Severe proteinuria, sustained for 6 months, induces tubular epithelial cell injury and cell filtration in rats but not progressive interstitial fibrosis
H. Kikuchi et al., Severe proteinuria, sustained for 6 months, induces tubular epithelial cell injury and cell filtration in rats but not progressive interstitial fibrosis, NEPH DIAL T, 15(6), 2000, pp. 799-810
Background. Sustained proteinuria is reported to be very harmful to the tub
ulointerstitium, leading to severe interstitial injury. However, it remains
unclear whether sustained proteinuria itself is responsible for severe int
erstitial injury because, in the previously reported models, the developmen
t of factors other than proteinuria in tubulointerstitial lesions could not
be excluded completely.
Methods. After treatment to induce immune tolerance to mouse immunoglobulin
, 20 rats were injected with anti-rat slit diaphragm monoclonal antibody (m
Ab) 5-1-6 twice a week for 6 months and were then sacrificed.
Results. mAb 5-1-6 induced massive proteinuria in II rats. In nine rats wit
h mild proteinuria, no histological alteration could be detected with light
microscopy and immunofluorescence. In nephrotic rats, light microscopy sho
wed minor glomerular abnormalities, with interstitial oedema, tubular epith
elial cell degeneration and interstitial cell infiltration. Immunofluoresce
nce revealed increased expression of vimentin and an increased number of OX
1-, OX19- and ED1-positive cells. However, we could not detect any accumula
tion of type I and IV collagen or laminin in the tubulointerstitium. RT-PCR
showed that the expression of mRNA for type I collagen was not increased,
compared with that in control rats.
Conclusions. We succeeded in developing a model of persistent nephrosis wit
hout severe glomerular abnormalities, nephrectomy or other manoeuvres known
to induce disturbed haemodynamics, using an agent without tubulointerstiti
al toxicity, and considered it to be suitable for investigating the direct
toxicity of proteinuria. In this model, isolated massive proteinuria induce
d interstitial injury. However, the degree of injury was suggested to be mu
ch less than that observed in other previously developed models.