A laboratory model of toxin-induced hemolytic uremic syndrome

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A laboratory model of toxin-induced hemolytic uremic syndrome C. Mark Taylor, Julie M. Williams, Christopher J. Lote, Alexander J. Howie, Andrew Thewles, Jeanne A. Wood, David V. Milford, Faro Raafat, Ian Chant, Peter E. Rose  Kidney International  Volume 55, Issue 4, Pages 1367-1374 (April 1999) DOI: 10.1046/j.1523-1755.1999.00387.x Copyright © 1999 International Society of Nephrology Terms and Conditions

Figure 1 (A) Glomeruli from rat treated with lipopolysaccharide (LPS) and ricin stained with an antifibrinogen antibody that has specifically detected thrombosis in glomerular capillaries (×1600). (B) Glomerulus from rat treated with ricin showing pyknotic nuclei in an endocapillary distribution (×2400). (C) Frozen section of cortex treated with ricin-fluorescein isothiocyanate (FITC). The strongest binding is to distal tubules, particularly their basement membrane, and there is also binding to glomerular and intertubular capillaries, walls of arterioles, and the brush border of proximal tubules (×1600). Publication of this figure in color was made possible by grants from Fujisawa Ltd. and Roche Pharmaceuticals UK. Kidney International 1999 55, 1367-1374DOI: (10.1046/j.1523-1755.1999.00387.x) Copyright © 1999 International Society of Nephrology Terms and Conditions

Figure 2 (A) Glomerular capillary loop showing fibrin thrombus and platelets (×4700). (B) A capillary showing detachment of endothelial cells from basement membrane and early blebbing of the nucleus (×4700). Publication of this figure in color was made possible by grants from Fujisawa Ltd. and Roche Pharmaceuticals UK. Kidney International 1999 55, 1367-1374DOI: (10.1046/j.1523-1755.1999.00387.x) Copyright © 1999 International Society of Nephrology Terms and Conditions

Figure 3 (A) Alterations in blood pressure over time in LPS (▵), ricin (□), and LPS plus ricin (▪) treated rats. (B) The glomerular filtration rate at four and seven hours in LPS (▪), ricin plus LPS (), and ricin (□) treated rats. Data are mean ± sem; N = 3; *P < 0.05, ***P < 0.001. Kidney International 1999 55, 1367-1374DOI: (10.1046/j.1523-1755.1999.00387.x) Copyright © 1999 International Society of Nephrology Terms and Conditions

Figure 4 Plasma concentrations of (A) tumor necrosis factor-α, (B) interleukin-1β, (C) interleukin-6, (D) macrophage chemotactic protein-1, and (E) interferon-γ. Data are mean ± sem, N = 3; *P < 0.05 by the Mann–Whitney test. Symbols are: (▀) ricin; (▪) LPS + ricin; (▵) LPS; (▴) control. Kidney International 1999 55, 1367-1374DOI: (10.1046/j.1523-1755.1999.00387.x) Copyright © 1999 International Society of Nephrology Terms and Conditions