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Altered glomerular extracellular matrix synthesis in experimental membranous nephropathy
J Floege1, R J Johnson, K Gordon
1Department of Medicine, University of Washington, Seattle.
Kidney International
|September 1, 1992
Summary
Chronic membranous nephropathy (MN) involves glomerular basement membrane (GBM) thickening. Experimental models show increased laminin and s-laminin in GBM during active Heymann nephritis (AHCN), suggesting distinct stimuli for GBM expansion.
Area of Science:
- Nephrology
- Molecular Biology
- Pathology
Background:
- Chronic progressive membranous nephropathy (MN) is characterized by glomerular basement membrane (GBM) thickening and spike formation.
- The composition of the GBM and its gene expression in MN are not fully understood.
- Experimental models are crucial for dissecting the molecular mechanisms of MN.
Purpose of the Study:
- To investigate sequential changes in GBM composition and glomerular gene expression in experimental MN models.
- To determine the role of glomerular epithelial cells (GECs) in GBM changes during MN.
- To identify potential stimuli driving GBM expansion in chronic MN.
Main Methods:
- Utilized active and passive Heymann nephritis (AHCN, PHN) rat models of MN.
- Performed immunostaining of renal biopsies for extracellular matrix (ECM) proteins.
- Analyzed glomerular gene expression of ECM components using cDNA probes.
- Investigated GEC response to anti-GEC antibody and complement in vitro.
Main Results:
- AHCN showed increased GBM immunostaining for laminin, s-laminin, fibronectin, entactin, and heparan sulfate proteoglycan in a spike-like pattern.
- Glomerular mRNA levels of laminin B2-chain and s-laminin increased in AHCN.
- Type IV collagen expression was unchanged or decreased; type I collagen showed increased mRNA but no protein in GBM during AHCN.
- PHN exhibited minimal ECM changes, with transient type I collagen expression in GECs.
- In vitro studies failed to induce laminin or s-laminin mRNA expression or laminin release in GECs.
Conclusions:
- Polyantigenic expansion of GBM in chronic experimental MN is stimulated by factors distinct from C5b-9 mediated processes.
- Increased laminin and s-laminin in GBM during AHCN suggest specific molecular responses.
- GECs may not directly mediate the transcriptional changes of laminin/s-laminin in response to complement activation.