MORPHOLOGICAL SUBSTANTIATION OF THE POSSIBILITY OF CREATING A BILATERAL MODEL OF ISCHEMIA- REPERFUSION

Abstract

Objective - to identify and study the severity of morphological changes in the structures of the renal cortex and medulla in the bilateral model of ischemia-reperfusion. Material and methods. The experiments were performed on 50 male Wistar rats weighing 180-220 grams. A bilateral ischemia-reperfusion was modelled by applying atraumatic clamps to both kidney pedicles for 40 minutes. After 24 or 72 hours of reperfusion, the severity of structural changes in the renal cortex and medulla was assessed using histological and morphometric techniques. The height of epithelial cells in the proximal and distal convoluted tubules of the nephron, the cross-sectional area of the renal corpuscle, glomerulus and capsular space were measured. Results. Severe structural changes in the renal tissue affecting both the tubular and glomerular apparatus of the kidneys were found, with the increase in pathological changes from the first to the third days of the experiment in the form of a decrease in the epithelial height of the distal and proximal tubules, as well as a decrease in the area of the renal corpuscle and vascular glomerulus. The morphological changes in the form of a structural damage of the epithelium of both renal cortex and medulla were detected on the 1st day of the experiment, and they tend to increase their severity. By the 3rd day of the experiment, the most pronounced reactive-destructive changes were visualized in the reabsorption-secretory sections of the nephron. They were manifested as a decrease in the height of the proximal and distal tubule epithelial cells, their exfoliation from the basement membrane and desquamation. The similar but more aggravated morphological picture was seen in collecting tubes, where conglomerates of dead epithelial cells exfoliated from the basement membrane were found in the gaps. The revealed reactive-destructive changes in the kidneys morphologically substantiate the adequacy of creating a model of ischemia-reperfusion. Conclusions. A 40-minute bilateral renal ischemia followed by reperfusion leads to severe structural changes in the kidneys in 1-3 days, which corresponds to a characteristic of acute renal damage.

Keywords

rat kidney / ischemia / reperfusion / acute kidney injury

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RIGHTS & PERMISSIONS

Elagin V.V., Kostina D.A., Bratchikov O.I., Pokrovskaya T.G., Kuznetsov C.L., Zatolokina M.A., Gureev V.V., Zatolokina Y.S.