Vascular and glomerular expression of endothelin-1 in normal human kidney. Herman, William H., Steven N. Emancipator, R. L. Patrick Rhoten, and Michael S. Simonson. Department of Medicine, Division of Nephrology, and Department of Pathology, School of Medicine, Case Western Reserve University and University Hospitals of Cleveland, Cleveland, Ohio 44106. Department of Neurosurgery, Cleveland Clinic Foundation, Cleveland, Ohio, 44195
APStracts 5:0058F, 1998.
To understand better the function of endothelin-1 (ET-1) in renal physiology, we examined vascular and glomerular expression of ET-1 in normal human kidney and in lupus nephritis. Immunohistochemical analysis revealed that renal endothelium of glomeruli, arteries, veins, and capillaries expressed ET-1. Endothelial cells were the principal source of glomerular ET-1; positive immunostaining was detected only rarely in mesangial cells and vascular smooth muscle cells from normal kidney. However, mesangial staining for ET-1 was elevated in patients with lupus nephritis, suggesting that under certain conditions mesangial cells elaborate ET-1. Indeed cultured human mesangial cells from normal subjects secreted ET-1 peptide. ET -1 secretion was augmented by the protein kinase C activator phorbol ester and by transforming growth factor b1, a cytokine implicated in the development of glomerulosclerosis. Transient transfection of cultured mesangial cells with a preproET-1 reporter construct showed that the preproET-1 promoter is transcriptionally active in mesangial cells and is stimulated by transforming growth factor b1, phorbol ester, or ectopic expression of protein kinase [beta]1. Cultured human mesangial cells have both ETA and ETB receptors that contribute to ET-1-stimulated mitogenesis. Taken together, these results demonstrate that ET-1 is expressed at sites where paracrine or autocrine signaling by ET-1 might control renal vasoconstriction, glomerular filtration rate, and remodeling of the glomerulus in renal disease.

Received 19 August 1997; accepted in final form 25 February 1998.
APS Manuscript Number F271-7.
Article publication pending Am. J. Physiol. (Renal Physiology).
ISSN 1080-4757 Copyright 1998 The American Physiological Society.
Published in APStracts on 9 March 1998