecting Ducts ◽  
Distal Tubules

Sixteen animals affected in 2 outbreaks of pet food-associated renal failure (2 dogs in 2004; 10 cats and 4 dogs in 2007) were evaluated for histopathologic, toxicologic, and clinicopathologic changes. All 16 animals had clinical and laboratory evidence of uremia, including anorexia, vomiting, lethargy, polyuria, azotemia, and hyperphosphatemia. Where measured, serum hepatic enzyme concentrations were normal in animals from both outbreaks. All animals died or were euthanized because of severe uremia. Distal tubular lesions were present in all 16 animals, and unique polarizable crystals with striations were present in distal tubules or collecting ducts in all animals. The proximal tubules were largely unaffected. Crystals and histologic appearance were identical in both outbreaks. A chronic pattern of histologic change, characterized by interstitial fibrosis and inflammation, was observed in some affected animals. Melamine and cyanuric acid were present in renal tissue from both outbreaks. These results indicate that the pet food-associated renal failure outbreaks in 2004 and 2007 share identical clinical, histologic, and toxicologic findings, providing compelling evidence that they share the same causation.

The effect of chronic hydrochlorothiazide administration on renal function in the rat

1986 ◽  
Vol 70 (4) ◽  
pp. 379-387 ◽  
Author(s):  
S. J. Walter ◽  
D. G. Shirley
Keyword(s):  
Filtration Rate ◽  
Distal Tubule ◽  
Inhibitory Effect ◽  
Proximal Convoluted Tubule ◽  
Proximal Tubules ◽  
Fluid Delivery ◽  
Collecting Ducts ◽  
Single Nephron ◽  
Distal Tubules ◽  
The Difference

1. Hydrochlorothiazide was administered at two doses to Long-Evans rats for 7–10 days. Both doses resulted in an initial natriuresis and diuresis. After 1 day of treatment the natriuresis abated, but the diuresis persisted. 2. The mechanisms responsible for these chronic effects were investigated by performing clearance and micropuncture studies on all animals; collections were made from late proximal tubules and from early and late regions of distal tubules. 3. Values for total glomerular filtration rate and single-nephron filtration rate in thiazide-treated rats were not significantly different from those in control animals. 4. The delivery of sodium to the end of the proximal convoluted tubule was considerably reduced in each group of thiazide-treated rats. Although sodium delivery to the early distal tubule was also significantly lower than in control animals, the difference had disappeared by the late distal tubule. 5. It is concluded that the return of sodium excretion to control levels during chronic hyrochlorothiazide administration is a consequence of increased fractional reabsorption by the proximal tubules, secondary to a thiazide-induced sodium depletion. This results in less sodium being delivered to the nephron site at which thiazides exert their major inhibitory effect. 6. Fluid delivery to the end of the proximal convoluted tubule and to the early distal tubule was significantly reduced in thiazide-treated rats; in animals given the higher dose of diuretic it was also significantly reduced at the end of the distal tubule. Nevertheless, in both thiazide-treated groups urine flow rate was elevated, suggesting that reabsorption of water from the collecting ducts is reduced during chronic thiazide administration.

scholarly journals Expression of cell adhesion molecules in the normal and T3 blocked development of the tadpole's kidney of Bufo arenarum (Amphibian, Anuran, Bufonidae)

2008 ◽  
Vol 68 (3) ◽  
pp. 561-569 ◽  
Author(s):  
MF. Izaguirre ◽  
MN. García-Sancho ◽  
LA. Miranda ◽  
J. Tomas ◽  
VH. Casco
Keyword(s):  
Cell Adhesion ◽  
Adhesion Molecules ◽  
Cell Adhesion Molecules ◽  
Proximal Tubules ◽  
Signal Transducers ◽  
Collecting Ducts ◽  
Bufo Arenarum ◽  
Developing Kidney ◽  
Distal Tubules ◽  
E Cadherin

Cell adhesion molecules act as signal transducers from the extracellular environment to the cytoskeleton and the nucleus and consequently induce changes in the expression pattern of structural proteins. In this study, we showed the effect of thyroid hormone (TH) inhibition and arrest of metamorphosis on the expression of E-cadherin, β-and α-catenin in the developing kidney of Bufo arenarum. Cell adhesion molecules have selective temporal and spatial expression during development suggesting a specific role in nephrogenesis. In order to study mechanisms controlling the expression of adhesion molecules during renal development, we blocked the B. arenarum metamorphosis with a goitrogenic substance that blocks TH synthesis. E-cadherin expression in the proximal tubules is independent of thyroid control. However, the blockage of TH synthesis causes up-regulation of E-cadherin in the collecting ducts, the distal tubules and the glomeruli. The expression of β-and α-catenin in the collecting ducts, the distal tubules, the glomeruli and the mesonephric mesenchyme is independent of TH. TH blockage causes up-regulation of β-and α-catenin in the proximal tubules. In contrast to E-cadherin, the expression of the desmosomal cadherin desmoglein 1 (Dsg-1) is absent in the control of the larvae kidney during metamorphosis and is expressed in some interstitial cells in the KClO4 treated larvae. According to this work, the Dsg-1 expression is down-regulated by TH. We demonstrated that the expression of E-cadherin, Dsg-1, β-catenin and α-catenin are differentially affected by TH levels, suggesting a hormone-dependent role of these proteins in the B. arenarum renal metamorphosis.

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