Role of the kidneys in acid-base regulation and ammonia excretion in freshwater and seawater fish: implications for nephrocalcinosis

Maintaining normal pH levels in the body fluids is essential for homeostasis and represents one of the most tightly regulated physiological processes among vertebrates. Fish are generally ammoniotelic and inhabit diverse aquatic environments that present many respiratory, acidifying, alkalinizing, ionic and osmotic stressors to which they are able to adapt. They have evolved flexible strategies for the regulation of acid-base equivalents (H+, NH4+, OH− and HCO3−), ammonia and phosphate to cope with these stressors. The gills are the main regulatory organ, while the kidneys play an important, often overlooked accessory role in acid-base regulation. Here we outline the kidneys role in regulation of acid-base equivalents and two of the key ‘urinary buffers’, ammonia and phosphate, by integrating known aspects of renal physiology with recent advances in the molecular and cellular physiology of membrane transport systems in the teleost kidneys. The renal transporters (NHE3, NBC1, AE1, SLC26A6) and enzymes (V-type H+ATPase, CAc, CA IV, ammoniagenic enzymes) involved in H+ secretion, bicarbonate reabsorption, and the net excretion of acidic and basic equivalents, ammonia, and inorganic phosphate are addressed. The role of sodium-phosphate cotransporter (Slc34a2b) and rhesus (Rh) glycoproteins (ammonia channels) in conjunction with apical V-type H+ ATPase and NHE3 exchangers in these processes are also explored. Nephrocalcinosis is an inflammation-like disorder due to the precipitation of calcareous material in the kidneys, and is listed as one of the most prevalent pathologies in land-based production of salmonids in recirculating aquaculture systems. The causative links underlying the pathogenesis and etiology of nephrocalcinosis in teleosts is speculative at best, but acid-base perturbation is probably a central pathophysiological cause. Relevant risk factors associated with nephrocalcinosis are hypercapnia and hyperoxia in the culture water. These raise internal CO2 levels in the fish, triggering complex branchial and renal acid-base compensations which may promote formation of kidney stones. However, increased salt loads through the rearing water and the feed may increase the prevalence of nephrocalcinosis. An increased understanding of the kidneys role in acid-base and ion regulation and how this relates to renal diseases such as nephrocalcinosis will have applied relevance for the biologist and aquaculturist alike.publishedVersio

Atlantic salmon male post-smolt maturation can be reduced by using a 3-hour scotophase when inducing smoltification

Photoperiod regulates the occurrence of unwanted male post-smolt maturation during the production of large (>100 g) Atlantic salmon (Salmo salar) smolts. However, the optimal daylength for triggering smoltification, but not male puberty, has yet to be established. We used either continuous light (24:0 light/dark) or long days (18:6 and 21:3) after a six week “winter” zeitgeber (12:12) to induce smoltification in fish of around 120 g reared at 16 °C. The fish were sampled 1, 2, 3, and 6 weeks after the initiation of the three different photoperiod treatments (n = 153 males in total with 9–18 males/photoperiod/time point). As expected, the smoltification indicator gill Na+/K+-ATPase (NKA) was significantly (p < 0.05) elevated and peaked 2 to 3 weeks after the initiation of the different photoperiods. Pubertal males were identified in all treatments via the combined use of relative testis size and histology, plasma 11-ketotestosterone, changes in body condition, and growth rate. The total incidence of puberty was significantly higher among males on continuous light at 33% (n = 16/49) compared to 10% (6/61) and 12% (5/43) in 21:3 and 18:6, respectively. The incidence of puberty increased over time in all photoperiods, with 62% (8/13), 19% (3/16), and 38% (3/8) of the males from 24:0, 21:3, and 18:6 pubertal at week 6, respectively. The mean weight of males that went on to initiate puberty was significantly higher (13%) at the beginning of the trial compared to those that remained immature (mean weight, 127 vs 112 g, respectively), but there was no initial difference in body condition. Puberty significantly reduced gill NKA by 35% compared to immature males at week six but had no effect at earlier time-points. Photoperiod had no effect on the female GSI, and they were all considered immature. In conclusion, the incidence of male puberty during smoltification is regulated by photoperiod and leads to an earlier decline in a key indicator of seawater readiness. As such, photoperiods with a short scotophase (21:3 or 18:6) following the winter zeitgeber in a square-wave (long-short-long day) smolt regime are recommended to limit the incidence of male puberty.publishedVersio

