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 Renal poly cystic sinus is a rare disease which is bilateral and has benign course. It usually breaks out after the fifth decade of life. The cysts in this disease are mainly of lymphatic origin. They can be associated with inflammation, stone or obstruction. Unlike the multicystic and polycystic kidney in which the cysts are formed in the cortex, in this disease they are seen in the sinus of the kidneys. What makes this case unique and necessery to report is its rareness and differentiation from other renal cystic lesions. The author could not find any previous report about the coexistance of edema of mons pubis with renal polycystic sinus. This study reports a bilateral poly cystic sinus which exists with intermittent edema of mons pubis. The patient is a 24-year-old female who complained of a mild pain in the flank area with intermittent edema of the mons pubis. The patient underwent urologic and gynecologic examinations which lead to the final diagnosis of renal bilateral poly cystic sinus disease. The disease had a benign course and the patient is under observation after the biopsy.

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Background & objectives: Considering the prevalence of diabetes and importance of its prevention, control and treatment, using low-calorie natural sweetener is necessary. Hepatoprotective and antidiabetic properties of the aqueous extract of Stevia. rebaudiana were assessed in the present study.
Methods: In this study, 35 mature male mice were divided into 5 groups. Diabetes was induced by administration of 60 mg/kg of streptozotocin intraperitoneally. The negative control group received normal saline and treatment groups received glibenclamide with 0.5 mg/kg and 200 and 400 μg/kg of aqueous extract of S. rebaudiana through gavage for 15 days, respectively. Also, one group was considered as positive control (as non-treated diabetic). On the last day, the blood glucose levels of samples were measured. After periodic acid Schiff (PAS) staining, 5μm of sections were used for stereological analysis. 
Results: The blood glucose level was decreased (p<0.05) significantly in aqueous extract-treated groups compared to the untreated diabetic mice. The weight and volume of kidneys, cortex, medulla, proximal and distal tubules, collecting ducts, loop of henle, interstitial tissues, vessels and length of renal tubules decreased significantly (p<0.05) after treatment with aqueous extract of S. rebaudiana (p<0.05). The number and volume of glomeruli restored toward normal levels with high doses of S. rebaudiana.
Conclusion: According to the obtained results, aqueous extract of S. rebaudiana (sweet fraction) can regulate the blood glucose levels and inhibit diabetes-induced renal damages. It seems that S. rebaudiana can be used as an antidiabetic and nephroprotective supplement.

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Background & objectives: Azathioprine is widely used for the treatment of autoimmune diseases. It has negative effects on the function of kidney. Therefore, considering the protective effects of ginger on nephrotoxins, the present study was conducted to investigate the effect of ginger on renal changes induced by azathioprine in rats.
Methods: In this experimental study, 56 female rats were divided into 7 groups including control, sham and 5 experimental groups receiving azathioprine (50mg/kg), ginger (200mg/kg), azathioprine plus ginger (200,100 and 50 mg/kg). In this study, ginger was administered by gavage and azathioprine intraperitoneally in 21 consecutive days. At the end, serum levels of urea, uric acid and creatinine were measured and the histological structure of the kidneys was examined. The results were analyzed by ANOVA and Duncan tests at significance level of p≤0.05.
Results: The results showed that azathioprine caused the destruction of structure along with cell necrosis, tubular degeneration, glomerular atrophy, urinary space enlargement, hyperemia and inflammatory cell infiltration in the renal tissue, as well as an increase in the serum level of urea, uric acid and creatinine at p≤0.05. However, simultaneous use of ginger and azathioprine reduced the serum levels of urea, uric acid, creatinine and improved the kidney structure compared to the azathioprine group.
Conclusion: The results showed that ginger had a protective effect on kidney tissue, due to its antioxidant properties, by inhibiting free radicals produced by azathioprine and decreasing the severity degradation effects of azathioprine on kidney tissue and function.
 

