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From the Department of Medicine, Royal Victoria Hospital, McGill University, Montreal, Quebec, Canada
| Abstract |
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| Introduction |
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, and heparin-binding EGF, which
are structurally and functionally related polypeptides that bind to the
EGF receptor (EGF-R)14,15
as well as hepatocyte growth
factor (HGF) and basic fibroblast growth factor (bFGF), which bind to
Met and the FGF-Rs, respectively.16,17
It is believed that
the initial events involve binding of growth factor to
a receptor tyrosine kinase and receptor
oligomerization.12,13
This results in transmembrane
activation of the cytoplasmic tyrosine kinase, receptor
autophosphorylation, and phosphorylation of substrate
proteins.12,13
The signal is then transmitted to nuclear or
cytoplasmic effectors through a series of serine/threonine protein
kinases, collectively known as the mitogen-activated protein (MAP)
kinase pathway.18,19
Briefly, receptor tyrosine kinases
usually activate p21Ras (Ras) via Grb-2/Sos. Ras induces
translocation of Raf-1 to the plasma membrane, where Raf-1 is activated
by an undefined kinase. Raf-1 activates MEK (MAP or extracellular
signal-regulated kinase (ERK) kinase), which then activates p42 (ERK2)
and/or p44 (ERK1) MAP kinases via dual phosphorylation on threonine and
tyrosine. The ERKs have multiple potential actions, which include the
triggering of gene expression required for cell proliferation.
Visceral and parietal glomerular epithelial cells (GECs) are intrinsic
components of the kidney glomerulus, and both cell types are in contact
with ECM.20,21
Turnover of GECs is normally low, and it has
been suggested that visceral GECs do not proliferate.20,22
However, proliferation of parietal and possibly visceral GECs and
expansion of the ECM may occur in immune glomerular injury and may lead
to impaired glomerular function and/or
permselectivity.21,23,24
For example, urine samples
from children with Henoch-Schönlein purpura nephritis (a
nephritis often associated with glomerular proliferation) contain a
factor that resembles transforming growth factor-
, suggesting that
the presence of this factor in the glomerulus may be stimulating
epithelial proliferation.25
In previous studies, we have
demonstrated that adhesion to ECM triggers signals that can regulate
proliferation of cultured rat GECs in a positive or negative fashion.
ß1-Integrin-mediated turnover of inositol phospholipids
was associated with a reduction in GEC proliferation.4,5
ECM also facilitated proliferation and enhanced EGF-dependent
activation of EGF-R.6,8
Specifically, EGF stimulated EGF-R
autophosphorylation, the activity and tyrosine phosphorylation of ERK2,
and proliferation in GECs adherent to collagen matrices but not to
plastic substratum. Furthermore, an inhibitor of MEK, PD98059, blocked
EGF-induced ERK2 activity and proliferation of collagen-adherent
GECs.6,8
The differences in EGF-R activation between
substrata could not be accounted for by differences in ligand binding,
EGF-R protein content, or EGF-R degradation and appeared to be due to
regulation of EGF-R kinase activity and/or trafficking by factors
extrinsic to the receptor.6
The aims of the present study were to determine whether the modulation of receptor tyrosine kinases and MAP kinase activation by ECM occur with diverse GEC mitogens, and to define the role of the Ras in the regulation of GEC proliferation by ECM. We demonstrate that by analogy to EGF, HGF or thrombin induced proliferation and stimulated ERK2 activity significantly in collagen-adherent GECs but not in GECs on plastic. Second, stable expression of a constitutively active Ras mutant (V12Ras) allowed GECs to proliferate on plastic, indicating that sustained activation of pathway(s) downstream of Ras enabled proliferation that was independent of ECM.
| Materials and Methods |
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Tissue culture media, Transfinity CaPO4 transfection
system, and G418 (geneticin) were obtained from Life Technologies
(Burlington, Ontario, Canada). Pepsin-solubilized bovine dermal
collagen (Vitrogen) was from Collagen Corp. (Palo Alto, CA). NuSerum,
EGF, HGF, bFGF, and collagen IV were purchased from Collaborative
Research (Bedford, MA). Myelin basic protein and thrombin were obtained
from Sigma Chemical Co. (St. Louis, MO). Anti-phosphotyrosine
monoclonal antibody, PY20, was from Transduction Laboratories
(Lexington, KY). Rabbit anti-ERK2, rabbit anti-FGF-R2, and rabbit
anti-Met antibodies were from Santa Cruz Biotechnology (Santa Cruz,
CA). Rabbit anti-EGF-R antibody, RK2, was described
previously.6,8
Anti-phospho-ERK antibody was purchased from
New England Biolabs (Mississauga, Ontario, Canada).