Life style related to blood pressure and body weight in adolescence: Cross sectional data from the Young-HUNT study, Norway

Background The associations between physical activity, unhealthy dietary habits and cigarette smoking and blood pressure, overweight and obesity are well established in adulthood. This is not the case for similar associations in adolescence. Thus, the purpose of this study is to examine how physical activity, smoking status and dietary habits were related to overweight, obesity and blood pressure in a population of Norwegian adolescents. Methods Weight, height, systolic (SBP) and diastolic blood pressure (DBP) were measured, and body mass index (BMI) was calculated among 8408 adolescents who participated in a population based study in 1995–97 in the county of Nord-Trøndelag. Internationally accepted cut-off values were used to determine if the adolescents were overweight or obese. The adolescents also completed a detailed questionnaire including dietary habits, physical activity and smoking habits. We calculated adjusted mean blood pressures and odds ratios for being overweight or obese for different exposure categories of life style variables. Results Low levels of physically activity were associated with increased odds of being overweight (odds ratio (OR), 1.4; 95% confidence interval (CI), 1.1–1.8 in girls and OR, 2.0; 95% CI, 1.6–2.5 in boys) or obese (girls: OR, 3.1; 95% CI, 1.6–6.0; boys: OR, 3.7; 95% CI, 2.1–6.4). In addition, the least physically active girls had a 1.5 mmHg higher mean DBP compared with the most active (p-trend <0.001), and among boys this difference was 1.0 mmHg (p-trend < 0.001). Smokers were more likely to be obese (OR, 1.6; 95% CI, 1.1–2.5 in girls and 1.4; 95% CI, 0.9–2.1 in boys) compared with non-smokers. Smokers also had lower mean SBP than non-smokers; however, this finding was restricted to smokers with the lowest smoking exposure. Associations between dietary habits and weight status largely disappeared after adjusting for weight losing behaviour. Conclusion In this population of adolescents low levels of physical activity were associated with higher mean DBP and higher odds of overweight or obesity. Smoking was also associated with higher odds of overweight and obesity. The paradoxical associations between healthy dietary habits and overweight and obesity are most likely an effect of reverse causality

Characterization of particle removal in an airlift pump with a U-bend

This paper investigates the self-cleansing performance of an airlift pump with a u-bend. For this purpose, an experimental test model is used to assess the effect of air supply on the pump's ability to lift water and remove particles under different submergence ratios and particle concentrations. In addition, a simple yet accurate fluid mechanical model is used to rationalize the experiments with individual particles, and to predict the critical water velocity required for removal from the pipe bend. Our experimental results show that the airlift pump is self-cleansing for particle concentrations corresponding to as much as 70% of the cross-sectional area in the u-bend. Furthermore, the self-cleansing ability is relatively independent of the submergence ratio and almost entirely determined by the shear stress. However, the submergence ratio strongly affects energy use, and we find that submergence ratios around 0.75 provide a good compromise between energy use and particle removal efficiency

Determinants of Increased Serum Calprotectin in Patients with Type 2 Diabetes Mellitus

