Abstract
Calcium oxalate (CaOx) and calcium phosphate (CaP) are the two most common crystalline constituents of urinary stones and CaOx is their major component.1–9 Appropriate urinary supersaturation is necessary for crystallization. But mammalian urine is normally insufficiently supersaturated for homogeneous nucleation of CaOx. As a result, suggestions have been made that some urinary elements such as macromolecules or crystals act as the substrate for heterogeneous nucleation of CaOx. CaP is often considered a promoter of CaOx crystallization in the urine because, A. it is common in both urine and urinary stones, B. it frequently occurs together with calcium oxalate (CaOx), C. it is occasionally present at the nidus of CaOx-CaP stones, and D. it can support nucleation of CaOx in vitro. The possibility of CaP nucleating CaOx crystals and promoting the formation of CaOx stones will be explored in this chapter.
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References
Finlayson B. Renal lithiasis in review. Urol Clin North Am 1974; 1:181–212
Otnes B. Urinary stone analysis, methods, materials and value, Scand J Urol Nephrol 1983; Supplement 71: 1–109
Leusmann DB, Blaschke R, Schmandt W. Results of 5035 stone analyses: a contribution to epidemiology of urinary stone disease, Scand J Urol Nephrol 1990; 24:205–210
Murphy BT, Pyrah LN. The composition, structure and mechanism of the formation of urinary calculi, Br J Urol 1962; 34:129–159
Heijnen W, Jellinghaus W, Klee WE. Calcium oxalate trihydrate in urinary calculi, Urol Res 1985; 13:281–283
Herring LC, Observations on the analysis of ten thousand urinary calculi. J Urol 1962; 88: 545–562
Mandel NS, Mandel GS. Urinary tract stone disease in the United States veteran population. II. Geographic analysis of variations in composition. J Urol 1989; 142:1516–1521
Brien G, Schubert G, Bick C, 10,000 analyses of urinary calculi using x-ray diffraction and polarizing microscopy. Eur Urol 1982; 8: 251–256
Daudon M, Donsimoni R, Hennequin S, Fellahi S, Le Moel G, Paris M, Troupel S, Lacour B, Sex-and age-related composition of 10,617 calculi analyzed by infra red spectroscopy. Urol Res 1995; 5: 319–326
Khan SR, Hackett RL, Identification of urinary stone and sediment crystals by scanning electron microscopy and x-ray microanalysis, J Urol 1986; 135:818–825
Robertson WG, Peacock M, Nordin BEC, Activity products in stone-forming and non-stone-forming urine, Cln Sci 1968; 34:579–594
Robertson WG, Peacock M, Nordin BEC, Calcium crystalluria in recurrent renal-stone formers, Lancet 1969; 2:21–24
Werness PG, Bergeri JH, Smith LH, Crystalluria. J Crystal Growth 1981; 53:166–181
Tozuka K, Yonese Y, Konjika T, Sudo T, Study of calcium phosphate crystalluria. J Urol 1987; 138:326–329
Nancollas GH, Lore M, Perez L, Richardson C, Zawacki SJ, Mineral phases of calcium phosphate. Anat Rec 1989; 224:234–241
Berland Y, Boistelle R, Olmer M, Urinary supersaturation with respect to brushite in patients suffering calcium oxalate lithiasis. Nephrol Dial Transplant 1990; 5: 179–184
Werness PG, Wilson JWL, Smith LH, Hydroxyapatite and its role in calcium urolithiasis, in Urinary stone, Eds., Ryall, R., Brockis, J.G., Marshall, V., and Finlayson, B., Churchill Livingstone, London, New York, 273–277, 1984.
Pak CYC, Eanes ED, Ruskin B, Spontaneous precipitation of brushite in urine: evidence that brushite is the nidus of renal stones originating as calcium phosphate. Proc Nat Acad Sci 1971; 68:1456–1460
Lonsdale K, Epitaxy as a growth factor in urinary calculi and gallstones. Nature 1968; 217:56–58.
Frank FC, Van der Merwe JH, One dimensional dislocations (I) static theory, (II) misfitting monolayers and oriented overgrowth, Proc R Soc Lond [Biol.] 1949; 198A:205–211
Mandel N, Mandel G. “Epitaxis in renal stones” In Renal Tract Stone, Metabolic Basis and Clinical Practice, Eds., Wickham, JEA, Buck AC, Churchill Livingstone, New York, 87–101, 1990.
