Suyama Masahiro, Miyazaki Yoichi, Matsusaka Taiji, Sugano Naoki, Ueda Hiroyuki, Kawamura Tetsuya, Ogura Makoto, Yokoo Takashi
Division of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan.
Department of Internal Medicine, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan.
Clin Exp Nephrol. 2018 Apr;22(2):266-274. doi: 10.1007/s10157-017-1450-5. Epub 2017 Aug 3.
Glomerular podocyte-derived vascular endothelial growth factor (VEGF) is indispensable for the migration and proliferation of glomerular endothelial cells. In contrast, podocyte-specific Vegf overexpression leads to the collapse of glomerular tufts; however, the mechanisms underlying this outcome have not yet been reported.
To further clarify the effects of elevated levels of Vegf expression on glomerular cells, we established a dual transgenic mouse line in which Vegf was exclusively and inducibly expressed in podocytes under the control of the "Tet-on system" (Podocin-rtTA/TetO-Vegf164 mice).
Macroscopic and microscopic examination of Podocin-rtTA/TetO-Vegf164 animals following Vegf induction identified the presence of prominent red bloody spots. In addition, the endothelial cell number was increased along with enlargement of the subendothelial spaces. We also observed impaired endothelial fenestrations and aberrant plasmalemmal vesicle-associated protein-1 (PV-1) expression. In contrast, the mesangial cell number markedly decreased, resulting in a glomerular tuft intussusceptive splitting defect. Furthermore, whereas platelet-derived growth factor-B (PDGF-B) expression in the glomerular cells of Podocin-rtTA/TetO-Vegf164 mice was not decreased, phospho-PDGF receptor immunoreactivity in the mesangial cells was significantly decreased when compared to wild-type animals.
Taken together, the results of this study indicated that the upregulation of podocyte VEGF decreased the number of mesangial cells, likely owing to inhibition of PDGF-B-mediated signaling.
肾小球足细胞衍生的血管内皮生长因子(VEGF)对于肾小球内皮细胞的迁移和增殖不可或缺。相反,足细胞特异性Vegf过表达会导致肾小球毛细血管袢塌陷;然而,这一结果背后的机制尚未见报道。
为了进一步阐明Vegf表达水平升高对肾小球细胞的影响,我们建立了一种双转基因小鼠品系,其中Vegf在“Tet-on系统”的控制下在足细胞中特异性且可诱导表达(Podocin-rtTA/TetO-Vegf164小鼠)。
对Vegf诱导后的Podocin-rtTA/TetO-Vegf164动物进行宏观和微观检查,发现有明显的红色血斑。此外,内皮细胞数量增加,同时内皮下间隙扩大。我们还观察到内皮窗孔受损以及异常的质膜小泡相关蛋白-1(PV-1)表达。相反,系膜细胞数量显著减少,导致肾小球毛细血管袢套叠性分裂缺陷。此外,虽然Podocin-rtTA/TetO-Vegf164小鼠肾小球细胞中的血小板衍生生长因子-B(PDGF-B)表达未降低,但与野生型动物相比,系膜细胞中的磷酸化PDGF受体免疫反应性显著降低。
综上所述,本研究结果表明足细胞VEGF上调会减少系膜细胞数量,可能是由于抑制了PDGF-B介导的信号传导。