Roy-Chaudhury P, Wu B, McDonald S, Haites N E, Simpson J G, Power D A
Department of Medicine, University of Aberdeen, Scotland.
Lab Invest. 1995 May;72(5):524-31.
The phenotype of macrophages invading the mesangium and periglomerular region has not been described in experimental mesangial proliferative glomerulonephritis, although it has implications for the mechanism of entry of these cells into these locations and their function once there. We have, therefore, determined the phenotype of the periglomerular leukocytic infiltrate in the Thy 1.1 model of mesangial proliferative glomerulonephritis and compared it with that of cells invading the mesangium.
The Thy 1.1 model was induced in Lewis rats, and sections were taken at 1 hour and at 1, 4, 9, 30, and 90 days postinduction. Immunohistochemistry was performed using monoclonal antibodies against macrophage markers (ED-1, CD4, RT1-B, and ED-2), chains of the beta 2 integrins (CD18, CD11a, and CD11b), T and B cell markers (CD8, T cell receptor, interleukin-2 receptor, and MRC OX33), and markers of mesangial cell proliferation (proliferating cell nuclear antigen, alpha-smooth muscle actin). Sections were compared with those obtained from control animals.
In untreated rats, a striking resident periglomerular macrophage population (phenotype ED-1-ve ED-2-ve CD4+ve RT1-B+ve CD18+ve CD11a+ve CD11b+ve) was found, confirming a previous report. From 24 hours postinduction, this resident macrophage population was supplemented by a population whose predominant phenotype (ED-1+ve ED-2-ve CD4+ve RT1-B+ve CD18+ve CD11a+ve CD11b+ve) was identical to that of macrophages infiltrating the mesangium. Both infiltrates peaked at 4 days and returned to base-line levels by 1 to 3 months. There was no significant lymphocyte infiltrate within the glomerulus and only a minimal periglomerular T cell infiltrate.
These data show, first, that disease limited to the mesangium can lead directly to periglomerular macrophage infiltration. Second, the presence of CR3 (i.e., CD11b and CD18) and LFA-1 (i.e., CD11a and CD18) on the macrophage infiltrate indicates that both ligands are important for cells to enter the mesangium and periglomerular areas. Third, the marked phenotypic and temporal similarities between the mesangial and periglomerular macrophage infiltrates suggests that a common factor(s) is involved in their pathogenesis. Finally, expression of RT1-B (Ia) but not ED-2 is reported to be typical of interstitial dendritic cells rather than tissue macrophages, suggesting a unique function for the glomerular and periglomerular macrophage infiltrate in this model.
尽管巨噬细胞侵入系膜和肾小球周围区域的表型对这些细胞进入这些部位的机制及其在该部位的功能具有重要意义,但在实验性系膜增生性肾小球肾炎中尚未对其进行描述。因此,我们确定了系膜增生性肾小球肾炎Thy 1.1模型中肾小球周围白细胞浸润的表型,并将其与侵入系膜的细胞表型进行比较。
在Lewis大鼠中诱导Thy 1.1模型,并在诱导后1小时、1天、4天、9天、30天和90天取材。使用针对巨噬细胞标志物(ED-1、CD4、RT1-B和ED-2)、β2整合素链(CD18、CD11a和CD11b)、T和B细胞标志物(CD8、T细胞受体、白细胞介素-2受体和MRC OX33)以及系膜细胞增殖标志物(增殖细胞核抗原、α-平滑肌肌动蛋白)的单克隆抗体进行免疫组织化学检测。将切片与从对照动物获得的切片进行比较。
在未处理的大鼠中,发现了显著的驻留性肾小球周围巨噬细胞群体(表型为ED-1阴性、ED-2阴性、CD4阳性、RT1-B阳性、CD18阳性、CD11a阳性、CD11b阳性),证实了先前的报道。从诱导后24小时开始,这个驻留巨噬细胞群体被另一个群体补充,其主要表型(ED-1阳性、ED-2阴性、CD4阳性、RT1-B阳性、CD18阳性、CD11a阳性、CD11b阳性)与侵入系膜的巨噬细胞相同。两种浸润在4天时达到峰值,并在1至3个月时恢复到基线水平。肾小球内没有明显的淋巴细胞浸润,仅肾小球周围有少量T细胞浸润。
这些数据表明,首先,局限于系膜的疾病可直接导致肾小球周围巨噬细胞浸润。其次,巨噬细胞浸润上CR3(即CD11b和CD18)和LFA-1(即CD11a和CD18)的存在表明这两种配体对细胞进入系膜和肾小球周围区域都很重要。第三,系膜和肾小球周围巨噬细胞浸润之间明显的表型和时间相似性表明它们的发病机制涉及共同因素。最后,据报道RT1-B(Ia)而非ED-2的表达是间质树突状细胞而非组织巨噬细胞的典型特征,这表明该模型中肾小球和肾小球周围巨噬细胞浸润具有独特功能。