Renal cytokine and histopathologic changes following acutely increased intra-abdominal pressure: an animal study.
BACKGROUND
The reason for acute renal failure (ARF) in abdominal compartment syndrome (ACS) is thought to be due to the increase in renal venous pressure. In this study, the changes in plasma and renal tissue cytokine levels and histopathologic changes in renal tubular and glomerular cells were evaluated and compared in a model of acute elevation in abdominal tension with different pressures.


METHODS
Eighteen Sprague-Dawley rats were randomly assigned into three groups: Sham-operated rats and rats in Groups 1 and 2, in which 20 and 30 mmHg of intra-abdominal pressure (IAP) was applied for 60 minutes, respectively. Left kidneys of the animals and intracardiac blood samples were taken at the end of the procedures. Tumor necrosis factor-alpha (TNF-alpha) and interleukin-6 (IL-6) levels were investigated in plasma and renal tissue samples. Renal tissues were also evaluated for histopathologic changes.


RESULTS
Renal tissue and plasma TNF-alpha and IL-6 levels were found to be significantly increased when the sham-operated group was compared to the study groups (p<0.05). Renal tissue changes showed that the total histopathologic scores were significantly increased in study groups compared to the sham-operated group (p<0.05); tubular changes were more prominent than glomerular changes.


CONCLUSIONS
Abdominal tension linearly can cause renal tubular histopathologic changes. Cytokines may play a role in ARF due to ACS.
Department of General Surgery, Afyon Kocatepe University Faculty of Medicine, Afyonkarahisar, Turkey. akbulutg@asia.com
Gökhan
G
Akbulut
Mustafa
M
Altindiş
Fatma
F
Aktepe
Mustafa
M
Serteser
Osman Nuri
ON
Dilek
D000005:Abdomen / Q000473:pathology* / Q000601:surgery*; D000818:Animals; D016207:Cytokines / Q000097:blood*; D015850:Interleukin-6 / Q000097:blood* / Q000378:metabolism; D007668:Kidney / Q000166:cytology / Q000378:metabolism / Q000473:pathology; D007687:Kidney Tubules, Proximal / Q000378:metabolism / Q000473:pathology*; D011312:Pressure; D051381:Rats; D017207:Rats, Sprague-Dawley; D013314:Stress, Mechanical; D014409:Tumor Necrosis Factor-alpha / Q000097:blood
D016207:Cytokines; D015850:Interleukin-6; D014409:Tumor Necrosis Factor-alpha