尿酸结石患者尿液中的微晶组分及其与结石形成的关系

采用X射线衍射(XRD)、傅里叶变换红外(FTIR)光谱、纳米粒度仪、扫描电子显微镜(SEM)和透射电子显微镜(TEM)研究了10例尿酸结石患者尿微晶的组分、Zeta电位、形貌及其与尿酸结石形成的关系.结果表明,尿酸结石患者的尿pH值较低,大都在4.8～5.7之间;尿微晶的主要成分为尿酸.其粒度分布很不均匀,从几纳米到几十微米不等,并有聚集现象.相比健康对照者尿纳米微品的Zeta电位(-10.1mV),尿酸结石患者的Zeta电位负值更小(-6.02 mV).对这些患者进行药物治疗(服用柠檬酸钾)后,尿pH可上升到6.5左右,此时尿液中的大部分尿酸转变为溶解度显著增加的尿酸盐,因此,尿酸结石形成的危险性显著降低.本文结果表明,尿石组分、尿微晶组分及尿pH三者之间存在密切的联系.     

尿液中的纳米晶体组分及其对草酸钙结石形成的影响

采用高分辨率透射电子显微镜、选区电子衍射、能谱分析和X射线衍射对草酸钙(CaOx)结石患者尿液中纳米晶体的组分进行了准确分析。这些技术检测到一水草酸钙(COM)、尿酸(UA)和磷酸钙(CaP)的存在,能谱分析检测到大量C,O,Ca和少量N和P等元素,表明尿纳米晶体的主要组分是COM,并含有少量的尿酸和磷酸盐。电子显微镜观察到CaOx结石患者尿纳米晶体的粒径主要分布在几十纳米,其结果与Scherer公式计算相符。采用不同孔径的微孔滤膜(0.45,1.2和3 μm)将尿液过滤后,得到的尿微晶衍射峰的数量随着滤膜孔径的增加而增加,表明尿微晶的种类增加。CaOx尿石的形成过程涉及尿液晶体的成核、生长、团聚和与细胞的粘附等过程。尿液中大量纳米COM晶体的存在是草酸钙结石形成的重要原因。纳米UA,CaP晶体能够作为晶巢促进草酸钙结石的形成。     

服药前后草酸钙结石患者尿微晶的性质变化

采用X射线衍射(XRD)、傅里叶变换红外光谱(FTIR)、纳米粒度仪和透射电子显微镜(TEM)研究了6例草酸钙结石患者在服药前后尿微晶性质的变化.结果表明,服药后尿pH值由服药前的5.87±0.51增加至6.23±0.74;服药前的主要成分为尿酸、一水草酸钙(COM)和磷酸氢盐,服药后尿微晶种类和数量均比服药前减少;服药前,尿微晶的平均粒径为(579±326) nm,服药后减小至(404±338) nm;服药前尿微晶的Zeta电位为(-4.28±2.55) mV,服药后为(-7.29±4.16) mV,Zeta电位变负有利于防止尿微晶沉积;服药前尿微品棱角尖锐,有明显的团聚现象,而服药后尿微晶形貌圆钝,团聚较少.采用现代仪器分析研究服药前后草酸钙结石患者尿液微晶的性质变化,对临床上预防和治疗尿结石具有重要的临床意义.     

磷酸铵镁结石患者尿微晶组分分析及其与结石形成的关系

采用X射线衍射(XRD)、傅里叶变换红外光谱(FTIR)、纳米粒度仪、扫描电子显微镜(SEM)和透射电子显微镜(TEM)研究了磷酸铵镁结石患者尿液中微晶的组分、形貌、粒径和Zeta电位,并对其结石进行了组分分析.结果表明,结石类型、尿微晶组分和尿液pH三者之间存在密切的联系:磷酸铵镁结石病人的尿液pH值较高,通常在6....     

尿液pH变化与尿液中纳米微晶组分的关系

采用X射线衍射(XRD)和傅里叶变换红外光谱(FTIR)研究了尿液pH变化与尿液中纳米微晶组分的关系。不但尿pH差异大的不同人尿液中微晶组分存在差异,而且同一人的尿pH发生变化时,其尿微晶亦发生变化。尿pH值较低(如pH＜5.8)时,主要为尿酸、酸式磷酸盐和草酸钙等;尿pH值较高(如pH＞6.2)时,主要为尿酸盐、磷酸盐、磷酸铵镁和草酸钙等。联合运用XRD和FTIR两种方法,可以更好地检测尿液中晶体组分,有助于了解尿石症的成因。     

激光散射法对尿液中纳米微晶粒径及其分布的研究

泌尿系结石已经成为威胁人类健康的一种常见病、多发病,目前对其形成的机制尚不清楚。文章采用激光散射法测定了正常人尿液和尿石症患者尿液中纳米粒子的粒径和粒径分布,该方法快速准确、经济、容易操作。正常人尿液比尿石症患者尿液的稳定性好,归因于正常人尿液中纳米微晶尺寸分布均匀,不容易聚集,而尿石症患者尿液的纳米微晶尺寸分布不均匀,粒子间容易聚集而沉降。通过分析尿样稀释、离心或者用微孔滤膜过滤后体系的光强-自相关函数曲线,得到了制备稳定的尿样悬浮液的方法：尿样先稀释20%,然后离心或用1.2 μm微孔滤膜过滤,可得到稳定的尿液悬浮液。激光散射法结果与TEM检测结果一致。从尿液中存在的范德华力、尿液粘度、酸碱性、离子强度、尿液中纳米微晶的表面电荷和Zeta电位等方面解释了尿液稳定的原因。     

