Zolty E, Ibnou-Zekri N, Izui S, Féraille E, Favre H
Department of Internal Medicine, University of Geneva, Switzerland.
Nephrol Dial Transplant. 1999 Sep;14(9):2192-5. doi: 10.1093/ndt/14.9.2192.
In rats with puromycin aminoglucoside-induced (PAN) nephrotic syndrome, micropuncture studies have localized the site of sodium retention to the collecting duct. We have confirmed this finding by demonstrating a two-fold increase in Na+/K+-ATPase activity specifically limited to the cortical collecting duct in PAN rats. To further define whether this phenomenon was dependent on the chemical induction of the nephrotic syndrome or was a general phenomenon observed in glomerulonephritis, we measured Na+/K+-ATPase activity in nephron segments from mice with spontaneous lupus-like nephritis.
Hydrolytic activity of Na+/K+-ATPase was measured in three isolated nephron segments: proximal convoluted tubule, thick ascending limb and cortical collecting duct. The Na+/K+-ATPase activities were measured in PAN rats, sham-injected controls, and in (MRL x BXSB) F1 male mice which develop a well established spontaneous lupus-like glomerulonephritis by 4 months of age and their controls. Control mice have the same genetic background, but lack the Yaa mutant gene responsible for autoimmune acceleration and are free of glomerular lesions at 4 months of age.
In (MRL x BXSB) F1 male mice, Na+/K+-ATPase was similar to control mice in the proximal convoluted tubule and the thick ascending limb. In contrast, cortical collecting duct Na+/K+-ATPase activity was two times higher in (MRL x BXSB) F1 mice than controls. These results were identical to those observed in PAN rats compared to their sham-injected controls studied 7 days after an intraperitoneal injection of puromycin or isotonic saline, respectively.
Enhancement of Na+/K+-ATPase activity localized to the cortical collecting duct is a general characteristic of glomerulonephritis independent of its mode of induction, i.e. chemical versus autoimmune. Therefore, the experimental model of PAN is suitable to study the underlying mechanisms leading to Na+/K+-ATPase dysfunction.
在嘌呤霉素氨基糖苷诱导(PAN)的肾病综合征大鼠中,微穿刺研究已将钠潴留部位定位到集合管。我们通过证明PAN大鼠皮质集合管中Na+/K+-ATP酶活性增加两倍,证实了这一发现。为了进一步确定这种现象是依赖于肾病综合征的化学诱导,还是在肾小球肾炎中观察到的普遍现象,我们测量了患有自发性狼疮样肾炎小鼠肾单位各节段的Na+/K+-ATP酶活性。
在三个分离的肾单位节段中测量Na+/K+-ATP酶的水解活性:近端曲管、髓袢升支粗段和皮质集合管。在PAN大鼠、假注射对照组以及(MRL×BXSB)F1雄性小鼠中测量Na+/K+-ATP酶活性,(MRL×BXSB)F1雄性小鼠在4个月大时会发展出成熟的自发性狼疮样肾小球肾炎及其对照组。对照小鼠具有相同的遗传背景,但缺乏负责自身免疫加速的Yaa突变基因,并且在4个月大时没有肾小球病变。
在(MRL×BXSB)F1雄性小鼠中,近端曲管和髓袢升支粗段的Na+/K+-ATP酶与对照小鼠相似。相比之下,(MRL×BXSB)F1小鼠皮质集合管的Na+/K+-ATP酶活性比对照组高两倍。这些结果与分别在腹腔注射嘌呤霉素或等渗盐水7天后研究的PAN大鼠与其假注射对照组中观察到的结果相同。
皮质集合管中Na+/K+-ATP酶活性增强是肾小球肾炎的一个普遍特征,与其诱导方式无关,即化学诱导与自身免疫诱导。因此,PAN实验模型适合研究导致Na+/K+-ATP酶功能障碍的潜在机制。