Sasaki O, Zhou W, Miyazaki M, Abe K, Koji T, Verroust P, Tsukasaki S, Ozono Y, Harada T, Nakane P K, Kohno S, Sacks S H
Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan.
Am J Pathol. 1997 Nov;151(5):1249-56.
Passive Heymann nephritis (PHN), a model of human membranous nephropathy, is an immune-complex-mediated glomerulonephritis characterized by the presence of complement-dependent tissue injury. Recent studies have confirmed the synthesis of C3, involved in both the classical and alternative pathways of complement, in injured human and animal renal tissues. However, there is little clear information on the role of local C3 synthesis in the pathogenesis of nephritides such as PHN. In the present study, using nonradioactive in situ hybridization and semiquantitative reverse transcriptase polymerase chain reaction, we examined C3 synthesis in the kidney and its contribution to tissue injury in a rat model of PHN induced by the injection of polyclonal anti-gp330 antibody. C3 mRNA was localized in mesangial cells, glomerular epithelial cells, and cells of Bowman's capsule. During the early stages of PHN, C3 mRNA expression was detected in mesangial cells and glomerular epithelial cells, whereas such expression was limited to mesangial cells during the late stages of the disease. Focal, weak C3 mRNA expression was detected in tubular epithelial cells and occasionally in the interstitium. Semiquantitative polymerase chain reaction demonstrated that the level of C3 mRNA expression correlated with that of proteinuria. Our results suggest that renal cells synthesize C3 mRNA in PHN in a site-specific manner and that locally produced C3 is associated with the development of proteinuria in this model.
被动型海曼肾炎(PHN)是人类膜性肾病的一种模型,是一种免疫复合物介导的肾小球肾炎,其特征为存在补体依赖性组织损伤。最近的研究已证实,在受损的人类和动物肾组织中会合成参与补体经典途径和替代途径的C3。然而,关于局部C3合成在诸如PHN等肾炎发病机制中的作用,目前几乎没有明确的信息。在本研究中,我们使用非放射性原位杂交和半定量逆转录聚合酶链反应,检测了注射多克隆抗gp330抗体诱导的PHN大鼠模型中肾脏的C3合成及其对组织损伤的作用。C3 mRNA定位于系膜细胞、肾小球上皮细胞和鲍曼囊细胞。在PHN早期,在系膜细胞和肾小球上皮细胞中检测到C3 mRNA表达,而在疾病后期,这种表达仅限于系膜细胞。在肾小管上皮细胞中检测到局灶性、微弱的C3 mRNA表达,偶尔在间质中也有表达。半定量聚合酶链反应表明,C3 mRNA表达水平与蛋白尿水平相关。我们的结果表明,在PHN中肾细胞以位点特异性方式合成C3 mRNA,并且在该模型中局部产生的C3与蛋白尿的发生有关。