PMID- 23053219 OWN - NLM STAT- MEDLINE DCOM- 20130618 LR - 20211021 IS - 1434-0879 (Electronic) IS - 0300-5623 (Linking) VI - 40 IP - 6 DP - 2012 Dec TI - Renal tubular epithelial cell injury, apoptosis and inflammation are involved in melamine-related kidney stone formation. PG - 717-23 LID - 10.1007/s00240-012-0507-x [doi] AB - The objective of this study is to understand pathogenesis of melamine-related kidney stone formation. We investigated the characterization of renal tubular cell under exposure to a mixture of melamine and cyanuric acid in vivo. Male Sprague-Dawley rats were separated into two experimental groups. Treatment group was administered daily with a standard commercial diet mixing with melamine and cyanuric acid, and control group was given a normal diet. Rat kidney specimens were stained with hematoxylin/eosin and the crystals were examined using a polarizing microscope. Renal tubular epithelial cells were observed by transmission electron microscopy. Semiquantitative RT-PCR assay was performed to determine monocyte chemoattractant protein-1 (MCP-1) mRNA expression, a protein in response to various proinflammatory stimuli. Apoptotic cells were examined by TUNEL assay. Melamine-associated crystals formed in glomerulus and wide renal tubule segment including proximal convoluted renal tubules, distal convoluted renal tubules, the limb loops of Henle and medullary collecting ducts in the cortex and medulla. Light microscopy results showed that the crystals lead to tubular lumen dilatation and tubular epithelial cell necrosis. It was observed that nucleus of renal tubular epithelial cells became irregular outlines and condensed, lysosomal-related structures increased, and integrity of renal tubule was deficient under electron microscopy. Apoptotic cells were noted widely in cortex and medulla. MCP-1 mRNA expression was significantly increased in the melamine and cyanuric acid-administrated group. Renal tubular epithelial cell injury, apoptosis and inflammation are involved in melamine-related kidney stone formation. Our findings are important for understanding pathogenesis of melamine-related kidney stone formation and estimating its clinical prognosis. FAU - Lu, Xiuli AU - Lu X AD - School of Life Sciences, Liaoning University, Shenyang, 110036, China. FAU - Gao, Bing AU - Gao B FAU - Wang, Youliang AU - Wang Y FAU - Liu, Zehui AU - Liu Z FAU - Yasui, Takahiro AU - Yasui T FAU - Liu, Ping AU - Liu P FAU - Liu, Jian AU - Liu J FAU - Emmanuel, Newton AU - Emmanuel N FAU - Zhu, Qiwen AU - Zhu Q FAU - Xiao, Chunling AU - Xiao C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120928 PL - Germany TA - Urol Res JT - Urological research JID - 0364311 RN - 0 (Triazines) RN - N3GP2YSD88 (melamine) SB - IM MH - Animals MH - *Apoptosis MH - Inflammation/chemically induced/*complications MH - Kidney Calculi/*etiology MH - Kidney Tubules/*pathology MH - Male MH - Rats MH - Rats, Sprague-Dawley MH - Triazines/*adverse effects EDAT- 2012/10/12 06:00 MHDA- 2013/06/19 06:00 CRDT- 2012/10/12 06:00 PHST- 2012/05/02 00:00 [received] PHST- 2012/09/04 00:00 [accepted] PHST- 2012/10/12 06:00 [entrez] PHST- 2012/10/12 06:00 [pubmed] PHST- 2013/06/19 06:00 [medline] AID - 10.1007/s00240-012-0507-x [doi] PST - ppublish SO - Urol Res. 2012 Dec;40(6):717-23. doi: 10.1007/s00240-012-0507-x. Epub 2012 Sep 28.