Miyatake N, Shikata K, Sugimoto H, Kushiro M, Shikata Y, Ogawa S, Hayashi Y, Miyasaka M, Makino H
Department of Medicine III, Okayama University Medical School, Japan.
Nephron. 1998;79(1):91-8. doi: 10.1159/000044997.
Mononuclear cells, primarily macrophages and lymphocytes, infiltrate the renal glomeruli and are involved in the progression of various glomerular diseases. Intercellular adhesion molecule 1 (ICAM-1) is expressed on the vascular endothelium and mediates the infiltration of leukocytes into the site of inflammation. Although the expression of ICAM-1 can be induced by the stimulation of inflammatory cytokine, ICAM-1 expression can also be induced by such nonimmune mechanisms as shear stress. Glomerular hyperfiltration is a major mechanism that contributes to the progression of the glomerular sclerosis that results from the loss of functioning nephrons. In the present study, we examined the role of ICAM-1 for mononuclear cell infiltration in the glomeruli of the five-sixth nephrectomized rat as a model of glomerular hyperfiltration. The fluorescence intensity score of the staining for ICAM-1 in the glomeruli of the five-sixth nephrectomized rats was significantly increased as compared with that in the control (sham-operated) rats at 1 week (1.51 +/- 0.15 vs. 0.61 +/- 0.13; p < 0.01) and 2 weeks (1.31 +/- 0.17 vs. 0.51 +/- 0.09; p < 0.01). The number of leukocytes present in the glomeruli was significantly increased in the five-sixth nephrectomized rats compared with control (sham-operated) rats at 1 week (3.44 +/- 0.16 vs. 0.99 +/- 0.08; p < 0.01) and 2 weeks (3.14 +/- 0.14 vs. 0.89 +/- 0.07; p < 0.01). Leukocytes mainly consisted of macrophages in the five-sixth nephrectomized rats at 1 week (2.39 +/- 0.19) and 2 weeks (1.46 +/- 0.11). Anti-ICAM-1 monoclonal antibody effectively prevented the infiltration of macrophages into the glomeruli following nephrectomy. These results indicate that glomerular hyperfiltration may be involved in the induction of the expression of ICAM-1 and the infiltration of macrophages into the renal glomeruli following glomerular injury.
单核细胞,主要是巨噬细胞和淋巴细胞,浸润肾小球并参与各种肾小球疾病的进展。细胞间黏附分子1(ICAM-1)在血管内皮细胞上表达,并介导白细胞浸润到炎症部位。虽然ICAM-1的表达可由炎性细胞因子刺激诱导,但ICAM-1表达也可由诸如剪切应力等非免疫机制诱导。肾小球高滤过是导致功能性肾单位丧失所致肾小球硬化进展的主要机制。在本研究中,我们以肾小球高滤过模型,即五分之六肾切除大鼠,研究ICAM-1在单核细胞浸润肾小球中的作用。五分之六肾切除大鼠肾小球中ICAM-1染色的荧光强度评分在1周时(1.51±0.15对0.61±0.13;p<0.01)和2周时(1.31±0.17对0.51±0.09;p<0.01)与对照组(假手术)大鼠相比显著增加。与对照组(假手术)大鼠相比,五分之六肾切除大鼠肾小球中白细胞数量在1周时(3.44±0.16对0.99±0.08;p<0.01)和2周时(3.14±0.14对0.89±0.07;p<0.01)显著增加。在五分之六肾切除大鼠中,1周时(2.39±0.19)和2周时(1.46±0.11)白细胞主要由巨噬细胞组成。抗ICAM-1单克隆抗体有效阻止了肾切除后巨噬细胞浸润到肾小球。这些结果表明,肾小球高滤过可能参与肾小球损伤后ICAM-1表达的诱导以及巨噬细胞浸润到肾小球。