Hj. Anders et al., Chemokine and chemokine receptor expression during initiation and resolution of immune complex glomerulonephritis, J AM S NEPH, 12(5), 2001, pp. 919-931
Chemokines participate in leukocyte infiltration, which plays a major role
in glomerular injury during immune complex glomerulonephritis (IC-GN). Beca
use target cell expression of chemokine receptors (CCR) is thought to media
te leukocyte migration, the expression pattern of chemokines and CCR in a m
odel of IC-GN was examined. The transient course and predominant glomerular
pathology of this model allows the examination of both the induction and r
esolution phases of IC-GN. GN was induced in mice by daily apoferritin inje
ction for 2 wk. Urine samples and kidneys were obtained at 1, 2, and 4 wk.
Albuminuria was noted at 2 wk, but resolved after 4 wk. This was associated
with glomerular IC deposits and mesangial proliferation. Glomerular macrop
hage infiltration was prominent at 1 and 2 wk, which resolved at 4 wk. Expr
ession of monocyte chemoattractant protein-1 (MCP-1) and RANTES mRNA was up
regulated at week 1 and decreased to control levels at weeks 2 and 4. The e
xpression was localized to glomeruli by in situ hybridization and immunohis
tochemistry. The mRNA of CCR1, CCR2, and CCR5 but not CCR3 or CCR4 were upr
egulated at week 1 and decreased at weeks 2 and 4. Expression of CCR5 was l
ocated to the glomerulus by in situ hybridization and quantitative reverse
transcription-PCR of isolated glomeruli. In summary, in a model of transien
t IC-GN, MCP-1 and RANTES and their receptors CCR1, CCR2, and CCR5 are expr
essed early and are already downregulated at the peak of proteinuria and le
ukocyte infiltration. Resolution of glomerulonephritis is associated with a
return to baseline of chemokine and CCR expression. Therefore, it is concl
uded that glomerular MCP-1 and RANTES production directs circulating leukoc
ytes that express CCR1, CCR2, and CCR5 into the glomerulus. After initiatin
g GN, MCP-1 and RANTES and their receptors are readily downregulated.