Intercellular adhesion molecule-1 expression in human kidneys with glomerulonephritis

G A Müller1, J Markovic-Lipkovski, C A Müller

  • 1Medical University Clinic, Eberhard-Karls-University of Tübingen, Germany.

Clinical Nephrology
|October 1, 1991
PubMed

Insights

Intercellular adhesion molecule-1 (ICAM-1) is crucial in immune responses. In glomerulonephritis, abnormal ICAM-1 expression on proximal tubular epithelial cells suggests their role in kidney inflammation.

Area of Science:

  • Nephrology
  • Immunology
  • Cell Biology

Background:

  • Intercellular adhesion molecule-1 (ICAM-1) is a key mediator in immune responses.
  • Understanding ICAM-1 expression in renal tissue is vital for diagnosing and treating kidney diseases.

Purpose of the Study:

  • To investigate the expression patterns of ICAM-1 in normal and glomerulonephritic human kidneys.
  • To compare ICAM-1 distribution with human leukocyte antigen (HLA) antigens (DQ, DR, DR/DP, DP).

Main Methods:

  • Utilized monoclonal antibodies and indirect immunoperoxidase staining on cryostat kidney sections.
  • Examined 15 normal and 112 glomerulonephritic kidney samples.
  • Correlated ICAM-1 expression with HLA-DQ, -DR, -DR/DP, and -DP antigen expression.

Main Results:

  • In normal kidneys, ICAM-1 was found on Bowman's capsular cells, glomerular cells (endothelial, mesangial), peritubular capillaries, vascular endothelium, and fibroblasts.
  • Proximal tubular epithelial cells (PTECs) showed no ICAM-1 expression in normal kidneys.
  • Glomerulonephritis kidneys, particularly with interstitial inflammation, frequently exhibited abnormal ICAM-1 expression on PTECs, correlating with aberrant HLA-DQ and -DP antigen expression.

Conclusions:

  • ICAM-1 expression in normal kidneys is restricted to specific cell types.
  • Aberrant ICAM-1 expression on PTECs in glomerulonephritis, alongside HLA antigen changes, supports their involvement in cell-mediated immune reactions.
  • These findings enhance our understanding of kidney inflammation mechanisms in glomerulonephritis.

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