775 resultados para Lithium nephropathy
Resumo:
Copper-manganese spinel containing anodes were synthesized by a facile sol-gel method and evaluated in lithium-ion battery applications for the first time. The synergistic effects between copper-manganese and the aqueous binder (sodium carboxymethyl cellulose) provided a high specific capacity and excellent cycling performance. It was found that the specific capacity of the copper-manganese spinel remained at 608 mAh g−1 after 100 cycles at a current density of 200 mA g−1. Furthermore, a relatively high reversible capacity of 278 mAh g−1 could be obtained at a current density of 2000 mA g−1, indicating a good rate capability. These studies suggest that copper-manganese spinel is a promising material for lithium-ion battery applications due to a combination of good electrochemical performance and low cost.
Resumo:
Dabigatran is a direct thrombin inhibitor used as an alternative to warfarin for long term anticoagulation. Warfarin-related nephropathy is an increasingly recognized entity, but recent evidence suggests that dabigatran can cause a WRN-like syndrome. We describe a case of a biopsy-proven anticoagulant nephropathy related to dabigatran in a patient with IgA nephropathy and propose that, despite the base glomerular disease, acute kidney injury was due to tubular obstruction by red blood cells and heme-associated tubular injury, and through a mechanism involving inhibition of anticoagulation cascade and barrier abnormalities caused by molecular mechanisms.
Resumo:
Le marché des accumulateurs lithium-ion est en expansion. Cette croissance repose partiellement sur la multiplication des niches d’utilisation et l’amélioration constante de leurs performances. En raison de leur durabilité exceptionnelle, de leur faible coût, de leur haute densité de puissance et de leur fiabilité, les anodes basées sur les titanates de lithium, et plus particulièrement le spinelle Li4Ti5O12, présentent une alternative d’intérêt aux matériaux classiques d’anodes en carbone pour de multiples applications. Leur utilisation sous forme de nanomatériaux permet d’augmenter significativement la puissance disponible par unité de poids. Ces nanomatériaux ne sont typiquement pas contraints dans une direction particulière (nanofils, nanoplaquettes), car ces formes impliquent une tension de surface plus importante et requièrent donc généralement un mécanisme de synthèse dédié. Or, ces nanostructures permettent des réductions supplémentaires dans les dimensions caractéristiques de diffusion et de conduction, maximisant ainsi la puissance disponible, tout en affectant les propriétés habituellement intrinsèques des matériaux. Par ailleurs, les réacteurs continus reposant sur la technologie du plasma thermique inductif constituent une voie de synthèse démontrée afin de générer des volumes importants de matériaux nanostructurés. Il s’avère donc pertinent d’évaluer leur potentiel dans la production de titanates de lithium nanostructurés. La pureté des titanates de lithium est difficile à jauger. Les techniques de quantification habituelles reposent sur la fluorescence ou la diffraction en rayons X, auxquelles le lithium élémentaire se prête peu ou pas. Afin de quantifier les nombreuses phases (Li4Ti5O12, Li2Ti3O7, Li2TiO3, TiO2, Li2CO3) identifiées dans les échantillons produits par plasma, un raffinement de Rietveld fut développé et validé. La présence de γ-Li2TiO3 fut identifiée, et la calorimétrie en balayage différentiel fut explorée comme outil permettant d’identifier et de quantifier la présence de β-Li2TiO3. Différentes proportions entre les phases produites et différents types de morphologies furent observés en fonction des conditions d’opération du plasma. Ainsi, des conditions de trempe réductrice et d’ensemencement en Li4Ti5O12 nanométrique semblent favoriser l’émergence de nanomorphologies en nanofils (associés à Li4Ti5O12) et en nanoplaquette (associées à Li2TiO3). De plus, l’ensemencement et les recuits augmentèrent significativement le rendement en la phase spinelle Li4Ti5O12 recherchée. Les recuits sur les poudres synthétisées par plasma indiquèrent que la décomposition du Li2Ti3O7 produit du Li4Ti5O12, du Li2TiO3 et du TiO2 (rutile). Afin d’approfondir l’investigation de ces réactions de décomposition, les paramètres cristallins du Li2Ti3O7 et du γ-Li2TiO3 furent définis à haute température. Des mesures continues en diffraction en rayon X à haute température furent réalisées lors de recuits de poudres synthétisées par plasma, ainsi que sur des mélanges de TiO2 anatase et de Li2CO3. Celles-ci indiquent la production d’un intermédiaire Li2Ti3O7 à partir de l’anatase et du carbonate, sa décomposition en Li4Ti5O12 et TiO2 (rutile) sur toute la plage de température étudiée, et en Li2TiO3 et TiO2 (rutile) à des températures inférieures à 700°C.
Resumo:
Renal involvement in Waldenström's macroglobulinaemia (WM) is very unusual when compared to multiple myeloma. We report a case of a patient who developed anuric acute kidney injury secondary to cast nephropathy, dependent on high-flux haemodialysis. Complementary study revealed the presence of blood IgM monoclonal gammopathy and a massive bone marrow lymphoplasmacytic infiltration. There were no osteolytic lesions and no clinical signs/symptoms of hyperviscosity syndrome. The diagnosis of WM was established and a dexamethasone plus cyclophosphamide regime was started, in addition to plasmapheresis. The patient partially recovered renal function allowing haemodialysis and plasmapheresis withdrawal. He remained asymptomatic with a good response to chemotherapy and 12 months after his renal function remained stable. This is a rare clinical case in which WM presented as an IgM cast nephropathy, which in turn is an extremely rare renal presentation of this equally rare haematological disorder.