[
-32P]ATP (3000Ci/mmol) was from New England Nuclear
(Boston, MA). Electrophoresis and immunoblotting reagents were from
Biorad Laboratories (Mississauga, Ontario, Canada). Plasmid HO6T1,
which contains the constitutively active Ras gene,26
was
kindly provided by Dr. Morag Park (McGill University, Montreal,
Canada).
Extracellular Matrix and GEC Culture
Type I collagen gel matrices were prepared by combining RPMI-1640 (10X) medium, 7.5% NaHCO3, pepsin-solubilized bovine dermal collagen (~3 mg/ml in 0.012 N HCl), and 0.1 N NaOH in proportions of 10:4:80:10 at 4°C. The mixture was then poured into tissue culture dishes (~0.06 ml/cm2) and allowed to gel at 37°C, as described previously.6 Collagen IV solution was applied to culture wells at 0.02 mg/cm2 and was allowed to air dry at 22°C.
Primary cultures of rat GECs were established from explants of rat glomeruli, as described previously.4-8,27 Studies were done with cells between passages 25 and 70. According to established criteria, the cells demonstrated polygonal shape and cobblestone appearance at confluency, cytotoxic susceptibility to low doses of aminonucleoside of puromycin, presence of junctional complexes by electron microscopy,27 and positive immunofluorescence staining for a variety of GEC antigens.28 Presently, it is not possible to determine specifically whether GECs in culture originate from visceral or parietal epithelium. Under standard conditions, GECs were cultured on collagen matrices in K1 medium, which consisted of Dulbecco's modified Eagle's medium/Ham F10 (1:1), containing 5% NuSerum and hormone supplements.6,27 To remove GECs from collagen substrata, collagen gels with adherent cells were scraped from culture dishes into a test tube and were incubated with collagenase and trypsin-EDTA to produce a cell suspension.6,27 For passaging of cultures, GECs were replated onto collagen gels; for experiments, GECs were replated onto collagen gels or plastic substrata.
Measurement of GEC Proliferation
Cell number was determined by visual counting. For the proliferation experiments, GECs were cultured in serum-poor medium (Dulbecco's modified Eagle's medium/Ham F10, 1:1, with 0.5% fetal calf serum), with or without growth factor (bFGF was added together with heparin, 10 U/ml). Cells adherent to collagen gels (35-mm plates) were placed into single-cell suspension with collagenase and trypsin-EDTA, as described above. Cells on plastic substratum or collagen IV were placed into suspension by incubation with trypsin-EDTA. Suspended cells were then counted in a hemacytometer.6
A soft agar assay was used to evaluate anchorage-independent proliferation. Tissue culture plates (60 mm) were coated with 4 ml of 0.6% agar in K1 medium. The bottom layer was allowed to solidify and was then overlaid with 2 ml of 0.3% agar in K1 medium containing 10,000 GECs. After the top layer solidified, the GECs were cultured at 37°C. The number of GEC colonies was determined after 14 days of culture by counting 10 randomly selected, low-power microscopic fields.
