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1,25-二羟基维生素D3对抗肾小球基底膜肾小球肾炎模型的抗炎及肾脏保护作用

Anti-inflammatory and renal protective actions of stanniocalcin-1 in a model of anti-glomerular basement membrane glomerulonephritis.

作者信息

Huang Luping, Garcia Gabriela, Lou Yahuan, Zhou Qin, Truong Luan D, DiMattia Gabriel, Lan Xia Ru, Lan Hui Y, Wang Yanlin, Sheikh-Hamad David

机构信息

Baylor College of Medicine, Nephrology Division, Department of Medicine, One Baylor Plaza, Houston, TX 77030, USA.

出版信息

Am J Pathol. 2009 Apr;174(4):1368-78. doi: 10.2353/ajpath.2009.080476. Epub 2009 Feb 26.

Abstract

We have previously shown that stanniocalcin-1 (STC1) inhibits the transendothelial migration of macrophages and T cells, suppresses superoxide generation in macrophages, and attenuates macrophage responses to chemoattractants. To study the effects of STC1 on inflammation, in this study we induced a macrophage- and T-cell-mediated model of anti-glomerular basement membrane disease in STC1 transgenic mice, which display elevated serum STC1 levels and preferentially express STC1 in both endothelial cells and macrophages. We examined the following parameters both at baseline and after anti-glomerular basement membrane antibody treatment: blood pressure; C(3a) levels; urine output; proteinuria; blood urea nitrogen; and kidney C(3) deposition, fibrosis, histological changes, cytokine expression, and number of T cells and macrophages. Compared with wild-type mice, after anti-glomerular basement membrane treatment STC1 transgenic mice exhibited: i) diminished infiltration of inflammatory macrophages in the glomeruli; ii) marked reduction in crescent formation and sclerotic glomeruli; iii) decreased interstitial fibrosis; iv) preservation of kidney function and lower blood pressure; v) diminished C(3) deposition in the glomeruli; and vi) reduced expression of macrophage inhibitory protein-2 and transforming growth factor-beta2 in the kidney. Compared with baseline, wild-type mice, but not STC1 transgenic mice, had higher proteinuria and a marked reduction in urine output. STC1 had minimal effects, however, on both T-cell number in the glomeruli and interstitium and on cytokine expression characteristic of either TH1 or TH2 activation. These data suggest that STC1 is a potent anti-inflammatory and renal protective protein.

摘要

我们之前已经表明,鲽鱼钙蛋白-1(STC1)可抑制巨噬细胞和T细胞的跨内皮迁移,抑制巨噬细胞中超氧化物的产生,并减弱巨噬细胞对趋化因子的反应。为了研究STC1对炎症的影响,在本研究中,我们在STC1转基因小鼠中诱导了一种由巨噬细胞和T细胞介导的抗肾小球基底膜疾病模型,这些小鼠血清STC1水平升高,且在内皮细胞和巨噬细胞中优先表达STC1。我们在基线以及抗肾小球基底膜抗体治疗后检测了以下参数:血压;C(3a)水平;尿量;蛋白尿;血尿素氮;以及肾脏C(3)沉积、纤维化、组织学变化、细胞因子表达以及T细胞和巨噬细胞数量。与野生型小鼠相比,抗肾小球基底膜治疗后,STC1转基因小鼠表现出:i)肾小球中炎性巨噬细胞浸润减少;ii)新月体形成和硬化性肾小球显著减少;iii)间质纤维化减轻;iv)肾功能保留且血压降低;v)肾小球中C(3)沉积减少;vi)肾脏中巨噬细胞抑制蛋白-2和转化生长因子-β2的表达降低。与基线相比,野生型小鼠而非STC1转基因小鼠蛋白尿更高且尿量显著减少。然而,STC1对肾小球和间质中的T细胞数量以及TH1或TH2激活特征性的细胞因子表达影响极小。这些数据表明,STC1是一种有效的抗炎和肾脏保护蛋白。

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