PMID- 24247301 OWN - NLM STAT- MEDLINE DCOM- 20140815 LR - 20161128 IS - 1423-0143 (Electronic) IS - 1420-4096 (Linking) VI - 37 IP - 4-5 DP - 2013 TI - Rhabdomyolysis-induced acute kidney injury under hypoxia and deprivation of food and water. PG - 414-21 LID - 10.1159/000350154 [doi] AB - BACKGROUND: To investigate the renal pathophysiologyin rhabdomyolysis-induced acute kidney injury (AKI) in rats under hypoxia and deprivation of food and water (HDFW), thus broadening the knowledge about rhabdomyolysis-induced AKI in massive earthquake. METHODS: Male Wistar rats weighing 200-230g were randomized into control, rhabdomyolysis (R), HDFW and rhabdomyolysis in combination with HDFW (R/HDFW) group. Experimental rhabdomyolysis rat model was established through clamping hind limb muscles, HDFW model rats were kept in 10% hypoxic chamber unavailable to food and water. At 1, 3, 5, 7, 9, 11d after treatment, serum creatinine (Scr) level, renal index, renal structural changes and cell apoptosis were analyzed. RESULTS: After R, HDFW, R/HDFW treatment, the animals showed significantly higher Scr levels than the control group. Renal index in R and R/HDFW groups elevated remarkably compared with that in control and HDFW group. The results of histopathology, ultra-structure and apoptosis assay suggested that rhabdomyolysis caused renal tubular injury, HDFW treatment resulted in renal vascular dilation, tissue congestion and tubular cell damage. In addition, more severe renal lesion appeared in R/HDFW. CONCLUSIONS: We conclude that the association of experimental rhabdomyolysis with HDFW results in a different functional and histological pattern. The rhabdomyolysis-HDFW combination causes more severe renal injury. CI - (c) 2013 S. Karger AG, Basel. FAU - Wang, Jingwen AU - Wang J AD - Beijing Institute of Radiation Medicine. FAU - Wang, Dewen AU - Wang D FAU - Li, Yang AU - Li Y FAU - Zuo, Hongyan AU - Zuo H FAU - Wang, Shaoxia AU - Wang S FAU - Xu, Xinping AU - Xu X FAU - Guo, Xiaoming AU - Guo X FAU - Gao, Yabing AU - Gao Y FAU - Wang, Shuiming AU - Wang S FAU - Peng, Ruiyun AU - Peng R LA - eng PT - Journal Article DEP - 20131010 PL - Switzerland TA - Kidney Blood Press Res JT - Kidney & blood pressure research JID - 9610505 SB - IM MH - Acute Kidney Injury/etiology/metabolism/*pathology MH - Animals MH - Food Deprivation/*physiology MH - Hypoxia/complications/*pathology MH - Male MH - Rats MH - Rats, Wistar MH - Rhabdomyolysis/complications/metabolism/*pathology MH - Water Deprivation/*physiology EDAT- 2013/11/20 06:00 MHDA- 2014/08/16 06:00 CRDT- 2013/11/20 06:00 PHST- 2013/07/01 00:00 [accepted] PHST- 2013/11/20 06:00 [entrez] PHST- 2013/11/20 06:00 [pubmed] PHST- 2014/08/16 06:00 [medline] AID - 000350154 [pii] AID - 10.1159/000350154 [doi] PST - ppublish SO - Kidney Blood Press Res. 2013;37(4-5):414-21. doi: 10.1159/000350154. Epub 2013 Oct 10.