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J Am Soc Nephrol 14:2264-2270, 2003
© 2003 American Society of Nephrology

Genes Expressed by the Kidney, but Not by Bone Marrow-Derived Cells, Underlie the Genetic Predisposition to Progressive Glomerulosclerosis after Mesangial Injury

Joris A. Aben*, Dennis A. Hoogervorst*, Leendert C. Paul{dagger}, Maria C. Borrias{dagger}, Nancy A. Noble{ddagger}, Wayne A. Border{ddagger}, Jan A. Bruijn* and Emile de Heer*

Departments of *Pathology and {dagger}Nephrology, Leiden University Medical Center, Leiden, The Netherlands; and {ddagger}Fibrosis Research Laboratory and Division of Nephrology, University of Utah, Salt Lake City, Utah.

Dr. Joris A. Aben, Department of Pathology, L1-Q Room P0-14, Leiden University Medical Center, P.O. Box 9600, NL-2300 RC Leiden, The Netherlands. Phone: +31-71-526-6574; Fax: +31-71-524-8158;

ABSTRACT. Progressive renal failure is accompanied by uncontrolled accumulation of extracellular matrix in glomeruli and tubulointerstitium, eventually resulting in glomerulosclerosis. Although glomerulosclerosis occurs secondary to various renal diseases, the fact that not all patients develop progressive glomerulosclerosis suggests that genetic factors may underlie the tendency to progress, or not to progress. Identified were two Lewis rat substrains with small genetic differences but with considerable difference in resolution of glomerulonephritis after anti-Thy-1 administration. In the Lewis/Møllegard rat strain, anti-Thy-1 glomerulonephritis spontaneously resolves within 4 wk. In contrast, Lewis/Maastricht rats develop progressive glomerulosclerosis after induction of this disease. The involvement of bone marrow-derived cells and kidney cells in the development of glomerulosclerosis was determined. In the first study, exchange of bone marrow between these substrains did not affect the course of anti-Thy-1 nephritis. Lewis/Møllegard rats recovered rapidly, but Lewis/Maastricht rats showed progressive disease regardless of the genotype of the bone marrow they received. In the second study, kidneys were exchanged between the substrains. After transplantation, anti-Thy-1 nephritis was induced and glomerular damage assessed at day 21. Severe damage was observed in Lewis/Maastricht glomeruli independent of whether the kidney had been transplanted or not. Similarly, Lewis/Møllegard glomeruli, whether transplanted or not, revealed no residual histopathologic abnormalities. The inherited differences between the two substrains with regard to their insusceptibility to develop progressive glomerulosclerosis after mesangial injury are governed by genes expressed by the kidney, but not by bone marrow-derived cells. E-mail: J.A.Aben@lumc.nl




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