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10.1371/journal.pntd.0005615

http://scihub22266oqcxt.onion/10.1371/journal.pntd.0005615
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suck abstract from ncbi


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pmid28505191
      PLoS+Negl+Trop+Dis 2017 ; 11 (5 ): e0005615
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  • Lp25 membrane protein from pathogenic Leptospira spp is associated with rhabdomyolysis and oliguric acute kidney injury in a guinea pig model of leptospirosis #MMPMID28505191
  • Abreu PAE ; Seguro AC ; Canale D ; Silva AMGD ; Matos LDRB ; Gotti TB ; Monaris D ; Jesus DA ; Vasconcellos SA ; de Brito T ; B Magaldi AJ
  • PLoS Negl Trop Dis 2017[May]; 11 (5 ): e0005615 PMID28505191 show ga
  • Acute kidney injury (AKI) from leptospirosis is frequently nonoliguric with hypo- or normokalemia. Higher serum potassium levels are observed in non-survivor patients and may have been caused by more severe AKI, metabolic disarrangement, or rhabdomyolysis. An association between the creatine phosphokinase (CPK) level and maximum serum creatinine level has been observed in these patients, which suggests that rhabdomyolysis contributes to severe AKI and hyperkalemia. LipL32 and Lp25 are conserved proteins in pathogenic strains of Leptospira spp., but these proteins have no known function. This study evaluated the effect of these proteins on renal function in guinea pigs. Lp25 is an outer membrane protein that appears responsible for the development of oliguric AKI associated with hyperkalemia induced by rhabdomyolysis (e.g., elevated CPK, uric acid and serum phosphate). This study is the first characterization of a leptospiral outer membrane protein that is associated with severe manifestations of leptospirosis. Therapeutic methods to attenuate this protein and inhibit rhabdomyolysis-induced AKI could protect animals and patients from severe forms of this disease and decrease mortality.
  • |Acute Kidney Injury/microbiology/*pathology [MESH]
  • |Animals [MESH]
  • |Bacterial Outer Membrane Proteins/*metabolism [MESH]
  • |Creatine Kinase/blood [MESH]
  • |Creatinine/blood [MESH]
  • |Disease Models, Animal [MESH]
  • |Guinea Pigs [MESH]
  • |Leptospira [MESH]
  • |Leptospirosis/*complications [MESH]
  • |Lipoproteins/*metabolism [MESH]
  • |Muscles/pathology [MESH]
  • |Potassium/blood [MESH]


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