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Toxicologic Pathology
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Articles

Renal Proximal Tubule Segment-Specific Nephrotoxicity: An Overview on Biomarkers and Histopathology

Patrizia Cristofori1
Edoardo Zanetti2
Dolores Fregona3
Alessandro Piaia1
Andrea Trevisan1

1 GlaxoSmithKline, I-35128 Verona, Italy
2 Department of Environmental Medicine and Public Health and
3 Department of Chemical Sciences, University of Padova, I-35131 Padova, Italy

Correspondence: Address correspondence to: Andrea Trevisan, Department of Environmental Medicine and Public Health, University of Padova, Via Giustiniani 2, I-35128 Padova, Italy; e-mail:andrea.trevisan{at}unipd.it

The correspondence between histopathological findings and segment-specific biomarkers was investigated in rats treated with segment-specific nephrotoxicants. Male Wistar rats were treated with a single injection of K2Cr2O7 (25 mg/kg sc in saline), cis-Pt (10 mg/kg ip in buffered MSO) or HCBD (100 mg/kg ip in corn oil). Twenty-four and 48 hours after treatment, the rats were sacrificed and the kidneys were drawn for histopathological and biochemical evaluation, i.e., GS activity in renal cortex and PAH uptake in renal cortical slices. Histopathological findings show that cis-Pt and HCBD cause diffuse necrosis of S3 segment of proximal tubules in the outer stripe of outer medulla, respectively. On the contrary, K2Cr2O7 damages exclusively S1–S2 segments, inducing vacuolization at 24 hr and diffuse necrosis at 48 hr after treatment. GS activity in renal tissue is significantly decreased after HCBD and cis-Pt, but not K2Cr2O7 treatment. In contrast, PAH uptake is significantly reduced by K2Cr2O7, but not by cis-Pt or HCBD treatment (even if HCBD causes a slight decrease 48 hr after treatment). The evidence of this study confirms the high specificity of GS activity as marker of S3 segment injury, that PAH uptake is prevalently active in the S1–S2 segments, and that there is complete correspondence among segment-specific nephrotoxicants, biomarkers of segment-specific damage, and histopathological findings.

Key Words: Proximal tubule segments • cis-platin • hexachloro-1:3-butadiene • potassium dichromate • p-aminohippurate • glutamine synthetase

Abbreviations: cis-Pt, cisplatin • GGT, {gamma}-glutamyltransferase • GS, glutamine synthetase • GSH, reduced glutathione • HCBD, hexachloro-1, 3-butadiene • K2Cr2O7, potassium dichromate • MSO, methyl sulphoxide • PAH, p-aminohippuric acid • PAS, periodic acid-Schiff

Toxicologic Pathology, Vol. 35, No. 2, 270-275 (2007)
DOI: 10.1080/01926230601187430


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