Mandel G, Mandel N. “Crystal-crystal interactions” In Kidney stones: Medical and surgical management, Eds. FL Coe, MJ Favus, CYC Pak, GL Preminger. Raven press, Boston, 115–127, 1996.
Meyer JL, Bergert JH, Smith LH, Epitaxial relationships in urolithiasis: the calcium oxalate monohydrate — hydroxyapatite system. Clin Sci Mol Med 1975; 49: 369–374
Meyer JL, Bergert JH, Smith LH, Epitaxial relationships in urolithiasis: the brushite — whewellite system. Clin Sci Mol Med 1977; 52:143–148
Koutsoukos PG, Sheehan ME, Nancollas GH, Epitaxial considerations in urinary stone formation. Invest Urol 1981; 18:358–363
Ebrahimpour A, Perez L, Nancollas GH, Induced crystal growth of calcium oxalate monohydrate at hydroxyapatite surfaces. The influence of human serum albumin, citrate, and magnesium. Langmuir 1991; 7:577–583
Achilles W, Jockei U, Schaper A, Burk M, Riedmiller H, In vitro formation of urinary stones: generation of spherulites of calcium phosphate in gel and overgrowth with calcium oxalate using a new flow model of crystallization. Scann Microsc 1995; 9:577–586
Burns JR, Finlayson B, A proposal for a standard reference artificial urine in in vitro urolithiasis experiments. Invest Urol 1980; 18: 167–169
Prescott LF, The normal urinary excretion rates of renal tubular epithelial cell, leucocytes, and red blood cells. Clin Chem 1966; 31:425–429
Khan SR, Glenton PA, Increased urinary excretion of lipids by patients with kidney stones. Br J Urol 1996; 77:506–511
Boskey AL, “Phospholipids and calcification,” In Calcified Tissues. Edited by, DWL Hukins. Boca Raton, CRC Press, p 215, 1989.
Khan SR, Whalen PO, Glenton PA, Heterogeneous nucleation of calcium oxalate crystals in the presence of membrane vesicles. J Crystal Growth 1993; 134:211–218
Achilles W, Kroning M, Schaper A, Khan SR, Riedmiller H, “Specific nucleation by phospholipids of spherulitic calcium phosphate and calcium oxalate crystals in a gel matrix,” In Urolithiasis, Consensus and Controversies. Edited by PN Rao, JP Kavanagh, H.-J. Tiselius, University Hospital, Manchester, 275,1994.
Burry AF, Axelson RA, Trolove P, Saal JR, Calcification in the renal medulla, a classification based on a prospective study of 2,261 necropsies. Human Pathol 1971; 7:435–449
Drach GW, Boyce WH, Nephrocalculosis as a source for renal stone nuclei. Observations on humans and squirrel monkeys and on hyperparathyroidism in the squirrel monkey. J Urol 1972; 107: 897–904
Malek RS, Boyce WH, Intranephronic calculosis: its significance and relationship to matrix in nephrolithiasis. J Urol 1973; 109: 551–555
Randall A, The etiology of primary renal calculus. Intl Abst Surg 1940; 71: 209–240
Cifuentes-Delatte L, Minon-Cifuentes JLR, Medina JA, Papillary stones, calcified renal tubules in Randall’s plaques, JUrol 1985; 133: 490–494
Khan SR, Hackett RL, Calcium oxalate urolithiasis in the rat: is it a model for human stone disease? A review of recent literature. Scann Elect Microsc 1985; 2:759–774
Khan SR, Pathogenesis of oxalate urolithiasis: lessons from experimental studies with rats. Am J Kid Dis 1991; 17:398–401
Hackett RL, Shevock PN, Khan SR, Cell injury associated calcium oxalate crystalluria. J Urol 1990; 144:1535–1538
Duffy JL, Suzuki Y, Churg J, Acute calcium nephropathy, early proximal tubular changes in the rat kidney. Arch Path 1971; 91:340–351
Ritskes-Hoittinga J, Lemmens AG, Danse LHJC, Beynen AC, Phosphorus-induced nephrocalcinosis and kidney function in female rats. J Nutr 1989; 119:1423–1431
Oliver MD, MacDowell M, Whang R, Welt LG, The renal lesions of electrolyte imbalance, IV. The intranephronic calculosis of experimental magnesium depletion. J Exp Med 1966; 124: 263–277
