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.