不同形貌二水草酸钙对阴离子表面活性剂AOT的吸附差异

人体尿液中存在大量具有生物表面活性的物质,而这些物质与尿液中不同形貌的草酸钙微晶间的吸附关系并未得到人们广泛关注。挑选了常用的阴离子表面活性剂磺基琥珀酸钠二辛酯(AOT)作为吸附物质,研究了不同形貌的二水草酸钙(COD)晶体对AOT的吸附差异,探究草酸钙结石的形成机理。采用X射线粉末衍射仪(XRD)和傅里叶变换红外光谱仪(FTIR)表征,并通过谱图差异分析了吸附AOT前后棒状、圆钝形、花状、十字形和双锥形COD晶体的组分变化;采用Zeta电位分析仪测定吸附AOT后晶体表面的Zeta电位随AOT浓度的变化;采用比色法通过紫外可见分光光度计测定不同浓度AOT存在下晶体的吸附量变化并绘制吸附曲线。随着AOT浓度的增加,COD的吸附量逐渐上升,最后达到吸附饱和状态,各吸附曲线均呈S型。不同形貌COD对AOT的最大吸附量大小顺序为：棒状COD (41.0 mg·g-1)>圆钝形COD (37.5 mg·g-1)>花状COD (35.0 mg·g-1)>十字形COD (27.2 mg·g-1)>双锥形COD (20.9 mg·g-1)。COD晶体的比表面积越大,表面提供的活性位点也越多,越有利于表面活性剂AOT在晶体表面的吸附;富含Ca2+的(100)晶面更利于阴离子的AOT的优先吸附;此外COD晶体的内能越大,越会抑制AOT在COD表面的吸附,导致吸附量降低。吸附了AOT的COD晶体稳定性显著增加,COD向COM转变的速度明显降低。基于AOT在不同形貌的COD晶体表面的吸附特点,提出了COD晶体吸附AOT的分子模型。COD晶体对AOT的吸附与晶体形貌密切相关。容易吸附AOT的COD晶体形貌更容易粘附在带负电荷受损伤的细胞表面,加大草酸钙结石形成的风险。     

泌尿系结石组分分析方法及其研究进展

对泌尿系结石组分进行准确的分析可为治疗尿石症和预防其复发提供重要的参考。文章综述了现代仪器分析方法在草酸钙结石、磷酸盐结石、尿酸和尿酸盐结石及胱氨酸类结石等组分分析中的应用及其研究进展,这些技术包括拉曼光谱、差热-热重(TGA/DTA)、核磁共振(NMR)、高效液相色谱(HPLC)和傅里叶红外光谱(FTIR)等。     

CS-QT-TPP纳米颗粒的动态光散射分析

本文利用CS与TPP的交联作用包覆QT制备CS-QT-TPP纳米颗粒,并以动态光散射研究QT浓度、CS分子量及CS/TPP重量比对所得纳米颗粒粒径与Zeta电位的影响。结果表明,QT浓度由0.15mg/mL升至0.45mg/mL时粒径增大,而继续升至0.75mg/mL时粒径稍微减小;CS分子量越高,粒径越小;而CS/TPP重量比对粒径则无明显影响。CS-QT-TPP纳米颗粒粒径介于711~759nm之间。CS分子量较低时表面电位较小,而QT浓度与CS/TPP重量比则对Zeta电位无明显影响,CS-QT-TPP纳米颗粒表面均带正电,介于25.7~39.8mV之间。因此,QT浓度为0.75mg/mL、CS高分子量为380kDa及CS/TPP重量比为3/1时制备CS-QT-TPP纳米颗粒最佳。     

红外光谱法在草酸钙结石研究中的应用

泌尿系结石是一种世界范围的常见病。草酸钙是泌尿系结石中最常见的组分 ,尿石中的草酸钙主要是以一水草酸钙 (COM)、二水草酸钙 (COD)的形式存在。区分草酸钙结石中的COM和COD及其比例 ,对于准确诊断结石的成因和提出正确的预防其复发的方法非常重要。红外光谱法是研究泌尿系结石的一种较理想的常用方法 ,具有快速、简便、鉴定成分准确、使用样品少、可以回收等优点。文中重点综述了傅里叶变换红外光谱 (FTIR)在泌尿系结石研究中对COM和COD的定性和定量分析方法 ,并介绍了零交叉点一次导数光谱法、FTIR与四极质谱仪、FTIR与傅里叶变换拉曼光谱仪 (FTRS)联合分析尿石的方法。     

不同类型尿石的XRD,FTIR和热释光谱分析

采用热释光谱仪(TLD)、X射线衍射仪(XRD)和红外光谱仪(FTIR)研究了四类不同类型肾结石的化学组分,它们分别是:草酸钙、尿酸、磷酸钙和磷酸铵镁结石.实验结果表明,在所研究的305例尿石中,草酸钙为主要组分的占63%,尿酸22%,磷酸钙8%,磷酸铵镁5%,其他组分2%.四类肾结石的热释光谱存在显著差异,可为临床上诊断肾结石的类型提供启示.     

