Vitamin D deficiency is a potential risk factor for contrast-induced nephropathy

作者: Weverton M. Luchi , Maria Heloisa M. Shimizu , Daniele Canale , Pedro Henrique F. Gois , Ana Carolina de Bragança

DOI: 10.1152/AJPREGU.00526.2014

关键词:

摘要: Vitamin D deficiency (VDD) is widespread in the general population. Iodinated (IC) or gadolinium-based contrast media (Gd) may decrease renal function high-risk patients. This study tested hypothesis that VDD a predisposing factor for IC- Gd-induced nephrotoxicity. To this end, male Wistar rats were fed standard (SD) vitamin D-free diet 30 days. IC (diatrizoate), Gd (gadoterate meglumine), 0.9% saline was then administered intravenously and six groups obtained as following: SD plus (Sham-SD), (SD+IC), (SD+Gd), days (Sham-VDD30), (VDD30+IC), (VDD30+Gd). Renal hemodynamics, redox status, histological, immunoblot analysis evaluated 48 h after (CM) vehicle infusion. showed lower levels of total serum 25-hydroxyvitamin [25(OH)D], similar plasma calcium phosphorus concentration, higher renin angiotensinogen protein expression compared with SD. infusion did not affect inulin clearance-based estimated glomerular filtration rate (GFR) but significantly decreased GFR diet. Both CM increased angiotensinogen, interaction between triggered endothelial nitric oxide synthase abundance thiobarbituric acid reactive substances-to-glutathione ratio (an index oxidative stress) on VDD30+IC VDD30+Gd groups. Conversely, worsening accompanied by abnormalities kidney structure. Additionally, 60 displayed greater fall administration. Collectively, our findings suggest potential risk nephrotoxicity most likely due to imbalance intrarenal vasoactive substances stress.

参考文章(53)
L. P. McQuillan, G. K. Leung, P. A. Marsden, S. K. Kostyk, S. Kourembanas, Hypoxia inhibits expression of eNOS via transcriptional and posttranscriptional mechanisms American Journal of Physiology-heart and Circulatory Physiology. ,vol. 267, pp. 1- 1 ,(1994) , 10.1152/AJPHEART.1994.267.5.H1921
Fredrik Palm, Per-Ola Carlsson, Angelica Fasching, Olof Hellberg, Anders Nygren, Peter Hansell, Per Liss, Effects of the Contrast Medium Iopromide on Renal Hemodynamics and Oxygen Tension in the Diabetic Rat Kidney Oxygen Transport to Tissue XXIV. ,vol. 530, pp. 653- 659 ,(2003) , 10.1007/978-1-4615-0075-9_65
I. Buhaescu, H. Izzedine, Gadolinium-induced nephrotoxicity. International Journal of Clinical Practice. ,vol. 62, pp. 1113- 1118 ,(2008) , 10.1111/J.1742-1241.2007.01582.X
Per Liss, Peter Hansell, Per-Ola Carlsson, Angelica Fasching, Fredrik Palm, Iodinated contrast media decrease renomedullary blood flow. A possible cause of contrast media-induced nephropathy. Advances in Experimental Medicine and Biology. ,vol. 645, pp. 213- 218 ,(2009) , 10.1007/978-0-387-85998-9_33
Marianne Tare, Sarah J. Emmett, Harold A. Coleman, Con Skordilis, Darryl W. Eyles, Ruth Morley, Helena C. Parkington, Vitamin D insufficiency is associated with impaired vascular endothelial and smooth muscle function and hypertension in young rats The Journal of Physiology. ,vol. 589, pp. 4777- 4786 ,(2011) , 10.1113/JPHYSIOL.2011.214726
RICHARD W. KATZBERG, RUFINO C. PABICO, THOMAS W. MORRIS, KATSUMI HAYAKAWA, BARBARA A. McKENNA, BERNARD J. PANNER, JANINE A. VENTURA, HARRY W. FISCHER, Effects of contrast media on renal function and subcellular morphology in the dog. Investigative Radiology. ,vol. 21, pp. 64- 70 ,(1986) , 10.1097/00004424-198601000-00011
C. S. Wilcox, Redox regulation of the afferent arteriole and tubuloglomerular feedback. Acta Physiologica Scandinavica. ,vol. 179, pp. 217- 223 ,(2003) , 10.1046/J.0001-6772.2003.01205.X
Jean-François Argacha, Dominique Egrise, Stéphanie Pochet, David Fontaine, Anne Lefort, Frédérick Libert, Serge Goldman, Philippe van de Borne, Guy Berkenboom, Rodrigo Moreno-Reyes, Vitamin D deficiency-induced hypertension is associated with vascular oxidative stress and altered heart gene expression. Journal of Cardiovascular Pharmacology. ,vol. 58, pp. 65- 71 ,(2011) , 10.1097/FJC.0B013E31821C832F
A NYGREN, H R ULFENDAHL, P HANSELL, U ERIKSON, Effects of intravenous contrast media on cortical and medullary blood flow in the rat kidney. Investigative Radiology. ,vol. 23, pp. 753- 761 ,(1988) , 10.1097/00004424-198810000-00010
Samuel N. Heyman, Marina Goldfarb, Fanni Carmeli, Ahuva Shina, Daniel Rahmilewitz, Mayer Brezis, Effect of Radiocontrast Agents on Intrarenal Nitric Oxide (NO) and NO Synthase Activity Nephron Experimental Nephrology. ,vol. 6, pp. 557- 562 ,(1998) , 10.1159/000020571