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PubMed2006

Rat strains differ in susceptibility to Ureaplasma parvum-induced urinary tract infection and struvite stone formation.

Individuals with struvite uroliths are susceptible to recurrent urinary tract infections (UTI), sepsis, and renal disease. Unfortunately, little is known about the host-specific factors that predispose to this disease. In order to develop a rodent model that can address this problem, we inoculated female Fischer 344 (F344), Lewis (LEW), Sprague-Dawley (SD), and Wistar (WIS) rats with a host-adapted strain of Ureaplasma parvum. Animals were necropsied at 2 weeks postinoculation; 100% of F344, 42% of SD, 10% of LEW, and 10% of WIS rats remained infected. Severe bladder lesions and struvite calculi were seen in 64% of F344 rats; in other rat strains, bladder lesions were mild or absent. F344 rats with struvite uroliths had the highest urinary levels of proinflammatory cytokines, such as GRO/KC, interleukin-1alpha (IL-1alpha), and IL-1beta. F344 rats without struvite stones at necropsy had milder bladder lesions and significantly lower urinary levels of proinflammatory cytokines but a more prominent inflammatory response than did other rat strains. Based on our results, struvite stone formation is linked to a robust inflammatory response that does not resolve UTI but instead promotes damage to surrounding tissues.

Animals↗
PubMed1994

Unique ability of the Proteus mirabilis capsule to enhance mineral growth in infectious urinary calculi.

Struvite (MgNH4PO4.6H2O) calculi are a common complication of Proteus mirabilis urinary tract infections. Although urease is a major virulence factor in calculus formation, the polysaccharide capsule (CPS) of this organism also enhances struvite crystallization and growth in vitro (L. Clapham, R. J. C. McLean, J. C. Nickel, J. Downey, and J. W. Costerton, J. Crystal Growth 104:475-484, 1990). We obtained purified CPS, of known structure and varying anionic character, from P. mirabilis ATCC 49565 and several other organisms. Artificial urine was added to CPS, and the pH was elevated from 5.8 to 8.5 by the addition of urease or titration with 0.25 M NH4OH to induce struvite crystallization. Crystallization was measured by particle counting (Coulter counter), and the morphology (crystal habit) was examined by phase-contrast microscopy. In the presence of partially anionic P. mirabilis CPS, struvite formation occurred at a lower pH than in the absence of CPS or in the presence of other neutral, partially anionic, or anionic CPS. At pH 7.5 to 8.0, significantly more struvite crystals formed in the presence of P. mirabilis CPS than under other experimental conditions. With the exception of one polymer (curdlan) which did not bind Mg2+, enhancement of struvite formation by CPS polymers was inversely proportional to their Mg2+ binding ability. We speculate that the structure and partial anionic nature of P. mirabilis CPS enable it to enhance struvite formation by weakly concentrating Mg2+ ions during struvite crystal formation. This illustrates a new virulence aspect of bacterial CPS during infection.

Bacterial Capsules↗
PubMed1986

In vitro and in vivo study of stone formation by Corynebacterium group D2 (Corynebacterium urealyticum).

Corynebacterium group D2 inoculated into normal human urine formed struvite crystals and an increase in pH and ammonium concentration after 24 h of incubation. Zinc disks dipped into a broth culture of this microorganism and inserted into the bladders of rats produced stones with a mean weight of 12.5 mg (ranging from 1 to 57.7 mg) after 12 days. Analysis of the infrared spectrum determined the stones to be composed of struvite. From these results its seems that stone formation by Corynebacterium group D2 may be possible both in vitro and in vivo, which may confirm a previous report involving these bacteria in human clinical encrusted cystitis.

Animals↗
PubMed2004

Kidney stones.

Explore the source record for details and available documents.

Calcium↗
PubMed2002

Laxatives for bowel clearing before investigations.

It is important to clear the bowel of its contents thoroughly before colonoscopy or radiological procedures such as barium enema. This article reviews laxatives for bowel clearing that can be taken by patients at home prior to the procedure. We concentrate on drug efficacy and patient acceptability.

Age Factors↗
PubMed1991

Characterisation of palygorskite specimens from different geological locales for health hazard evaluation.

Palygorskite, a fibrous clay mineral, is being used as a substitute for asbestos in some applications. Nine specimens obtained from different geological locales were studied for mineral purity, elemental composition, fibre size distribution, and surface binding characteristics. The membranolytic activity of each was determined using a human erythrocyte model. The membranolytic behaviour and surface binding characteristics were compared with three chrysotile specimens employed as positive controls. The palygorskite specimens derived from the different geological locales display a range of physicochemical properties. This study shows the importance of selecting several mineral specimens for a health hazard evaluation. The current carcinogenic classification of the mineral may be limited due to the number of specimens used for that particular evaluation.

