Mohamed Ehab I, Fahmi Naglaa M, El Kholy Soher M, Sallam Samera M
Division of Human Physiology, Faculty of Medicine and Surgery, University of Tor Vergata, Rome, Italy; ; Department of Biophysics, Medical Research Institute, University of Alexandria, Alexandria, Egypt;
Int J Biomed Sci. 2006 Jun;2(2):121-34.
Most of the interest in the glomerular basement membrane (GBM) stems from the observation that it undergoes morphological changes in renal disease. Studies on persistent proteinuria in experimental animal models have shown that the permeability properties of the GBM have been altered as a result of protein degradation and cross-linking of type IV collagen via its NC1 domains promoted by reactive oxygen species (ROS) and extrusion of tubular cell contents. We used the in vitro ultrafiltration technique to assess permeability properties of bare isolated GBM films to water and albumin in the Munich Wistar Fromter rat model of glomerular injury. Hydraulic permeability for water and albumin solutions and albumin fractional clearances were measured for rats treated with lisinopril [an angiotensin converting enzyme (ACE) inhibitor] and were compared with those measured for rats treated with dimethylthiouria (an ROS scavenger) and their control groups, at four pressure levels (50, 100, 200, and 300 mmHg). The ACE inhibitors and ROS scavengers treatment regimens for studied rats in addition to significantly lowering their systolic blood pressure and urinary protein excretion values to normal levels, have significantly increased their in vitro hydraulic and Darcy permeability, which is a measure of the intrinsic hydraulic conductance of the GBM, either in the absence or presence of albumin; in comparison with control animals. We believe that these favorable effects may derive from ROS scavenging beneficial effects that preserve the GBM protein structure by reducing entactin and laminin degradation and type IV collagen cross-linking.
对肾小球基底膜(GBM)的大多数研究兴趣源于其在肾脏疾病中会发生形态学变化这一观察结果。对实验动物模型中持续性蛋白尿的研究表明,由于活性氧(ROS)促进IV型胶原蛋白通过其NC1结构域发生蛋白质降解和交联以及肾小管细胞内容物的挤出,GBM的通透性特性发生了改变。我们使用体外超滤技术,在慕尼黑Wistar Fromter大鼠肾小球损伤模型中评估裸露的分离GBM膜对水和白蛋白的通透性特性。在四个压力水平(50、100、200和300 mmHg)下,测量了用赖诺普利[一种血管紧张素转换酶(ACE)抑制剂]治疗的大鼠的水和白蛋白溶液的水力通透性以及白蛋白分数清除率,并与用二甲基硫脲(一种ROS清除剂)治疗的大鼠及其对照组进行了比较。除了将研究大鼠的收缩压和尿蛋白排泄值显著降低至正常水平外,ACE抑制剂和ROS清除剂治疗方案还显著提高了它们在体外的水力和达西通透性,这是GBM固有水力传导率的一种度量,无论有无白蛋白存在;与对照动物相比。我们认为,这些有利作用可能源于ROS清除的有益效果,即通过减少内动蛋白和层粘连蛋白降解以及IV型胶原蛋白交联来保留GBM蛋白结构。