You have accessJournal of UrologyStone Disease: Basic Research I1 Apr 20122071 HYPEROXALURIA AND NEPHROPATHY IN OBESE RATS FOLLOWING RYGB Shannon Moore, Marguerite Hatch, Amandeep Chadda, Bryce Bergeron, Mary Reinhard, and Benjamin Canales Shannon MooreShannon Moore Gainesville, FL More articles by this author , Marguerite HatchMarguerite Hatch Gainesville, FL More articles by this author , Amandeep ChaddaAmandeep Chadda Gainesville, FL More articles by this author , Bryce BergeronBryce Bergeron Gainesville, FL More articles by this author , Mary ReinhardMary Reinhard Gainesville, FL More articles by this author , and Benjamin CanalesBenjamin Canales Gainesville, FL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2237AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Hyperoxaluria is a common yet poorly understood complication of Roux-en-Y gastric bypass (RYGB) surgery, portending high calcium oxalate stone risk and oxalate nephropathy. To better define the effect of bariatric surgery on renal physiology, in particular hyperoxaluria, we performed RYGB in diet-induced obese (DIO) rodents and compare urinary oxalate excretion and renal histology to sham pair-fed (PF) and sham obese (SO) controls on both normal and high oxalate diets. METHODS Three-week old male Sprague-Dawley rats, given 60% high fat diet for 20 weeks, were randomized to sham procedure with gastric mobilization without transection or RYGB utilizing a stapled stomach pouch and hand-sewn 30 cm biliopancreatic and 10 cm Roux limbs. After 3 weeks of post-surgical recovery, animals were assigned to no oxalate/40% fat (No OX) or 1.5% potassium oxalate/40% fat (High OX) diets for 10 or 20 weeks. SO rats continued on diet ad libitum while sham PF rats ingested a similar amount of food as a paired-RYGB rat from the previous day. Daily weights and food intake were recorded. Urine studies for oxalate were collected at baseline and every 5 weeks. At study endpoint, renal histology was assessed using a quantitative glomerular and tubular scoring system by an experienced veterinary pathologist. RESULTS RYGB rodents had significant reductions in body weight at 10 weeks (n=8; 136 ± 7 gm, p<0.001) and 20 weeks (n=5; 174 ± 14 gm, p<0.001) compared to PF and SO controls (n=18). Urine oxalate was slightly higher than baseline in No OX RYGB animals (mean 9.2 ± 3 μmol/day; p=0.07) and unchanged in PF and SO animals on both No and High OX diets (mean 4.6 ± 1.74 μmol/day; p=0.36). High OX RYGB rats had significantly elevated urinary oxalate at 10 weeks (13 ± 9 μmol/day; p=0.05), 15 weeks (48 ± 21 μmol/day; p<0.001), and 20 weeks (51 ± 16 μmol/day; p<0.001). Additionally, regardless of diet, 10 and 20 week RYGB animals had more glomerular and tubular lesions and received higher glomerular and tubular lesion scores compared to SO and sham PF controls (p<0.001). CONCLUSIONS RYGB rodents on high oxalate diet long-term had a 10 fold increase in urinary oxalate compared to weight, age, and diet-matched controls. Irrespective of urinary oxalate levels, RYGB in this DIO rodent model is associated with sustained weight loss and progressive glomerular and tubular nephropathy, suggesting that the observed renal damage is occurring through pathways other than oxalate. Prospective studies are underway to better define the injurious mechanisms in this model. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e835 Peer Review Report Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Shannon Moore Gainesville, FL More articles by this author Marguerite Hatch Gainesville, FL More articles by this author Amandeep Chadda Gainesville, FL More articles by this author Bryce Bergeron Gainesville, FL More articles by this author Mary Reinhard Gainesville, FL More articles by this author Benjamin Canales Gainesville, FL More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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