Clarke Helen C, Kocher Hemant M, Khwaja Arif, Kloog Yoel, Cook H Terence, Hendry Bruce M
Renal Medicine, GKT School of Medicine, King's College, London, England.
J Am Soc Nephrol. 2003 Apr;14(4):848-54. doi: 10.1097/01.asn.0000057543.55318.8b.
Targeting the Ras family of monomeric GTPases has been suggested as a therapeutic strategy in proliferative renal diseases. This article reports the effects of Ras antagonist farnesylthiosalicylic acid (FTS) in rat thy-1 nephritis, a model in which cytokine-driven glomerular cell proliferation and invasion is likely to involve Ras signaling pathways. FTS in vitro specifically inhibits the binding of Ras to discrete membrane sites, thereby downregulating several Ras-dependent signaling functions and accelerating Ras degradation. Forty-four Lewis rats were given nephritis by day zero injection of a monoclonal thy-1 antibody ER4 (2.5mg/kg body wt). Twenty-two rats were then treated with daily intraperitoneal injection of FTS (5 mg/kg body wt) until sacrifice, and the remaining control rats were given vehicle alone (C). Six rats from each group were sacrificed at day 1 to establish equal injury; other sacrifice points were day 7 and day 10. Bromo-deoxyuridine (BrdU) was injected 1 h before sacrifice, after which sections were used for immunohistochemistry, which included detection of Ras expression, BrdU+ cells and macrophages/monocytes (ED1+). Thy-1 nephritis was associated with an increase in glomerular expression of Ki-Ras and N-Ras isoforms, which was almost fully prevented by FTS. FTS treatment was associated with: (a) a 54% reduction in the mean number of BrdU+ cells per glomerulus (P < 0.01), (b) a 50% reduction in macrophages/monocytes (ED1+) per glomerulus (P < 0.01), and (c) a reduction in 24-h proteinuria at day 10 (P < 0.05). These results show that Ras inhibition can reduce both glomerular cell proliferation and glomerular macrophage cell number in the thy-1 model and justify further study of FTS as a potential therapeutic in proliferative nephritis.
针对单体GTP酶的Ras家族已被提议作为增殖性肾脏疾病的一种治疗策略。本文报道了Ras拮抗剂法尼基硫代水杨酸(FTS)对大鼠thy-1肾炎的影响,在该模型中,细胞因子驱动的肾小球细胞增殖和侵袭可能涉及Ras信号通路。FTS在体外特异性抑制Ras与离散膜位点的结合,从而下调几种Ras依赖性信号功能并加速Ras降解。44只Lewis大鼠在第0天注射单克隆thy-1抗体ER4(2.5mg/kg体重)诱发肾炎。然后22只大鼠每天腹腔注射FTS(5mg/kg体重)直至处死,其余对照大鼠仅给予赋形剂(C)。每组6只大鼠在第1天处死以确定损伤程度相同;其他处死时间点为第7天和第10天。在处死前1小时注射溴脱氧尿苷(BrdU),之后切片用于免疫组织化学,包括检测Ras表达、BrdU+细胞和巨噬细胞/单核细胞(ED1+)。thy-1肾炎与肾小球中Ki-Ras和N-Ras亚型表达增加有关,而FTS几乎完全阻止了这种增加。FTS治疗与以下情况相关:(a)每个肾小球BrdU+细胞的平均数量减少54%(P<0.01),(b)每个肾小球巨噬细胞/单核细胞(ED1+)减少50%(P<0.01),以及(c)第10天时24小时蛋白尿减少(P<0.05)。这些结果表明,在thy-1模型中,抑制Ras可减少肾小球细胞增殖和肾小球巨噬细胞数量,并证明将FTS作为增殖性肾炎的潜在治疗方法进行进一步研究是合理的。