Novel 3D capsule device to restrict kidney volume expansion on polycystic kidney progression : feasibility study in a rat model

© 2021. Italian Society of Nephrology..

BACKGROUND: Cystogenesis in polycystic kidney disease (PKD) is likely accelerated by various renal insults, including crystal deposition, that activate renal tubule obstruction and dilation. We developed a capsule-based device that can be applied to cystic kidneys to restrict tubular lumen dilatation and cyst expansion.

METHODS: Kidney capsule devices were designed from computed tomography images of wild-type and Cy/+ rats. Capsule devices were surgically implanted on kidneys in six surgical sessions over a period of 14 months in 7 wild-type rats of 6.5-8 weeks (3 sham operations, 2 right, 2 left) and 6 Cy/+ rats of 6.5 weeks (2 sham, 3 left, 1 bilateral). After surgery, the rats were followed for 5.4-12.4 weeks' growth and sacrificed to retrieve the kidneys. During the follow-up, serum creatinine was measured and retrieved kidneys were weighed. Histological analysis including cystic area measurement and immunohistochemistry was performed.

RESULTS: Morphometric capsule devices were configured and developed by an image processing technique and produced using a 3D printer. Encapsulated Cy/+ kidneys (n = 5; mean weight 3.64 g) were consistently smaller in size (by 21-36%; p < 0.001) than unencapsulated Cy/+ kidneys (n = 7; mean weight 5.52 g). Encapsulated Cy/+ kidneys (mean %cyst area: 29.4%) showed smaller histological cystic area (by 28-58%; p < 0.001) than unencapsulated Cy/+ kidneys (mean %cyst area 48.6%). Cell proliferation and macrophages were also markedly reduced in encapsulated Cy/+ kidneys, compared to unencapsulated Cy/+ kidneys.

CONCLUSIONS: We report a pilot feasibility study for the application of a novel morphometric 3D capsule device to the Cy/+ rat model showing restricted kidney volume expansion on polycystic kidney disease progression.

Errataetall:

CommentIn: J Nephrol. 2023 Apr;36(3):933-934. - PMID 35960431

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

Journal of nephrology - 35(2022), 3 vom: 10. Apr., Seite 1033-1040

Sprache:

Englisch

Beteiligte Personen:

Bae, Kyongtae T [VerfasserIn]
Kumamoto, Kanako [VerfasserIn]
Yoshimura, Aya [VerfasserIn]
Kugita, Masanori [VerfasserIn]
Horie, Shigeo [VerfasserIn]
Yamaguchi, Tamio [VerfasserIn]
Bae, Junu T [VerfasserIn]
Nagao, Shizuko [VerfasserIn]

Links:

Volltext

Themen:

3D printing
Image-processing
Intervention
Journal Article
Polycystic kidney disease
Rodent experiment

Anmerkungen:

Date Completed 12.04.2022

Date Revised 20.04.2023

published: Print-Electronic

CommentIn: J Nephrol. 2023 Apr;36(3):933-934. - PMID 35960431

Citation Status MEDLINE

doi:

10.1007/s40620-021-01160-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM332955117