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Uric acid accumulated in isolated kidney grafts: An assessment of agonal ischaemia

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Abstract

Hypoxanthine-xanthine washed out from kidney tissue during preservation has previously been found to be a reliable measure of thein vitro assessment of the deleterious effect of ischaemia on the functional regenerative ability of the graft. We have now studied the question: can uric acid accumulation in the isolated kidney graft be employed as a retrospective measure of the agonal ischaemia? We have found that uric acid alone accumulates in renal tissue during the agonal phase, in an amount that remains unchanged during the subsequentin vitro ischaemia. The determination of hypoxanthine-xanthine and uric acid in kidney perfusate samples during preservation must thus be presumed to be an optimal clinical-chemical method of assessing the graft ischaemia.

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References

  1. Adam, H.: Adenosine-5′-diphosphate and adenosine-5′-monophosphate. In Bergmeyer, H. U. (ed.): Methods of Enzymatic Analysis. Academic Press, New York 1965, pp. 573–577.

    Google Scholar 

  2. Adam, H.: Adenosine-5′-triphosphate. In Bergmeyer, H. U. (ed.): Methods of Enzymatic Analysis. Academic Press, New York 1965, pp. 539–543.

    Google Scholar 

  3. Bacigalupo, G., Saling, E.: A new aspect of the role of blood 5′-adenosine triphosphate in fetal and neonatal hypoxia.Amer. J. Obstet. Gynec., 114, 631 (1972).

    PubMed  Google Scholar 

  4. Boda, D., Pénzes, P., Gecse, A., Streitman, E., Zsilinszky, E., Karády, I.: Uric acid nephropathy in shocked rats after blocking of uricase activity with triazine compounds.Can. J. Physiol. Pharmacol., 51, 496 (1973).

    PubMed  Google Scholar 

  5. Brandt Petersen, B., Jørni, J., Jørgensen, S.: Hypoxanthine, xanthine and uric acid in human urine and in decomposed blood.Scand. J. clin. Lab. Invest., 17, 460 (1965).

    PubMed  Google Scholar 

  6. Brandt Petersen, B., Jørni, J., Jørgensen, S.: Separate enzymatic determination of hypoxanthine and xanthine in human urine.Scand. J. clin. Lab. Invest., 17, 454 (1965).

    PubMed  Google Scholar 

  7. Buhl, M. R.: Oxypurine excretion during kidney preservation: An indicator of ischaemic damage.Scand. J. clin. Lab. Invest., 36, 169 (1976).

    PubMed  Google Scholar 

  8. Buhl, M. R., Kemp, G., Kemp, E.: Hypoxanthine excretion during preservation of rabbit kidneys for transplantation: An assessment of the ischaemic damage.Transplantation, 21, 460 (1976).

    PubMed  Google Scholar 

  9. Buhl, M. R., Jørgensen, S.: Breakdown of 5′-adenine nucleotides in ischaemic renal cortex estimated by oxypurine excretion during perfusion.Scand. J. clin. Lab. Invest., 35, 211 (1975).

    PubMed  Google Scholar 

  10. Busch, E. W., Von Borcke, I. M., Martinez, B.: Abbauwege und Abbaumuster der Purinnucleotide in Herz-, Leber- und Nierengewebe von Kaninchen nach Kreislaufstillstand.Biochim. Biophys. Acta, 166, 547 (1968).

    PubMed  Google Scholar 

  11. Chaudry, I. H., Sayeed, M. M., Baue, A. E.: Alterations in adenosine nucleotides in haemorrhagic shock.Surg. Forum, 23, 1 (1972).

    PubMed  Google Scholar 

  12. Christen, P., Peacock, W. C., Wacker, W. E. C.: Urate oxidase in primate phylogenesis.Europ. J. Biochem., 12, 3 (1970).

    PubMed  Google Scholar 

  13. Cowsert, M. K., Carrier, O., Crowell, J. W.: The effect of hemorrhagic shock on blood uric acid levels.Can. J. Physiol. Pharmacol., 44, 861 (1966).

    PubMed  Google Scholar 

  14. Crowell, J. W., Jones, C. E., Smith, E. E.: Effect of allopurinol on hemorrhagic shock.Amer. J. Physiol., 216, 744 (1969).

    PubMed  Google Scholar 

  15. Deuticke, B., Gerlach, E.: Abbau freier Nucleotide in Herz, Skelettmuskel, Gehirn und Leber der Ratte bei Sauerstoffmangel.Pflügers Arch. ges. Physiol., 292, 239 (1966).

    Google Scholar 

  16. Dosman, J. A., Crawhall, J. C., Klassen, G. A.: Uric acid metabolism following acute myocardial infarction. In Sperling, O., deVries, A., Wyngaarden, J. B. (eds): Purine Metabolism in Man, 41b, Plenum Press, New York 1974, pp. 423–427.

    Google Scholar 

  17. Hohorst, H.-J.: L-Lactat, Bestimmung mit Lactat-Dehydrogenase und NAD. In Bergmeyer, H. U. (ed.): Methoden der enzymatischen Analyse. Verlag Chemie, Weinheim 1970, pp. 1425–1429.

    Google Scholar 

  18. Keilin, J.: The biological significance of uric acid and guanine excretion.Biol. Rev. Cambridge Phil. Soc., 34, 265 (1959).

    Google Scholar 

  19. Krenitsky, T. A., Tuttle, J. V., Cattau, E. L., Wang, P.: A comparison of the distribution and electron acceptor specificities of xanthine oxidase and aldehyde oxidase.Comp. Biochem. Physiol., 49B, 687 (1974).

    Google Scholar 

  20. LePage, G. A.: Biological energy transformations during shock as shown by tissue analysis.Amer. J. Physiol., 146, 267 (1946).

    Google Scholar 

  21. Løkkegaard, H., Bilde, T., Gyrd-Hansen, N., Jacliciv, D., Jensen, E., Nerstrøm, B., Rasmussen, F.: The effect of chlorpromazine on preservation of kidneys with one hour warm ischaemia. Renal clearance in pigs with autotransplanted 24 hour preserved kidneys.Acta med. scand., 193, 65 (1973).

    PubMed  Google Scholar 

  22. Morgan, E. J.: The distribution of xanthine oxidase, I.Biochem. J., 20, 1282 (1926).

    Google Scholar 

  23. Olsson, R. A.: Changes in content of purine nucleosides in canine myocardium during coronary occlusion.Circulat. Res., 26, 301 (1070).

    Google Scholar 

  24. Praetorius, E., Poulsen, H.: Enzymatic determination of uric acid.Scand. J. clin. Lab. Invest., 5, 273 (1953).

    PubMed  Google Scholar 

  25. Saugstad, O. D.: Hypoxanthine as a measurement of hypoxia.Pediat. Res., 9, 158 (1975).

    PubMed  Google Scholar 

  26. Spring, M., Cavusoglu, M., Chiu, Y. C., Artymowska, C.: Hyperuricemia and hyperglycemia in acute myocardial infarction.Circulation, 22, 817 (1960).

    Google Scholar 

  27. Vogt, M. T., Farber, E.: On the molecular pathology of ischemic renal cell death.Amer. J. Path., 53, 1 (1968).

    PubMed  Google Scholar 

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Buhl, M.R., Buhl, L. Uric acid accumulated in isolated kidney grafts: An assessment of agonal ischaemia. International Urology and Nephrology 11, 229–237 (1979). https://doi.org/10.1007/BF02081964

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