Diamond J R, Kees-Folts D, Ricardo S D, Pruznak A, Eufemio M
Department of Medicine, Milton S. Hershey Medical Center, Hershey, PA 17033, USA.
Am J Pathol. 1995 Jun;146(6):1455-66.
The mechanical disturbance after unilateral ureteral obstruction (UUO) is a nonimmune stimulus that is capable of eliciting a florid macrophage infiltration of the kidney and subsequent post-inflammatory renal scarring. Osteopontin has potential chemoattractant activity and, for this reason, we delineated the kinetics of its expression in the renal cortex of rats with UUO. Whole body X-irradiation and reversal of UUO were utilized as interventional maneuvers to give additional pathobiological insight into this protein's role in the response of the kidneys to ureteral obstruction. Increased osteopontin mRNA levels in obstructed kidneys versus contralateral unobstructed specimens were evident as early as 4 hours after UUO and steadily increased at 12, 24, 48, and 96 hours after UUO. Both X-irradiation and reversal of UUO failed to significantly modulate renal cortical osteopontin mRNA expression at all of the above time points. Paralleling the increments in renal cortical osteopontin mRNA levels were significant elevations in the cortical renal interstitial macrophage number, which was significantly diminished by previous X-irradiation but not reversal of UUO. Focal labeling of osteopontin was noted in both tubular and Bowman's capsular epithelium in obstructed kidneys as early as 4 hours after UUO, whereas, in the contralateral unobstructed specimens, there was only faint staining in Bowman's capsule. By 96 hours after UUO, obstructed kidneys exhibited intense, diffuse staining for osteopontin in both tubules and Bowman's capsule. Osteopontin's immunolocalization was not modulated by X-irradiation or reversal of UUO. These data support the contention that osteopontin is involved in the accumulation of macrophages within the peritubular and periglomerular interstitium in the obstructed renal cortex.
单侧输尿管梗阻(UUO)后的机械性干扰是一种非免疫刺激,能够引发肾脏中大量巨噬细胞浸润以及随后的炎症后肾瘢痕形成。骨桥蛋白具有潜在的化学趋化活性,因此,我们描绘了其在UUO大鼠肾皮质中的表达动力学。全身X射线照射和UUO的逆转被用作干预手段,以进一步深入了解该蛋白在肾脏对输尿管梗阻反应中的作用。与对侧未梗阻标本相比,梗阻肾脏中骨桥蛋白mRNA水平早在UUO后4小时就明显升高,并在UUO后12、24、48和96小时稳步上升。在上述所有时间点,X射线照射和UUO的逆转均未能显著调节肾皮质骨桥蛋白mRNA的表达。与肾皮质骨桥蛋白mRNA水平的增加平行的是,肾皮质间质巨噬细胞数量显著增加,而先前的X射线照射可使其显著减少,但UUO的逆转则没有这种作用。早在UUO后4小时,在梗阻肾脏的肾小管和鲍曼囊上皮中就观察到骨桥蛋白的局灶性标记,而在对侧未梗阻标本中,鲍曼囊中只有微弱的染色。到UUO后96小时,梗阻肾脏的肾小管和鲍曼囊中均出现了强烈、弥漫性的骨桥蛋白染色。骨桥蛋白的免疫定位不受X射线照射或UUO逆转的调节。这些数据支持了骨桥蛋白参与梗阻肾皮质肾小管周围和肾小球周围间质中巨噬细胞积聚的观点。