Stambe Cosimo, Atkins Robert C, Hill Prudence A, Nikolic-Paterson David J
Department of Nephrology and Monash University Department of Medicine, Monash Medical Centre, Clayton, Melbourne, Australia.
Kidney Int. 2003 Dec;64(6):2121-32. doi: 10.1046/j.1523-1755.2003.00324.x.
The p38 and c-Jun N-terminal kinase (JNK) mitogen-activated protein kinase (MAPK) are intracellular signal transduction pathways involved in the production of inflammatory mediators. Little, however, is known about the contribution of these pathways to renal inflammation, nor the cell types in which these pathways are activated within normal and inflamed kidneys. The aim of this study was therefore to delineate the pattern and cellular localization of p38 and JNK activation in normal rat kidney and rat acute and chronic inflammatory renal disease.
Normal male Sprague-Dawley rats and groups of rats given accelerated anti-glomerular basement membrane (GBM) disease were killed at 3 hours, day 1, day 7, or day 28 and examined for p38 and JNK pathway activation by Western blotting and immunolocalization of the phosphorylated p38 (p-p38) and JNK (p-JNK) kinases.
In terms of glomerular MAPK activation, Western blotting identified the presence of both p-p38 and p-JNK in normal glomeruli, localized by immunohistochemistry to podocytes and epithelial cells of Bowman's capsule. In anti-GBM disease, Western blotting showed that p38 activation peaked at 3 hours and remained elevated above normal throughout the disease time course. JNK activation (via the 54 kD isoform) likewise increased at 3 hours of anti-GBM disease and remained elevated throughout disease. At 3 hours, p-p38, but not p-JNK, was localized to neutrophils and glomerular endothelial cells. p-JNK was localized to glomerular endothelial cells at day 7. Macrophages, lymphocytes, activated podocytes, and myofibroblasts were positive for both p-p38 and p-JNK. In terms of tubular MAPK activation, Western blotting identified p38 and JNK activation in tubules of normal kidney. Immunostaining showed that most cortical tubules contained some p-p38 and p-JNK stained cells. There was a significant increase in tubular p38 activation at 3 hours of anti-GBM disease, followed by increased JNK activation of the 54 kD isoform from day 7 onward, and the 46 kD isoform at day 28. Immunostaining of diseased tissue localized p-p38 and p-JNK to virtually all cortical tubular cells.
The p38 and JNK MAPK pathways are activated in glomeruli and tubules of normal kidney. In acute anti-GBM disease, there was an increase in p38 activation within glomerular endothelial cells and within infiltrating neutrophils, suggesting an important role for p38 MAPK in acute inflammation. In progressive anti-GBM disease, p38 and JNK activation in podocytes, glomerular endothelial cells, infiltrating macrophages, T cells, and myofibroblasts suggests that both the p38 and JNK MAPK pathways are important in chronic inflammation and fibrosis. Blockade of these pathways may therefore be potentially therapeutic in the treatment of acute and chronic renal inflammation.
p38和c-Jun氨基末端激酶(JNK)丝裂原活化蛋白激酶(MAPK)是参与炎症介质产生的细胞内信号转导途径。然而,关于这些途径对肾脏炎症的作用以及在正常和发炎肾脏中激活这些途径的细胞类型知之甚少。因此,本研究的目的是描绘正常大鼠肾脏以及大鼠急性和慢性炎症性肾脏疾病中p38和JNK激活的模式和细胞定位。
正常雄性Sprague-Dawley大鼠以及给予加速抗肾小球基底膜(GBM)疾病的大鼠组在3小时、第1天、第7天或第28天处死,并通过蛋白质印迹法以及磷酸化p38(p-p38)和JNK(p-JNK)激酶的免疫定位检测p38和JNK途径的激活情况。
就肾小球MAPK激活而言,蛋白质印迹法确定正常肾小球中存在p-p38和p-JNK,免疫组织化学将其定位到足细胞和鲍曼囊的上皮细胞。在抗GBM疾病中,蛋白质印迹法显示p38激活在3小时达到峰值,并在整个疾病过程中一直高于正常水平。JNK激活(通过54 kD异构体)在抗GBM疾病3小时时同样增加,并在整个疾病过程中一直升高。在3小时时,p-p38而非p-JNK定位于中性粒细胞和肾小球内皮细胞。在第7天,p-JNK定位于肾小球内皮细胞。巨噬细胞、淋巴细胞、活化的足细胞和成肌纤维细胞的p-p38和p-JNK均为阳性。就肾小管MAPK激活而言,蛋白质印迹法确定正常肾脏肾小管中存在p38和JNK激活。免疫染色显示大多数皮质肾小管含有一些p-p38和p-JNK染色细胞。在抗GBM疾病3小时时,肾小管p38激活显著增加,随后从第7天起54 kD异构体的JNK激活增加,第28天46 kD异构体的JNK激活增加。患病组织的免疫染色将p-p38和p-JNK定位到几乎所有皮质肾小管细胞。
p38和JNK MAPK途径在正常肾脏的肾小球和肾小管中被激活。在急性抗GBM疾病中,肾小球内皮细胞和浸润的中性粒细胞内p38激活增加,表明p38 MAPK在急性炎症中起重要作用。在进行性抗GBM疾病中,足细胞、肾小球内皮细胞、浸润的巨噬细胞、T细胞和成肌纤维细胞中的p38和JNK激活表明p38和JNK MAPK途径在慢性炎症和纤维化中均很重要。因此,阻断这些途径可能对急性和慢性肾脏炎症的治疗具有潜在的治疗作用。