PMID- 11351041 OWN - NLM STAT- MEDLINE DCOM- 20010607 LR - 20230216 IS - 0023-6837 (Print) IS - 0023-6837 (Linking) VI - 81 IP - 5 DP - 2001 May TI - Monoclonal light chain--mesangial cell interactions: early signaling events and subsequent pathologic effects. PG - 689-703 AB - Glomerulopathic monoclonal light chains (G-LC) interact with mesangial cells (MC), resulting in alterations of mesangial homeostasis. Early signaling events control mitogenic activities and cytokine production, which in turn participate in the subsequent pathologic events. Mesangial homeostasis is affected in two very different ways, depending on whether the G-LC is from a patient with light chain deposition disease (LCDD) or light chain-related amyloidosis (AL-Am). In contrast, tubulopathic (T)-LC chains from patients with myeloma cast nephropathy do not significantly interact with MC and result in no alterations in mesangial homeostasis. Therefore, understanding early events in the monoclonal LC-MC interactions is fundamental. MC in culture were exposed to LC obtained and purified from the urine of patients with plasma cell dyscrasias and biopsy-proven renal disease, including LCDD, AL-Am, and myeloma cast nephropathy. Incubation of MC with G-LC, but not T-LC, resulted in cytoskeletal and cell shape changes, activation of platelet-derived growth factor-beta (PDGF-beta) and its corresponding receptor, cytoplasmic to nuclear migration of c-fos and NF-kappa beta signals, and production of monocyte chemoattractant protein-1 (MCP-1), as well as increased expression of Ki-67, a proliferation marker. Although NF-kappa beta activation was directly related to MCP-1 production, c-fos activation regulated proliferative signals and cytoskeletal changes in MC. Amyloidogenic LC were avidly internalized by the MC, whereas LCDD-LC effector targets were located at the MC surface. These cellular events are likely initiated as a result of interactions of the G-LC with yet-uncharacterized MC surface receptors. Dissecting the events taking place when G-LC interact with MC may define potential important targets for selective therapeutic manipulation to ameliorate or prevent the glomerular injury that ensues. FAU - Russell, W J AU - Russell WJ AD - Department of Pathology, Louisiana State University Health Sciences Center, Shreveport, Louisiana 71130, USA. FAU - Cardelli, J AU - Cardelli J FAU - Harris, E AU - Harris E FAU - Baier, R J AU - Baier RJ FAU - Herrera, G A AU - Herrera GA LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Lab Invest JT - Laboratory investigation; a journal of technical methods and pathology JID - 0376617 RN - 0 (Chemokine CCL2) RN - 0 (Immunoglobulin Light Chains) RN - 0 (Ki-67 Antigen) RN - 0 (NF-kappa B) RN - 0 (Nuclear Proteins) RN - 0 (Proto-Oncogene Proteins c-fos) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Amyloidosis/urine MH - Animals MH - Blotting, Western MH - CHO Cells MH - Carcinoma, Renal Cell/urine MH - Cells, Cultured MH - Chemokine CCL2/analysis MH - Cricetinae MH - Flow Cytometry MH - Glomerular Mesangium/cytology/*immunology/ultrastructure MH - Humans MH - Hydrogen-Ion Concentration MH - Immunoglobulin Light Chains/*immunology/isolation & purification MH - Immunohistochemistry MH - Ki-67 Antigen/analysis MH - Kidney Neoplasms/urine MH - L Cells MH - Mice MH - NF-kappa B/analysis MH - Nephrectomy MH - Nuclear Proteins/analysis MH - Proto-Oncogene Proteins c-fos/analysis MH - Signal Transduction MH - Tumor Necrosis Factor-alpha/analysis EDAT- 2001/05/15 10:00 MHDA- 2001/06/08 10:01 CRDT- 2001/05/15 10:00 PHST- 2001/05/15 10:00 [pubmed] PHST- 2001/06/08 10:01 [medline] PHST- 2001/05/15 10:00 [entrez] AID - S0023-6837(22)01958-4 [pii] AID - 10.1038/labinvest.3780278 [doi] PST - ppublish SO - Lab Invest. 2001 May;81(5):689-703. doi: 10.1038/labinvest.3780278.