Key result
Renin lineage cells selectively regenerate mesangial rather than endothelial cells in renal thrombotic microangiopathy.
Why the study?
It is unclear whether renin lineage cells contribute to glomerular endothelial cell regeneration after endothelial injury in kidney disease.
Renin lineage cells do not contribute to glomerular endothelial regeneration after injury, but instead participate in the repair of the damaged mesangium.
RLCs do not replenish glomerular endothelium post-injury; leaves open their targeted role in mesangial repair for future studies.
Endothelial cells (EC) frequently undergo primary or secondary injury during kidney disease such as thrombotic microangiopathy or glomerulonephritis. Renin Lineage Cells (RLCs) serve as a progenitor cell niche after glomerular damage in the adult kidney. However, it is not clear whether RLCs also contribute to endothelial replenishment in the glomerulus following endothelial injury. Therefore, we investigated the role of RLCs as a potential progenitor niche for glomerular endothelial regeneration. We used an inducible tet-on triple-transgenic reporter strain mRen-rtTAm2/LC1/LacZ to pulse-label the renin-producing RLCs in adult mice. Unilateral kidney EC damage (EC model) was induced by renal artery perfusion with concanavalin/anti-concanavalin. In this model glomerular EC injury and depletion developed within 1 day while regeneration occurred after 7 days. LacZ-labelled RLCs were restricted to the juxtaglomerular compartment of the afferent arterioles at baseline conditions. In contrast, during the regenerative phase of the EC model (day 7) a subset of LacZ-tagged RLCs migrated to the glomerular tuft. Intraglomerular RLCs did not express renin anymore and did not stain for glomerular endothelial or podocyte cell markers, but for the mesangial cell markers α8-integrin and PDGFRβ. Accordingly, we found pronounced mesangial cell damage parallel to the endothelial injury induced by the EC model. These results demonstrated that in our EC model RLCs are not involved in endothelial regeneration. Rather, recruitment of RLCs seems to be specific for the repair of the concomitantly damaged mesangium.
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Ruhnke et al. (2018) studied Experimental renal thrombotic microangiopathy (n=20). Concanavalin-A/anti-concanavalin-A induced endothelial cell injury vs. Saline (baseline control) was evaluated on Glomerular endothelial cell regeneration by Renin Lineage Cells (RLCs). In a mouse model of renal thrombotic microangiopathy, renin lineage cells did not contribute to glomerular endothelial cell regeneration, but instead selectively differentiated into intraglomerular mesangial cells.
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