Garin E H, Shirey A J
Department of Pediatrics, Medical University of South Carolina, Charleston.
Child Nephrol Urol. 1988;9(3):121-6.
Proteinuria in aminonucleoside of puromycin (PAN) nephrosis is due to an alteration of the glomerular charge- and size-selective barrier. Heparan sulfate seems to play a role in glomerular charge permeability to plasma proteins. We report a quantitative analysis and metabolism of glomerular basement membrane (GBM) heparan sulfate in PAN nephrosis. Studies were performed 5 and 10 days post-PAN administration (15 mg/100 g) to Sprague-Dawley rats. GBM heparan sulfate glycosaminoglycan was measured using the dimethylmethylene blue test after chromatographic separation of the digested GBM. Sulfate-35 uptake by GBM and catabolism of GBM-sulfated compounds were studied using glomerular cultures. The heparan sulfate glycosaminoglycans concentration on day 5 (1.42 micrograms/mg GBM protein) was within the normal range (1.17 +/- 0.25), but the concentration on day 10 was below the limit of detection (0.57 micrograms/mg). The sulfate-35 incorporated in the GBM glycosaminoglycan on day 5 (158 cpm/micrograms glycosaminoglycan) was lower than the uptake of control GBM (270 cpm/micrograms glycosaminoglycan), and markedly lower than the uptake on day 10 (1,590 cpm/micrograms glycosaminoglycan). The catabolism of the GBM sulfated compounds on day 5 and 10 was not different than the one seen in controls. These data suggest that PAN administration is associated with a decrease in synthesis of GBM-sulfated compounds on day 5 and a decrease in GBM heparan sulfate glycosaminoglycan on day 10. However, on day 10, an increased compensatory synthesis is observed. This may subsequently normalize the GBM heparan sulfate concentration and explain the resolution of the proteinuria.
嘌呤霉素氨基核苷(PAN)肾病中的蛋白尿是由于肾小球电荷和大小选择性屏障的改变所致。硫酸乙酰肝素似乎在肾小球对血浆蛋白的电荷通透性中起作用。我们报告了PAN肾病中肾小球基底膜(GBM)硫酸乙酰肝素的定量分析和代谢情况。对给予PAN(15mg/100g)的Sprague-Dawley大鼠在给药后5天和10天进行了研究。消化后的GBM经色谱分离后,使用二甲基亚甲基蓝试验测定GBM硫酸乙酰肝素糖胺聚糖。利用肾小球培养物研究了GBM对35-硫酸盐的摄取以及GBM硫酸化化合物的分解代谢。第5天硫酸乙酰肝素糖胺聚糖的浓度(1.42微克/毫克GBM蛋白)在正常范围内(1.17±0.25),但第10天的浓度低于检测限(0.57微克/毫克)。第5天GBM糖胺聚糖中掺入的35-硫酸盐(158cpm/微克糖胺聚糖)低于对照GBM的摄取量(270cpm/微克糖胺聚糖),且明显低于第10天的摄取量(1590cpm/微克糖胺聚糖)。第5天和第10天GBM硫酸化化合物的分解代谢与对照组无差异。这些数据表明,给予PAN与第5天GBM硫酸化化合物合成减少以及第10天GBM硫酸乙酰肝素糖胺聚糖减少有关。然而,在第10天,观察到代偿性合成增加。这可能随后使GBM硫酸乙酰肝素浓度正常化,并解释蛋白尿的消退。