Assay of ERK2 Activity and Tyrosine Phosphorylation
For ERK2 assays, GECs were plated onto substrata and were
incubated in serum-poor medium for 18 hours before addition of growth
factor. Preliminary studies were performed in collagen-adherent GECs to
determine the incubation time required to maximally stimulate ERK2
activity. After incubation with growth factor, GECs were scraped from
culture dishes and were solubilized in buffer containing 0.5% Triton
X-100, 50 mmol/L ß-glycerophosphate, 2 mmol/L MgCl2, 1
mmol/L dithiothreitol, 20 µmol/L leupeptin, 20 µmol/L pepstatin,
0.2 mmol/L phenylmethylsulfonyl fluoride, 1 mmol/L
Na3VO4, and 1 mmol/L EGTA, pH 7.2
(4°C).8
Proteins (50 to 100 µg) were immunoprecipitated
with rabbit anti-ERK2 antibody (1 hour at 4°C) or nonimmune IgG
(background control), followed by absorption with agarose-coupled
protein A (1 hour at 4°C). The immunoprecipitates were then assayed
for ERK2 activity by monitoring phosphorylation of myelin basic
protein.8
In addition to the immunoprecipitates, the assay
contained 20 mmol/L MOPS, pH 7.2, 25 mmol/L ß-glycerophosphate, 5
mmol/L EGTA, 1 mmol/L Na3VO4, 1 mmol/L
dithiothreitol, 0.5 mg/ml bovine brain myelin basic protein, 7.5 mmol/L
MgCl2, and 50 µmol/L [
-32P]ATP (10
µCi). After 10 minutes of incubation at 30°C, the mixture was
spotted onto phosphocellulose paper. The paper was washed with 0.75%
phosphoric acid and acetone, and bound radioactivity was quantitated in
a ß-scintillation counter. Background radioactivity was subtracted
from total radioactivity of each sample, and results are expressed as
fold increase as compared with control. To assess ERK2 tyrosine
phosphorylation, GECs were scraped from culture dishes. Lysates (200 to
400 µg of protein) were immunoprecipitated with anti-ERK2 antibody or
nonimmune IgG in controls. Immunoprecipitates were subjected to sodium
dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE). After
transfer to nitrocellulose paper, the immunoprecipitates were
immunoblotted with anti-phosphotyrosine antibody, as described
previously.6,8
In some experiments, activation of ERK2 was
monitored by immunoblotting with anti-phospho-ERK antibody, ie,
antibody that reacts with ERK phosphotyrosine204.
Tyrosine204 phosphorylation was quantitated by
densitometry, as described previously.6
GEC Transfection
Plasmid HO6T1 contains a constitutively active Ha-Ras gene
(Gly12
Val12
mutation) and
neomycin-resistance gene.26
GECs adherent to collagen were
transfected with plasmid HO6T1 (2 µg of DNA per 100-mm plate), using
the CaPO4 technique, as described previously.7
GECs were then cultured in K1 medium containing 0.5 mg/ml G418. GEC
clones resistant to G418 were isolated and replated onto plastic
substratum. Clones that proliferated on plastic in K1 medium were
selected, passaged, and assessed for expression of Ras protein by
immunoblotting.
Statistics
Data are presented as means ± SEM. One-way analysis of variance (ANOVA) was used to determine significant differences among groups. Where significant differences were found, individual comparisons were made between groups using the t statistic and adjusting the critical value according to the Bonferroni method.
| Results |
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The first series of experiments assessed whether ECM regulated
proliferation in the presence of growth factors that are known to act
via receptor tyrosine kinases. As earlier studies demonstrated that
EGF-induced proliferation in GECs on collagen I increases steadily over
3 days after plating,6,8
the 3-day time point was chosen to
study the effects of growth factors. EGF, HGF, and bFGF significantly
stimulated proliferation of GECs adherent to collagen but not plastic
(Figure 1
, upper panel). HGF and bFGF,
although used at high doses, were not as potent as EGF. Addition of
growth factors to GECs on plastic did not increase the number of cells
significantly, as compared with serum-poor medium alone, and collagen
did not independently stimulate proliferation in the absence of growth
factors6
(data not shown). Studies on the expression of
receptor tyrosine kinases demonstrated that there were no differences
in the protein content of EGF-R, Met (the receptor for HGF), or FGF-R2
between GECs on collagen and plastic (Figure 2)
. Thus, differences in GEC
proliferation between substrata could not be accounted for by
differences in receptor expression. It should be noted that in GECs,
EGF-R was detectable by immunoblotting, but to detect Met and FGF-R2,
samples required immunoprecipitation with receptor-specific antibodies
before immunoblotting. Thus, Met and FGF-R2 were probably expressed at
levels lower than EGF-R, explaining why the effects of EGF on
proliferation may have been more potent than those of HGF or bFGF. In
other experiments, we demonstrated that in GECs, expression of FGF-R1,
FGF-R3, and FGF-R4 was trivial (results not shown). Therefore, the
effect of bFGF on proliferation is most likely mediated through FGF-R2.
