УДК 616.61-004.6
KIDNEY REMODELING OF RATS BY KEEPING THEM ON CARBOHYDRATE FEED
Shidakov Yu. H-M., Abdumalikova I.A., Rizk Al-Kasabi Fatima Azzakhra Amin ,
Mokhammad Elvira
1SEI Higher Education Kyrgyz-Russian Slavic University named after the first President of
the Russian Federation B.N. Yeltsin
speleolog53@mail.ru
Annotation: In recent years, the high level of consumption of foods with high levels of sugar
and sweeteners by the population has repeatedly increased the risk of developing metabolic syndrome
and a number of complications associated with it. The article describes in detail the effect of a low-
carb diet on kidney remodeling in an experiment.
Keywords: kidneys, carbohydrates, diet, remodeling, nutrition.
РЕМОДЕЛИРОВАНИЕ ПОЧЕК КРЫС ПРИ СОДЕРЖАНИИ ИХ НА
МОНОУГЛЕВОДНОЙ ДИЕТЕ
Шидаков Ю.Х-М., Абдумаликова И.А., Ризк Аль-Касаби Фатима Аззахра Амин,
Мохаммад Элвира
ГОУ ВПО Кыргызско-Российский Славянский университет им. Первого
президента РФ Б.Н. Ельцина
speleolog53@mail.ru
Аннотация: В последние годы высокий уровень потребления продуктов с повышенным
уровнем сахара и подсластителей населением многократно увеличил риск развития метаболического
синдрома и связанного с ним ряда осложнений. В статье подробно описано влияние моноуглеводной
диеты на ремоделирование почки в эксперименте.
Ключевые слова: почки, углеводы, диета, ремоделирование, питание.
КЕЛЕМИШТЕРДИН БӨЙРӨКТӨРҮН АЗ УГЛЕВОДДУУ ДИЕТАДА КАРМОО
Шидаков Ю.Х-М., Абдумаликова И.А., Ризк Аль-Касаби Фатима Аззахра Амин,
Мохаммад Элвира
Россия Федерациясынын Биринчи Президенти Б. Н. Ельцин атындагы Кыргыз-
Россия Славян университети
speleolog53@mail.ru
Аннотация: Акыркы жылдары калктын кант жана таттуу заттардын деңгээли жогору
болгон тамак-ашты көп колдонушу метаболизм синдромунун өнүгүү коркунучун жана ага
байланыштуу бир катар кыйынчылыктарды көбөйттү. Макалада экспериментте аз углеводдуу
диетанын бөйрөктү калыбына келтирүүгө тийгизген таасири кеңири баяндалган.
Ачкыч сөздөр: бөйрөк, углеводдор, диета, ремоделизация, тамактануу.
Introduction
Over the past 200 years, the sugar intake has increased 25 times of the population, [1,2]. The
attitude of researchers towards this food product varies from sharply negative [3,4] to positive [5] and
everything in between [6]. Such a different effect of sugar on the body is unambiguously impossible
to assess. Sugar refers to carbohydrates. The main component of sugar is sucrose. Sucrose breaks
down quickly in the digestive tract into glucose and fructose, which are then released into the
bloodstream. Glucose provides more than half of the body's energy costs. The normal concentration
of glucose in the blood is maintained at the level of 80-120 milligrams of sugar per 100 milliliters
(from 0.08 to 0.12%). Glucose can maintain the barrier function of the liver
against toxic substances due to its participation in the formation of so-called paired glucuronic acids
in the liver. Due to the high consumption by the population in recent years of foods with high levels
of sugar and sweeteners in them, the risk of developing obesity, the main complication of sugar
consumption, increases. According to a recent UN report, two-thirds of people in Europe and Central
Asia has obese. Overweight and obesity are the fourth leading cause of death after hypertension,
malnutrition, and tobacco use. Obesity is associated with many non-communicable diseases,
including cardiovascular disease, type 2 diabetes, and cancer. It leads to 12 types of cancer [1,5].
Material and methods
The work was carried out on 10 white outbred rats - males weighing 200 - 250 g.
in compliance with the rules of laboratory practice in the Russian Federation (Order of the Ministry
of Health and Social Development of the Russian Federation from August 23, 2010 No. 708 "On
approval of the rules of laboratory practice") based on the laboratory of experimental modeling of
pathological processes in KRSU. Animals from standard feed were exchanged for an exceptional
carbohydrate (refined sugar) diet. On the 15th and 30th days of the experiment, the animals under
general anesthesia were taken out of the experiment by decapitation. Pieces of the kidneys were fixed
in 10% neutral formalin solution, and dehydrated in alcohols of increasing concentration, Sections 5-
7 micrometers thick were prepared from paraffin blocks and stained with hematoxylin- eosin and
according to Van Gieson. Finished preparations were studied under an Olympus BX40 light
microscope (Japan). At the same time, recording and microphotography were carried out with a
Levenhuk C130 NG digital camera (PRC) coupled with the microscope optical system and a
computer.
Results and discussion
In the pole and central branches of the renal artery, loosening and swelling of the adventitial
membrane are observed. There is atony, thinning, and vacuole dystrophy of the media. Vacuoles in
the form of oat grains are located radially to the axis of the artery and contain deposits of proteins,
fats, and carbohydrates.
As a result of dystonia and thinning of the vascular wall, the arteries acquire bizarre outlines.
In some cases, the opposite walls fuse, and the arteries become 2-stem, in the lumen of which the
coagulated plasma is contained. The endothelium in the form of a detached strip is projected into
the lumen of the vessel. A characteristic feature is a well-developed longitudinal muscle layer. In the
interlobular arteries, there is coarsening of adventitia collagen fibers, collagenization of the muscle
layer, and endothelial sclerosis.