Circulating calprotectin is a potential biomarker for endovascular inflammation in type 2 diabetes mellitus (T2DM). We investigated the determinants of calprotectin and its relationship with the presence of cardiovascular disease (CVD) in 362 T2DM patients included in the Diabetes and Lifestyle Cohort Twente-1 (DIALECT-1) study. Lifestyle exposures, including nutrition, were determined by validated questionnaires. CVD was defined as coronary artery diseases, strokes, and peripheral artery diseases. Median serum calprotectin levels were 1.04 mg/L [IQR: 0.73-1.46 mg/L] and were higher in women (1.11 mg/L) than men (0.96 mg/L, p = 0.007). Current smoking was a major independent determinant of circulating calprotectin, with a 51% higher calprotectin compared to never smoking (p <0.001). Albuminuria (p = 0.011), former smoking (p = 0.023), and intake of mono- and disaccharides (p = 0.005) also contributed independently to circulating calprotectin. Each incremental increase in calprotectin level was associated with 1.36-times higher odds for CVD (95% CI 1.04-1.77, p = 0.026). In the current study, calprotectin was the only inflammatory parameter significantly associated with CVD. The strong association of circulating calprotectin with smoking, a well-known direct cause of vascular inflammation, and also with CVD, stresses the urge for further research to define its role as a biomarker in T2DM

Triploid Atlantic salmon and triploid Atlantic salmon × brown trout hybrids have better freshwater and early seawater growth than diploid counterparts

The use of reproductively sterile triploid salmonids would enhance the environmental sustainability of the aquaculture industry by preventing genetic exchange between escapees and wild conspecifics. To this end, we assessed smoltification and early seawater performance (241 days) following a yearling production cycle (i.e. spring smolts) in diploid and triploid female Atlantic salmon (Salmo salar) × male brown trout (Salmo trutta) hybrids compared to purebred diploid and triploid salmon. During freshwater rearing (n = 180/group), hybrids demonstrated a degree of bimodality in body size, significantly (p < 0.05) more so in diploid than triploid hybrids (11 and 37% in the lower mode, respectively) that was not seen in purebred salmon of either ploidy. This resulted in diploid hybrids being 66% smaller on average at sea transfer, whereas no hybridisation effect was seen in triploids, and both triploid groups were significantly heavier (16–43%) than diploid salmon. Irrespective of ploidy, lower mode hybrids grew poorly and showed low survival in seawater, suggesting they had failed to undergo smoltification. However, the upper mode diploid hybrids showed a similar Na+/K+-ATPase (NKA) enzyme activity surge during the spring as in diploid and triploid salmon, despite a higher ratio of the freshwater to seawater mRNA abundance of the NKA subunits (nkaα1a and nkaα1b) and a reduced plasma cortisol surge. At the end of the experimental period, both hybrids weighed significantly less than their salmon counterparts although the hybrid effect was again greater in diploids (71% smaller) than triploids (6% smaller). In addition, both triploid groups were on average heavier (15–22%) than diploid salmon. As such, both triploid Atlantic salmon and triploid hybrids can show enhanced growth performance from juveniles up to post-smolts compared to diploid salmon in an aquaculture setting.publishedVersio

Body Configuration as a Predictor of Mortality: Comparison of Five Anthropometric Measures in a 12 Year Follow-Up of the Norwegian HUNT 2 Study

Background: Distribution of body fat is more important than the amount of fat as a prognostic factor for life expectancy. Despite that, body mass index (BMI) still holds its status as the most used indicator of obesity in clinical work. Methods: We assessed the association of five different anthropometric measures with mortality in general and cardiovascular disease (CVD) mortality in particular using Cox proportional hazards models. Predictive properties were compared by computing integrated discrimination improvement and net reclassification improvement for two different prediction models. The measures studied were BMI, waist circumference, hip circumference, waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR). The study population was a prospective cohort of 62,223 Norwegians, age 20–79, followed up for mortality from 1995–1997 to the end of 2008 (mean follow-up 12.0 years) in the Nord-Trøndelag Health Study (HUNT 2). Results: After adjusting for age, smoking and physical activity WHR and WHtR were found to be the strongest predictors of death. Hazard ratios (HRs) for CVD mortality per increase in WHR of one standard deviation were 1.23 for men and 1.27 for women. For WHtR, these HRs were 1.24 for men and 1.23 for women. WHR offered the greatest integrated discrimination improvement to the prediction models studied, followed by WHtR and waist circumference. Hip circumference was in strong inverse association with mortality when adjusting for waist circumference. In all analyses, BMI had weaker association with mortality than three of the other four measures studied. Conclusions: Our study adds further knowledge to the evidence that BMI is not the most appropriate measure of obesity in everyday clinical practice. WHR can reliably be measured and is as easy to calculate as BMI and is currently better documented than WHtR. It appears reasonable to recommend WHR as the primary measure of body composition and obesity

