Developmental determinants of recovery after relief of partial ureteral obstruction. 1988

R L Chevalier, and R A Gomez, and C E Jones
Department of Pediatrics, University of Virginia, School of Medicine, Charlottesville.

Although obstructive nephropathy is a major cause of renal insufficiency at all ages, the functional consequences of relief of obstruction on the developing kidney are poorly understood. To evaluate recovery from chronic partial ureteral obstruction (CPUO) in the neonatal period, the left ureter of guinea pigs was constricted within the first 48 hours of life, and the obstruction was relieved 10 days later. At three and eight weeks of age, intraureteral pressure, number of perfused glomeruli (NPG), renal blood flow (RBF), and glomerular filtration rate (GFR) were measured. These animals were compared with sham-operated and unrelieved groups. Two additional groups underwent CPUO at five weeks of age, with persistent obstruction or relief in 10 days, and were also studied at eight weeks. In all animals, intraureteral pressure increased during ipsilateral ureteral obstruction and normalized following its release. Recovery of RBF and GFR after relief of ipsilateral CPUO in the newborns was only partial at eight weeks, with no renal growth or increase in NPG from three to eight weeks of age. In contrast, recovery of RBF in the adult was complete 10 days after relief of obstruction, with significant increase in GFR, and no decrease in renal mass or NPG. We conclude that if delayed, relief of CPUO in the neonate may not restore renal growth and functional maturation which have been impaired by CPUO.

UI MeSH Term Description Entries
D007668 Kidney Body organ that filters blood for the secretion of URINE and that regulates ion concentrations. Kidneys
D007678 Kidney Glomerulus A cluster of convoluted capillaries beginning at each nephric tubule in the kidney and held together by connective tissue. Glomerulus, Kidney
D008297 Male Males
D012079 Renal Circulation The circulation of the BLOOD through the vessels of the KIDNEY. Kidney Circulation,Renal Blood Flow,Circulation, Kidney,Circulation, Renal,Blood Flow, Renal,Flow, Renal Blood
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D005260 Female Females
D005919 Glomerular Filtration Rate The volume of water filtered out of plasma through glomerular capillary walls into Bowman's capsules per unit of time. It is considered to be equivalent to INULIN clearance. Filtration Rate, Glomerular,Filtration Rates, Glomerular,Glomerular Filtration Rates,Rate, Glomerular Filtration,Rates, Glomerular Filtration
D006168 Guinea Pigs A common name used for the genus Cavia. The most common species is Cavia porcellus which is the domesticated guinea pig used for pets and biomedical research. Cavia,Cavia porcellus,Guinea Pig,Pig, Guinea,Pigs, Guinea
D000367 Age Factors Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time. Age Reporting,Age Factor,Factor, Age,Factors, Age
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia

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