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Am J Physiol Renal Physiol (June 10, 2009). doi:10.1152/ajprenal.00137.2009
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Submitted on March 9, 2009
Revised on June 7, 2009
Accepted on June 8, 2009

Shock induced stress induces loss of microvascular endothelial Tie2 in the kidney which is not associated with reduced glomerular barrier function

Matijs van Meurs1, Neng Fisheri Kurniati2, Francis Wulfert2, Sigridur A Asgeirsdottir2, Inge A. de Graaf3, Simon C Satchell4, Peter W Mathieson4, Rianne M. Jongman2, Philipp Kümpers5, Jan G. Zijlstra2, Peter Heeringa, and Grietje Molema2*

1 University Medical Center Groningen
2 University Medical Center Groningen, University of Groningen
3 Groningen University Institute for Drug Exploration
4 University of Bristol
5 Hannover Medical School, Hannover

* To whom correspondence should be addressed. E-mail: g.molema{at}med.umcg.nl.

Both hemorrhagic shock and endotoxaemia induce a pronounced vascular activation in the kidney which coincides with albuminuria and glomerular barrier dysfunction. We hypothesized that changes in Tie2, a vascular restricted receptor tyrosine kinase shown to control microvascular integrity and endothelial inflammation, underlie this loss of glomerular barrier function. In healthy murine and human kidney, Tie2 is heterogeneously expressed in all microvascular beds, although to different extent. In mice subjected to hemorrhagic and septic shock, Tie2 mRNA and protein were rapidly, and temporarily, lost from the renal microvasculature, and normalized within 24 hours after initiation of the shock insult. The loss of Tie2 protein could not be attributed to shedding as both in mice and healthy volunteers subjected to endotoxaemia, sTie2 levels in the systemic circulation did not change. In an attempt to identify the molecular control of Tie2, we activated glomerular endothelial cell cultures and human kidney slices in vitro with LPS or TNF{alpha}, but did not observe a change in Tie2 mRNA levels. In parallel to the loss of Tie2 in vivo, an overt influx of neutrophils in the glomerular compartment which coincided with proteinuria, was seen. As neutrophil - endothelial cell interactions may play a role in endothelial adaptation to shock, and these effects can not be mimicked in vitro, we depleted neutrophils prior to shock induction. While this neutrophil depletion abolished proteinuria, Tie2 was not rescued, implying that Tie2 may not be a major factor controlling maintenance of the glomerular filtration barrier in this model.







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