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ERK2 Activity Is Stimulated by Growth Factors in GECs Adherent to Collagen I
In keeping with previous results,8
EGF stimulated ERK2
activity effectively only in collagen-adherent GECs (Figure 3)
. By analogy, HGF and thrombin
stimulated ERK2 activity significantly in GECs on collagen, but not
plastic, whereas bFGF induced an upward trend only in collagen-adherent
cells (Figure 3)
. Therefore, similar to proliferation, ECM regulated
ERK2 activation by growth factors acting via tyrosine kinase and
non-tyrosine kinase receptors, and the potency of stimulating ERK2
activity paralleled that of proliferation. It should also be noted that
before stimulation of GECs with growth factors (ie, at ~18 hours
after plating), there were no significant differences in basal ERK2
activity between collagen and plastic substrata (data not shown).
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Stable Expression of V12Ras in GECs
We postulated that expression of a constitutively active Ras gene,
which would result in sustained activation of Ras and its downstream
pathways,6
may supplant the effect of ECM and lead to
proliferation of GECs on plastic. GECs adherent to collagen were stably
transfected with V12Ras (a constitutively active Ha-Ras)
and neomycin-resistance genes (see Methods). Clones resistant to G418
were then replated onto plastic, and 22 clones that proliferated on
plastic were isolated, passaged, and assessed for expression of Ras
protein by immunoblotting. Among these 22 transfected GEC clones, all
stably expressed V12Ras protein, 2 at high levels, 11 at
intermediate levels, and 9 at low levels. Four clones that express high
(R514), intermediate (R25, R34), or low levels of V12Ras
(R311) were chosen for additional studies (Figure 4)
. It should be noted that expression of
endogenous Ras in parental (untransfected) GECs is not readily
detectable by immunoblotting.
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Proliferation of V12Ras-transfected GEC clones on
plastic was studied 3 days after plating, in the presence or absence of
EGF (the mitogen that appeared to be most potent). In the absence of
EGF, clones R311, R34, and R25 (low to moderate expression of
V12Ras) were not able to proliferate, as cell number was
not significantly different from that of parental GECs on plastic
(Figure 6
, upper panel). In contrast,
these V12Ras-transfected GEC clones proliferated on plastic
in the presence of EGF, at rates similar to parental GECs on collagen,
whereas the parental GECs did not proliferate on plastic (Figure 6
,
lower panel). By analogy to EGF, when clone R25 GECs were cultured for
3 days on plastic in the presence of HGF or thrombin, cell number
increased 2.43 ± 0.50-fold and 1.80 ± 0.07-fold,
respectively (P < 0.05, three wells per group).
Thus, low to moderate expression of V12Ras supplants the
requirement for ECM but not growth factor. Clone R514, which featured a
high level of V12Ras expression and anchorage-independent
proliferation in the presence of growth factors, was able to
proliferate on plastic in an EGF-independent manner (Figure 6
, upper
panel). The increase in cell number was, however, smaller than the
increase in parental GECs cultured on collagen in the presence of EGF.
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As proliferation of parental GECs on collagen was dependent on the
activation of the ERK2 pathway, we assessed whether expression of
V12Ras resulted in changes in basal or stimulated ERK2
activity. In the absence of EGF, basal ERK2 activity in clones R25 and
R34 (which express moderate levels of V12Ras) was not
significantly different from parental GECs (Table 2)
. As stated above, basal ERK2 activity
in parental GECs was not affected significantly by adhesion to collagen
I; consequently, basal ERK2 activity in the
V12Ras-transfected GECs on plastic was also similar to
unstimulated parental GECs on collagen. Addition of EGF stimulated ERK2
activity significantly in both clones R25 and R34 (Table 2)
. Thus,
moderate expression of V12Ras enabled EGF to stimulate ERK2
activity in the absence of ECM.
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Results obtained in assays of ERK2 activity were confirmed by
monitoring tyrosine phosphorylation of ERK2. In keeping with changes in
ERK2 activity (Figure 3)
, EGF induced tyrosine phosphorylation of ERK2
in parental GECs adherent to collagen, but there was little change in
cells on plastic (Figure 7A)
.
Furthermore, in contrast to parental GECs on plastic, ERK2 was
endogenously tyrosine phosphorylated in V12Ras-transfected
GECs adherent to plastic (clone R514; Figure 7B
), consistent with
changes in ERK2 activity (Table 2)
. The basal level of ERK2 tyrosine
phosphorylation in V12Ras-transfected GECs was comparable
to the level of phosphorylation in EGF-stimulated GECs adherent to
collagen (Figure 7B)
. Based on three experiments, there were no
significant differences in ERK2 protein between transfected and
parental GECs, although the amount of ERK2 protein may be slightly
greater in the V12Ras-transfected GECs shown in Figure 7C
.
