Background Intercellular adhesion molecule-1 (ICAM-1) and vascular cell adh
esion molecule (VCAM) are thought to play important roles in leukocyte recr
uitment to the kidney. We therefore chose to study mesangial cell adhesion
molecule expression in vitro, and the role of these molecules in experiment
al lupus-like nephritis. Methods and Results: When cultured murine mesangia
l cells were stimulated with interferon-gamma (IF gamma) and tumor necrosis
factor-alpha (TNF alpha), mRNA levels for ICAM-1 and VCAM markedly increas
ed. These molecules were detected at the cell surface by flow cytometry. Si
nce lipopolysaccharide (LPS) stimulates TNF alpha and IF gamma production i
n vivo, we treated mice with Streptococcus minnesota LPS in order to study
renal adhesion molecule expression. LPS treatment induced mesangial prolife
rative glomerulonephritis characterized by leukocyte infiltration, and incr
eases in total glomerular cellularity, volume and matrix area. mRNA levels
for ICAM-1 and VCAM were increased in the kidneys of LPS-treated versus con
trol mice. ICAM-1 and VCAM molecules were constitutively expressed in renal
vascular endothelium. At 3 and 5 weeks, this vascular staining intensified
, and some ICAM-1 and VCAM expression was induced in the glomerular mesangi
um. ICAM-1 and VCAM induction occurred early and correlated in time with le
ukocyte infiltration. Conclusion: Interactions between cell adhesion molecu
les expressed by intrinsic glomerular cells and infiltrating leukocytes pla
y a role in the initiation of LPS-induced lupus-like nephritis. These obser
vations are potentially relevant to the understanding and treatment of cert
ain types of human glomerulonephritis. Copyright (C) 2000 S. Karger AG, Bas
el.