Skip to main content
Log in

Renal lesions in ischaemic kidneys infused with haemoglobin: An electron microscopic study

  • Originals
  • Published:
Urological Research Aims and scope Submit manuscript

Summary

Male Wistar rats were used to study changes in ultrastructure of proximal renal tubular cells after an haemoglobin (Hb) load with or without temporary renal ischaemia. An i.v. injection of stroma-free Hb was given either 30 min before, immediately after, or 2 h after ischaemia. Appropirate control groups were used for comparison. Electron microscopic examination was performed on kidneys removed 48 h after treatment. Hb transport and degradation was markedly delayed by renal ischaemia. Hetero-ambi-and autolysosomer were found after Hb load, and the number of lysosomes was higher in animals with ischaemia than in sham-operated controls given Hb. Renal cellular damage was more pronounced in rats given Hb either 30 min before or 2 h after ischaemia than in those subjected to either Hb load or ischaemia alone. The findings show deleterious effects of haemoglobinuria in conjunction with renal ischaemia.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Amberson WR, Jennings JJ, Rhode CM (1949) Clinical experience with hemoglobinsaline solutions. J Appl Physiol 1:469

    Google Scholar 

  2. Bayliss WM (1920) Is hemolysed blood toxic? J Exp Path 1:1

    Google Scholar 

  3. Bing RJ (1944) The effect of hemoglobin and related pigments on renal functions of the normal and acidotic dog. Bull Johns Hopkins Hosp 74:161

    Google Scholar 

  4. Braun SR, Weiss FR, Keller AI, Ciccone JR, Preuss HG (1970) Evaluation of the renal toxicity of heme proteins and their derivatives: A role in the genesis of acute tubule necrosis. J Exp Med 131:443

    Google Scholar 

  5. Bunn HF, Jandl JH (1969) The renal handling of hemoglobin. II. Catabolism. J Exp Med 129:925

    Google Scholar 

  6. Corcoran AC, Page IH (1943) Effects of hypotension due to hemorrhage and of blood transfusion on renal function in dogs. J Exp Med 78:205

    Google Scholar 

  7. Corcoran AC, Page IH (1947) Crush-Syndrome: Posttraumatic anuria. J A M A 134:436

    Google Scholar 

  8. Cuppage FE, Chiga M, Tate A (1973) Mitochondrial proliferation within the nephron. I. Comparison of mitochondrial hyperplasia of tubular regeneration with compensatory hypertrophy. Am J Pathol 70:119

    Google Scholar 

  9. Dallner G, Ericsson LE (1964) Studies on oxidative enzyme systems of the rat kidney after hemolysis and hemoglobinuria. Acta Pathol Microbiol 61:333

    Google Scholar 

  10. De Duve C, Wattiaux R (1966) Functions of lysosomes. Am Rev Physiol 28:435

    Google Scholar 

  11. De Gowin EL, Wardener ED, Randal WL (1938) Renal insufficiency from blood transfusion, anatomic changes in man compared with those in dogs with experimental hemoglobinuria. Arch Intern Med 61:609

    Google Scholar 

  12. Ericsson JLE (1964) Absorption and decomposition of homologous hemoglobin in renal proximal tubule cells. Acta Pathol Microbiol Scand Suppl 168

  13. Ericsson JLE, Mostofi FK, Lundgren G (1969) Experimental hemoglobinuric nephropathy. I. Comparative light microscopic, histochemial and pathophysiologic studies. Virchows Arch 3:181

    Google Scholar 

  14. Flink FB (1947) Blood transfusion studies. III. The relationship of hemoglobinemia and of the pH of the urine to renal damage produced by injection of hemoglobin solutions into dogs. J Lab Clin Med 32:233

    Google Scholar 

  15. Förster H, Hoos I (1974) Stoffwechseluntersuchungen bei Verwendung stromafreier Hämoglobinlösungen als Sauerstoffträger. Die Infusionstherapie. Grundlagen und Klinik I 6:455

    Google Scholar 

  16. Glauert AM, Rogers GE, Glauert RH (1956) A new embedding medium for electron microscopy. Nature 178:803

    Google Scholar 

  17. Jaenike JR (1966) The renal lesions associated with hemoglobinemia. I. Its production and functional evolution in the rat. J Exp Med 123:523

    Google Scholar 

  18. Jaenike JR, Schneeberger EE (1966) The renal lesion associated with hemoglobinemia. II. Its structural characteristics in the rat. J Exp Med 123:537

    Google Scholar 

  19. Litwin MS, Walter CW, Jackson N (1966) Experimental production of acute renal tubular necrosis. Ann Surg 152:lolo

    Google Scholar 

  20. Lowe MB (1966) Effects of nephrotoxins and ischemia in experimental haemoglobinuria. J Pathol Bact 82:319

    Google Scholar 

  21. Maluf NW (1949) Factors inducing renal shut-down from lysed erythrocytes: An experimental study. Ann Surg 130:49

    Google Scholar 

  22. Mason JB, Mann FC (1931) The effect of hemoglobin on volume of the kidney. Am J Physiol 98:181

    Google Scholar 

  23. O'Donell WM (1950) Renal Siderosis in Hemoglobinuric nephropathy. Am J Pathol 26:899

    Google Scholar 

  24. Peskin GW, O'Brien K, Rabinger SF (1969) Stroma-free hemoglobin solution. The “ideal” blood substitute. Surgery 66:185

    Google Scholar 

  25. Rabinger SF, O'Brien K, Peskin GW, Friedman L (1970) Further studies with stromafree hemoglobin solution. Ann Surg 171:615

    Google Scholar 

  26. Reynolds ES (1963) The use of lead citrate at high pH an electron-opaque stain in electron microscopy. J Cell Biol 17: 208

    Article  CAS  PubMed  Google Scholar 

  27. Schubert GE, Ochs R, Haupt A (1977) Effect of hemoglobin loads on the function and morphology of ischemic kidneys in the rat. Beitr Pathol 161:328

    Google Scholar 

  28. Sellards AW, Minot GR (1916) Injection of hemoglobin in man and its relation to blood destruction with especial reference to the anemias. J Med Res 34:469

    Google Scholar 

  29. Sunder-Plassmann I, Dieterle R, Seifert J, Jesch F, Messmer K (1975) Stromafree haemoglobin solution as a blood replacement fluid. Actual state and problems. Intensive Care Med 1:37

    Google Scholar 

  30. Thoenes E (1964) Mikromorphologie des Nephron nach temporärer Ischämie. Thieme, Stuttgart

    Google Scholar 

  31. Unseld JM (1974) Blutersatz durch stromafreie Hämoglobinlösung. Anaesthesiologie und Wiederbelebung Vol 85. Springer, Berlin Heidelberg New York

    Google Scholar 

  32. Unseld H, Aderhold B, Stähler D, Schubert GE, Schmidt K Die Belastbarkeit der Nieren des Zwergscheins mit stromafreier Hämoglobinlösung. Kongreß der Dtsch. Ges.f. Bluttransfusion und Immunhämatologie 1976

  33. Zingg W, Zollinger HU (1951) Mikoskopie 6:72

    Google Scholar 

  34. Zollinger HU (1951) Experimentelle Untersuchung über die akute Hämolyse-Niere bei der Ratte. Helv Chir Acta 18:146

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Haupt, A.S., Ochs, R. & Schubert, G.E. Renal lesions in ischaemic kidneys infused with haemoglobin: An electron microscopic study. Urol. Res. 10, 1–6 (1982). https://doi.org/10.1007/BF00256516

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00256516

Key words

Navigation