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。     

草酸钙结石患者尿液中纳米级和微米级晶体研究

尿液中存在的微晶与尿石症的形成密切相关。采用X射线粉末衍射(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20位草酸钙结石患者尿液中纳米级和微米级晶体的组分、形貌和Zeta电位,并与结石组分进行了比较。结果表明,草酸钙结石中常常含有少量共生的尿酸、磷酸钙和磷酸铵镁;而草酸钙结石患者的尿微晶组分主要为尿酸、磷酸盐和草酸钙等,晶体棱角尖锐,尺寸不一,从几十纳米到几十微米不等,并且有明显的团聚现象。20位草酸钙结石患者的尿纳米晶体的Zeta电位平均值为-5.92 mV,明显高于20位健康对照者尿纳米晶体的Zeta电位(平均值-12.9 mV);相比之下,结石患者尿液pH值(平均值为6.03)则与健康对照者(平均值5.92)没有明显差异。利用现代仪器分析方法分析尿液微晶与尿石组分的关系,可为临床上对症下药,制定预防与治疗措施提供重要的依据。     

Harnessing Calcium‐Oxalate‐ (CaOx‐) Nanocrystal‐Induced Prodeath Autophagy for Attenuating Human Renal Proximal Tubular Epithelial Cell Injury

Calcium oxalate (CaOx) stone is the most common type of kidney stone, with a formation process comprising supersaturation, nucleation, growth, aggregation to crystals, and adhesion on renal tubular epithelial cells. CaOx stones generally lead to renal injury; however, the underlying mechanism remains poorly understood. Accumulating evidence suggests that nanosized materials could induce much greater toxicity than bulk materials with the same components. As aggregation to nanocrystals is necessary to form CaOx stones and nanocrystals have been widely reported to elicit either prodeath or prosurvival autophagy, the aim is to address the precise role of autophagy in CaOx‐ nanocrystal‐induced cytotoxicity. Clinical CaOx stones from patients are collected followed by ball milling. As a result, CaOx nanocrystals significantly reduce renal cell viability in a dose‐ and time‐dependent manner. Further study shows that CaOx nanocrystals possess an autophagy‐inducing capacity and autophagic flux is complete. Autophagy abrogation by specific chemical inhibitor wortmannin or chloroquine obviously attenuates cytotoxicity, strongly suggesting that prodeath autophagy contributes to CaOx nanocrystals‐elicited cytotoxicity. Finally, it is revealed that autophagy is an essential signaling pathway participating in apoptosis regulation. Collectively, the findings demonstrate the role of autophagy in CaOx‐nanocrystal‐elicited cytotoxicity, and harnessing autophagy can be helpful to design promising strategies for attenuating kidney injury in nephrolithiasis.     

不同分子量龙须菜多糖对草酸钙结晶的调控作用

植物多糖的化学结构与尿液中的结石抑制剂葡胺聚糖相似,有可能用于预防和治疗肾结石。天然多糖由于分子量和分子体积过大,导致其应用受到限制。研究了四种分子量分别为49.6,16.2,8.2和3.8 kDa的降解龙须菜多糖GLP1,GLP2,GLP3和GLP4对草酸钙(CaOx)晶体生长的调控作用。1H NMR,13C NMR和气相色谱-质谱(GC-MS)谱分析表明四种GLPs由β-D-半乳糖和6-O-硫酸基-3,6-α-L-吡喃半乳糖组成。X射线衍射(XRD)检测表明,在各GLPs存在下,诱导了二水草酸钙(COD)晶体形成,COD的衍射峰出现在晶面间距d=0.617,0.441,0.277和0.224 nm处;而没有多糖存在时只生成一水草酸钙(COM)晶体,COM的衍射峰出现在d=0.593,0.364,0.296和0.235 nm。由于COD比COM更容易排出体外,COD的形成有利于降低结石形成的风险。傅里叶变换红外光谱(FTIR)检测表明,随着GLP分子量减小或GLP浓度增加,草酸根中羧基的不对称伸缩振动ν_as(COO-)和对称对称伸缩振动ν_s(COO-)都发生了不同程度的蓝移,其中ν_as(COO-)从1 618 cm-1增加到1 642 cm-1,ν_s(COO-)从1 318 cm-1增加到1 328 cm-1,即GLP4诱导的全部是COD晶体。扫描电子显微镜(SEM)检测表明,随着GLP分子量减小,不但晶体中COD的比例增加,而且晶体的分散程度增大,晶体更加圆钝。随着GLP分子量减小或GLP浓度增加,其诱导生成的CaOx晶体表面电荷越负,Zeta电位绝对值越大,这有利于抑制晶体的聚集。电感耦合等离子体发射光谱仪(ICP)检测表明,四种GLPs均可以增加溶液中可溶性Ca2+的浓度,同时减少CaOx沉淀的生成量。在浓度为1.0 g·L-1多糖存在时,上清液中可溶性Ca2+的摩尔浓度分别为：GLP4 (37.88 μmol·L-1)>GLP3 (19.70 μmol·L-1)>GLP2 (16.05 μmol·L-1)>GLP1 (10.55 μmol·L-1)。结果表明,四种GLPs均可以抑制COM生长,诱导COD生成,降低晶体的聚集程度,增加晶体表面的Zeta电位绝对值和溶液中可溶性Ca2+浓度,减少CaOx晶体的生成量,且GLPs的调控活性与其分子量呈负相关。这些结果提示GLPs特别是分子量最小的GLP4有可能是防治CaOx结石的潜在药物。     

