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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Clinical and experimental nephrology 4 (2000), S. 187-192 
    ISSN: 1437-7799
    Keywords: Key words IgA nephropathy ; Rats ; Oxidative stress ; Malondialdehyde ; TGFβ1 mRNA ; α-Tocopherol
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background. We have previously shown that α-tocopherol prevents oxidative stress in experimental IgA nephropathy (IgAN) when administered before or concurrent with the induction of IgAN. We now seek to determine whether α-tocopherol can ameliorate the disease after IgAN is established. Methods. Using the classic IgAN model, 25 male Lewis rats were sorted into five groups of five animals each: 4-week control, 4-week bovine gamma globulin (BGG) treatment, 6-week control, 6-week BGG treatment, and 6-week BGG treatment with α-tocopherol administration started after 4 weeks. Serum α-tocopherol concentrations, kidney and plasma malondialdehyde concentrations, and kidney transforming growth factor beta-1 (TGFβ1) mRNA were analyzed. Results.α-Tocopherol modulated IgAN after the disease was established in the 4-week BGG model, as indicated by the reduction in tissue oxidative stress, dampening of fibrogenic cytokine (TGFβ1), and abatement of proteinuria in α-tocopherol-treated animals compared with untreated rats. Conclusions. These results substantiate the anti-oxidant role of α-tocopherol in diminishing the indices associated with progression of experimental IgAN. The ability of α-tocopherol to reduce the progression of injury after establishment of the disease reflects the clinical situation, and thus holds promise for human therapy.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-198X
    Keywords: Key words Unilateral ureteral obstruction ; Oxidized low-density lipoprotein ; α-Tocopherol ; Malondialdehyde ; Transforming growth factor β1
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Oxidative stress in unilateral ureteral obstruction (UUO) contributes to the development of glomerular and tubulointerstitial lesions. The present study investigated whether oxidized low-density lipoprotein (oLDL) contributes to the pathogenesis of kidney injury in UUO, and whether α-tocopherol modulates such cytotoxicity and promotes repair. Male Sprague-Dawley rats weighing 100–125 g were assigned to three groups of 6 animals each: (1) sham, regular chow; (2) UUO, regular chow; and (3) UUO, α-tocopherol supplementation. We found a significant increase in the level of oxidative stress in the UUO group as measured by malondialdehyde (MDA) content in both plasma and kidneys. The LDL isolated from this group was cytotoxic to rat mesangial cells. The level of oxidation and cytotoxicity was significantly reduced when animals were treated with α-tocopherol. Plasma cholesterol concentration, kidney MDA, and transforming growth factor β1 mRNA expression were all significantly increased in the UUO animals, and partially reduced in α-tocopherol-treated animals. Our data suggest that oxidative modification of LDL is associated with the renal injury in UUO. Taken together, our data support the concept that α-tocopherol can modulate LDL oxidation and its cytotoxic effects on rat mesangial cells in vitro.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-198X
    Keywords: Key words Experimental IgA nephropathy ; Rats ; Malondialdehyde ; Transforming growth factor β1 mRNA
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  The present study investigated the pathogenesis and the time course of kidney injury in experimental IgA nephropathy. In order to determine an appropriate period in the course of experimental IgA nephropathy to study renal injury and repair, we examined proteinuria and IgA deposition in the renal mesangium after 4, 8, and 16 weeks of mucosal challenge by bovine gamma globulins (BGG) provided in the drinking water. The hallmark of IgA deposition in the mesangium was present after 4 weeks and 8 weeks of BGG inoculation, but by 16 weeks, the mesangial IgA deposition had resolved. In addition, we confirmed our previous report on the beneficial effects of α-tocopherol in reducing proteinuria in IgA nephropathy at 8 weeks, and extended this observation to investigate the effects of dietary supplementation of α-tocopherol at both 4 weeks and 16 