Clinic of Nephrology and Rheumatology, University Medicine Goettingen, Goettingen, Germany.
Clinic of Nephrology and Rheumatology, University Medicine Goettingen, Goettingen, Germany; Dept. of Prosthodontics, Tissue Regeneration Work Group, University Medicine Goettingen, Goettingen, Germany.
Matrix Biol. 2014 Feb;34:13-21. doi: 10.1016/j.matbio.2014.01.006. Epub 2014 Jan 27.
Maturation of the glomerular basement membrane (GBM) is essential for maintaining the integrity of the renal filtration barrier. Impaired maturation causes proteinuria and renal fibrosis in the type IV collagen disease Alport syndrome. This study evaluates the role of collagen receptors in maturation of the GBM, matrix accumulation and renal fibrosis by using mice deficient for discoidin domain receptor 1 (DDR1), integrin subunit α2 (ITGA2), and type IV collagen α3 (COL4A3). Loss of both collagen receptors DDR1 and integrin α2β1 delays maturation of the GBM: due to a porous GBM filtration barrier high molecular weight proteinuria that more than doubles between day 60 and day 100. Thereafter, maturation of the GBM causes proteinuria to drop down to one tenth until day 200. Proteinuria and the porous GBM cause accumulation of glomerular and tubulointerstitial matrix, which both decrease significantly after GBM-maturation until day 250. In parallel, in a disease with impaired GBM-maturation such as Alport syndrome, loss of integrin α2β1 positively delays renal fibrosis: COL4A3(-/-)/ITGA2(-/-) double knockouts exhibited reduced proteinuria and urea nitrogen compared to COL4A3(-/-)/ITGA2(+/-) and COL4A3(-/-)/ITGA2(+/+) mice. The double knockouts lived 20% longer and showed less glomerular and tubulointerstitial extracellular matrix deposition than the COL4A3(-/-) Alport mice with normal integrin α2β1 expression. Electron microscopy illustrated improvements in the glomerular basement membrane structure. MMP2, MMP9, MMP12 and TIMP1 were expressed at significantly higher levels (compared to wild-type mice) in COL4A3(-/-)/ITGA2(+/+) Alport mice, but not in COL4A3(+/+)/ITGA2(-/-) mice. In conclusion, the collagen receptors DDR1 and integrin α2β1 contribute to regulate GBM-maturation and to control matrix accumulation. As demonstrated in the type IV collagen disease Alport syndrome, glomerular cell-matrix interactions via collagen receptors play an important role in the progression of renal fibrosis.
肾小球基底膜(GBM)的成熟对于维持肾脏滤过屏障的完整性至关重要。在 IV 型胶原疾病 Alport 综合征中,GBM 成熟受损会导致蛋白尿和肾纤维化。本研究通过使用缺乏 discoidin 结构域受体 1(DDR1)、整合素亚基 α2(ITGA2)和 IV 型胶原 α3(COL4A3)的小鼠,评估胶原受体在 GBM 成熟、基质积累和肾纤维化中的作用。DDR1 和整合素 α2β1 两种胶原受体的缺失会延迟 GBM 的成熟:由于 GBM 滤过屏障多孔,导致高相对分子质量蛋白尿,在第 60 天至第 100 天之间增加一倍以上。此后,GBM 的成熟导致蛋白尿下降到十分之一,直到第 200 天。蛋白尿和多孔 GBM 导致肾小球和肾小管间质基质的积累,这些基质在 GBM 成熟后显著减少,直到第 250 天。与此平行,在 GBM 成熟受损的疾病中,如 Alport 综合征,整合素 α2β1 的缺失会加速肾纤维化:COL4A3(-/-)/ITGA2(-/-)双敲除小鼠与 COL4A3(-/-)/ITGA2(+/-)和 COL4A3(-/-)/ITGA2(+/+)小鼠相比,蛋白尿和尿素氮减少。双敲除小鼠的寿命延长了 20%,肾小球和肾小管间质细胞外基质的沉积也比 COL4A3(-/-)Alport 小鼠减少,后者的整合素 α2β1 表达正常。电子显微镜显示肾小球基底膜结构得到改善。与野生型小鼠相比,COL4A3(-/-)/ITGA2(+/+)Alport 小鼠中 MMP2、MMP9、MMP12 和 TIMP1 的表达水平显著升高,但 COL4A3(+/+)/ITGA2(-/-)小鼠中没有升高。总之,胶原受体 DDR1 和整合素 α2β1 有助于调节 GBM 的成熟和控制基质的积累。正如在 IV 型胶原疾病 Alport 综合征中所证明的那样,通过胶原受体的肾小球细胞-基质相互作用在肾纤维化的进展中起着重要作用。