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Related Experiment Videos

Lipid peroxidation induced by shockwave lithotripsy

T D Cohen1, A F Durrani, S A Brown

  • 1Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA.

Journal of Endourology
|July 11, 1998
PubMed
Summary

High-energy shockwave lithotripsy (SWL) increases lipid peroxidation in swine kidneys, potentially causing cellular damage. Detecting specific lipid hydroperoxides in urine may indicate kidney injury after SWL.

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Area of Science:

  • Biomedical Engineering
  • Nephrology
  • Biochemistry

Background:

  • Shockwave lithotripsy (SWL) is a common procedure for kidney stone removal.
  • Understanding the bioeffects of high-energy shockwaves (HESW) on renal tissue is crucial for patient safety.
  • Lipid peroxidation is a marker of cellular damage.

Purpose of the Study:

  • To investigate the relationship between HESW and lipid peroxidation products in kidneys.
  • To assess the potential of urinary lipid hydroperoxides as biomarkers of renal injury following SWL.

Main Methods:

  • Juvenile pigs underwent SWL, with treated and control kidneys analyzed.
  • Thiobarbituric acid-reactive substance (TBARS) and lipid-conjugated diene (CD) concentrations were measured in kidney homogenates and urine.

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  • Urine samples were collected pre-, during, and post-SWL.
  • Main Results:

    • SWL significantly increased TBARS concentrations in kidney homogenates (146%) and cortex samples.
    • Increased CD concentrations (168%) were observed in the medulla of HESW-treated kidneys.
    • No significant differences in TBARS or CD were found in urine, but specific lipid hydroperoxides were detected in SWL-treated kidneys.

    Conclusions:

    • HESW lithotripsy is associated with increased lipid peroxidation in swine kidneys, potentially leading to cellular damage.
    • Lipid peroxidation induced by SWL may contribute to other bioeffects.
    • Urinary analysis of specific lipid hydroperoxides shows promise as a noninvasive marker for renal injury after clinical SWL.