Trust-based service innovation of municipal home care. A longitudinal mixed methods study

Background: In Scandinavia, various public reforms are initiated to enhance trust in the healthcare services and the public sector in general. This study explores experiences from a two-step service innovation project in municipal home care in Norway, coined as the Trust Model (TM), aiming at developing an alternative to the purchaser-provider split (PPS) and enhancing employee motivation, user satisfaction, and citizen trust. The PPS has been the prevalent model in Norway since the 1990s. There is little empirical research on trust-based alternatives to the PPS in health- care. The overall objectives of this study were to explore facilitators and barriers to trust-based service innovation of municipal homecare and to develop a framework for how to support the implementation of the TM. Methods: The TM elements were developed through a comprehensive participatory process, resulting in the deci- sion to organize the home care service in small, self-managed and multidisciplinary teams, and trusting the teams with full responsibility for care decisions and delivery within a limited area. Through a longitudinal mixed methods case study design a) patients’ expressed values and b) factors facilitating or preventing the service innovation process were explored through two iterations. The first included three city districts, three teams and 80 patients. The second included four districts, eight teams and 160 patients. Results: The patient survey showed patients valued and trusted the service. The team member survey showed increased motivation for work aligned with TM principles. Both quantitative and qualitative methods revealed a series of facilitators and barriers to the innovation process on different organizational levels (teams, team leaders, system). The key message arising from the two iterations is to keep patients’ values in the centre and recognize the multilevelled organizational complexity of successful trust-based innovation in homecare. Synthesizing the results, a framework for how to support trust-based service innovation was constructed. Conclusions: Trust-based innovation of municipal homecare is feasible. The proposed framework may serve as a tool when planning trust-based innovation, and as a checklist for implementation and improvement strategies. Further research is needed to explore the validity of the framework and its replicability in other areas of healthcare

Evaluation of potential reference genes in real-time RT-PCR studies of Atlantic salmon

BACKGROUND: Salmonid fishes are among the most widely studied model fish species but reports on systematic evaluation of reference genes in qRT-PCR studies is lacking. RESULTS: The stability of six potential reference genes was examined in eight tissues of Atlantic salmon (Salmo salar), to determine the most suitable genes to be used in quantitative real-time RT-PCR analyses. The relative transcription levels of genes encoding 18S rRNA, S20 ribosomal protein, β-actin, glyceraldehyde-3P-dehydrogenase (GAPDH), and two paralog genes encoding elongation factor 1A (EF1A(A )and EF1A(B)) were quantified in gills, liver, head kidney, spleen, thymus, brain, muscle, and posterior intestine in six untreated adult fish, in addition to a group of individuals that went through smoltification. Based on calculations performed with the geNorm VBA applet, which determines the most stable genes from a set of tested genes in a given cDNA sample, the ranking of the examined genes in adult Atlantic salmon was EF1A(B)>EF1A(A)>β-actin>18S rRNA>S20>GAPDH. When the same calculations were done on a total of 24 individuals from four stages in the smoltification process (presmolt, smolt, smoltified seawater and desmoltified freshwater), the gene ranking was EF1A(B)>EF1A(A)>S20>β-actin>18S rRNA>GAPDH. CONCLUSION: Overall, this work suggests that the EF1A(A )and EF1A(B )genes can be useful as reference genes in qRT-PCR examination of gene expression in the Atlantic salmon