Efficiency of applying ammonium oxalate for protection of monumental limestone by poultice, immersion and brushing methods

Samples of cretaceous limestone have been treated with three application methods (poultice, immersion and brushing) using different concentrations of ammonium oxalate solution (AmOx) and varying treatment time in order to test the efficiency of surface and in-depth formation of a protective layer of calcium oxalate (CaOx). Synchrotron-based microanalytical techniques (SR-μXRD with 12.5 μm×7.5 μm (H×V) probe size, SR-μFTIR with 10 μm×10 μm and 8 μm×20 μm probe sizes) and laboratory μFTIR, XRD and SEM have been employed for analysis of the treated samples. Synchrotron-based techniques showed variations in the CaOx distribution along the surface on a micrometer scale. All treatments resulted in the development of a CaOx layer with a maximum thickness of approximately 40 μm. Application by the brushing method with 10 1-min applications with 5-min breaks during one hour showed a development of the calcium oxalate layer equivalent to the poultice treatment taking 10 h. This treatment could be preferred for large marble or limestone surfaces where poultice usage is economically not feasible.     

Experience with the [13C2]oxalate absorption test

Hyperoxaluria is the most important risk factor for a formation of calcium oxalate-urinary stones. Usually, the bulk of oxalate will be formed in the human body, but in many patients the oxalate from food plays the decisive role. Conventionally, in urine the endogenous oxalate can not be distinguished from food derived oxalate. We have developed a standardized oxalate-absorption test, applying a physiological dose (50 mg disodium salt of [13C2]oxalic acid) of labelled oxalate. The assay has been published. Now we report on the first extensive applications of this test in 86 volunteers and 135 patients from different groups with calcium oxalate stones or an increased risk of the formation of such stones. In one-third of the patients with calcium oxalate-urinary stones an oxalate hyperabsorption was diagnosed. For these patients, a dietetic stone prophylaxis and/or therapy is indicated.     

Experience with the [13C2]Oxalate Absorption Test

Abstract

Hyperoxaluria is the most important risk factor for a formation of calcium oxalate-urinary stones. Usually, the bulk of oxalate will be formed in the human body, but in many patients the oxalate from food plays the decisive role. Conventionally, in urine the endogenous oxalate can not be distinguished from food derived oxalate. We have developed a standardized oxalate-absorption test, applying a physiological dose (50 mg disodium salt of [¹³C₂]oxalic acid) of labelled oxalate. The assay has been published. Now we report on the first extensive applications of this test in 86 volunteers and 135 patients from different groups with calcium oxalate stones or an increased risk of the formation of such stones. In one-third of the patients with calcium oxalate-urinary stones an oxalate hyperabsorption was diagnosed. For these patients, a dietetic stone prophylaxis and/or therapy is indicated.     

