Korean J Intern Med.  1998 Feb;13(1):27-32.

Role of mononuclear cells of IgA nephropathy on ICAM-1 expression in mesangial cells

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Kyunghee University, Seoul, Korea.
  • 2Department of Nephrology, College of Medicine, Kyunghee University, Seoul, Korea.

Abstract


OBJECTIVES
To investigate the possible role of mononuclear cells and their products in the pathogenesis of IgA nephropathy, in vitro expression of ICAM-1 on cultured mouse mesangial cell (MC) was examined after stimulation with mononuclear cell culture supernatant from patients with IgA nephropathy. METHODS: Peripheral blood mononuclear cells (PBMC) were isolated and cultured from 18 patients with primary IgA nephropathy, 8 normal controls and 5 patients with non-IgA nephropathy (FSGS 1, MGN 3, MPGN 1). ICAM-1 expression on cultured mouse MC by TNF-alpha, IL-1 beta and culture supernants of PBMC were analyzed using a cell ELISA method. The concentration of IL-1 beta and TNF-alpha in culture supernatants was measured by using a commercially available radioimmunoassay kit. RESULTS: Addition of human recombinant TNF-alpha induced an increased ICAM-1 expression in a dose-dependent manner. The expression of ICAM-1 was further increased after co-stimulation with TNF-alpha and IL-1 beta. Addition of PBMC culture supernatants into mouse MC induced significantly higher expression of ICAM-1 by supernatants from the patients with IgA nephropathy compared with that from normal controls. The concentration of TNF-alpha and IL-1 beta in supernatants from the patients with IgA nephropathy was significantly higher than that from those with non-IgA nephropathy. CONCLUSION: TNF-alpha and IL-1 released from mononuclear cells induced the up-regulation of ICAM-1 expression and this may be related to the immune pathogenesis of IgA nephropathy.


MeSH Terms

Animal
Cells, Cultured
Glomerular Mesangium/immunology
Glomerular Mesangium/cytology
Glomerulonephritis, IGA/immunology*
Glomerulonephritis, IGA/etiology
Human
Intercellular Adhesion Molecule-1/metabolism*
Interleukin-1/secretion
Interleukin-1/pharmacology
Leukocytes, Mononuclear/immunology
Mice
Tumor Necrosis Factor/secretion
Tumor Necrosis Factor/pharmacology
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