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In the next series of experiments, we compared ERK2 activation in
V12Ras-transfected GEC clones after addition of growth
factors that had stimulated ERK2 activity in parental GECs on collagen.
We used GECs adherent to plastic, which express low (clone R311) or
moderate levels of V12Ras (clones R34 and R25), as studies
described above suggested that basal ERK2 activity was not increased
significantly in these clones. Both EGF and HGF activated ERK2
significantly, whereas thrombin induced an upward trend in each of the
clones (Table 3)
. Basal ERK2 activity was
not significantly different from parental GECs (Table 3)
, confirming
results in Table 2
. Thus, the pattern of ERK2 activation in
V12Ras-transfected GECs on plastic is similar to that of
parental GECs on collagen (Figure 3)
, except that the effect of HGF was
relatively more potent in some transfected cells (although not
significantly greater than the effect of EGF), and the effect of
thrombin appeared to be relatively more potent in parental cells.
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Moderate expression of V12Ras enabled EGF to stimulate
ERK2 activation and proliferation in the absence of ECM. To determine
whether the signal from ECM or V12Ras that facilitates ERK2
activation may have involved the cytoskeleton, we monitored the
activation of ERK2 after incubation of GECs with cytochalasin D, a
compound that disrupts the actin cytoskeleton. In the presence of
cytochalasin D, EGF-induced ERK2 activation was inhibited significantly
in parental GECs adherent to collagen and was abolished completely in
V12Ras-transfected GECs on plastic (clones R25 and R34;
Table 4
).
|
These experiments were carried out to determine whether collagen
IV facilitated GEC proliferation and ERK2 activation. Parental GECs
were plated onto collagen IV or plastic substrata and were cultured in
the presence of EGF (see legend to Figure 1
). After 3 days, cell number
increased 4.94 ± 0.36-fold on collagen IV, as compared with
plastic (P < 0.001, five wells). In GECs
adherent to collagen IV, EGF stimulated ERK2 activation 2.65 ±
0.61-fold (as determined by immunoblotting with antibody to ERK
tyrosine204; P < 0.04, four wells). Thus,
effects of collagen IV paralleled those of collagen I.
| Discussion |
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The principal novel observation in this study is that GECs, which had
been stably transfected to express low or moderate levels of
V12Ras (clones R25, R34, R311) proliferated when adherent
to plastic in an EGF-dependent manner (Figure 6)
. Thus, the signal(s)
provided by V12Ras was sufficient to supplant the signal(s)
from ECM, but not growth factor. In these cells, EGF (and other growth
factors) were also able to activate ERK2; however, the moderate
expression of V12Ras did not independently enhance basal
ERK2 activity (Tables 2 and 3)
. These results suggest that EGF
activated ERK2 through endogenous Ras, whereas V12Ras was
not activating the ERK2 pathway directly, but was activating different
downstream effectors that secondarily facilitated the EGF-dependent
activation of endogenous Ras and ERK2. The effectors of
V12Ras may include phosphatidylinositol-3-kinase, Rho
family GTPases, and others, which affect cytoskeletal
remodeling.31,32
The latter are supported by the studies
showing that cytochalasin D abolished EGF-mediated activation of ERK2
in GECs (Table 4)
. By analogy, cytochalasin D inhibited activation of
the cell cycle in fibroblasts, and the authors concluded that growth
factors and cytoskeletal integrity jointly contribute to cell cycle
activation.33
Thus, in the plastic-adherent GECs that
express moderate levels of V12Ras, EGF was able to
stimulate ERK2 activity similarly to parental GECs on collagen,
suggesting that ECM and V12Ras may be activating analogous
downstream pathways involving the actin cytoskeleton. Organization of
the cytoskeleton may enable growth-factor-induced activation of
endogenous Ras and ERK2 and cell proliferation. Additional studies will
be required to define the relevant targets of ECM and
V12Ras more precisely. In contrast, a high level of
V12Ras expression (clone 514) led to the loss of anchorage
dependence as well as growth-factor-independent proliferation. High
levels of V12Ras expression also resulted in collagen- and
growth-factor-independent increases in ERK2 activity and tyrosine
phosphorylation, ie, basal ERK2 activation (Table 2
; Figure 7
). This
basal activation may have been due to direct action of
V12Ras on the ERK2 cascade (which did not occur with lower
V12Ras expression), or possibly, high levels of
V12Ras may have induced production of growth factors, which
then acted in an autocrine fashion to activate endogenous Ras and ERK2
