Stahl R A, Thaiss F, Disser M, Helmchen U, Hora K, Schlöndorff D
Department of Medicine, University of Frankfurt am Main, Germany.
Kidney Int. 1993 Nov;44(5):1036-47. doi: 10.1038/ki.1993.346.
The infiltration of monocytes-macrophages in the glomerulus is one of the hallmarks of glomerulonephritis and may play an important pathogenetic role. Monocyte chemoattractant protein-1 (MCP-1) and colony stimulating factor-1 (CSF-1) are monocyte-specific cytokines with chemoattractant and activating activities for monocytes. MCP-1 and CSF-1 can be generated by several cell types, including glomerular mesangial cells, and can be stimulated by cytokines and immune complexes. To study the expression of CSF-1 and MCP-1 in a model of proliferative glomerulonephritis we used Northern blot analysis and immuno-histochemistry. The glomerular lesion was induced in rats by the i.v. injection of a heterologous anti-thymocyte antiserum (ATS), directed against an antigen which is localized on glomerular mesangial cells. Northern blot analysis revealed comparable amounts of CSF-1 in glomeruli isolated from control untreated rats, and from rats after 30 minutes to three weeks of injection of ATS antibody. In control glomeruli no mRNA levels for MCP-1 were detectable, but increased markedly 30 minutes after the induction of the nephritis, were then reduced at 24 hours and increased again at 5 and 21 days after induction of the disease. The increase in mRNA levels for MCP-1 30 minutes or 24 hours after ATS injection was markedly attenuated if rats were complement depleted by cobra venom injection. These time points following antibody injection were associated with mesangial immune complex formation (30 min), mesangiolysis (24 hr) and proliferative glomerulonephritis (5 and 21 days). By immunohistology the presence of MCP-1 was demonstrated in glomeruli with a predominant mesangial distribution. The mesangial immunofluorescence for MCP-1 followed a pattern similar to that of the mRNA for MCP-1 after induction of the disease process, that is, it increased after 30 minutes, decreased after 24 hours and was increased again at three weeks. Within 30 minutes of the antibody injection an increased infiltration of monocytes-macrophages was observed in the glomeruli, which was maintained up to three weeks of induction of the glomerulonephritis. When the rats were decomplemented with cobra venom factor prior to the i.v. injection of ATS, the expression of MCP-1 in glomeruli remained low and the influx of monocytes/macrophages did not appear. We conclude that MCP-1 is increased early on in glomeruli of rats with immune-mediated mesangial proliferative glomerulonephritis. This increase is mediated by complement activation secondary to the in situ immune complex formation at the glomerular mesangium.(ABSTRACT TRUNCATED AT 400 WORDS)
单核细胞 - 巨噬细胞在肾小球中的浸润是肾小球肾炎的特征之一,可能起着重要的致病作用。单核细胞趋化蛋白 -1(MCP -1)和集落刺激因子 -1(CSF -1)是对单核细胞具有趋化和激活活性的单核细胞特异性细胞因子。MCP -1和CSF -1可由多种细胞类型产生,包括肾小球系膜细胞,并可被细胞因子和免疫复合物刺激。为了研究CSF -1和MCP -1在增殖性肾小球肾炎模型中的表达,我们采用了Northern印迹分析和免疫组织化学方法。通过静脉注射针对位于肾小球系膜细胞上抗原的异种抗胸腺细胞抗血清(ATS)诱导大鼠产生肾小球病变。Northern印迹分析显示,从未处理的对照大鼠以及注射ATS抗体30分钟至三周后的大鼠分离的肾小球中,CSF -1的含量相当。在对照肾小球中未检测到MCP -1的mRNA水平,但在肾炎诱导后30分钟显著增加,然后在24小时降低,并在疾病诱导后5天和21天再次增加。如果通过眼镜蛇毒注射使大鼠补体耗竭,ATS注射后30分钟或24小时MCP -1的mRNA水平增加会明显减弱。抗体注射后的这些时间点与系膜免疫复合物形成(30分钟)、系膜溶解(24小时)和增殖性肾小球肾炎(5天和21天)相关。通过免疫组织学方法,在以系膜分布为主的肾小球中证实了MCP -1的存在。疾病过程诱导后,MCP -1的系膜免疫荧光模式与MCP -1的mRNA模式相似,即30分钟后增加,24小时后降低,三周后再次增加。在抗体注射后30分钟内,观察到肾小球中单核细胞 - 巨噬细胞浸润增加,这种情况在肾小球肾炎诱导的三周内持续存在。当在静脉注射ATS之前用眼镜蛇毒因子使大鼠补体失活时,肾小球中MCP -1的表达仍然很低且单核细胞/巨噬细胞的流入未出现。我们得出结论,在免疫介导的系膜增生性肾小球肾炎大鼠的肾小球中,MCP -1在早期增加。这种增加是由肾小球系膜原位免疫复合物形成继发的补体激活介导的。(摘要截短至400字)