Smeets Bart, Dijkman Henry B P M, te Loeke Nathalie A J M, van Son Jacco P H F, Steenbergen Eric J, Assmann Karel J M, Wetzels Jack F M, Groenen Patricia J T A
Department of Pathology, University Medical Center Nijmegen, PO Box 9101, 6500 HB Nijmegen, The Netherlands.
Nephrol Dial Transplant. 2003 Dec;18(12):2524-33. doi: 10.1093/ndt/gfg438.
Thy-1.1 transgenic mice, characterized by ectopic expression of the Thy-1.1 protein on podocytes, spontaneously develop proteinuria and focal glomerulosclerosis (FGS). Injection of a monoclonal antibody (mAb) directed against the Thy-1.1 protein in young transgenic mice induces a massive albuminuria that is followed by an accelerated FGS within 3 weeks. This albuminuria is complement and leukocyte independent. The time course of proteinuria, the pathogenesis of the acute proteinuria and the dose dependency of FGS are unknown.
Albuminuria was measured in Thy-1.1 transgenic mice after injection of different doses of anti-Thy-1.1 mAb and at different time points within the first 24 h after injection. Podocytic foot processes and slit pore diameter were quantitated by electron microscopy. Changes in expression of slit pore constituents (podocin, CD2AP, nephrin and ZO-1), cytoskeleton-associated proteins (actin, alpha-actinin, ezrin and synaptopodin), the GDH-podocyte adhesion molecules alpha(3)-integrin, and heparan sulfate were studied by immunofluorescence. FGS was scored by light microscopy at 3 weeks after induction of albuminuria.
Albuminuria in Thy-1.1 transgenic mice was observed within 10 min after anti-Thy-1.1 mAb injection. This rapid development of albuminuria was accompanied by a reduction in number of podocytic foot processes from 20.0 +/- 0.7/10 microm glomerular basement membrane (GBM) in saline-treated transgenic mice to 8.0 +/- 0.5 and 2.2 +/- 0.2 in anti-Thy-1.1-treated mice, at 10 min and 8 h after treatment, respectively. In addition, we observed a significant decrease in width of remaining slit pores, from 32.7 +/- 1.1 to 26.8 +/- 1.4 nm at 10 min after mAb injection. By immunofluorescence, we did not observe major changes in the expression pattern of any of the proteins studied. There was no correlation between the injected dose of the anti-Thy-1.1 mAb and the acute albuminuria. In contrast, the percentage of FGS at 3 weeks correlated with the dose, and a significant correlation between the percentage of FGS and the time-averaged albuminuria over the 3 week study period (P < 0.001) was found.
Injection of mAb directed against the Thy-1.1 protein, in young non-albuminuric Thy-1.1 transgenic mice, induced an acute albuminuria within 10 min, which was accompanied by foot process effacement. Notably, we observed a decrease in slit pore width although the expression of slit pore proteins was unchanged. Also, the acute albuminuria could not be related to alterations in cytoskeleton-associated proteins, the GBM adhesion molecule alpha(3)-integrin or heparan sulfate in the GBM. The dose-dependent development of FGS and the correlation between the percentage FGS and time-averaged albuminuria suggest that, in our model, FGS is a consequence of podocyte injury. However, the data leave open the possibility that albuminuria itself contributes to FGS development. The Thy-1.1 transgenic mouse model is an excellent model to study further the relationship between podocytic injury, albuminuria and the development of FGS.
Thy-1.1转基因小鼠的特征是足细胞上异位表达Thy-1.1蛋白,可自发出现蛋白尿和局灶性肾小球硬化(FGS)。给年轻的转基因小鼠注射针对Thy-1.1蛋白的单克隆抗体(mAb)可诱导大量蛋白尿,随后在3周内加速发展为FGS。这种蛋白尿与补体和白细胞无关。蛋白尿的时间进程、急性蛋白尿的发病机制以及FGS的剂量依赖性尚不清楚。
在注射不同剂量的抗Thy-1.1 mAb后以及注射后24小时内的不同时间点,测量Thy-1.1转基因小鼠的蛋白尿。通过电子显微镜对足细胞足突和裂孔直径进行定量。通过免疫荧光研究裂孔成分(足突蛋白、CD2相关蛋白、nephrin和ZO-1)、细胞骨架相关蛋白(肌动蛋白、α-辅肌动蛋白、埃兹蛋白和突触足蛋白)、GDH-足细胞粘附分子α(3)-整合素以及硫酸乙酰肝素的表达变化。在诱导蛋白尿3周后,通过光学显微镜对FGS进行评分。
在注射抗Thy-1.1 mAb后10分钟内即可观察到Thy-1.1转基因小鼠出现蛋白尿。这种快速出现的蛋白尿伴随着足细胞足突数量的减少,从生理盐水处理的转基因小鼠每10微米肾小球基底膜(GBM)上20.0±0.7个足突,分别降至抗Thy-1.1处理小鼠在处理后10分钟和8小时的8.0±0.5个和2.2±0.2个。此外,我们观察到注射mAb后10分钟时,剩余裂孔的宽度从32.7±1.1纳米显著减小至26.8±1.4纳米。通过免疫荧光,我们未观察到所研究的任何蛋白质的表达模式有重大变化。抗Thy-1.1 mAb的注射剂量与急性蛋白尿之间无相关性。相反,3周时FGS的百分比与剂量相关,并且在3周的研究期内,FGS的百分比与时间平均蛋白尿之间存在显著相关性(P<0.001)。
给年轻的无蛋白尿的Thy-1.1转基因小鼠注射针对Thy-1.1蛋白的mAb可在10分钟内诱导急性蛋白尿,并伴有足突消失。值得注意的是,尽管裂孔蛋白的表达未改变,但我们观察到裂孔宽度减小。此外,急性蛋白尿与细胞骨架相关蛋白、GBM粘附分子α(3)-整合素或GBM中的硫酸乙酰肝素的改变无关。FGS的剂量依赖性发展以及FGS百分比与时间平均蛋白尿之间的相关性表明,在我们的模型中,FGS是足细胞损伤的结果。然而,这些数据并未排除蛋白尿本身促成FGS发展的可能性。Thy-1.1转基因小鼠模型是进一步研究足细胞损伤、蛋白尿与FGS发展之间关系的优秀模型。