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Background & objectives: The aim of the present study was to investigate the effects of   oral creatine supplementation on biochemical markers of liver, kidney and testis in the male rats under swimming training plan.
Methods: In this study, male Wistar rats, weighing 245±5gr, were divided into five groups (n=8): control, exercise plus zero dose, exercise plus low-dose, exercise plus moderate dose and exercise plus high dose of creatine (200,300 and 600 mg/kg/d respectively). Biochemical studies of blood serum were performed ten days after creatine supplementation and swimming exercises. Following serum collection, the alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), blood urea nitrogen (BUN), creatinine and testosterone levels were measured using spectrophotometry method. Statistical analysis was performed by SPSS software using mixed model ANOVA.
Results: serum levels of ALP showed statistically significant differences between groups receiving low and moderate doses of creatine compared to both control and exercise with zero dose  (p<0.05). Also, the results of serum levels of BUN, ALT and AST showed there was no significant difference between the exercise plus zero dose of creatine, exercise plus low-doses of creatine group, exercise plus moderate dose of creatine, exercise plus high dose of creatine groups and control group. The exercise group with high doses of creatine significantly showed a higher serum creatinine level than control group (p<0.05).The serum testosterone level was significantly higher in the exercise with moderate doses of creatine group than in the control group and exercise plus zerecaratin dose (p<0.05).
Conclusion: The results suggested that short-term creatine supplementation (up to 10 days) might adversely affect some biochemical markers of liver, kidney and testis. However, further studies are necessarily needed to clarify the consumption of short-term creatine supplementation.
 

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Background & objectives: One of the most important causes of acute kidney injury is ischemia-reperfusion (IR). Some studies have shown that adenosine A1 receptor inhibition have protective effects against Ischemia–reperfusion induced renal injuries, while other studies have demonstrated the opposite. The aim of the present study was to review the methodology of these studies to reach a final conclusion about the effects of adenosine A1 receptor on ischemia-reperfusion-induced renal injuries.
Methods: Data base motors including Scopus, PubMed, Google Scholar, Science Direct and Embase were searched. The terms and keywords used included ischemia-reperfusion, acute kidney injury, acute renal failure, A1 adenosine receptor and their combination.
Results: Increased adenosine levels following renal Ischemia-reperfusion cause vasoconstriction in afferent arteriole and vasodilatation in efferent arteriole through A1 adenosine receptor activation, which in turn reduces glomerular filtration rate (GFR). Inhibition of A1 adenosine receptor leads to short-term correction of renal functional parameters following renal Ischemia-reperfusion, by increasing renal blood flow and thus improving GFR. But this increase in GFR exacerbates kidney damages through the kidneys workload enhancement, which will show up in the next few hours.
Conclusions: Although selective inhibition of A1 adenosine receptor in the short term improves renal function parameters, but exacerbates renal damages in the following hours. Therefore, adenosine A1 receptor stimulation has protective effects against IR-induced kidney injury.

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Background& objectives: Renal ischemia-reperfusion (IR) damage occurs during renal transplantation in end-stage renal disease (ESRD) patients which activate immune responses. Inflammatory responses by increased levels of cytokines can lead to acute kidney injury (AKI) that contributes to the loss of renal grafts and graft dysfunction. The purpose of this study was to review the therapeutic effects of nanoparticles in AKI.
Methods: A comprehensive search strategy was identified relevant studies on AKI models, using the Scopus, PubMed and Google Scholar databases, from 2000 until 2020. The search strategy included keywords like ischemia-reperfusion and nanoparticles.
Results: Oxygen free radicals are produced during the reperfusion phase, which cause lipid peroxidation and promote tissue damage. Oxidative damage to DNA and proteins and lipid membrane peroxidation can cause cell death and apoptosis. Some strategies to reduce the tissue damage caused by ischemia-reperfusion are nanoscale materials. Antioxidant nanoparticles reduce oxidative stress in tissues. Also, they have flexibility in the delivery of therapeutic agents and drugs to the ischemic cells, and imaging of the ischemic regions at the molecular or cellular level.
Conclusion: This potential of antioxidant and anti-inflammatory nanoparticles in the diagnosis and treatment of renal ischemic regions is an innovation in the development of new therapies and a unique achievement in recent medical advances.
 

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