Ihm C G, Park J K, Ahn J H, Lee T W, Kim M J
Department of Internal Medicine, Kyunghee University College of Medicine, Seoul, Korea.
Korean J Intern Med. 1994 Jan;9(1):9-13. doi: 10.3904/kjim.1994.9.1.9.
Cultured mesangial cells (MC) express renin mRNA and generate angiotensin I, supporting the action of local renin-angiotensin system. Also angiotensin II may act like a growth factor and was reported to increase collagen production (CP) in cultured MC. Angiotensin converting enzyme inhibitor is suggested to attenuate development and advancement of glomerulosclerosis, mainly with its hemodynamic effects. Therefore, we investigated the direct effects of enalapril (E) on CP by cultured MC. Rat MC were cultured in DMEM media alone, or containing high glucose (HG: 25 mM) or soluble immune complex (IC) prepared with bovine gamma globulin (BGG) and anti-BGG, with or without E (0.2 microgram/ml). CP was determined after 24 h by [3H] proline incorporation method. E significantly reduced CP by 43% in medium as compared with control (C) (C: 37,210 +/- 4,200 vs C + E: 21,350 +/- 5,080 cpm/well, p < 0.01). CP in medium increased in the presence of HG (123% of C) or IC (147% of C), which was, however, prevented with E (HG + E: 105% of C, IC + E: 116% of C). There were no differences of CP in cell layer between C (3,490 +/- 220 cpm/well) and C + E (3,340 +/- 190 cpm/well), and also no changes after addition of E in HG or IC groups. In conclusion, E directly attenuates CP by MC, even in the presence of HG or IC, independently of its hemodynamic effects.
培养的系膜细胞(MC)表达肾素mRNA并生成血管紧张素I,这支持了局部肾素-血管紧张素系统的作用。此外,血管紧张素II可能起生长因子的作用,据报道它可增加培养的MC中的胶原蛋白生成(CP)。血管紧张素转换酶抑制剂被认为可减轻肾小球硬化的发展和进展,主要是通过其血流动力学效应。因此,我们研究了依那普利(E)对培养的MC的CP的直接影响。大鼠MC在单独的DMEM培养基中培养,或在含有高糖(HG:25 mM)或用牛γ球蛋白(BGG)和抗BGG制备的可溶性免疫复合物(IC)的培养基中培养,添加或不添加E(0.2微克/毫升)。24小时后通过[3H]脯氨酸掺入法测定CP。与对照(C)相比,E使培养基中的CP显著降低了43%(C:37,210±4,200 vs C + E:21,350±5,080 cpm/孔,p < 0.