Avaliação do papel da piridoxina na prevenção da nefrocalcinose induzida pela hiperoxalúria em ratos

• Ano de defesa: 2016
• Autor(a) principal: Cunha, Natália Baraldi [UNESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual Paulista (Unesp)
• Palavras-chave em Português: Piridoxina; Nefrocalcinose; Ratos; Etileno glicol; Pyridoxine; Nephrocalcinosis; Rats; Ethylene glycol
• Link de acesso: http://hdl.handle.net/11449/143838

Introduction: The calcium oxalate is the major metabolic component involved in the formation of renal calculus. Therefore, different pharmacological approaches have been or are being proposed for the treatment of nephrolithiasis by calcium oxalate. Among them, the pyridoxine, a component of vitamin B6, has been suggested as a potential therapeutic agent that can minimize the effects of hyperoxaluria. However, the results are controversial. Objective: To evaluate the effects of pyridoxine (vitamin B6) on the urinary excretion of oxalate and its possible impact on renal disorders caused by nephrocalcinosis induced from an experimental model of hyperoxaluria in rats. Methods: It was used 60 Sprague Dawley male rats and were randomized into four groups: Group 1 [(G1: n = 15) clinical control]; Group 2 [G2: Ethylene glycol (EG) 0.5% + Vitamin D3 (VD3), n = 15], which hyperoxaluria was induced by the administration of EG diluted in water and offered in association with VD3 (Cholecalciferol) at a dose of 0.5 uM; Group 3 [G3: 0.5% EG + VD3 + pyridoxine (VB6); n = 15], which the animals received the same drugs offered to the G2 plus VB6 at a dose of 180mg / kg body weight / day; Group 4 (G4, n = 15) which the animals are supplemented only with the same dose of VB6 in G3. All animals were euthanized after 28 days of intervention and submitted a metabolic study on the urine of 24 hours; histopathological / morphometric analysis of oxidative stress in renal parenchymal and spectroscopic measurement of calcium. Results: Among the urinary parameters evaluated, there was significant reduction in the citrate in G2 compared to the control group- G1 (781.9 and 2414.4mg / L, respectively), while the oxalate was significantly increased in G2 and G3 compared to G1 (7.79, 8.94 and 2.96mg / L, respectively). The urinary calcium was significantly lower in the induced groups (G3: 0.9, G2: 1.5 and G1: 2.25mg / dL). Histomorphometric analysis revealed that only the animals of G2 and G3 developed nephrocalcinosis without, however, no substantially differences from each other in the counting of intratubular crystals were found. Similarly, considering the histopathologic analysis, only the induced animals (G2 and G3) exhibited atrophy, stromal extravasation and inflammatory infiltrate in the renal parenchyma in a similar pattern between the two groups. Regarding to the analysis of oxidative stress, an increase of lipid hydroperoxide levels associated with reduced superoxide dismutase activity and glutathione peroxidase in the G2. In the other groups, the enzyme pattern remained relatively stable compared to the control, except for catalase activity, which activity proved to be increased in all groups. In the other groups, the enzyme pattern remained relatively stable compared to the control (G1), except for the catalase activity, in which activity increased in all groups. As expected, the quantification of calcium in the renal parenchyma was significantly higher in G2 and G3 as compared to groups without induction. Conclusion: Pyridoxine was not able to produce a significant effect in the treatment and / or prevention of urinary disorders, as well as morphological, inflammatory and functional renal tissue in rats with secondary hyperoxaluria obtained from the administration of inducing agents.