Background. In inflammatory glomerular diseases, proliferation, as well as
apoptosis of mesangial cells (MCs), has been shown histomorphologically. Bo
th processes may regulate the cellular content of the mesangium by closely
influencing each other. In the present study, we examined whether the cytop
lasmic free Ca2+ concentration [Ca2+](i) is involved as a key second messen
ger in the regulation of proliferative and apoptotic events.
Methods. Thapsigargin, an inhibitor of the endoplasmic Ca2+-Mg2+-ATPase, wa
s used as a test substance to investigate the role of [Ca2+](i) in signalin
g MC apoptosis and growth in vitro. Apoptosis was determined by nuclear chr
omatin staining with Hoechst 33258, by a [H-3]-thymidine-based DNA fragment
ation assay or by flow cytometry detecting binding of FITC-conjugated annex
in V. Proliferation was measured by [H-3]- thymidine incorporation into aci
d-precipitable material and corroborated by cell counting.
Results. Thapsigargin significantly induced apoptosis and inhibited prolife
ration dose dependently in nanomolar concentrations without evoking necroti
c damage when administered not longer than 12 hours. Significant apoptosis
was measurable after a six-hour treatment of MCs with thapsigargin. Determi
nation of [Ca2+](i) by fura-2-dependent spectrofluorometry showed that thap
sigargin was able to induce prolonged [Ca2+](i) rises that could be prevent
ed by preincubation with the intracellular Ca2+ chelator 1,2-bis(2-aminophe
noxy)-ethane-N,N,N', N'-tetra-acetic acid (BAPTA) acetomethyl ester (AM). B
APTA had no influence on MC viability but reversed thapsigargin-induced apo
ptosis to control levels. After thapsigargin treatment (100 nmol/L, 12 hour
s), apoptotic MCs had a significantly higher [Ca2+](i) of 251 +/- 25 nmol/L
(N = 41) as compared with MCs that were not or not yet apoptotic ([Ca2+](i
) of 116 +/- 20 nmol/L, N = 26, P < 0.05). Platelet-derived growth factor (
PDGF), a well-characterized growth factor for MCs, reversed the effects of
thapsigargin on proliferation and apoptosis in a similar fashion as BAPTA.
PDGF acutely stimulated increases of [Ca2+](i) but abolished thapsigargin-d
ependent, but not angiotensin II- or ATP-induced Ca2+ rises when administer
ed during a 12-hour preincubation.
Conclusions. Our data suggest that a sustained increase of [Ca2+](i) may se
rve as a signal to trigger MC apoptosis. Growth factors such as PDGF can ab
olish apoptosis induced by elevations of [Ca2+](i) by altering intracellula
r Ca2+ signaling.