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1 Department of Nephrology, Göteborg University, SE-405 30 Göteborg, Sweden; and 2 Division of Nephrology, Albert Einstein College of Medicine, Bronx, New York 10461
It has been suggested that proteinuria is
caused by alterations of the charge selectivity of the basement
membrane and/or the epithelial cell layer (podocytes). However, recent
findings suggest that the endothelial luminal surface coat, consisting of proteoglycans with their connected glycosaminoglycan (GAG) branches
and glycoproteins, may contribute to the permselectivity. Therefore, we
wanted to investigate the effects on endothelial GAG synthesis during
normal and pathological conditions. We treated glomerular endothelial
cell cultures with puromycin aminonucleoside (PAN, a nephrosis-inducing
agent) or interleukin-1
(IL-1
) for a total of 72 h and
compared the metabolic turnover and incorporation of
[35S]sulfate during the last 2 days. In control cultures,
the GAG content in the media supernatants increased 66 ± 6%
(mean ± SE) between 12 and 42 h of incubation with
radioactivity (P < 0.01, n = 8). The
content of 35S-labeled GAGs in the media was reduced by
31 ± 1% by PAN (P < 0.001, n = 8) and increased by 141 ± 15% by 10 U/ml IL-1
(P < 0.01, n = 8). Treatment with
enzymes revealed a dominance of heparan, chondroitin, and dermatan
sulfate GAGs. Thus the glomerular endothelial cell production of GAGs
was increased by IL-1
and reduced by PAN. Therefore, it is
conceivable that certain nephrotic conditions may be due to endothelial
dysfunction, rather than other renal causes.
endothelium; kidney glomerulus; interleukin-1; proteoglycan; puromycin aminonucleoside
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