Overexpression of brain natriuretic peptide in mice ameliorates immune-mediated renal injury

J Am Soc Nephrol. 2001 Dec;12(12):2652-2663. doi: 10.1681/ASN.V12122652.

Abstract

One of major causes of end-stage renal disease is glomerulonephritis, the treatment of which remains difficult clinically. It has already been shown that transgenic mice that overexpress brain natriuretic peptide (BNP), with a potent vasorelaxing and natriuretic property, have ameliorated glomerular injury after subtotal nephrectomy. However, the role of natriuretic peptides in immune-mediated renal injury still remains unknown. Therefore, the effects of chronic excess of BNP on anti-glomerular basement membrane nephritis induced in BNP-transgenic mice (BNP-Tg) were investigated and the mechanisms how natriuretic peptides act on mesangial cells in vitro were explored. After induction of nephritis, severe albuminuria (approximately 21-fold above baseline), tissue damage, including mesangial expansion and cell proliferation, and functional deterioration developed in nontransgenic littermates. In contrast, BNP-Tg exhibited much milder albuminuria (approximately fourfold above baseline), observed only at the initial phase, and with markedly ameliorated histologic and functional changes. Up-regulation of transforming growth factor-beta (TGF-beta) and monocyte chemoattractant protein-1 (MCP-1), as well as increased phosphorylation of extracellular signal-regulated kinase (ERK), were also significantly inhibited in the kidney of BNP-Tg. In cultured mesangial cells, natriuretic peptides counteracted the effects of angiotensin II with regard to ERK phosphorylation and fibrotic action. Because angiotensin II has been shown to play a pivotal role in the progression of nephritis through induction of TGF-beta and MCP-1 that may be ERK-dependent, the protective effects of BNP are likely to be exerted, at least partly, by antagonizing the renin-angiotensin system locally. The present study opens a possibility of a novel therapeutic potential of natriuretic peptides for treating immune-mediated renal injury.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Albuminuria / urine
  • Animals
  • Antihypertensive Agents / pharmacology
  • Blood Pressure / drug effects
  • Chemokine CCL2 / metabolism
  • Complement C3 / metabolism
  • Glomerular Mesangium / cytology
  • Glomerular Mesangium / metabolism
  • Hydralazine / pharmacology
  • Immunoglobulin G / metabolism
  • Kidney / metabolism
  • Kidney / pathology
  • Kidney Diseases / immunology*
  • Kidney Diseases / metabolism
  • Kidney Diseases / pathology*
  • Kidney Glomerulus / metabolism
  • Macrophages / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mitogen-Activated Protein Kinases / metabolism
  • Natriuretic Agents / metabolism
  • Natriuretic Peptide, Brain / pharmacology*
  • Phosphorylation
  • Rats
  • Rats, Inbred WKY
  • Serum Albumin / analysis
  • Transforming Growth Factor beta / metabolism
  • Transforming Growth Factor beta1

Substances

  • Antihypertensive Agents
  • Chemokine CCL2
  • Complement C3
  • Immunoglobulin G
  • Natriuretic Agents
  • Serum Albumin
  • Tgfb1 protein, mouse
  • Tgfb1 protein, rat
  • Transforming Growth Factor beta
  • Transforming Growth Factor beta1
  • Natriuretic Peptide, Brain
  • Hydralazine
  • Mitogen-Activated Protein Kinases