Asbestos↗
PubMed1987

Feline struvite urolithiasis: factors affecting urine pH may be more important than magnesium levels in food.

Eighteen male cats were fed either a canned complete diet or a commercially available dry pelleted diet or the same dry diet containing 1.6 per cent ammonium chloride. The daily food and water intake of four of these cats was measured. Urine samples were taken at random and the pH and the presence of struvite crystals in their sediment estimated. In some samples in which the pH was less than 7.0, and struvite crystals were absent, the pH was increased to 7.0 and any sediment was examined for struvite. No spontaneous struvite was seen in urine samples (pH 5.8) from cats fed the canned complete diet but when its pH was raised to 7.0, 46 per cent of these samples showed struvite. Cats fed the dry pelleted diet had urine of higher pH (7.55) and 78 per cent of the samples contained struvite crystals. Cats fed this diet supplemented with ammonium chloride had a urine pH of 5.97 and only 9 per cent contained struvite crystals but when the pH was adjusted to 7.0 all the samples showed struvite crystals. Energy intake was similar on all three diets but the intake of dry matter was greater on the dry diets. Liquid water intake was greater on the dry diets but total water intake was greatest on the canned complete diet. The intake of magnesium, calcium and phosphate was greater on the dry diets. It is concluded that urine pH is a more important controller of struvite precipitation than mineral intake.

Animal Feed↗
PubMed1987

Feline struvite urolithiasis: fasting reduced the effectiveness of a urinary acidifier (ammonium chloride) and increased the intake of a low magnesium diet.

In three separate experiments nine male cats were fed either a canned complete diet or a commercially available dry pelleted diet or the same dry diet containing 1.6 per cent ammonium chloride for seven days and then fasted for 20 hours. Then ad libitum feeding was continued and urine samples were taken at four-hour intervals for 12 hours and a final sample 12 hours later. Urine pH and the presence of struvite crystals in urine sediment were evaluated. The food and water intake of four of the nine cats was measured at the time of urine collection. After the fast, urine pH was raised, even after feeding the dry diet supplemented with ammonium chloride. A post prandial rise in urine pH was also seen on all three diets. After feeding the dry diet the postprandial peak pH was 7.97 and struvite occurred spontaneously. Urine pH after feeding the dry diet supplemented with ammonium chloride peaked at 7.75 then fell to 6.1 12 hours after the start of feeding. Struvite occurred spontaneously at all times until the pH reached 6.1 but when the pH of urine was raised to 7.0 the struvite crystallised. Urine pH on the canned complete diet peaked at 6.8 then fell to 5.8; struvite did not occur spontaneously but when urine pH was raised to 7.0 struvite crystallised except at the eighth and 12th hour sampling. These data show that fasting initiates a post prandial rise in urine pH and struvite crystalluria even when a normally effective urinary acidifier is used.(ABSTRACT TRUNCATED AT 250 WORDS)

Ammonium Chloride↗
PubMed1989

Bactericidal effect of lactoferrin on Legionella pneumophila: effect of the physiological state of the organism.

Lactoferrin has been previously shown to be bactericidal for Legionella pneumophila. The current study showed that CaCl2, Mg(NO3)2, and MgCl2, but not NaCl, blocked killing. Activity was pH dependent with the greatest activity at 5.0. Sensitivity of the organism was dramatically affected by the growth conditions. Log phase 12 h, broth-grown cells were most sensitive, with older cultures becoming more resistant. Plate-grown cells were completely resistant. Lactoferrin binding, as detected by immunofluorescence microscopy, was temperature dependent (no binding at 4 degrees C), but was independent of killing.

Calcium Chloride↗
PubMed2004

Weathering of phlogopite by Bacillus cereus and Acidithiobacillus ferrooxidans.

The purpose of this study was to assess the weathering of finely ground phlogopite, a trioctahedral mica, by placing it in contact with heterotrophic (Bacillus cereus) and acidophilic (Acidithiobacillus ferrooxidans) cultures. X-ray diffraction analyses of the phlogopite sample before and after 24 weeks of contact in B. cereus cultures revealed a decrease in the characteristic peak intensities of phlogopite, indicating destruction of individual structural planes of the mica. No new solid phase products or interlayer structures were detected in B. cereus cultures. Acidithiobacillus ferrooxidans cultures enhanced the chemical dissolution of the mineral and formed partially weathered interlayer structures, where interlayer K was expelled and coupled with the precipitation of K-jarosite [KFe3(SO4)2(OH)6].

