Glomerular hypertension has been considered to play an important role
in the development of glomerulosclerosis. Mesangial expansion, a precu
rsor of glomerulosclerosis, may be dependent not only on synthesis of
matrix but also on degradation of the deposited matrix. In the present
study we investigated the effect of simulated glomerular pressure on
72 kDa metalloproteinase activity (measured as degradation of gelatin)
of mesangial cells. To simulate glomerular pressure conditions we hav
e used an in vitro mechanical stretch/relaxation system as well as an
alternative system which allowed direct application of pressure on mes
angial cells. Mesangial cells were grown either under control (no adde
d pressure), stretch/relaxation, or direct mean pressure of 45-50 mm H
g (physiologic glomerular pressure) conditions. Mesangial cells grown
under stretch/relaxation showed a higher (P < 0.02) level of 72 kDa me
talloproteinase activity when compared with control cells (control, 6.
9 +/- 0.8 vs. stretch, 9.9 +/- 0.5 ng gelatin degraded/mu g protein).
Similarly, direct simulated glomerular pressure increased (P < 0.01) m
esangial cell 72 kDa metalloproteinase activity when compared with con
trol cells. The effect of mechanical strain on mesangial cell 72 kDa m
etalloproteinase activity peaked at the end of the third day (control,
4.5 +/- 1.1 vs. stretch 15.3 +/- 1.1 ng gelatin degraded/mu g protein
, P < 0.001). Both mechanical strain and direct pressure to mesangial
cells modulated 72 kDa metalloproteinase activity in a dose dependent
manner. Mechanical stretch equivalent to normal simulated glomerular p
ressure increased mesangial 72 kDa metalloproteinase activity by 88%;
whereas mesangial cell 72 kDa metalloproteinase activity declined to b
asal levels at higher simulated glomerular pressure (equivalent to 100
mm Hg). Likewise, direct higher pressure (100 mm Hg) also lowered 72
kDa metalloproteinase activity to basal levels. These results indicate
that higher glomerular pressure inhibits degradation of type IV colla
gen. This may cause an accumulation of extracellular matrix and may th
us be contributing to the expansion of the mesangium.