A different perspective on the filtration barrier after kidney stone formation: An immunohistochemical and biochemical study

• Published in: Urolithiasis Vol. 49; no. 3; pp. 201 - 210
• Main Authors: Karabulut, Derya, Kaymak, Emin, Yalçin, Betül, Ulger, Harun, Keti, Didem Barlak
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.06.2021; Springer Nature B.V
• Subjects: Creatinine; Kidney stones; Medical Biochemistry; Medicine; Medicine & Public Health; Nephrology; Original Paper; Uric acid; Urine; Urology; Filtration barrier; Immunohistochemistry; Rat; Kidney stones
• ISSN: 2194-7228; 2194-7236
• DOI: 10.1007/s00240-020-01227-1

The aim of this study is to investigate whether the filtration barrier is affected by experimental kidney stone formation. Thirty-two rats divided into 4 equally groups ( n  = 8) at random. Group I control; Group II 1% ethylene glycol; Group III 1% Ethylene glycol + 0.25% Ammonium chloride; Group IV 1% Ethylene glycol + 0.5% Ammonium chloride group. Tissues applied hematoxylin–eosin, periodic-acid-Schiff, Pizzolato's staining. Immunohistochemically stained with integrin α3β1, type IV collagen, laminin, nephrin, CD2-associated protein (CD2AP) and podocin to show the filtration barrier structure. The TUNEL method was used for apoptosis. The amount of calcium, magnesium, creatinine and uric acid in urine and blood samples, also urine microprotein determined. Stones were formed in all experimental groups. Urine calcium, creatinine, uric acid levels decreased, magnesium levels were not changed. No statistically significant change was observed in blood serum results and TUNEL analysis. Immunohistochemical results showed an increase in nephrin, podocin, CD2AP, laminin and a decrease in integrin α3β1 and type IV collagen. Consequently, there is an increase in the expression densities of the proteins incorporated in the structure to prevent loss of functionality in the cellular part supporting the structure against a weakening of the basement membrane structure in the glomerular structure in which urine is filtered.