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Published on: November 10, 2021
Growth factor Midkine is involved in the pathogenesis of renal injury induced by protein overload containing
Kiyonari Kato1, Tomoki Kosugi1, Waichi Sato2
1Division of Nephrology, Nagoya University Graduate School of Medicine, 65 Tsurumai, Showa-ku, Nagoya, Aichi, 466-8550, Japan.
Background:
Growth factor Midkine (MK), which expresses on endothelial cells and renal proximal tubules, has been implicated in inflammation-related kidney diseases such as ischemic reperfusion-induced tubulointerstitial injury and diabetic nephropathy. The biological actions of MK are elicited through its chemotactic activity and chemokine-driven inflammatory pathway. Post-infectious glomerulonephritis is caused by the deposition of immune complexes into glomeruli by infiltrating a number of inflammatory cells. Therefore, we investigated whether MK might be involved in the pathogenesis of acute glomerulonephritis.
Methods:
We induced endocapillary proliferative glomerulonephritis in 129/SV mice using intraperitoneal injections of a large amount of protein.
Results:
In contrast to mice deficient in MK (Mdk (-/-)), Mdk (+/+) mice induced by protein overload demonstrated more diffuse cellular proliferation in the mesangial areas and capillary lumens, eventually leading to glomerular damage and tubulointerstitial injury. This pathological observation could be attributable to neutrophil infiltration through the chemotaxis and stimulation of the MK-macrophage inflammatory protein (MIP)-2 pathway, but appeared to be due to the MK-related immunoglobulin (Ig)G deposition and C3 activation. These findings are often seen in infectious-related glomerular injury. Furthermore, the profile of MK expression was strongly consistent with that of glomerular damage and tubulointersititial injury.
Conclusion:
This study might provide a new insight into understanding the deleterious role of MK in endocapillary proliferative glomerulonephritis induced by protein overload.
Insights
Midkine (MK) exacerbates protein overload-induced glomerulonephritis by promoting inflammation and glomerular damage. MK deficiency protects against kidney injury, highlighting MK's detrimental role in this kidney disease model.
Area of Science:
- Nephrology
- Immunology
- Molecular Biology
Background:
- Midkine (MK) is a growth factor involved in inflammation-related kidney diseases.
- MK mediates biological actions via chemotaxis and chemokine pathways.
- Post-infectious glomerulonephritis involves immune complex deposition and inflammatory cell infiltration.
Purpose of the Study:
- To investigate the role of Midkine (MK) in the pathogenesis of acute glomerulonephritis.
Main Methods:
- Endocapillary proliferative glomerulonephritis was induced in 129/SV mice via intraperitoneal protein injections.
- Comparison of disease development in Midkine-deficient (Mdk (-/-)) and wild-type (Mdk (+/+)) mice.
Main Results:
- Wild-type mice showed more severe glomerular and tubulointerstitial injury compared to Midkine-deficient mice.
- MK appears to contribute to injury through neutrophil infiltration, IgG deposition, and C3 activation.
- MK expression levels correlated with the severity of glomerular and tubulointerstitial damage.
Conclusions:
- Midkine (MK) plays a deleterious role in protein overload-induced endocapillary proliferative glomerulonephritis.
- This study offers new insights into MK's contribution to kidney disease pathogenesis.
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