You have accessJournal of UrologyStone Disease: Basic Research & Pathophysiology I1 Apr 2016MP58-13 THE MECHANISM OF RENAL STONE FORMATION AND RENAL FAILURE INDUCED BY MELAMINE AND CYANURIC ACID; LONG-TERM EXPERIMENT RESULTS Takahiro Kobayashi, Atsushi Okada, Ryossuke Ando, Keiichi Tozawa, Kenjiro Kohri, and Takahiro Yasui Takahiro KobayashiTakahiro Kobayashi More articles by this author , Atsushi OkadaAtsushi Okada More articles by this author , Ryossuke AndoRyossuke Ando More articles by this author , Keiichi TozawaKeiichi Tozawa More articles by this author , Kenjiro KohriKenjiro Kohri More articles by this author , and Takahiro YasuiTakahiro Yasui More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.811AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Recently, cases of renal stones and acute renal failure have been increasingly reported among Chinese children who were fed infant formula contaminated with melamine. According to a 2008 World Health Organization report, of the 294,000 babies identified after drinking melamine-contaminated milk, 51,900 were hospitalized, and 6 died from renal failure. We investigated the mechanism by which melamine and cyanuric acid induce renal stone formation and renal failure in animal models. METHODS Ten-week-old F344 rats were administered both melamine and cyanuric acid (each at 6, 12, 18, 24, 36, 48, 60 mg/kg/day). Blood, 24-h urine samples, and kidney sections were evaluated on days 14, 28, and 90. Resected kidney specimens were stained with hematoxylin and eosin (HE), Oil Red O (ORO) stain for lipid and plastics, and Von Kossa stain for phosphates, carbonates, and oxalates of calcium. For each rat, one kidney was processed for optical microscopy, while the other was processed for Scanning Electron Microscope. RESULTS Serum and urine biochemistry showed no significant differences in serum creatinine levels at doses of 6 and 12 mg/kg/day. Higher doses were associated with serum creatinine levels higher than those of control group. In rats given 6 mg/kg/day melamine/cyanuric acid combination, crystals were not detected, but body weight was lost. Crystal formation was observed in the renal distal tubular lumens and collecting ducts of rats administered 12 mg/kg/day melamine/cyanuric acid, with crystal numbers increasing along the experimental course. In rats administered over 24 mg/kg/day melamine/cyanuric acid combination (24–60 mg/kg/day), crystals were found in the proximal tubular lumens of the renal cortexes on day 3, and acute renal failure resulted in death by day 28. The upper regions of occluded tubes were expanded and the epithelium was thin.(Fig.1) There were some crystals on the surface of the renal papilla of the same form as those found in the renal tubular lumens. CONCLUSIONS Melamine and cyanuric acid in combination, but not melamine alone, induced crystal formation and affected renal function. Renal failure due to melamine cyanurate crystals appears to occur via tubular occlusion. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e781 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Takahiro Kobayashi More articles by this author Atsushi Okada More articles by this author Ryossuke Ando More articles by this author Keiichi Tozawa More articles by this author Kenjiro Kohri More articles by this author Takahiro Yasui More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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