TY - JOUR
T1 - Renal Damages in Deoxycorticosterone Acetate–Salt Hypertensive Rats
T2 - Assessment with Diffusion Tensor Imaging and T2-mapping
AU - Ko, Sheung Fat
AU - Yip, Hon Kan
AU - Zhen, Yen Yi
AU - Hung, Chi Chih
AU - Lee, Chen Chang
AU - Huang, Chung Cheng
AU - Ng, Shu Hang
AU - Chen, Yi Ling
AU - Lin, Jui Wei
N1 - Publisher Copyright:
© 2019, World Molecular Imaging Society.
PY - 2020/2/1
Y1 - 2020/2/1
N2 - Purpose: This study aimed to investigate the feasibility of diffusion tensor imaging (DTI) and T2-mapping to assess temporal renal damage in deoxycorticosterone acetate–salt (DOCA-salt) hypertensive rats and compare the results with histopathologic and immunohistochemical findings. Procedures: After baseline renal magnetic resonance imaging (MRI), 24 out of 30 uninephrectomized Sprague-Dawley rats with DOCA-salt-induced hypertension were divided equally into four groups. Group 1 had renal MRI at weeks 2, 4, 6, and 8, and groups 2, 3, and 4 had MRI at weeks 2, 4, and 6, respectively. The remaining 6 rats were used as sham controls. The renal cortex and outer and inner stripes of the outer medulla were examined over time using fractional anisotropy (FA), apparent diffusion coefficient (ADC), and T2-mapping, and the results were compared with baseline values. The degree of glomerular and tubular injury, endothelial cell thickening, hyaline arteriolosclerosis, macrophage infiltration, microcyst formation, and fibrosis in different zones at different time points in the DOCA-salt rats were compared with controls. Results: Compared with baseline values, DOCA-salt rats demonstrated a significant decrease in renal cortical FA from week 4 to week 8 (0.244 ± 0.015 vs 0.172 ± 0.014–0.150 ± 0.016, P = 0.018–0.002), corresponding to significantly more glomerular damage, arteriolosclerosis, macrophage infiltration, and fibrosis. The DOCA-salt rats had significantly increased cortical ADC and T2 values at weeks 6 and 8 (1.778 ± 0.051 × 10−3 mm2/s vs 1.872 ± 0.058–1.917 ± 0.066 × 10−3 mm2/s; 93.7 ± 4.9 ms vs 98.0 ± 2.9–100.7 ± 4.0 ms, respectively, all P < 0.05), consistent with excessively fluid-filled microcysts (aquaporin-2+). Despite DOCA-salt rats harbored markedly increased fibrosis in outer and inner stripes of the outer medulla at weeks 6 and 8, only nonsignificant decreases in FA were observed in comparison with the controls suggesting that only limited microstructural changes were present. Conclusions: Renal cortical FA is useful for the early detection and monitoring of renal damage in DOCA-salt hypertensive rats.
AB - Purpose: This study aimed to investigate the feasibility of diffusion tensor imaging (DTI) and T2-mapping to assess temporal renal damage in deoxycorticosterone acetate–salt (DOCA-salt) hypertensive rats and compare the results with histopathologic and immunohistochemical findings. Procedures: After baseline renal magnetic resonance imaging (MRI), 24 out of 30 uninephrectomized Sprague-Dawley rats with DOCA-salt-induced hypertension were divided equally into four groups. Group 1 had renal MRI at weeks 2, 4, 6, and 8, and groups 2, 3, and 4 had MRI at weeks 2, 4, and 6, respectively. The remaining 6 rats were used as sham controls. The renal cortex and outer and inner stripes of the outer medulla were examined over time using fractional anisotropy (FA), apparent diffusion coefficient (ADC), and T2-mapping, and the results were compared with baseline values. The degree of glomerular and tubular injury, endothelial cell thickening, hyaline arteriolosclerosis, macrophage infiltration, microcyst formation, and fibrosis in different zones at different time points in the DOCA-salt rats were compared with controls. Results: Compared with baseline values, DOCA-salt rats demonstrated a significant decrease in renal cortical FA from week 4 to week 8 (0.244 ± 0.015 vs 0.172 ± 0.014–0.150 ± 0.016, P = 0.018–0.002), corresponding to significantly more glomerular damage, arteriolosclerosis, macrophage infiltration, and fibrosis. The DOCA-salt rats had significantly increased cortical ADC and T2 values at weeks 6 and 8 (1.778 ± 0.051 × 10−3 mm2/s vs 1.872 ± 0.058–1.917 ± 0.066 × 10−3 mm2/s; 93.7 ± 4.9 ms vs 98.0 ± 2.9–100.7 ± 4.0 ms, respectively, all P < 0.05), consistent with excessively fluid-filled microcysts (aquaporin-2+). Despite DOCA-salt rats harbored markedly increased fibrosis in outer and inner stripes of the outer medulla at weeks 6 and 8, only nonsignificant decreases in FA were observed in comparison with the controls suggesting that only limited microstructural changes were present. Conclusions: Renal cortical FA is useful for the early detection and monitoring of renal damage in DOCA-salt hypertensive rats.
KW - Diffusion tensor imaging
KW - Fractional anisotropy
KW - Hypertension
KW - Hypertensive kidney injury
KW - Mean diffusivity
KW - Rats
KW - T2-mapping
UR - http://www.scopus.com/inward/record.url?scp=85065465947&partnerID=8YFLogxK
U2 - 10.1007/s11307-019-01364-z
DO - 10.1007/s11307-019-01364-z
M3 - 文章
C2 - 31065896
AN - SCOPUS:85065465947
SN - 1536-1632
VL - 22
SP - 94
EP - 104
JO - Molecular Imaging and Biology
JF - Molecular Imaging and Biology
IS - 1
ER -