Effect of oxalate test dose size on absolute and percent oxalate absorption

The purpose of this pilot study was to establish the dependence or independence of oxalate absorption on the quantity of the test dose of sodium oxalate over a range of test doses corresponding to physiological dietary oxalate intake values. Gastrointestinal oxalate absorption was measured with the [13C2]oxalate absorption test. Six healthy volunteers were always tested under standardized dietary conditions with 63 mg dietary oxalate and 800 mg dietary calcium per day. The volunteers were tested thrice each with sodium oxalate test doses of 25, 50, 200, and 600 mg. Additionally, 1000 mg sodium oxalate was applied once to three of these volunteers. The oxalate absorption of the six volunteers tested under the standardized conditions with 50 mg sodium [13C2]oxalate was 7.2 +/- 2.62 % (mean +/- SD), similar to the 120 volunteers tested previously: 8.0 +/- 4.4 % (mean +/- SD). The tests with sodium [13C2]oxalate doses in the range 25-1000 mg revealed similar percent oxalate absorption values. In conclusion, in healthy volunteers, the amount of oxalate absorbed in the gastrointestinal tract increased proportionally with the higher test doses of oxalate. However, percent oxalate absorption remained unchanged with test doses in the dose range of physiological dietary oxalate intakes.     

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.     

Effect of oxalate test dose size on absolute and percent oxalate absorption

The purpose of this pilot study was to establish the dependence or independence of oxalate absorption on the quantity of the test dose of sodium oxalate over a range of test doses corresponding to physiological dietary oxalate intake values. Gastrointestinal oxalate absorption was measured with the [¹³C₂]oxalate absorption test. Six healthy volunteers were always tested under standardized dietary conditions with 63 mg dietary oxalate and 800 mg dietary calcium per day. The volunteers were tested thrice each with sodium oxalate test doses of 25, 50, 200, and 600 mg. Additionally, 1000 mg sodium oxalate was applied once to three of these volunteers. The oxalate absorption of the six volunteers tested under the standardized conditions with 50 mg sodium [¹³C₂]oxalate was 7.2 ± 2.62 % (mean ± SD), similar to the 120 volunteers tested previously: 8.0 ± 4.4 % (mean ± SD). The tests with sodium [¹³C₂]oxalate doses in the range 25–1000 mg revealed similar percent oxalate absorption values. In conclusion, in healthy volunteers, the amount of oxalate absorbed in the gastrointestinal tract increased proportionally with the higher test doses of oxalate. However, percent oxalate absorption remained unchanged with test doses in the dose range of physiological dietary oxalate intakes.     

光谱分析法应用于咖啡成分的测定和咖啡种类的鉴别

应用光谱分析法测定现磨咖啡、速溶咖啡和菊苣咖啡的成分。通过电感耦合等离子体发射光谱(ICP-ES)测定咖啡样品的矿物质元素。分别采用紫外(UV)和傅里叶红外(FTIR)光谱法测定咖啡因和有机物的含量,草酸的测定需要采用氧化还原滴定法来完成。基于咖啡因、草酸和矿物质的测定,分析现磨咖啡、速溶咖啡和菊苣咖啡的差异。实验表明,咖啡因在速溶咖啡中的含量比现磨咖啡的要高出2～3倍;草酸在速溶咖啡中的含量明显高于现磨咖啡;矿物质元素Mg,P,Zn在现磨咖啡中的含量比速溶咖啡的要低,而Cu的含量则比速溶咖啡高出好几倍;菊苣咖啡中的矿物质含量总体上比速溶咖啡的要低。此外,我们在不同种类的咖啡中测定Ti的含量,在菊苣咖啡中检测到Cu,Ti,Zn元素。作为一种快速检测技术,FTIR光谱可以用于鉴别现磨、速溶和菊苣咖啡,并能够检验咖啡因和草酸的存在。     

Infrared spectra of oxalate, malonate and succinate adsorbed on the aqueous surface of rutile, anatase and lepidocrocite measured with in situ ATR-FTIR

The adsorption of oxalate, malonate and succinate on anatase, rutile and lepidocrocite, was studied by attenuated total reflectance Fourier transform infrared spectroscopy (ATR-FTIR) at aqueous concentrations of 200 μM between pH 9 and 3. Clear spectral differences between the aqueous species and the surface adsorbed species for all three dicarboxylates are taken as strong evidence for inner-sphere adsorption. The characteristically different spectra on each oxide reveal surface specific interactions and could be used as a diagnostic tool, e.g., to probe the relative abundance of anatase and rutile on the surface of TiO₂ samples. Spectral changes between pH 7.0 and 3.0 show that two to three different surface complexes of oxalate and one to three surface complexes of malonate and succinate are formed on each of the three surfaces. While the exact structures of each complex can currently not be derived, important differences between the dicarboxylates can be identified. Only adsorbed oxalate exhibits two strong bands above 1670 cm⁻¹, as expected for a five- (bidentate chelating) or six-membered (bidentate bridging) ring structure with one oxygen of each carboxylic group coordinated to surface sites and two CO double bonds pointing away from the surface. The absence of clear CO double bond vibrations above 1620 cm⁻¹ show that malonate and succinate adsorb differently, with one or both of the carboxylic groups independently forming monodentate hydrogen bonded, bidentate chelating (four-ring) or bidentate bridging (five-ring) structures. Oxalate is the only one of the three dicarboxylates that formed additional surface complexes at low pH on rutile and anatase and lead to rapid dissolution of lepidocrocite below pH 5.0.     

