Article

Lab Invest 2000, 80:1561–1570

Expression of Transforming Growth Factor-bold beta and Tumor Necrosis Factor-alpha in the Plasma and Tissues of Mice with Lupus Nephritis

This work was supported by National Institutes of Health grant HL-47819 (DJL).

Koji Yamamoto1 and David J Loskutoff2

  1. 1First Department of Internal Medicine, Nagoya University School of Medicine, Nagoya, Japan
  2. 2Department of Vascular Biology, The Scripps Research Institute, La Jolla, California

Correspondence: Dr. K.Yamamoto, First Department of Internal Medicine, Nagoya University School of Medicine, 65 Tsurumai, Showa, Nagoya 466-8550, Japan. Fax: 81 52 744 2157; E-mail: kojiy@med.nagoya-u.ac.jp

Received 20 July 2000.

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Abstract

Although elevated levels of transforming growth factor-beta (TGF-beta) and tumor necrosis factor-alpha (TNF-alpha) have been implicated in renal disease, the tissue distribution and cellular localization of the induced cytokines is not well established. In this study, we investigated the expression of these cytokines during the progression of lupus nephritis in MRL lpr/lpr mice. The concentration of both cytokines increased in the plasma of these animals in an age-dependent manner, and there was an age-dependent induction of TGF-beta and TNF-alpha mRNAs in their kidneys. Although the increase in TGF-beta mRNA was specific for the kidney, the increase in TNF-alpha mRNA was widespread and also could be demonstrated in the liver, lung, and heart. In situ hybridization analysis of renal tissues from the lupus-prone mice localized TGF-beta mRNA to the glomerulus, and more specifically, to resident glomerular cells and inflammatory cells infiltrating periglomerular spaces in the nephritic lesions. The signals for TNF-alpha mRNA were detected only in inflammatory cells and were distributed throughout the nephritic kidney. Plasminogen activator inhibitor-1 (PAI-1) is known to be elevated in the glomeruli of MRL lpr/lpr mice, and intraperitoneal administration of either TGF-beta or TNF-alpha into normal mice markedly induced the expression of this potent inhibitor of fibrinolysis in renal glomerular or tubular cells in vivo. These results suggest that the increased renal expression of both cytokines may contribute to the development of lupus nephritis in this model and raise the possibility that PAI-1 may be involved. The fact that TGF-beta is specifically induced in the kidney whereas TNF-alpha increases in a variety of tissues, supports the hypothesis that the renal specificity of this disorder reflects the abnormal expression of TGF-beta.

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Introduction

Lupus nephritis which often accompanies the autoimmune disorder, systemic lupus erythematosus, is characterized by extracellular matrix accumulation and the formation of glomerular, tubular, vascular, and interstitial lesions (Hayslett and Kashgarian, 1993). Inflammatory and immunological processes have been implicated in the development of this nephropathy, including the elaboration of transforming growth factor-beta (TGF-beta) and tumor necrosis factor-alpha (TNF-alpha) (Border and Ruoslahti, 1992; Boswell et al, 1988; Brennan et al, 1989; Moll et al, 1995).

TGF-beta is a multifunctional cytokine that can either inhibit or stimulate cellular proliferation and, as such, seems to play a critical role in tissue repair and regeneration after injury (Border and Ruoslahti, 1992). This cytokine not only stimulates the synthesis of individual matrix components, including fibronectin (Ignotz and Massagu, 1986), collagens (Roberts et al, 1986), and proteoglycans (Bassols and Massagu, 1988; Border et al, 1990a), but it also blocks matrix degradation by decreasing the synthesis of proteases and by increasing the levels of protease inhibitors (Edwards et al, 1987; Laiho et al, 1987). Thus, the expression of TGF-beta may promote the deposition of extracellular matrix (Roberts et al, 1986) and the development of fibrosis (Border and Noble, 1994) in certain types of glomerulonephritis (Okuda et al, 1990), in lung fibrosis (Broekelmann et al, 1991), in liver cirrhosis (Czaja et al, 1989), in cardiac fibrosis after infarction (Thompson et al, 1988), and in scarring disorders of the eye (Connor et al, 1989) and skin (Shah et al, 1992). Elevated renal expression of TGF-beta has been demonstrated in experimental glomerulonephritis (Coimbra et al, 1991; Okuda et al, 1990) and in several types of human kidney disease (Yamamoto et al, 1993; Yamamoto et al, 1996; Yoshioka et al, 1993). TGF-beta is a potent inducer of antifibrinolytic (eg, plasminogen activator inhibitor-1: PAI-1) (Sawdey and Loskutoff, 1991) and procoagulant (tissue factor: TF) (Ranganathan et al, 1991) gene expression in the kidney. However, in spite of the link between TGF-beta and kidney disease, little is known about the cellular distribution of the genes induced by TGF-beta during the progression of kidney disease, and the cellular localization of TGF-beta itself in renal pathologies in vivo has not been fully elucidated.