Resumo:
Type 2 diabetes is one of the most common metabolic disorders in the world. Globally, the prevalence of this disorder is predicted to increase, along with the risk of developing diabetic related complications. One of those complications is diabetic nephropathy, defined by a progressive increase in proteinuria and a gradual decline in renal function. Approximately 25% to 30% of type 2 diabetic individuals develop this complication. However, its underlying genetic mechanisms remain unclear. Thus, the aim of this study is to contribute to the discovery of the genetic mechanisms involved in the development and progression of diabetic nephropathy, through the identification of relevant genetic variants in Portuguese type 2 diabetic individuals. The exomes of 36 Portuguese type 2 diabetic individuals were sequenced on the Ion ProtonTM Sequencer. From those individuals, 19 did not present diabetic nephropathy, being included in the control group, while the 17 individuals that presented the diabetic complication formed the case group. A statistical analysis was then performed to identify candidate common genetic variants, as well as genes accumulating rare variants that could be associated with diabetic nephropathy. From the search for common variants in the study population, the statistically significant (p-value ≤ 0.05) variants rs1051303 and rs1131620 in the LTBP4 gene, rs660339 in UCP2, rs2589156 in RPTOR, rs2304483 in the SLC12A3 gene and rs10169718 present in ARPC2, were considered as the most biologically relevant to the pathogenesis of diabetic nephropathy. The variants rs1051303 and rs1131620, as well as the variants rs660339 and rs2589156 were associated with protective effects in the development of the complication, while rs2304483 and rs10169718 were considered risk variants, being present in individuals with diagnosed diabetic nephropathy. In the rare variants approach, the genes with statistical significance (p-value ≤ 0.05) found, the STAB1 gene, accumulating 9 rare variants, and the CUX1 gene, accumulating 2 rare variants, were identified as the most relevant. Both genes were considered protective, with the accumulated rare variants mainly present in the group without the renal complication. The present study provides an initial analysis of the genetic evidence associated with the development and progression of diabetic nephropathy, and the results obtained may contribute to a deeper understanding of the genetic mechanisms associated with this diabetic complication.
Resumo:
Boron and Li are light, incompatible elements that preferentially partition into the liquid phase, whether melt or aqueous fluid, and thus are useful for tracking fluid-related processes in rocks. Most of the Li isotopic data presently available on subduction-related rocks are from whole-rock analyses; and the B isotopic analyses of subduction material have been carried out either on whole-rocks or in-situ on an accessory phase, such as tourmaline. The new method presented here couples an ESI New Wave UP-193-FX ArF* (193 nm) excimer laser-ablation microscope with a Neptune Plus (Thermo Scientific) MC-ICP-MS aiming to measure both Li and B isotopes in situ with good spatial resolution (metamorphic minerals are commonly chemically zoned, and whole-rock analyses lose this detail). The data thus obtained are compared with SIMS analyses on the same mineral samples for B, and with MC-ICP-MS analyses on whole-rock or mineral separates from the same sample for Li. Additionally, data acquired on tourmaline standards were compared to SIMS values. The results show that for B concentrations above 5 μg/g, the data obtained by LA-MC-ICP-MS and by SIMS are identical within error, for mica (phengitic muscovite), pyroxene (jadeite), serpentine (antigorite), and tourmaline. For Li concentrations above 10 μg/g, the data obtained by LA-MC-ICP-MS and by MC-ICP-MS are also identical, within error, for mica (phengitic muscovite), and pyroxene (jadeite). However, analyses of tourmaline standards have shown significant differences with reference values, so LA-MC-ICP-MS does not yet appear to be an appropriate method to analyze Li isotopes in tourmalines. Thus, LA-MC-ICP-MS is a suitable method to measure Li and B isotopes with good spatial resolution in major rock-forming silicates from subduction-related rocks where concentrations exceed 10 μg/g and 5 μg/g, respectively, with an error on individual measurements equal to or less than previously used methods, but obtainable in a significantly shorter amount of time. The external reproducibility is ± 2.88 to 3.31 ‰ for B and ± 1.50 to 1.75 for Li, which is lower than or equal to the variations encountered within a given chemically zoned sample (up to 10 ‰ of variation within a given natural sample).
Resumo:
We present a rare case of a 23-year-old male incidentally detected with hepatitis B virus (HBV) infection presenting with features suggestive of HBV-associated nephropathy. A renal biopsy specimen suggested a mesangioproliferative glomerulonephritis with a full-house pattern on immunoflourescence consistent with a diagnosis of diffuse lupus nephritis. Glomerular HbeAg and HbsAg antigens were not detectable by immunofluorescence. Antiviral therapy was instituted to suppress viral replication, thereby leading to clinical and virological remission, including that of the glomerulonephritis, without the need for additional immunosuppressant therapy. This case depicts the uniqueness of the presentation of the two conditions mimicking each other, the strategy adopted to prevent the activation of viral replication and the achievement of clinical remission.