Optimization of the process of dissolution of phosphate calculi of the human kidney in vitro
DOI:
https://doi.org/10.24959/ophcj.20.200769Keywords:
renal calculus, litholysis, temperature, litholysis rate, complexon concentrationAbstract
Aim. To study the influence of physicochemical parameters of litholytic compositions on the degree of dissolution of phosphate calculi.
Results and discussion. A number of factors affecting the effectiveness of litholytic compositions on dissolution of phosphate renal calculi have been studied. It has been shown that with increasing the temperature of the solution above 38.5°C the increase of the dissolution rate of the mineral component and denaturation of the protein matrix of the calculi are competitive processes. It has been determined that the degree of litholysis while increasing the speed of the calculus washing increases linearly. The optimal values of temperature, solution feed rate and complexon concentration for dissolution of renal calculi in vivo have been determined taking into account the physiological capabilities of the kidney.
Experimental part. 73 native, surgically removed calculi were used in the experiment. The stratification of the calculus was visualized by staining with Kumassi R-250. The chemical and structural homogeneity of phosphate calculi was determined by analyzing their infrared spectra. IR spectra were obtained on a Specord M-80 spectrophotometer in KBr tablets. An ION 700 instrument (Eutec Instruments) was used to control the pH of the medium.
Conclusions. It has been shown that taking into account the physiological capabilities of the kidney the temperature of litholysis solutions should not exceed 37.5°C, the optimum feed rate of the solution is 5 mL/min, and the effective complexon concentration is 0.02 – 0.20 mol/L.
Received: 13.03.2020
Revised: 05.05.2020
Accepted: 29.05.2020
Supporting Agencies
- The theme of the NAS of Ukraine
- No. 0107U003004
Downloads
References
- Saidakova, N. O.; Shuliak, O. V.; Shylo, V. N.; Dmytryshyn, A. A.; Kononova G. E. Urolithiasis: the state and problematic questions in rendering the specialized service to the population in Kyiv. Urologiya 2018, 22 (1), 33–40. https://doi.org/10.26641/2307-5279.22.1.2018.128123.
- Romero, V.; Akpinar, H.; Assimos, D. G. Kidney Stones: A Global Picture of Prevalence, Incidence, and Associated Risk Factors. Reviews in urology 2010, 12 (2/3): e86–e96. https://doi.org/10.3909/riu0459.
- Golovanova, O. A.; Frank-Kamenetskaya, O. V.; Punin, Yu. O. Specific features of pathogenic mineral formation in the human body. Russ. J. Gen. Chem. 2011, 81 (6), 1392–1406. https://doi.org/10.1134/S1070363211060442.
- Rule, A. D.; Lieske, J. C.; Li, X.; Melton, L. J.; Krambeck, A. E.; Bergstralh, E. J. The ROKS Nomogram for Predicting a Second Symptomatic Stone Episode. J. Am. Soc. Nephrol. 2014, 25 (12), 2878–2886. https://doi.org/10.1681/asn.2013091011.
- Yachi, L.; Bennis, S.; Aliat, Z.; Cheikh, A.; Idrissi, M. O. B.; Draoui, M.; Bouatia, M. In vitro litholytic activity of some medicinal plants on urinary stones. African Journal of Urology 2018, 24 (3), 197–201. https://doi.org/10.1016/j.afju.2018.06.001.
- Богдан, Н. М. О выборе кальций-связывающих реагентов для растворения биоминеральных патологий. Проблеми екології та охорони природи техногенного регіону 2007, 7, 174–181.
- Нельсон, Д.; Кокс, М. Основы биохимии Ленинджера. 3-е изд.; Лаборатория знаний: Москва, 2017; Т. 1.
- Gonzalez, R. D.; Whiting, B. M.; Canales, B. K. The History of Kidney Stone Dissolution Therapy: 50 Years of Optimism and Frustration with Renacidin. Journal of Endourology 2012, 26 (2), 110–118. https://doi.org/10.1089/end.2011.0380.
- Богдан, Н. М. Физико-химические особенности образования и растворения фосфатных почечных конкрементов. Диссертация канд. хим. наук, Институт физико-органической химии и углехимии им. Л. Н. Литвиненко НАН Украины, Донецк, 1994.
- Билобров, В. М.; Литвиненко, Л. М.; Чугай, А. В. Химический состав мочевых камней. Урология и нефрология 1984, 3, 21–26.
- Kravdal, G.; Helgø, D.; Moe, M. K. Infrared spectroscopy is the gold standard for kidney stone analysis. Tidsskr. Nor. Laegeforen. 2015, 135 (4), 313–314. https://doi.org/10.4045/tidsskr.15.0056.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 National University of Pharmacy
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors publishing their works in the Journal of Organic and Pharmaceutical Chemistry agree with the following terms:
1. Authors retain copyright and grant the journal the right of the first publication of the work under Creative Commons Attribution License allowing everyone to distribute and re-use the published material if proper citation of the original publication is given.
2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book) providing proper citation of the original publication.
3. Authors are permitted and encouraged to post their work online (e.g. in institutional repositories or on authors’ personal websites) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (see The Effect of Open Access).