三聚氰胺结石与疑似三聚氰胺结石的红外光谱分析

本文通过对三聚氰胺、尿酸、三聚氰胺结石和疑似三聚氰胺结石的红外光谱分析, 根据它们的特征峰位、峰形的特点和三聚氰胺、尿酸、草酸钙的标准红外光谱比较, 推出三聚氰胺结石由尿酸、尿酸胺、草酸钙和三聚氰胺形成的混合性结石。疑似三聚氰胺结石是草酸钙结石。因此, 红外光谱法可作为一种辅助手段, 为医学诊断提供理论依据。     

Infrared Analysis of Urinary Stones,Using a Single Reflection Accessory and a KBr Pellet Transmission*

This work is a comparative study of two FTIR techniques applied to urinary stones analysis: single reflection diamond attenuated total reflection (ATR) and KBr pellet transmission (KPT). We show that the two methods allow the identification of all stone components. The ATR technique is more useful and rapid to identify the species without sample pretreatment. Nevertheless, KPT is more appropriate for components determination in urinary stones.

These techniques were applied to the study of a series of 313 calculi. The stone constituents were first identified by ATR, and in a second step, the proportion of each species present in the stone was determined by KPT in whole‐stone mixture.

The results obtained showed the presence of 11 different components classified as follows with the frequency of detection in the stones studied: calcium oxalate monohydrate (whewellite), 78.9%; carbapatite, 33.9%; calcium oxalate dihydrate (weddellite), 24%; uric acid anhydrous, 19.2%; ammonium hydrogen urate, 7%; struvite, 4.8%; cystine, 1%; ammonium sodium urate and other phosphates (amorphous carbonated calcium phosphate, brushite, whitlockite), each in less than 1%.     

Micro‐Raman spectroscopy identification of urinary stone composition from ureteroscopic lithotripsy urine powder

Urolithiasis is a prevalent, disturbing, and highly recurrent disease. Knowing the composition of a urinary stone is important for prevention purposes. Traditional urinary stone analysis methods need large stone fragments for analysis. However, the advancement of ureteroscopic lithotripsy (URSL) has resulted in micro‐stone fragments and unapparently expelled urinary stone powder. In this study, we developed a micro‐Raman spectroscopy (MRS) based diagnosis method for detecting micro‐stones or stone powders in urine after URSL. In our experiment, urine samples of 10 ml each were collected from 12 patients over the fragmented stone site in the ureter after the URSL procedure. The post‐URSL urine sediments extracted from urine were analyzed by MRS. The small urinary stones caught by grasping forceps were analyzed by both MRS and Fourier‐transform infrared (FTIR) spectroscopy. We have identified common urinary stone compositions: calcium oxalate monohydrate (COM), calcium oxalate dihydrate (COD), dicalcium phosphate dihydrate (DCPD), calcium phosphate hydroxide (hydroxyl apatite or HAP), and uric acid, by using a 632.8 nm He‐Ne laser for excitation, a 100× microscope objective lens for irradiation and collection, and a short photobleaching time for fluorescent background reduction. Thus, we developed an MRS‐based method for analyzing the composition of urinary stone powders directly from the urine samples after the URSL procedure. This approach provides a quick and convenient method for urinary stone analysis. Copyright © 2009 John Wiley & Sons, Ltd.     

The effect of oral administration of calcium and magnesium on intestinal oxalate absorption in humans

Calcium oxalate (CaOx) urolithiasis is the most common urinary stone disease (70-75 % of all stones consist of CaOx in countries with western diet). Oxalate is the most lithogenic substance in CaOx crystallisation in urine. Oxalate is either synthesized within the body or absorbed from food. As oxalate is not metabolized in the human body, it appears unchanged in urine. Conventional analysis methods cannot distinguish between endogenous and exogenous oxalate. Our [13C2]oxalate absorption test enabled measurement of intestinal oxalate absorption and quantification of the influence of Ca- and Mg-supplementation on it. The effects of the oral administration of these supplements were compared in order to obtain valid data for recommendations for CaOx urolithiasis patients. A 10 mmol supplement of both ions decreased the oxalate absorption significantly, calcium being more than twice as effective.     

Infrared spectroscopy for the study of urinary calculi

The occurance of the urinary stones varies according to the geographical regions. The presence of stones in the urinary system causes pain and discomfort. These generate colics and hence are sometimes life threatening. In the present study, infrared measurements have been made on several stone samples. It has been found that calcium oxalate, calcium phosphate, magnesiunm ammonium phosphate, calcium carbonate, uric acid, -cystine and xanthin are present, as expected. Also, silicon dioxide is found to be present in some of the stones but in small quantity, in addition to the above constituents. This constituent is responsible to exhibit piezoelectricity in the urinary calculi.