Search PubMed⌕ Search

Biomedical subjects

Paul Flecknell

Publications and source records attributed to Paul Flecknell.

3 recordsLinked to original sources

Renal scarring caused by vesicoureteric reflux and urinary infection: a study in pigs.

The diminishing risk of acute renal scarring with urine infections (reflux nephropathy) after infancy is unexplained, but might reflect kidney maturation. The mechanisms of reflux nephropathy scarring are best explained by a piglet model in which vesicoureteric reflux allows infected urine to enter those segments of renal parenchyme that are drained by compound papillae. We carried out a similar study in adult pigs to determine whether protective maturation occurs. Adult pigs were exposed to urine infection after surgery to produce unilateral vesicoureteric reflux. The intravesical portion of one ureter was deroofed in six female adult Gottingen mini-pigs and the bladder and the ureteric mucosae stitched around the perimeter of the new orifice. One week later Escherichia coli was injected into the urinary bladder to produce cystitis. Three weeks later the animals were killed humanely and the urinary tracts were examined. The animals sustained persistent urine infections; the untreated ureters and kidneys remained normal. However, on the operated side, the ureters were thickened and dilated, vesicoureteric reflux was shown in four cases, and the kidneys had one or more flattened area overlying a renal segment, which showed severe inflammatory changes and early scar formation. The risk of reflux nephropathy scarring is not eliminated by maturation of the kidney in pigs. It is unlikely that the much-reduced risk of initiating scarring that is seen in older children with urine infections is due to a protective maturation of the human kidney. A possible explanation is that most children born with risk factors for developing scarring will have already sustained scars when very young.

Age Factors↗

Production of acute and chronic itch with histamine and contact sensitizers in the mouse and guinea pig.

Itch is a major symptom of skin disease and is poorly understood, in part due to the lack of adequate small animal models. We show, using iontophoresis of histamine and capsaicin, that it is possible to induce scratching behaviour in both guinea pig and mouse. Use of iontophoresis may obviate the problems of induction of pain as well as itch when injection is used. The behavioural response to capsaicin, however, differs from that seen with histamine, raising the possibility that the use of scratch counts as a method of measuring itch severity needs to be set in the context of other responses. Naloxone partly inhibits scratching in mouse and guinea pig due to histamine. We also show that contact sensitization with 2-4 dinitrochlorobenzene (DNCB) can be used as a simple assay for chronic itch allowing study of scratching over at least a 15-h period. The characteristics of scratching (but not the time course) induced with DNCB are similar to those seen with histamine.

Acute Disease↗

Replacement, reduction and refinement.

In 1959, William Russell and Rex Burch published "The Principles of Humane Experimental Technique". They proposed that if animals were to be used in experiments, every effort should be made to Replace them with non-sentient alternatives, to Reduce to a minimum the number of animals used, and to Refine experiments which used animals so that they caused the minimum pain and distress. These guiding principles, the "3 Rs" of animal research, were initially given little attention. Gradually, however, they have become established as essential considerations when animals are used in research. They have influenced new legislation aimed at controlling the use of experimental animals, and in the United Kingdom they have become formally incorporated into the Animal (Scientific) Procedures Act. The three principles, of Replacement, Reduction and Refinement, have also proven to be an area of common ground for research workers who use animals, and those who oppose their use. Scientists, who accept the need to use animals in some experiments, would also agree that it would be preferable not to use animals. If animals were to be used, as few as possible should be used and they should experience a minimum of pain or distress. Many of those who oppose animal experimentation, would also agree that until animal experimentation is stopped, Russell and Burch's 3Rs provide a means to improve animal welfare. It has also been recognised that adoption of the 3Rs can improve the quality of science. Appropriately designed experiments that minimise variation, provide standardised optimum conditions of animals care and minimise unnecessary stress or pain, often yield better more reliable data. Despite the progress made as a result of attention to these principles, several major problems have been identified. When replacing animals with alternative methods, it has often proven difficult to formally validate the alternative. This has proven a particular problem in regulatory toxicology, especially when combined with the labyrinthine processes of the various regulatory authorities. The principle of Reduction would appear less contentious, but its application has highlighted the difficulties of providing appropriate expert statistical advice, especially in academic research facilities. In some instances, concern to implement Reduction strategies can result in the use of too few animals, which leads to inconclusive results, and wasteful experiments. It is in the area of Refinement, however, that major problems have arisen. Much of our judgement of what represents Refinement is based on little more than common sense. We make assumptions about animals and their feelings that often have little scientific basis. In many instances we may be correct, but these assumptions may become incorporated into institutional or national policies, without any attempt to verify them. To give an example - it is reasonable to assume that animals will experience pain after a surgical procedure, so pain-relieving drugs should be given to prevent this. We have some idea of the appropriate dose of analgesics for most animals, but effective pain relief requires that dose given is adjusted to meet the requirements of the individual animal. Requiring every animal to have the same dose of the same drug after any surgical procedure is not the best way of dealing with post-operative pain. Discussion of these problems should not detract from the very significant progress that has been made in the 40 or so years since Russell and Burch set out their guiding principles. What is needed now is greater academic focus on this area, not only to work on new methods of implementing the 3Rs, but also to disseminate current "Best Practice", and to revise this advice as further progress is made.

Animal Rights↗