Administration of puromycin aminonucleoside (PAN) to rats induces acut
e nephrosis with hyperlipidemia, and, in some experimental conditions,
it results in chronic focal glomerulosclerosis, In this study, we exa
mined the cytotoxicity of serum ii om rats with PAN-induced nephrosis,
since hypercholesterolemia is considered to cause injury to vascular
walls in atherosclerosis, the mechanism of which is analogous to that
of glomerulosclerosis. About half of the tested sera from nephrotic ra
ts (9 out of 17) were cytotoxic to cultured aortic endothelial cells,
The toxic substance(s) was heat-stable and was extracted in the lipid
Fraction. Serum levels of triglyceride and cholesterol were markedly h
igher in the group of rats with cytotoxic serum than in the group with
noncytotoxic serum, No cytotoxicity was associated with sera from con
trol rats or the corresponding lipid fractions, Cytotoxic sera were al
so effective against cultured glomerular epithelial and mesangial cell
s, These results indicate that cytotoxic lipid is produced in rats wit
h PAN nephrosis and the results raise tile possibility that the cytoto
xic lipid in nephrotic serum might contribute to lipid-mediated glomer
ular injury which may induce glomerulosclerosis at a subsequent stage.