Paczek L, Teschner M, Schaefer R M, Kovar J, Romen W, Heidland A
Department of Medicine, University of Würzburg, FRG.
Clin Exp Hypertens A. 1991;13(3):339-56. doi: 10.3109/10641969109045055.
In Goldblatt rats, the kidney exposed to high blood pressure reveals glomerulosclerosis. Moreover, in preexisting parenchymal renal disease, the development of glomerulosclerosis is accelerated in the unclipped kidney. Up to now, the pathogenetic mechanism underlying the development of glomerulosclerosis due to systemic hypertension has not completely been resolved. Traditionally, hemodynamic mechanisms have been discussed. This study was performed to investigate whether there might be a decreased activity of glomerular proteinases in the unclipped kidney of Goldblatt rats as a potential pathogenetic factor for glomerulosclerosis. 20 weeks after the surgical intervention, we found a reduced proteinase activity in ultrasonically destroyed isolated glomeruli obtained by differential sieving technique in comparison with the contralateral clipped kidney and the kidneys of sham-operated normotensive controls. This could be confirmed, when proteinase activity was related to DNA instead of protein. When investigating glomerular cathepsin B-content, a lysosomal enzyme, which is able to degrade glomerular structural as well as non-structural proteins, we found a decreased level in the kidney of Goldblatt rats exposed to systemic hypertension in comparison with normotensive control animals. Basing on these results we presume that glomerular protein accumulation and concomitant glomerulosclerosis due to systemic hypertension might be a result of a synergistical interaction between hemodynamic factors and biochemical ones; we suggest one of the latter to be a decreased glomerular proteinase activity.
在戈德布拉特大鼠中,暴露于高血压的肾脏会出现肾小球硬化。此外,在已存在的实质性肾脏疾病中,未夹闭肾脏的肾小球硬化发展会加速。到目前为止,系统性高血压导致肾小球硬化的发病机制尚未完全阐明。传统上,人们一直在讨论血流动力学机制。本研究旨在探讨戈德布拉特大鼠未夹闭肾脏中肾小球蛋白酶活性降低是否可能是肾小球硬化的潜在致病因素。手术干预20周后,我们发现,与对侧夹闭肾脏及假手术正常血压对照组的肾脏相比,采用差速筛分技术获得的经超声破坏的分离肾小球中的蛋白酶活性降低。当蛋白酶活性与DNA而非蛋白质相关时,这一点得到了证实。在研究肾小球组织蛋白酶B含量时,我们发现,与正常血压对照动物相比,暴露于系统性高血压的戈德布拉特大鼠肾脏中的这种溶酶体酶(能够降解肾小球结构蛋白和非结构蛋白)水平降低。基于这些结果,我们推测系统性高血压导致的肾小球蛋白积聚及随之而来的肾小球硬化可能是血流动力学因素和生化因素协同相互作用的结果;我们认为后者之一是肾小球蛋白酶活性降低。