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.     

海带多糖对草酸钙结晶过程中晶相的影响

采用X射线衍射(XRD)、红外光谱(FTIR)、扫描电子显微镜(SEM)和原子吸收光谱(AAS)等方法研究了从海带中提取的硫酸多糖(SPS)对尿结石主要成分草酸钙结晶的影响。SPS可以稳定热力学亚稳定的二水草酸钙(COD)晶体。随着SPS浓度从0增加到0.60 mg·mL-1,COD晶体的质量百分比从0增加到100％;亚稳溶液中草酸钙的相对过饱和度从1.0增加到19.6。SPS可以稳定COD晶体在溶液中的存在并增加可溶性Ca2+离子的浓度,这有利于防止草酸钙结石形成。结果表明,SPS是一种潜在的防止草酸钙尿结石形成的药物。     

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。     

昆明山海棠与南蛇藤红外宏观指纹图谱研究

比较了卫矛科的昆明山海棠和南蛇藤粉末和醇提物的红外图谱特征。两种药材的粉末图中都看到草酸钙和淀粉的特征。醇提物图中都有卫矛醇的特征,但南蛇藤较为明显。两种药材醇提物的二阶导数图有明显差异,说明某些成分含量不同。南蛇藤根图的草酸钙和卫矛醇的峰形都比茎的强和尖,说明其根中草酸钙和卫矛醇的含量比茎大。由于红外法既能快速地找出药材差异,又能准确指认出卫矛醇,所以此法制定的宏观指纹图谱可作为生药鉴定的依据。     

七种不同产地仙鹤草原药材及提取物的红外光谱与二维相关红外光谱的分析与鉴定

采用红外光谱、二阶导数红外光谱以及二维相关红外光谱,对七种不同产地的仙鹤草原药材及其总鞣酸提取物进行了鉴别分析。仙鹤草原药材的红外光谱中出现了1 151,1 101,1 032 cm-1的淀粉特征峰,同时还出现了1 618,1 318,780 cm-1的草酸钙特征峰,说明在原药材粉末中同时有淀粉和草酸钙存在。原药材丙酮提取物中所含淀粉等基本成分大为减少,而总鞣酸等有效成分的相对含量增加,因此不同产地仙鹤草丙酮提取物的红外光谱中均出现1 711与1 447 cm-1的鞣酸特征峰。应用红外光谱、二阶导数红外光谱以及二维相关红外光谱技术,不仅可以提供仙鹤草主要化学成分的相关信息,还可以对不同产地的仙鹤草药材进行很好的区分。因此红外光谱法是考察中药资源的一种快速、准确、有效的方法。     

Thermally stimulated luminescence of urine salts

We investigated thermally stimulated luminescence (TSL) of urine salts in the normal state and with oxalate, urate, and phosphate salts. We found that the presence of pathological salts leads to a decrease of TSL intensity and to the appearance of additional TLS bands with maxima at 118 and 205 K in addition to the characteristic bands at 173 and 260 K. The TLS bands are related to the urine components. The TSL intensities of urine salts of different chemical composition are compared. The thermal activation energy of the strongest TSL bands is determined. __________ Translated from Zhurnal Prikladnoi Spektroskopii, Vol. 74, No. 4, pp. 548–551, July–August, 2007.     

现代仪器在泌尿系结石元素分析中的运用

对泌尿系结石所含元素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技术在泌尿系结石元素分析中的运用及其研究进展,这些技术包括：X射线光电子能谱(XPS)、质子激发X射线发射光谱(PIXE)、能量分散X射线分析(EDX)、电子束探针微区分析(EPMA)、原子发射光谱(AES)、原子吸收光谱(AAS)、电感耦合高频等离子体发射光谱(ICP)、X射线荧光光谱(XRF)及离子选择性电极等。