weeks. Proteinuria resolved spontaneously at 16 weeks. There is oxidative stress, as suggested by the elevation in plasma and renal malondialdehyde content, and increased fibrogenic cytokine message, as suggested by elevated transforming growth factor β1 mRNA. These increases were clearly blunted by α-tocopherol at both 4 weeks and 8 weeks. Treatment with α-tocopherol was associated with a significant reduction in the severity of proteinuria. Thus, our data suggest that the period between 4 and 8 weeks of BGG vaccination could be relevant in designing an appropriate model to study the molecular biology of the pathogenesis of renal injury and the effects of treatment. The 16-week model may be useful in exploring gene expression involved with spontaneous resolution.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1432-198X
    Keywords: Key words Vitamin E ; 5/6 Nephrectomy rats ; Oxidative stress ; Malondialdehyde ; Transforming growth factor β ; Glomerulosclerotic index ; Remnant kidney
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Previous studies have shown that reduction of renal mass in the rat remnant kidney model induces overproduction of transforming growth factor β1 (TGFβ1). We investigated whether an antioxidant, vitamin E, administered before the renal mass reduction, could prevent oxidative stress, reduce the overproduction of TGFβ1, and mitigate against the subsequent glomerulosclerosis. Our results revealed that the oxidative stress, as measured by the change in plasma malondialdehyde, is significantly reduced by prior vitamin E dietary supplementation. Finally, our data show that dietary vitamin E supplementation ameliorates the rise in TGFβ1 secondary to renal mass reduction and inhibits the glomerular sclerosis of the remnant kidney over the time course of this experiment.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 361 (1983), S. 575-576 
    ISSN: 1435-2451
    Keywords: Insulinoma ; Enucleation ; Resection ; Insulinom ; Enucleation ; Resektion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Von 1964 bis 1982 wurden 42 Inselzelltumoren operativ behandelt, davon waren 30 benigne und 12 maligne. Bei 75% der Inselzelladenome gelang die Enucleation, während 1/4 der Tumoren nur durch Resektion entfernt werden konnte. Die Enucleation ist das optimale Verfahren in der Behandlung von Insulinomen. Die Komplikationsquote ist geringer als bei der Resektion und intaktes Drüsengewebe wird erhalten. Kein Patient verstarb postoperativ.
    Notes: Summary 42 patients in whom islet cell tumours had been diagnosed were operated upon from 1964 to 1982. In 30 cases the tumour was benign and in 12 cases malignant. 75% of the adenomas were treated surgically by enucleation and 25% by partial resection of the pancreas. Enucleation seems to be the best method of surgical management. The complication rate is lower than in resection and normal tissue of the pancreas will be preserved. No patient died in the postoperative period.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 352 (1980), S. 209-212 
    ISSN: 1435-2451
    Keywords: Insulinoma ; Gastrinoma ; Surgical tactics ; Insulinom ; Gastrinom ; Chirurgische Taktik
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Hormonaktive Pankreastumoren wie das Insulinom, Gastrinom und die seltenen Vipome und Glucagonome müssen rasch operativ behandelt werden, um die negativen Auswirkungen des Hormonexcesses zu beheben und einer Metastasierung zuvorzukommen. Präoperativ ist die Diagnose klinisch zu sichern, eine medikamentöse Vorbehandlung einzuleiten und der Tumor zu lokalisieren. Die operativen Eingriffe reichen von der Tumorenukleation über die Pankreasteilresektion bis zur Duodenopankreatektomie oder Gastrektomie mit Metastasenreduktion.
    Notes: Summary Hormone-producing tumors of the pancreas (insulinoma, gastrinoma, vipoma, glucagonoma) need urgent surgery because of the negative influence of excessive hormone levels and possible malignancy. Preoperative diagnosis must be confirmed by clinical tests. Initial drug therapy and localization of the tumor is necessary. Operative treatment ranges from tumor enucleation to subtotal pancreatic resection and from pancreatectomy to gastrectomy with reduction of metastasis.
    Type of Medium: Electronic Resource
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