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  1. 原著論文

Thallium reabsorption via NKCC2 causes severe acute kidney injury with outer medulla-specific calcium crystal casts in rats

https://repo.qst.go.jp/records/2001346
https://repo.qst.go.jp/records/2001346
3cf3cd43-7977-4d19-b705-58bef2323418
アイテムタイプ 学術雑誌論文 / Journal Article(1)
公開日 2024-11-14
タイトル
タイトル Thallium reabsorption via NKCC2 causes severe acute kidney injury with outer medulla-specific calcium crystal casts in rats
言語 en
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Kana Unuma

× Kana Unuma

Kana Unuma

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Shuheng Wen

× Shuheng Wen

Shuheng Wen

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Sho Sugahara

× Sho Sugahara

Sho Sugahara

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Shutaro Nagano

× Shutaro Nagano

Shutaro Nagano

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Toshihiko Aki

× Toshihiko Aki

Toshihiko Aki

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Tadayuki Ogawa

× Tadayuki Ogawa

Tadayuki Ogawa

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Takeda Shino

× Takeda Shino

Takeda Shino

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Oikawa Masakazu

× Oikawa Masakazu

Oikawa Masakazu

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Akihiro Tojo

× Akihiro Tojo

Akihiro Tojo

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内容記述タイプ Abstract
内容記述 Thallium (Tl) is one of the most toxic heavy metals, associated with accidental
poisoning and homicide. It causes acute and chronic systemic diseases, including gastrointestinal and cardiovascular diseases and kidney failure. However, few studies have investigated the mechanism by which Tl induces acute kidney injury (AKI). This study investigated the toxic effects of Tl on the histology and function of rat kidneys using biochemical and histopathological assays after intraperitoneal thallium sulfate administration (30 mg/kg). Five days post-administration, rats exhibited severely compromised kidney function. Low-vacuum scanning electron microscopy revealed excessive calcium (Ca) deposition in the outer medulla of Tl-loaded rats, particularly in the medullary thick ascending limb (mTAL) of the loop of Henle. Tl accumulated in the mTAL, accompanied by mitochondrial dysfunction in this segment. Tl-loaded rats showed reduced expression of kidney transporters and channels responsible for
Ca2+ reabsorption in the mTAL. Pre-administration of the Na?K?Cl cotransporter 2 (NKCC2) inhibitor furosemide alleviated Tl accumulation and mitochondrial
abnormalities in the mTAL. These findings suggest that Tl nephrotoxicity is
associated with preferential Tl reabsorption in the mTAL via NKCC2, leading to
mTAL mitochondrial dysfunction and disrupted Ca2+ reabsorption, culminating in
mTAL-predominant Ca crystal deposition and AKI. These findings on the mechanism of Tl nephrotoxicity may contribute to the development of novel therapeutic approaches to counter Tl poisoning. Moreover, the observation of characteristic Ca crystal deposition in the outer medulla provides new insights into diagnostic challenges in Tl intoxication.
書誌情報 Archives of Toxicology

巻 98, p. 3973-3986, 発行日 2024-09
DOI
識別子タイプ DOI
関連識別子 10.1007/s00204-024-03868-2
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