DYNAMIC BEHAVIOR ANALYSIS OF THE GLOMERULO-TUBULAR BALANCE MEDIATED BY THE EFFERENT BLOOD VISCOSITY

International audienceA mathematical model of the dynamics of a single nephron function relating glomerulo-tubular balance, tubule-glomerular feedback, and peritubular blood viscosity is developed. Based upon experimental data, the model shows that complex behaviors of the nephron can be modulated by changes in the efferent arteriole blood viscosity. The main hypothesis is that the reabsorbed mass flow is modulated by the hematocrit of the efferent arteriole, in addition to the Starling forces. From a mathematical perspective, these behaviors can be explained by a bifurcation diagram analysis where the efferent blood viscosity is taken as the bifurcation parameter. This analytical description allows to predict changes in proximal convoluted tubule reabsorption, following changes in peritubular capillary viscosity generated by periodic changes in the glomerular filtration rate. Thus, the model links the tubule-glomerular feedback with the glomerular tubular balance

Defining Priorities for Future Research:Results of the UK Kidney Transplant Priority Setting Partnership

It has been suggested that the research priorities of those funding and performing research in transplantation may differ from those of end service users such as patients, carers and healthcare professionals involved in day-to-day care. The Kidney Transplant Priority Setting Partnership (PSP) was established with the aim of involving all stakeholders in prioritising future research in the field.The PSP methodology is as outlined by the James Lind Alliance. An initial survey collected unanswered research questions from patients, carers and clinicians. Duplicate and out-of-scope topics were excluded and the existing literature searched to identify topics answered by current evidence. An interim prioritisation survey asked patients and professionals to score the importance of the remaining questions to create a ranked long-list. These were considered at a final consensus workshop using a modified nominal group technique to agree a final top ten.The initial survey identified 497 questions from 183 respondents, covering all aspects of transplantation from assessment through to long-term follow-up. These were grouped into 90 unanswered "indicative" questions. The interim prioritisation survey received 256 responses (34.8% patients/carers, 10.9% donors and 54.3% professionals), resulting in a ranked list of 25 questions that were considered during the final workshop. Participants agreed a top ten priorities for future research that included optimisation of immunosuppression (improved monitoring, choice of regimen, personalisation), prevention of sensitisation and transplanting the sensitised patient, management of antibody-mediated rejection, long-term risks to live donors, methods of organ preservation, induction of tolerance and bioengineering of organs. There was evidence that patient and carer involvement had a significant impact on shaping the final priorities.The final list of priorities relates to all stages of the transplant process, including access to transplantation, living donation, organ preservation, post-transplant care and management of the failing transplant. This list of priorities will provide an invaluable resource for researchers and funders to direct future activity

Plants increase CO2 uptake by assimilating nitrogen via the photorespiratory pathway

Photorespiration is a major bioengineering target for increasing crop yields as it is often considered a wasteful process. Photorespiratory metabolism is integrated into leaf metabolism and thus may have certain benefits. Here, we show that plants can increase their rate of photosynthetic CO2 uptake when assimilating nitrogen de novo via the photorespiratory pathway by fixing carbon as amino acids in addition to carbohydrates. Plants fed NO3 - had higher rates of CO2 assimilation under photorespiratory than low-photorespiratory conditions, while plants lacking NO3 - nutrition exhibited lower stimulation of CO2 uptake. We modified the widely used Farquhar, von Caemmerer and Berry photosynthesis model to include the carbon and electron requirements for nitrogen assimilation via the photorespiratory pathway. Our modified model improves predictions of photosynthetic CO2 uptake and of rates of photosynthetic electron transport. The results highlight how photorespiration can improve photosynthetic performance despite reducing the efficiency of Rubisco carboxylation.</p