On some preparations, obliteration of the lobar arteries is noted, around which micro-
hemorrhages and a picture of paranasal edema are observed.
Arc arteries are characterized by loosening of the adventitia, splitting of the internal elastic
membrane, and proliferation of longitudinal muscle fibers. Against this background, there is
collagenization of the musculoelastic cushion and the longitudinal muscle layer, and hypertrophy of
the circular muscle layer.
In the interlobular arteries, there is a thickening and splitting of the basement membrane, and a
decrease in the tone of the vascular wall and its collagenization. As a result, many interlobular arteries
lose their lumen and turn into connective tissue strands. At the level of the interlobular arteries,
microaneurysms, paranasal microbleeds, and connective tissue overgrowth can be observed.
As a result of deep disturbances at the level of the interlobular arteries, it is not possible to
detect the bringing arterioles of the vascular glomerulus of the renal corpuscle. In these cases, diffuse
nodular glomerulosclerosis is noted. In other cases, the phenomena of reticular sclerosis and
dystrophy are observed. Thirdly, cases of hypertrophy of the renal corpuscle, expansion of the
cavity of the Shumlyansky Bowman capsule, and the lumen of the proximal tubule are noted.
Unlike arterial, changes in the venous bed of the kidney are characterized by extreme
polymorphism. The veins of the kidney capsule belonging to the portal vein system are dilated and
subjected to sclerotic changes in the vascular wall. An exclusive carbohydrate diet causes a
significant remodeling of the portal bed x, which affects the condition of the veins of the kidney
capsule, which is expressed by the stagnation of blood and the formation of blood clots.
Fig.1. Diffuse nodular glomerulosclerosis of
the renal corpuscle. Hematoxylin-eosin, х 400
Fig.2. Signs of blood separation in the renal vein.
Hematoxylin-eosin, х400
Stellate veins are characterized by a pattern of microangiopathy, which is expressed by
swelling of the wall and accumulation of leukocytes. At the confluence of the interlobular veins into
them, peculiar connective tissue thickenings are formed, which are most likely related to the outflow
of venous blood from the cortical labyrinth of the kidney. The interlobular veins in some areas of the
histological section are full-blooded, which makes the cortical substance look hyperemic. In other
areas, on the contrary, the interlobular veins are not detected, exactly like the interlobular arteries,
and the kidney parenchyma looks drained of blood.
Since the stellate and interlobular veins are built according to the type of sinusoids and their
walls are braided with a connective tissue framework, their remodeling leads to a compaction of the
interstitial parenchyma of the organ. The straight veins carrying blood from the medulla of the kidney
to the arc veins are full-blooded and the urinary tubules and collecting tubules are squeezed. As a
result, the cerebral substance of the kidney looks hyperemic. The cause of the stagnation of blood in
straight veins can be blood thickening as a result of hyperglycemia.
The arc veins receiving blood from the interlobular veins of the cortex and the direct veins
of the medulla of the kidney experience a special load. This is evidenced by the presence of
hypertrophied spirally arranged muscle cells at the confluence of the arc veins and the formation of
interlobular veins. They may take part, along with valves, in regulating the outflow of blood from the
arc veins to the interlobular veins. In the interlobular, pole, and central veins, a combination of
vascular wall remodeling in the form of sclerosis with a violation of hemorheology in the form of
blood separation and thrombosis is noted.
A carbohydrate diet leads to coarsening of the basement membrane located between the
podocytes and the endothelium of the capillaries of the vascular glomerulus, which complicates the
filtration function of the kidney and the formation of primary urine. This leads to a wrinkling of the
vascular glomerulus and the urinary space looks more voluminous against this background. In other
cases, the parietal leaf of the Shumlyansky Bowman capsule closely adheres to the vascular
glomerulus and the renal body undergoes sclerosis. In the proximal convoluted tubule, the basal
labyrinth is smoothed, and basal striation is absent. The wall of the tubule undergoes vacuole
dystrophy, which indicates a violation along with carbohydrate and protein metabolism. Changes in
the wall of the proximal convoluted tubule impair the reabsorption function of the kidneys.
Usually, on histological preparations, the number of cross-sections of the proximal convoluted
tubules in the renal cortex is greater than the distal convoluted tubules. The proximal tubules are
stained more intensely than the distal ones. These animals, do not differ pictorially. The lumen of the
tubules is often filled with a mixture of exfoliated epithelium and leukocytes, which is a consequence
of an inflammatory reaction.
Departments of the nephron (thick descending segments of the Henle loop, thin segments of
the Henle loop, thick ascending segments of the Henle loop) cannot be distinguished from each
other. The collecting tubules, the Bellini ducts, and the lattice field on individual
histological preparations were subjected to sclerosis. In the area of the location of
the Bellini ducts and the lattice field, foci of hyperemia are adjacent to areas of
ischemia.
Conclusion:
In the above observation, it can be noted in comparison with the work
performed earlier, but on exclusively protein feed, the rate of development of the
negative effect of exclusively carbohydrate nutrition, namely, following an increase in
blood sugar levels, blood thickening is observed with a violation of its rheological
properties and the beginning of the thrombosis process.
Since the carbohydrate environment is favorable for various pathogenic
microflora, an inflammatory process in the epithelium and the presence of a high
number of leukocytes are observed in the urinary tubules, which gives us an idea of
the initial process of kidney damage by an infectious agent, the beginning of
pyelonephritis.
The vascular wall is damaged, as in the past experiment with the phenomena of
sclerosis, a violation of the filtration function of the kidney, as can be seen by the
enlargement and hyperemia of the Shumlyansky Bowman capsule.
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