PMID- 11012900 OWN - NLM STAT- MEDLINE DCOM- 20001113 LR - 20061115 IS - 0085-2538 (Print) IS - 0085-2538 (Linking) VI - 58 IP - 4 DP - 2000 Oct TI - Proinflammatory gene expression and macrophage recruitment in the rat remnant kidney. PG - 1664-76 AB - BACKGROUND: Macrophage (Mphi) infiltration may contribute to chronic renal injury. We therefore sought to examine the expression of genes associated with Mphi recruitment in the rat remnant kidney model. METHODS: Male Munich Wistar rats underwent 5/6 nephrectomy or sham operation (SHM, N = 18) and received no treatment (VEH, N = 18), enalapril 100 mg/L (ENA, N = 18), or candesartan 70 mg/L (CSN, N = 24) in drinking water. Competitive, quantitative reverse transcription-polymerase chain reaction was used to determine renal cortex mRNA levels for cell adhesion molecules vascular cell adhesion molecule-1 (VCAM-1) and intercellular adhesion molecule-1 (ICAM-1), the Mphi chemoattractant monocyte chemoattractant protein-1 (MCP-1), Mphi products interleukin-1beta (IL-1beta) and tumor necrosis factor-alpha (TNF-alpha), and the profibrotic cytokine transforming growth factor-beta1 (TGF-beta1), at intervals post-nephrectomy. RESULTS: Glomerular and interstitial Mphi infiltration in VEH rats was associated with an early (4 week) and sustained rise in MCP-1 and TGF-beta1 mRNA levels. Progressive increases in ICAM-1, VCAM-1, IL-1beta, and TNF-alpha expression followed at 8 and 12 weeks. Immunostaining in VEH rats localized TGF-beta1 to glomeruli, tubules, and interstitium; MCP-1 to tubules and interstitial cells; ICAM-1 to glomeruli; and IL-1beta and TNF-alpha to tubules and interstitial cells. At 12 weeks, both treatments normalized systolic blood pressure (ENA, 105 +/- 6; CSN, 97 +/- 3 mm Hg) and the urinary protein excretion rate (ENA, 8.4 +/- 0.9; CSN, 5.7 +/- 0.8 mg/day), prevented renal injury (focal and segmental glomerulosclerosis: ENA, 3.3 +/- 0.9; CSN, 1.3 +/- 0.4%), and suppressed Mphi infiltration and cytokine expression (with the exception of TNF-alpha) to near SHM levels. CONCLUSIONS: These findings support the hypothesis that the coordinated up-regulation of several molecules regulating Mphi recruitment and activation is a fundamental response to renal mass ablation and is dependent on an intact renin-angiotensin system. We speculate that these responses may play a role in the pathogenesis of the ensuing glomerulosclerosis and tubulointerstitial fibrosis. FAU - Taal, M W AU - Taal MW AD - Renal Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115-6110, USA. mtaal@rics.bwh.harvard.edu FAU - Zandi-Nejad, K AU - Zandi-Nejad K FAU - Weening, B AU - Weening B FAU - Shahsafaei, A AU - Shahsafaei A FAU - Kato, S AU - Kato S FAU - Lee, K W AU - Lee KW FAU - Ziai, F AU - Ziai F FAU - Jiang, T AU - Jiang T FAU - Brenner, B M AU - Brenner BM FAU - MacKenzie, H S AU - MacKenzie HS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Kidney Int JT - Kidney international JID - 0323470 RN - 0 (Chemokine CCL2) RN - 0 (DNA Primers) RN - 0 (Interleukin-1) RN - 0 (RNA, Messenger) RN - 0 (Transforming Growth Factor beta) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (Vascular Cell Adhesion Molecule-1) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) SB - IM MH - Animals MH - Chemokine CCL2/genetics MH - DNA Primers MH - Gene Expression/immunology MH - Glomerulosclerosis, Focal Segmental/*immunology MH - Intercellular Adhesion Molecule-1/genetics MH - Interleukin-1/genetics MH - Kidney/cytology/immunology/surgery MH - Macrophages/*cytology/*immunology MH - Male MH - Nephrectomy MH - RNA, Messenger/analysis MH - Rats MH - Rats, Wistar MH - Renin-Angiotensin System/immunology MH - Reverse Transcriptase Polymerase Chain Reaction MH - Transforming Growth Factor beta/genetics MH - Tumor Necrosis Factor-alpha/genetics MH - Vascular Cell Adhesion Molecule-1/genetics EDAT- 2000/09/30 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/09/30 11:00 PHST- 2000/09/30 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/09/30 11:00 [entrez] AID - S0085-2538(15)47264-3 [pii] AID - 10.1111/j.1523-1755.2000.00327.x [doi] PST - ppublish SO - Kidney Int. 2000 Oct;58(4):1664-76. doi: 10.1111/j.1523-1755.2000.00327.x.