251. Role of glomerular proteoglycans in IgA nephropathy.
- Author
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Ebefors K, Granqvist A, Ingelsten M, Mölne J, Haraldsson B, and Nyström J
- Subjects
- Adult, Biopsy, Decorin genetics, Decorin metabolism, Female, Fibrosis, Gene Expression Regulation, Glomerulonephritis, IGA classification, Heparan Sulfate Proteoglycans genetics, Heparan Sulfate Proteoglycans metabolism, Humans, Kidney Tubules metabolism, Kidney Tubules pathology, Male, Middle Aged, RNA, Messenger genetics, RNA, Messenger metabolism, Transforming Growth Factor beta genetics, Transforming Growth Factor beta metabolism, Glomerulonephritis, IGA metabolism, Glomerulonephritis, IGA pathology, Kidney Glomerulus metabolism, Kidney Glomerulus pathology, Proteoglycans metabolism
- Abstract
Mesangial matrix expansion is a prominent feature of the most common form of glomerulonephritis, IgA nephropathy (IgAN). To find molecular markers and improve the understanding of the disease, the gene and protein expression of proteoglycans were investigated in biopsies from IgAN patients and correlated to clinical and morphological data. We collected and microdissected renal biopsies from IgAN patients (n = 19) and from healthy kidney donors (n = 14). Patients were followed for an average time of 4 years and blood pressure was according to target guidelines. Distinct patterns of gene expression were seen in glomerular and tubulo-interstitial cells. Three of the proteoglycans investigated were found to be of special interest and upregulated in glomeruli: perlecan, decorin and biglycan. Perlecan gene expression negatively correlated to albumin excretion and progress of the disease. Abundant decorin protein expression was found in sclerotic glomeruli, but not in unaffected glomeruli from IgAN patients or in controls. Transforming growth factor beta (TGF-β), known to interact with perlecan, decorin and biglycan, were upregulated both on gene and protein level in the glomeruli. This study provides further insight into the molecular mechanisms involved in mesangial matrix expansion in IgAN. We conclude that perlecan is a possible prognostic marker for patients with IgAN. In addition, the up-regulation of biglycan and decorin, as well as TGF-β itself, indicate that regulation of TGF-β, and other profibrotic markers plays a role in IgAN pathology.
- Published
- 2011
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