and stimulate proliferation.19
The Ras-ERK2 pathway is critical for GEC proliferation, but it is important to note that this pathway is generally not sufficient. In earlier studies, we showed that brief incubation with phorbol myristate acetate (PMA, 250 ng/ml) could stimulate ERK2 activity in GECs on plastic as well as collagen (presumably via activation of protein kinase C). PMA, however, was not able to induce proliferation of GECs.8 These results imply that although the ERK2 pathway is necessary for proliferation, there is also a requirement for growth factors to activate other pathways. Alternatively, growth factors and PMA may be activating ERK2 in distinct subcellular compartments or with different kinetics, thereby differentially regulating downstream specificity.19
The magnitude of growth-factor-induced increases in ERK2 activity in
GECs was relatively small as compared with certain other cell types,
although such responses generally tend to be small in epithelial
cells,31
eg, renal inner medullary collecting tubule
cells.34
This may be related to low levels of expression of
growth factor receptors in GECs; eg, GECs contain only ~3 x
104
EGF-Rs/cell.6
Alternatively, GECs may
express only small amounts of proteins of the Ras-ERK2 cascade. For
example, endogenous levels of Ras appeared to be very low (Figure 4)
,
and even very high overexpression of V12Ras (clone R514)
did not stimulate ERK2 activity markedly (Table 2)
. GECs might also
contain abundant negative regulators of the Ras-ERK2 cascade, such as
phosphatases.35
Nonetheless, the relatively small amount of
ERK2 activation in GECs is biologically significant, as functional
inhibition of this pathway abolishes proliferation.
Collagen I was used as the ECM in most experiments in the present
study. Adhesion of GECs to collagen I in vivo is generally
limited to pathological conditions (eg, glomerular inflammation),
whereas in the normal glomerulus, GECs are adherent to collagen
IV.21
In cultured GECs, collagens I and IV exert similar
effects on proliferation, whereas proliferation is not evident on
laminin.4
In the present study, we confirmed that collagen
IV can support GEC proliferation, and we showed that EGF can also
activate ERK2 in collagen-IV-adherent GECs. However, it was not
possible perform all of the experiments using collagen IV, because it
is not practical to produce collagen IV in amounts sufficient for these
experiments. One can speculate on how the effects of ECM on growth
factor receptor signaling might regulate GEC proliferation in
vivo. There appears to be minimal turnover of GECs, and there is a
low concentration of epithelial growth factors in normal glomeruli.
Proliferation of GECs may occur in pathological states, including
experimental membranous nephropathy in rats (Heymann
nephritis).21,24
After initial sublethal injury of GECs by
the complement membrane attack complex, GECs express proliferating cell
nuclear antigen, in the absence of inflammatory cell
infiltrate.24
At present, the endogenous growth factor(s)
responsible for this proliferative response have not been defined.
Nevertheless, exogenously administered bFGF can increase the number of
mitoses in the injured GECs in experimental membranous
nephropathy.36
Furthermore, rat glomeruli express various
forms of FGFs and FGFRs.37
In other types of
glomerulonephritis, glomeruli may become infiltrated with inflammatory
cells, eg, macrophages or platelets, which are sources of epithelial
growth factors, including transforming growth factor-
, EGF, and
bFGF.38,39
Production of HGF in intrinsic glomerular cells
(eg, mesangial cells) might increase.40
Enhanced
procoagulant activity in glomerulonephritis can lead to an increase in
thrombin.41
Finally, accumulation of basement membrane and
interstitial collagens is often evident in glomerulopathies. As a
result, the concentration of factors that can potentially modulate
growth factor receptor activation may increase and may lead to enhanced
GEC proliferation. The present study may provide additional insights
into the regulation of GEC proliferation in glomerular injury.
| Acknowledgements |
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| Footnotes |
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Supported by research grants from the Medical Research Council of Canada and the Kidney Foundation of Canada. A.V. Cybulsky holds a scholarship from the Fonds de la Recherche en Santé du Québec. T. Takano holds a fellowship from the Medical Research Council of Canada.
Accepted for publication December 6, 1998.
| References |
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in activated human alveolar macrophages. Cell 1988, 53:285-293[Medline]
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