Acidithiobacillus↗
PubMed1983

Percutaneous dissolution of renal calculi.

The use of percutaneous nephrostomy catheters has allowed access to intrarenal urinary calculi for dissolution. Renacidin is the successful agent for dissolving struvite stones. THAM-E is the most effective agent for the intrarenal dissolution of cystine stone. Calcium oxalate stones are still resistant to dissolution techniques.

Citrates↗
PubMed1987

Renal obstruction from persistent struvite stone matrix: a complication of extracorporeal shock wave lithotripsy.

Struvite calculi occurring in patients with chronic urinary tract infections consist of an inorganic component of magnesium ammonium phosphate crystals and an underlying organic mucopolysaccharide matrix. Shock waves used to destroy these stones during extracorporeal shock wave lithotripsy (ESWL) therapy may affect the inorganic and organic components of the stone differently. In a 26-year-old woman, renal obstruction resulted from retained struvite stone matrix after ESWL therapy.

Adult↗
PubMed1991

Comparison of Kaopectate with barium for negative and positive enteric contrast at MR imaging.

In an evaluation of safe, inexpensive, orally administered contrast agents for use at magnetic resonance imaging, different concentrations of the clay agents kaolin-pectate and attapulgite were compared in an in vitro phantom by performing spin-echo imaging with variable echo times to estimate T2 relaxation time. Additional phantoms containing from 0% to 100% attapulgite or barium preparations were compared by using spin-echo and spoiled-gradient-echo techniques to estimate T1, T2, and T2* relaxation times. In vivo spin-echo and gradient-echo images were obtained of 10 healthy volunteers and of five patients with pancreatic disease after oral administration of 12-16 oz of attapulgite preparation. T1 and T2 relaxation times obtained with use of attapulgite were slightly lower than those obtained with kaolin-pectate at both 50% and 25% concentrations. Compared with barium, attapulgite had shorter T1, T2, and T2* relaxation times, and concentration-dependent relaxivity was greater by nearly an order of magnitude. All subjects were able to drink the attapulgite, and the only complaints were of bad taste and mildly loose stools.

Barium Sulfate↗
PubMed2006

Channel phosphorylation and modulation of L-type Ca2+ currents by cytosolic Mg2+ concentration.

Previous studies have shown that inhibition of L-type Ca(2+) current (I(Ca)) by cytosolic free Mg(2+) concentration ([Mg(2+)](i)) is profoundly affected by activation of cAMP-dependent protein kinase pathways. To investigate the mechanism underlying this counterregulation of I(Ca), rat cardiac myocytes and tsA201 cells expressing L-type Ca(2+) channels were whole cell voltage-clamped with patch pipettes in which [Mg(2+)] ([Mg(2+)](p)) was buffered by citrate and ATP. In tsA201 cells expressing wild-type Ca(2+) channels (alpha(1C)/beta(2A)/alpha(2)delta), increasing [Mg(2+)](p) from 0.2 mM to 1.8 mM decreased peak I(Ca) by 76 +/- 4.5% (n = 7). Mg(2+)-dependent modulation of I(Ca) was also observed in cells loaded with ATP-gamma-S. With 0.2 mM [Mg(2+)](p), manipulating phosphorylation conditions by pipette application of protein kinase A (PKA) or phosphatase 2A (PP(2A)) produced large changes in I(Ca) amplitude; however, with 1.8 mM [Mg(2+)](p), these same manipulations had no significant effect on I(Ca). With mutant channels lacking principal PKA phosphorylation sites (alpha(1C/S1928A)/beta(2A/S478A/S479A)/alpha(2)delta), increasing [Mg(2+)](p) had only small effects on I(Ca). However, when channel open probability was increased by alpha(1C)-subunit truncation (alpha(1CDelta1905)/beta(2A/S478A/S479A)/alpha(2)delta), increasing [Mg(2+)](p) greatly reduced peak I(Ca). Correspondingly, in myocytes voltage-clamped with pipette PP(2A) to minimize channel phosphorylation, increasing [Mg(2+)](p) produced a much larger reduction in I(Ca) when channel opening was promoted with BAY K8644. These data suggest that, around its physiological concentration range, cytosolic Mg(2+) modulates the extent to which channel phosphorylation regulates I(Ca). This modulation does not necessarily involve changes in channel phosphorylation per se, but more generally appears to depend on the kinetics of gating induced by channel phosphorylation.

Animals↗