A modified elliptical formula to estimate kidney collagen content in a model of chronic kidney disease

The extent of scarring or renal interstitial collagen deposition in chronic kidney disease (CKD) can only be ascertained by highly invasive, painful and sometimes risky, tissue biopsy. Interestingly, while CKD-related abnormalities in kidney size can often be visualized using ultrasound, not only do...

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Veröffentlicht in:PloS one 2018-01, Vol.13 (1), p.e0190815-e0190815
Hauptverfasser: Nieto, Jake A, Zhu, Janice, Duan, Bin, Li, Jingsong, Zhou, Ping, Paka, Latha, Yamin, Michael A, Goldberg, Itzhak D, Narayan, Prakash
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creator Nieto, Jake A
Zhu, Janice
Duan, Bin
Li, Jingsong
Zhou, Ping
Paka, Latha
Yamin, Michael A
Goldberg, Itzhak D
Narayan, Prakash
description The extent of scarring or renal interstitial collagen deposition in chronic kidney disease (CKD) can only be ascertained by highly invasive, painful and sometimes risky, tissue biopsy. Interestingly, while CKD-related abnormalities in kidney size can often be visualized using ultrasound, not only does the ellipsoid formula used today underestimate true renal size, but the calculated renal size does not inform tubulointerstitial collagen content. We used coronal kidney sections from healthy mice and mice with kidney disease to develop a new formula for estimating renal parenchymal area. While treating the kidney as an ellipse with the major axis (a) the polar distance, this technique involves extending the minor axis (b) into the renal pelvis to obtain a new minor axis, be. The calculated renal parenchymal area is remarkably similar to the true or measured area. Biochemically determined kidney collagen content revealed a strong and positive correlation with the calculated renal parenchymal area. Picrosirius red staining for tubulointerstitial collagen also correlated with calculated renal parenchymal area. The extent of renal scarring, i.e. kidney interstitial collagen content, can now be computed by making just two axial measurements which can easily be accomplished via noninvasive imaging of this organ.
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Interestingly, while CKD-related abnormalities in kidney size can often be visualized using ultrasound, not only does the ellipsoid formula used today underestimate true renal size, but the calculated renal size does not inform tubulointerstitial collagen content. We used coronal kidney sections from healthy mice and mice with kidney disease to develop a new formula for estimating renal parenchymal area. While treating the kidney as an ellipse with the major axis (a) the polar distance, this technique involves extending the minor axis (b) into the renal pelvis to obtain a new minor axis, be. The calculated renal parenchymal area is remarkably similar to the true or measured area. Biochemically determined kidney collagen content revealed a strong and positive correlation with the calculated renal parenchymal area. Picrosirius red staining for tubulointerstitial collagen also correlated with calculated renal parenchymal area. The extent of renal scarring, i.e. kidney interstitial collagen content, can now be computed by making just two axial measurements which can easily be accomplished via noninvasive imaging of this organ.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29351309</pmid><doi>10.1371/journal.pone.0190815</doi><tpages>e0190815</tpages><orcidid>https://orcid.org/0000-0002-7007-0245</orcidid><oa>free_for_read</oa></addata></record>
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subjects Abnormalities
Animals
Azo Compounds
Biology and Life Sciences
Biopsy
Care and treatment
Chronic kidney failure
Collagen
Collagen - metabolism
Coloring Agents
Development and progression
Diagnosis
Disease Models, Animal
Drinking water
Fibrosis
Humans
Kidney - diagnostic imaging
Kidney - metabolism
Kidney - pathology
Kidney diseases
Kidneys
Male
Measurement
Medicine and Health Sciences
Mice
Models, Biological
Organ Size
Pelvis
Physical Sciences
Physiological aspects
Renal Insufficiency, Chronic - diagnostic imaging
Renal Insufficiency, Chronic - metabolism
Renal Insufficiency, Chronic - pathology
Research and Analysis Methods
Scars
Ultrasound
title A modified elliptical formula to estimate kidney collagen content in a model of chronic kidney disease
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