Mooney A, Jackson K, Bacon R, Streuli C, Edwards G, Bassuk J, Savill J
Division of Renal and Inflammatory Disease, Department of Medicine, University Hospital, Nottingham, United Kingdom.
Am J Pathol. 1999 Aug;155(2):599-606. doi: 10.1016/s0002-9440(10)65155-3.
Postinflammatory scarring is characterized by changes in extracellular matrix (ECM) composition and progressive loss of normal resident cells. In glomerular inflammation there is now evidence that unscheduled apoptosis (programmed cell death) of mesangial and other resident cells may mediate progression to irreversible glomerulosclerosis. In the current study we examined the hypothesis that ECM components may differ in their capacity to support mesangial cell survival by suppression of apoptosis. Using a well-established in vitro model of mesangial cell apoptosis, we found that collagen IV and laminin, components of normal mesangial ECM, protected rat mesangial cells from apoptosis induced by serum starvation and DNA damage, by a beta(1) integrin-mediated, but arg-gly-asp (RGD)-independent mechanism. In contrast, collagen I, fibronectin, and osteonectin/SPARC, which are overexpressed in diseased glomeruli, failed to promote rat mesangial cell survival. However, the survival-promoting effect of collagen IV and laminin was not associated with changes in cellular levels of apoptosis regulatory proteins of the Bcl-2 family. These experiments demonstrate that glomerular mesangial cell survival is dependent on interactions with ECM and provide insights into potential mechanisms by which resident cell loss may occur during acute inflammation and postinflammatory scarring of the kidney and other organs.
炎症后瘢痕形成的特征是细胞外基质(ECM)组成的改变以及正常驻留细胞的逐渐丧失。在肾小球炎症中,现在有证据表明系膜细胞和其他驻留细胞的意外凋亡(程序性细胞死亡)可能介导疾病进展为不可逆的肾小球硬化。在本研究中,我们检验了一个假设,即ECM成分通过抑制凋亡来支持系膜细胞存活的能力可能存在差异。使用一个成熟的系膜细胞凋亡体外模型,我们发现正常系膜ECM的成分IV型胶原和层粘连蛋白,通过β1整合素介导但不依赖精氨酸-甘氨酸-天冬氨酸(RGD)的机制,保护大鼠系膜细胞免受血清饥饿和DNA损伤诱导的凋亡。相比之下,在病变肾小球中过度表达的I型胶原、纤连蛋白和骨连接蛋白/富含半胱氨酸的酸性分泌蛋白(SPARC)不能促进大鼠系膜细胞存活。然而,IV型胶原和层粘连蛋白的促存活作用与Bcl-2家族凋亡调节蛋白的细胞水平变化无关。这些实验表明,肾小球系膜细胞的存活依赖于与ECM的相互作用,并为急性炎症以及肾脏和其他器官的炎症后瘢痕形成过程中驻留细胞丧失的潜在机制提供了见解。