Ballermann B J, Marsden P A
Division of Nephrology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Clin Invest Med. 1991 Dec;14(6):508-17.
Glomerular endothelial cells are located in extremely close proximity to glomerular mesangial cells, without intervening basement membrane. This close apposition of the two cell types suggest that interactions between the cells should readily occur. Given that endothelial cells are known to produce mediators which regulate the tone of underlying vascular smooth muscle cells, the hypothesis that glomerular endothelial cells can produce endothelium-derived relaxation factor and the potent vasoconstrictor endothelin-1 was examined. Pure cultures of glomerular endothelial cells were established in vitro. The cells expressed a number of characteristics that identified them as endothelial cells, namely Factor VIII related antigen, angiotensin I converting enzyme, and uptake of acetylated LDL. The glomerular endothelial cells responded to the calcium-mobilizing agonists bradykinin, ATP, thrombin and platelet activating factor with a significant rise in cytosolic calcium concentrations. Under basal conditions, the glomerular endothelial cells produced a mediator pharmacologically indistinguishable from EDRF, which raised cGMP levels in co-incubated mesangial cells approximately 4 to 5-fold. The calcium-mobilizing agonists further stimulated EDRF release by glomerular endothelial cells. Glomerular endothelial cells in culture were also found to express mRNA for endothelin-1, and to secrete this peptide into their supernatant. Furthermore, the calcium-mobilizing agonists markedly stimulated endothelin-1 release by activating endothelin-1 gene transcription. Glomerular mesangial cells respond to EDRF with a rise in cytosolic cGMP concentration and relaxation, and to endothelin-1 with a rise in cytosolic calcium concentration and contraction. It is therefore proposed that local release of EDRF and endothelin-1 by glomerular endothelial cells may participate in the regulation of glomerular hemodynamics through alterations in mesangial cell contractile tone.
肾小球内皮细胞与肾小球系膜细胞的位置极为靠近,其间没有基底膜间隔。这两种细胞类型的紧密相邻表明细胞间应该很容易发生相互作用。鉴于已知内皮细胞能产生调节其下方血管平滑肌细胞张力的介质,因此对肾小球内皮细胞能否产生内皮源性舒张因子和强效血管收缩剂内皮素-1这一假说进行了研究。体外建立了肾小球内皮细胞的纯培养物。这些细胞表现出许多可将它们鉴定为内皮细胞的特征,即第八因子相关抗原、血管紧张素I转换酶以及对乙酰化低密度脂蛋白的摄取。肾小球内皮细胞对能动员钙离子的激动剂缓激肽、ATP、凝血酶和血小板活化因子产生反应,胞质钙浓度显著升高。在基础条件下,肾小球内皮细胞产生一种在药理学上与内皮源性舒张因子无法区分的介质,该介质使共同培养的系膜细胞中的环鸟苷酸水平升高约4至5倍。能动员钙离子的激动剂进一步刺激肾小球内皮细胞释放内皮源性舒张因子。培养中的肾小球内皮细胞还被发现表达内皮素-1的信使核糖核酸,并将这种肽分泌到其上清液中。此外,能动员钙离子的激动剂通过激活内皮素-1基因转录显著刺激内皮素-1的释放。肾小球系膜细胞对内皮源性舒张因子的反应是胞质环鸟苷酸浓度升高和舒张,对内皮素-1的反应是胞质钙浓度升高和收缩。因此有人提出,肾小球内皮细胞局部释放内皮源性舒张因子和内皮素-1可能通过改变系膜细胞的收缩张力参与肾小球血流动力学的调节。