Noris M, Macconi D, Nanni V, Salmona M, Todeschini M, Remuzzi G
Mario Negri Institute for Pharmacological Research, Ospedali Riuniti di Bergamo, Italy.
Kidney Int. 1993 Oct;44(4):747-54. doi: 10.1038/ki.1993.309.
Glomerular infiltration of blood-derived mononuclear cells contributes to the glomerular injury in the autologous phase of nephrotoxic nephritis (NTN). LysoPAF has recently been shown to be chemotactic for human monocytes, thus its accumulation might account for monocyte recruitment. We investigated [3H]lysoPAF metabolism in isolated glomeruli from normal and NTN rabbits studied both in the heterologous and in the autologous phases of the disease. [3H]lysoPAF was converted to [3H]1-O-alkyl-glycerol and [3H]1-O-alkyl-2-acyl-GPC by phospholipase C and acyltransferase, respectively, both in normal and NTN glomeruli. Glomerular metabolism of [3H]lysoPAF was normal during the heterologous phase of NTN. By contrast, in isolated glomeruli from NTN rabbits studied in the autologous phase of the disease, a significantly lower [3H]lysoPAF degradation occurred with respect to normal ones. This defective degradation resulted in a significantly reduced formation of [3H]1-O-alkyl-glycerol. The apparent Km for enzymatic conversion of [3H]lysoPAF to [3H]1-O-alkyl-glycerol, determined at 15 minutes as a function of [3H]lysoPAF concentration, was doubled in glomeruli from rabbits studied in the autologous phase of NTN as compared to normal ones, while Vmax values were similar in the two groups. These results show a defective glomerular lysoPAF degradation in the autologous phase of NTN, likely due to a decreased affinity of phospholipase C to lysoPAF. Altered lysoPAF metabolism results in glomerular accumulation of lysoPAF in the autologous phase of NTN, as shown by significantly higher levels of lysoPAF measured in nephritic glomeruli as compared to normal ones.
血液来源的单核细胞在肾小球的浸润会导致肾毒性肾炎(NTN)自身免疫期的肾小球损伤。溶血血小板活化因子(LysoPAF)最近被证明对人单核细胞具有趋化作用,因此其积累可能是单核细胞募集的原因。我们研究了正常和NTN兔分离肾小球中[3H]溶血血小板活化因子的代谢,这些兔分别处于疾病的异源期和自身免疫期。在正常和NTN肾小球中,[3H]溶血血小板活化因子分别通过磷脂酶C和酰基转移酶转化为[3H]1-O-烷基甘油和[3H]1-O-烷基-2-酰基-GPC。在NTN的异源期,[3H]溶血血小板活化因子的肾小球代谢正常。相比之下,在疾病自身免疫期研究的NTN兔分离肾小球中,与正常肾小球相比,[3H]溶血血小板活化因子的降解明显降低。这种降解缺陷导致[3H]1-O-烷基甘油的形成显著减少。以[3H]溶血血小板活化因子浓度为函数,在15分钟时测定的[3H]溶血血小板活化因子酶促转化为[3H]1-O-烷基甘油的表观Km值,在NTN自身免疫期研究的兔肾小球中比正常兔肾小球增加了一倍,而两组的Vmax值相似。这些结果表明,NTN自身免疫期肾小球溶血血小板活化因子降解存在缺陷,可能是由于磷脂酶C对溶血血小板活化因子的亲和力降低所致。溶血血小板活化因子代谢改变导致NTN自身免疫期肾小球中溶血血小板活化因子积累,与正常肾小球相比,肾炎肾小球中溶血血小板活化因子水平显著升高即证明了这一点。