Nguyen HT, Woodard JC, Intranephronic calculosis in rats. Am J Pathol 1980; 100: 39–56
Khan SR, Glenton PA, Deposition of calcium phosphate and calcium oxalate crystals in the kidneys. J Urol 1995; 153:811–817
Khan SR, Hackett RL, Developmental morphology of calcium oxalate foreign body stones in rats. Calcif Tissue Intl 1985; 37:165–173, 1985
Khan SR, Hackett RL, Microstructure of decalcified human calcium oxalate urinary stones, Scann Elect Microsc 1984; 2:935–941
Khan SR, Hackett RL, Role of organic matrix in urinary stone formation: an uktrastructural study of crystal matrix interface of calcium oxalate monohydrate stones. J Urol 1993; 150:239–245
Khan SR, Hackett RL, Backscattered electron imaging of urinary stone matrix, Scanning 1993; 15, Suuplement 111:84–85
Ryall RL, “Urinary macromolecules in calcium oxalate stone and crystal matrix: good, bad, or indifferent?” In Calcium Oxalate in Biological Systems, Edited by SR Khan, CRC Press, Boca Raton, p265, 1995.
Khan SR,“Lipid matrix of urinary calcium oxalate crystals and stones.” In Calcium Oxalate in Biological Systems, Edited by SR Khan, CRC Press, Boca Raton, p 291, 1995.
Khan SR, Atmani F, Glenton P, Hou Zc, Talham DR, Khurshid M. Lipids and membranes in the organic matrix of urinary calcinc crystals and stones. Calcified Tissue Intl 1996, In press
DeGanello S, Asplin J, Coe FL, Evidence that tubule fluid in the thin segment of the loop of Henle normally is supersaturated and forms a poorly crystallized hydroxyapatite that can initiate renal stones. Kidney Intl. 1990; 37: 472
Kok D, “Intratubular crystallization events”, In Renal Stones-aspects on their formation, removal, and prevention, Proc. Vlth European Symspoium on Urolithiasis, Ed., Tiselius, H.-G, Akademitryck AB, Edsbruk, 26–29,1996.
Luptak I, Bek-Jensen H, Fornander AM, Hojgaard I, Nilsson MA, Tiselius HG, Crystallization of calcium oxalate and calcium phosphate at supersaturation levels corresponding to those in different parts of the nephron. Scann Microsc 1994; 8: 47–51, 1994
Campbell AA, Ebrahimpour A, Perez L, Smesko SA, Nancollas GH, The dual role of polyelectrolytes and proteins as mineralization promoters and inhibitors of calcium oxalate monohydrate. Calcif Tissue Itl 1989; 45:122–128
Khan SR, Shevock PN, Hackett RL, In vitro precipitation of calcium oxalate in the presence of whole matrix or lipid components of the urinary stones. J Urol 1988; 139:418–422
Khan SR, Heterogeneous nucleation of calcium oxalate crystals in mammalian urine. Scann Microsc 1995; 9: 597–616
Atmani F, Opalko FJ, Khan SR, Association of urinary macromolecules with calcium oxalate crystals induced in vitro in normal human and rat urine. Urol Res 1996; 24:45–49
McKee MD, Nanci A, Khan SR, Ultrastructural immunodetection of osteopontin and osteocalcin as major matrix components of renal calculi. J Bone Min Res, 1995; 10:1913–1922
Boskey AL, Moresca M, Ullrich W, Doty SB, Butler WT, Prince CW, Osteopontin-hydroxyapatite interactions in vitro: inhibition of hydroxyapatite formation and growth in a gelatin gel. Bone Miner, 1993; 22: 147–152
Mandel N, Crystal-membrane interaction in kidney stone disease. J Am Soc Neprol, 1994; 5:S37–S42
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Khan, S.R. (1998). Importance of Calcium Phosphates in the Development of Calcium Urolithiasis. In: Amjad, Z. (eds) Calcium Phosphates in Biological and Industrial Systems. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5517-9_11
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DOI: https://doi.org/10.1007/978-1-4615-5517-9_11
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