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Am J Physiol Renal Physiol (November 12, 2008). doi:10.1152/ajprenal.90263.2008
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Submitted on April 21, 2008
Revised on October 17, 2008
Accepted on November 10, 2008

Effects of early endotoxemia and dextran-induced anaphylaxis on the size-selectivity of the glomerular filtration barrier in rats

Josefin Axelsson1, Anna Rippe1, Daniele Venturoli1, Per Sward1, and Bengt Rippe1*

1 University Hospital of Lund, Lund University

* To whom correspondence should be addressed. E-mail: Bengt.Rippe{at}med.lu.se.

This study was performed to investigate the glomerular permeability alterations responsible for the microalbuminuria occurring in endotoxemia and during anaphylactic shock. In anaesthetized Wistar rats, the left ureter was catheterized for urine collection, while simultaneously, blood access was achieved. Endotoxemia was induced by Lipopolysaccharide (LPS) from E. Coli, and glomerular permeability assessed at 60, 90 (ENDO-(60)/90; n=7) and 120 min (ENDO-120; n=7). Anaphylaxis was induced by a bolus dose of Dextran-70, and glomerular permeability assessed at 5 min (ANA-5; n=8) and 40 min (ANA-40; n=9). Sham animals, were followed for either 5 or 120 min. The glomerular sieving coefficients ({theta}) to FITC-Ficoll (70/400) were determined from plasma and urine samples and assessed using size-exclusion chromatography (HPLC). 2 h after start of the LPS infusion, but not at 60 or 90 min, {theta} for Ficoll70A had increased markedly (from 2.91 x 10-5 ± 6.33 x 10-6 to 7.78 x 10-5 ± 6.21 x 10-6 (P<0.001)). In anaphylaxis there was a large increase in {theta} for Ficolls >60 A in mol. radius already at 5 min, but the glomerular permeability was completely restored at 40 min. In conclusion, there was a transient, immediate increment of glomerular permeability in dextran-induced anaphylaxis, which was completely reversible within 40 min. By contrast, endotoxemia caused an increase in glomerular permeability that was manifest first after 2 h. In both cases {theta} to large Ficoll molecules were markedly increased, reflecting an increase in the number of large pores in the glomerular filter.




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