Kreutz Reinhold, Schulz Angela, Sietmann Anika, Stoll Monika, Daha Mohamed R, de Heer Emile, Wehland Markus
Institute of Clinical Pharmacology, Charité-Universitätsmedizin Berlin, Germany.
J Hypertens. 2007 Nov;25(11):2308-16. doi: 10.1097/HJH.0b013e3282ef8611.
Increased urinary albumin excretion (UAE) represents an independent cardiovascular risk factor in the general population and particularly in patients with diabetes or arterial hypertension. It has been suggested that increased UAE may be related to a generalized endothelial dysfunction. We set out to identify candidate genes for increased UAE by glomerular transcriptome analysis in the Munich Wistar Frömter (MWF) genetic rat model with spontaneous hypertension and albuminuria.
First, we performed microarray expression analysis in isolated glomerular tissue in MWF with established albuminuria and normal Wistar rats. Second, in validation experiments and follow-up studies we focused on the identified upregulation of glomerular complement component C1q expression in MWF.
Overall, 38 genes with a regulation score > 2 were differentially expressed in glomerular RNA. Quantitative real-time reverse transcriptase-polymerase chain reaction (RT-PCR), in-situ hybridization and immunohistochemistry analysis revealed that C1q is indeed significantly upregulated in the glomerulus of MWF. Additionally, CD24, although not detected by the microarray experiment, was found to be differentially expressed in MWF glomeruli using quantitative real-time RT-PCR and immunohistochemstry. Interestingly, we could show for the first time that the glomerular endothelium represents the site of increased C1q and CD24 expression in MWF. In contrast, endothelial expression of this gene is low or absent in normotensive Wistar and in spontaneously hypertensive rats (SHR) without albuminuria.
The induction of C1q and CD24 expression confined to the glomerular endothelium might represent a possible repair mechanism of the capillary wall damage.
尿白蛋白排泄量(UAE)增加是普通人群尤其是糖尿病或动脉高血压患者独立的心血管危险因素。有人提出,UAE增加可能与全身性内皮功能障碍有关。我们通过对患有自发性高血压和蛋白尿的慕尼黑Wistar Frömter(MWF)遗传大鼠模型进行肾小球转录组分析,来确定UAE增加的候选基因。
首先,我们对已出现蛋白尿的MWF大鼠和正常Wistar大鼠的分离肾小球组织进行了微阵列表达分析。其次,在验证实验和后续研究中,我们重点关注MWF中已确定的肾小球补体成分C1q表达上调情况。
总体而言,在肾小球RNA中,调控得分>2的38个基因表达存在差异。定量实时逆转录聚合酶链反应(RT-PCR)、原位杂交和免疫组织化学分析显示,MWF大鼠肾小球中的C1q确实显著上调。此外,尽管微阵列实验未检测到CD24,但使用定量实时RT-PCR和免疫组织化学方法发现其在MWF大鼠肾小球中表达存在差异。有趣的是,我们首次发现肾小球内皮是MWF大鼠中C1q和CD24表达增加的部位。相比之下,在血压正常的Wistar大鼠和无蛋白尿的自发性高血压大鼠(SHR)中,该基因的内皮表达较低或不存在。
局限于肾小球内皮的C1q和CD24表达的诱导可能代表了毛细血管壁损伤的一种可能修复机制。