Department of Anatomy and Cell Biology, Universitätsmedizin Greifswald, Greifswald, Germany.
Am J Physiol Renal Physiol. 2013 Jun 15;304(12):F1458-70. doi: 10.1152/ajprenal.00615.2012. Epub 2013 Apr 3.
Osteopontin (OPN) expression has been reported to be elevated in experimental models of renal injury such as arterial hypertension or diabetic nephropathy finally leading to focal segmental glomerulosclerosis (FSGS). FSGS is characterized by glomerular matrix deposition and loss or damage of podocytes that represent the main constituents of the glomerular filtration barrier. To evaluate the role of OPN in the kidney we investigated WT and OPN knockout mice (OPN-/-) without treatment, after uninephrectomy (UNX), as well as after UNX and desoxycorticosterone acetate (DOCA)-salt treatment with respect to urine parameters, glomerular morphology, and expression of podocyte markers. OPN-/- mice showed normal urine parameters while a thickening of the glomerular basement membrane was evident. Intriguingly, following UNX, OPN-/- mice exhibited prominent FSGS, proteinuria, and glomerular matrix deposition. Electron microscopy revealed bulgings of the glomerular basement membrane and occasionally an effacement of podocytes. After UNX and DOCA-salt treatment, severe glomerular lesions as well as proteinuria and albuminuria were seen in WT and OPN-/- mice. Moreover, we found a reduction of specific markers such as Wilm's tumor-1, podocin, and synaptopodin in both experimental groups indicating a loss of podocytes. Podocyte damage was accompanied by increased number of Ki-67-positive cells in the parietal epithelium of Bowman's capsule. We conclude that OPN plays a crucial role in adaptation of podocytes following renal ablation and is renoprotective when glomerular mechanical load is increased.
骨桥蛋白 (OPN) 的表达在动脉高血压或糖尿病肾病等肾损伤的实验模型中被报道升高,最终导致局灶节段性肾小球硬化症 (FSGS)。FSGS 的特征是肾小球基质沉积以及足细胞的丢失或损伤,足细胞是肾小球滤过屏障的主要组成部分。为了评估 OPN 在肾脏中的作用,我们在未治疗、单侧肾切除 (UNX) 后以及 UNX 和去氧皮质酮醋酸盐 (DOCA)-盐治疗后,研究了 WT 和 OPN 敲除小鼠 (OPN-/-),评估了尿液参数、肾小球形态和足细胞标记物的表达。OPN-/- 小鼠的尿液参数正常,而肾小球基底膜明显增厚。有趣的是,在 UNX 后,OPN-/- 小鼠表现出明显的 FSGS、蛋白尿和肾小球基质沉积。电子显微镜显示肾小球基底膜隆起,偶尔足细胞消失。在 UNX 和 DOCA-盐治疗后,WT 和 OPN-/- 小鼠均出现严重的肾小球病变以及蛋白尿和白蛋白尿。此外,我们发现两种实验性肾小球病变中特定标记物如 Wilm's 肿瘤-1、足突蛋白和突触蛋白的表达减少,表明足细胞丢失。足细胞损伤伴随着壁层上皮细胞中 Ki-67 阳性细胞数量的增加。我们的结论是,OPN 在肾脏消融后足细胞的适应性中发挥关键作用,并且在肾小球机械负荷增加时具有肾保护作用。