title: Vascular endothelial growth factor receptors in human mesangium in vitro and in glomerular disease.
abstract: Mesangial cell proliferation and growth factor over-expression are characteristic features of several glomerular diseases. Vascular endothelial growth factor (VEGF), a potent mitogen, is expressed in podocytes in the glomerulus, and VEGF receptors (flt-1, KDR, and neuropilin-1) are present on endothelial cells and other cell types. This study examined whether human mesangial cells (HMC) express VEGF receptors in vitro and ex vivo and evaluated the effect of VEGF on HMC proliferation. All receptor types were detected in HMC in vitro by immunofluorescence and Western blotting. VEGF(165) induced a dose-responsive increase in (3)H-thymidine incorporation (25 ng/ml VEGF(165) : 2.3-fold increase; 50 ng/ml : 3.8-fold; 100 ng/ml : 4. 8-fold; 200 ng/ml : 3.4-fold; P = 0.016) and in cell number (50 ng/ml VEGF(165) : 1.2-fold increase; 100 ng/ml : 1.6-fold; 200 ng/ml : 1.4-fold; P = 0.005), effects prevented by an anti-VEGF(165) polyclonal neutralizing antibody (100 microg/ml). The proliferative effect was confirmed by a tetrazolium dye-based assay (100 ng/ml VEGF(165) : 1.4-fold increase). In ex vivo experiments, VEGF receptors in biopsy material from normal and diseased kidneys were detected by immunohistochemistry. No mesangial flt-1 receptor staining was seen in normal renal cortical tissue samples, and only weak mesangial KDR staining was detected. In contrast, mesangial flt-1 and KDR receptor staining were both clearly seen in biopsy samples from proliferative renal diseases. In conclusion, flt-1, KDR, and neuropilin-1 are present on cultured HMC, and VEGF(165) induces HMC proliferation. In addition, the flt-1 and KDR receptors are expressed in the mesangium in mesangioproliferative disease.
authors.affiliation: Department of Endocrinology, Diabetes and Internal Medicine, Division of Medicine, King's College London Guy's Hospital, London, United Kingdom.
authors.forename: Stephen
authors.initials: S
authors.lastname: Thomas
authors.affiliation: Department of Endocrinology, Diabetes and Internal Medicine, Division of Medicine, King's College London Guy's Hospital, London, United Kingdom.
authors.forename: Johann
authors.initials: J
authors.lastname: Vanuystel
authors.affiliation: Department of Endocrinology, Diabetes and Internal Medicine, Division of Medicine, King's College London Guy's Hospital, London, United Kingdom.
authors.forename: Gabriella
authors.initials: G
authors.lastname: Gruden
authors.affiliation: Department of Endocrinology, Diabetes and Internal Medicine, Division of Medicine, King's College London Guy's Hospital, London, United Kingdom.
authors.forename: Verónica
authors.initials: V
authors.lastname: Rodríguez
authors.affiliation: Department of Endocrinology, Diabetes and Internal Medicine, Division of Medicine, King's College London Guy's Hospital, London, United Kingdom.
authors.forename: Davina
authors.initials: D
authors.lastname: Burt
authors.affiliation: Department of Endocrinology, Diabetes and Internal Medicine, Division of Medicine, King's College London Guy's Hospital, London, United Kingdom.
authors.forename: Luigi
authors.initials: L
authors.lastname: Gnudi
authors.affiliation: Renal Pathology Unit GKT School of Medicine, King's College London Guy's Hospital, London, United Kingdom.
authors.forename: Barry
authors.initials: B
authors.lastname: Hartley
authors.affiliation: Department of Endocrinology, Diabetes and Internal Medicine, Division of Medicine, King's College London Guy's Hospital, London, United Kingdom.
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Viberti
mesh_terms: D000368:Aged; D002452:Cell Count / Q000187:drug effects; D002455:Cell Division / Q000187:drug effects; D002478:Cells, Cultured; D016228:Endothelial Growth Factors / Q000494:pharmacology; D005920:Glomerular Mesangium / Q000378:metabolism*; D006801:Humans; D007674:Kidney Diseases / Q000378:metabolism*; D007678:Kidney Glomerulus / Q000166:cytology / Q000378:metabolism; D008222:Lymphokines / Q000494:pharmacology; D008875:Middle Aged; D009419:Nerve Tissue Proteins / Q000378:metabolism; D039942:Neuropilin-1; D011518:Proto-Oncogene Proteins / Q000378:metabolism; D020794:Receptor Protein-Tyrosine Kinases / Q000378:metabolism*; D017978:Receptors, Growth Factor / Q000378:metabolism*; D040262:Receptors, Vascular Endothelial Growth Factor; D013936:Thymidine / Q000378:metabolism; D042461:Vascular Endothelial Growth Factor A; D040281:Vascular Endothelial Growth Factor Receptor-1; D042442:Vascular Endothelial Growth Factors
chemical_list: D016228:Endothelial Growth Factors; D008222:Lymphokines; D009419:Nerve Tissue Proteins; D011518:Proto-Oncogene Proteins; D017978:Receptors, Growth Factor; C467484:VEGFA protein, human; D042461:Vascular Endothelial Growth Factor A; D042442:Vascular Endothelial Growth Factors; D039942:Neuropilin-1; D020794:Receptor Protein-Tyrosine Kinases; D040262:Receptors, Vascular Endothelial Growth Factor; D040281:Vascular Endothelial Growth Factor Receptor-1; D013936:Thymidine