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Inter-Alpha-Inhibitor: A Protein Family Involved In The Inhibition Of Calcium Oxalate Crystallization, Fouad Atmani, Jacques Mizon, Saeed R. Khan

Scanning Microscopy

Inter-α-inhibitor (IαI) is a serine protease inhibitor present in human plasma. It has a molecular weight of about 220 kDa which encompasses 3 chains including two heavy chains and one light chain. The light chain, known as bikunin, is responsible for the antitryptic activity of IαI in the inhibition of various enzymes, such as trypsin and chymotrypsin. Under physiologic or certain pathologic circumstances, several macromolecules related to IαI appear in plasma and urine. However, the physiologic role of IαI remains unclear. As far as urolithiasis is concerned, two urinary macromolecules related to IαI have been isolated and shown to be …

Zeta Potential Measurement And Particle Size Analysis For A Better Understanding Of Urinary Inhibitors Of Calcium Oxalate Crystallization, L. C. Cao, G. Deng, E. R. Boeve, W. C. De Bruijn, R. De Water, C. F. Verkoelen, J. C. Romijn, F. H. Schroder

Scanning Microscopy

To better understand urinary inhibitors of calcium oxalate crystallization, both zeta potential measurement and particle size analysis were chosen to illustrate: (1) the potential therapeutic efficacy of G872, a semi-synthetic sulfated polysaccharide, in stone prevention; and (2) the relative contribution of various urinary fractions {e.g., ultrafiltered urine (UFU), Tamm-Horsfall protein (THP), urinary polyanionsprecipitated with cetylpyridinium chloride (CPC), urinary macromolecular substances with different concentration ratios (UMSl0,50,90 and UMS'l0,50,90) and THP-free urine (THPFU)} to total urinary inhibitory activity. The results showed: (1) addition of G872 significantly enhances urinary inhibitory activity and negative zeta potential values; (2) re-addition of the CPC to UFU …

Induction Of Crystallization Of Calcium Oxalate Dihydrate In Micellar Solutions Of Anionic Surfactants, H. Füredi-Milhofer, L. Tunik, N. Filipovic-Vincekovic, D. Skrtic, V. Babic-Ivancic, N. Garti

Scanning Microscopy

Calcium oxalate dihydrate (CaC₂O₄.(2+x)H₂O; COD; x ≤ 0.5) does not readily crystallize from electrolytic solutions but appears as a component in crystalluria. In this paper, we review in vitro studies on the factors responsible for its nucleation and growth with special attention given to the role of surfactants. The following surfactants were tested: dodecyl ammonium chloride (cationic), octaethylene monohexadecylether (non-ionic), sodium dodecyl sulfate (SOS, anionic), dioctyl sulphosuccinate (AOT, anionic), and sodium cholate (NaC, anionic). The cationic and some of the anionic surfactants (SOS, AOT) induced different habit modifications of growing calcium oxalate crystals by …

Heterogeneous Nucleation Of Calcium Oxalate Crystals In Mammalian Urine, Saeed R. Khan

Scanning Microscopy

It is generally recognized that calcium oxalate crystal formation in urine is induced by heterogeneous nucleation. However, there is no consensus as to the nature of the nucleation substrate. Evidence is provided in this paper that membranous cellular degradation products are the most likely candidates because they: (1) are ubiquitous in urine and urinary stones; (2) are found in close association with crystal deposits in the kidneys; and (3) can induce nucleation of crystals from a meta-stable solution of calcium oxalate in vitro and metastable urine in vivo.

Alterations In Mdck And Llc-Pk1 Cells Exposed To Oxalate And Calcium Oxalate Monohydrate Crystals, R. L. Hackett, P. N. Shevock, S. R. Khan

Scanning Microscopy

Structural analysis of human kidney stones reveals the presence of cellular membranes and other cell fragments. Experimentally, calcium oxalate crystallization is facilitated when an exogenous nephrotoxin is given with ethylene glycol, thus providing cellular degradation products to act as heterogenous nuclei. In this report, we tested whether oxalate alone could act as a cell toxin capable of producing damaged cells without the presence of an exogenous agent. Cultured LLC-PK₁ and MDCK cells, when exposed to 1.0 mmol KOx, a concentration at the limit of metastability for calcium oxalate nucleation, were severely damaged as measured by specific lactate dehydrogenase (LDH) …

Etiology Of Calcium Oxalate Nephrolithiasis In Rats. I. Can This Be A Model For Human Stone Formation?, W. C. De Bruijn, E. R. Boevé, P. R. W. A. Van Run, P. P. M. C. Van Miert, R. De Water, J. C. Romijn, C. F. Verkoelen, L. C. Cao, F. H. Schröder

Scanning Microscopy

Crystal retention is studied in a rat-model system as a possible mechanism for the etiology of human nephrolithiasis. A crystal-inducing diet (CID) of ethylene glycol plus NH₄Cl in their drinking-water is offered to healthy rats to generate intratubular crystals. Subsequently, the fate of retained crystals is investigated by allowing the rats a tissue recovery/crystalluria phase for three, five and ten days, respectively, on normal drinking water.

The process of exotubulosis is observed in cortex and medulla of aldehyde-fixed kidneys after three days recovery. After five days, crystals are predominantly seen there in the interstitium. After ten days, cortex …

Experimental Calcium Oxalate Nephrolithiasis And The Formation Of Human Urinary Stones, Saeed R. Khan

Scanning Microscopy

Calcium oxalate nephrolithiasis in rats requires induction of hyperoxaluria which results in increased urinary calcium oxalate supersaturation. As a result of low to mild chronic hyperoxaluria, calcium oxalate crystals deposit first in the papillary collecting ducts. Crystal deposition in the kidneys is preceded by calcium oxalate crystalluria and starts with the retention of aggregated calcium oxalate crystals in the renal tubules. Retained crystals move from the tubules to the interstitium, and in the process, become anchored to the tubular basement membrane. Crystal aggregates present in the superficial peripheral collecting ducts of the renal papillae ulcerate through to the papillary surface …