Tubules are the major site of M-CSF production in experimental kidney disease: correlation with local macrophage

N M Isbel1, P A Hill, R Foti

  • 1Department of Nephrology, Monash Medical Centre, Clayton, Victoria, Australia.

Kidney International
|July 28, 2001
PubMed
Abstract

Insights

In kidney disease, tubular cells, not glomeruli, are the main source of macrophage colony-stimulating factor (M-CSF). This M-CSF drives local macrophage proliferation in the tubulointerstitium, contributing to renal injury.

Area of Science:

  • Nephrology
  • Immunology
  • Cell Biology

Background:

  • Macrophage proliferation in glomeruli and interstitium amplifies renal injury in glomerulonephritis.
  • Macrophage colony-stimulating factor (M-CSF) is implicated in driving local macrophage proliferation.
  • Previous findings of predominant glomerular M-CSF production conflicted with interstitial macrophage accumulation.

Purpose of the Study:

  • To investigate M-CSF expression localization in rat kidneys with glomerular vs. tubulointerstitial injury.
  • To examine the relationship between M-CSF expression and local macrophage proliferation.

Main Methods:

  • Assessed M-CSF expression (mRNA and protein) using Northern blotting, in situ hybridization, immunostaining, and Western blotting.
  • Evaluated local macrophage proliferation via double immunostaining for ED1 and PCNA.
  • Utilized rat anti-glomerular basement membrane (anti-GBM) glomerulonephritis and unilateral ureteric obstruction models.

Main Results:

  • M-CSF mRNA and protein were found in glomerular podocytes, cortical tubules, and medullary tubules in normal kidneys.
  • Rat anti-GBM glomerulonephritis showed increased M-CSF mRNA in the whole kidney.
  • Upregulated M-CSF production in glomeruli and tubules correlated with macrophage proliferation; prominent tubular M-CSF increase occurred after ureteric obstruction, with interstitial macrophage proliferation but no glomerular changes.

Conclusions:

  • Tubular epithelial cells are the primary source of M-CSF in injured kidneys.
  • Significant tubulointerstitial macrophage accumulation and proliferation can occur independently of glomerular inflammation.
  • Kidney M-CSF production, especially by tubular cells, is crucial for regulating local macrophage proliferation in experimental kidney disease.

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