Although TNF-alpha is an important regulator of the immune response, alterations in TNF-alpha also have been implicated in kidney diseases (Boswell et al, 1988; Neale et al, 1995). This cytokine is produced primarily by cells of the monocyte/macrophage lineage, although a wide range of cell types have been reported to express it as well (Tracey and Cerami, 1994). It has been suggested that the local expression of TNF-alpha during the inflammatory response may modulate the synthesis of hemostatic genes by endothelial cells (Clauss et al, 1992). Although TNF-alpha has been reported to promote a procoagulant/antifibrinolytic profile when administered to cells in vitro (Sawdey et al, 1989; Scarpati and Sadler, 1989; Schleef et al, 1988), there is little information available regarding the induction of hemostatic genes by TNF-alpha in the kidney in vivo (Sawdey and Loskutoff, 1991). In human and animal renal diseases, TNF-alpha expression is associated predominantly with extrinsic inflammatory cells (Matsumoto, 1993; Noronha et al, 1993), and elevated levels of TNF-alpha mRNA and antigen in the renal cortex were detected in lupus-prone mice (Brennan et al, 1989; Yokoyama et al, 1995). In contrast, TNF-alpha was shown to protect the NZB x NZW F1 hybrid from developing lupus nephritis (Jacob and McDevitt, 1988). Thus, because of the multiplicity of its effects, the exact contribution of TNF-alpha to the development of lupus nephritis remains unclear.

To begin to evaluate the potential pathological role of TGF-beta and TNF-alpha in autoimmune lupus nephritis, we compared the expression of these cytokines in the plasma and tissues of mice with lupus nephritis (MRL lpr/lpr) with that of their control counterparts (MRL +/+). We also determined the ability of TGF-beta and TNF-alpha to induce PAI-1 mRNA expression in the kidneys because previous studies implicate PAI-1 in the progression of lupus nephritis in MRL lpr/lpr mice (Keeton et al, 1995). Although both cytokines increased with age in the plasma of diseased animals (ie, as a function of disease progression), TGF-beta mRNA was specifically increased in the kidney of the lupus-prone mice, whereas the induction of TNF-alpha mRNA occurred in several tissues, including the kidney, liver, lung, and heart. Both cytokines also induced the expression of PAI-1 (Sawdey et al, 1989; Sawdey and Loskutoff, 1991), the principal inhibitor of plasminogen activation, in the normal murine kidney in vivo. The increase in PAI-1 may decrease local fibrinolytic potential in the kidney and promote fibrin formation and renal injury (Tsumagari and Tanaka, 1984), two conditions frequently detected in lupus-nephritic lesions (Kant et al, 1981; 1985). The specific induction of TGF-beta, but not TNF-alpha, in the kidney may contribute to the progression of lupus nephritis by promoting extracellular matrix accumulation and fibrin deposition. The more widespread induction of TNF-alpha suggests that it may play a pathological role in autoimmune diseases through the stimulation of systemic inflammatory responses and the alteration of hemostatic balance in vascular cells.

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Results

TGF-beta Antigen and TNF-alpha Activity Levels in Plasma from Lupus-Prone Mice

Figure 1 shows the levels of TGF-beta antigen and TNF-alpha activity in plasma from lupus-prone mice of different ages compared with the levels in control mice. No difference in total TGF-beta antigen levels was detected in plasma from 2-month-old control and lupus-prone mice. However, a 2-fold increase in TGF-beta antigen was observed in plasma from 5-month-old lupus-prone mice compared with controls, and a 1.5-fold increase was observed in 6-month-old lupus-prone mice compared with controls (Fig. 1A). Similar age-related increases (2- to 3-fold) in TNF-alpha activity were observed in plasma from 5- to 6-month-old lupus-prone mice compared with control mice (Fig. 1B).

Figure 1.
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Age-related changes in transforming growth factor (TGF)-beta antigen and tumor necrosis factor (TNF)-alpha activity in plasma from control and lupus-prone mice. Plasma was collected from mice of different ages and analyzed for TGF-beta antigen and TNF-alpha activity as described in the "Materials and Methods" section. A, TGF-beta antigen levels from control (open columns) and lupus-prone (closed columns) mice. B, TNF-alpha activity from control (open columns) and lupus-prone (hatched columns) mice. The data are expressed as the mean and sd obtained using five mice in each category. For TGF-beta antigen, p < 0.03 for 5-month-old and p < 0.05 for 6-month-old control vs lupus-prone mice. For TNF-alpha activity, p < 0.02 for 5-month-old and p < 0.03 for 6-month-old control vs lupus-prone mice.

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TGF-beta and TNF-alpha mRNA Levels in Tissues from Lupus-Prone Mice

We next compared the expression of TGF-beta and TNF-alpha mRNAs in tissues from control and lupus-prone mice using quantitative reverse transcription (RT)-PCR assays. A dramatic, age-related increase in TGF-beta mRNA was observed in the kidney from lupus-prone mice compared with the normal kidney (Fig. 2). For example, no significant differences in TGF-beta expression were observed when the kidneys of these mice were compared at 2 months. However, a 2-fold increase in the relative levels of TGF-beta mRNA was apparent in kidneys from lupus-prone mice by 3 months, a time in which the onset of obvious disease was not yet observed by microscopic examination (Keeton et al, 1995). Marked increases in TGF-beta mRNA levels also were apparent in diseased kidneys with lupus-like nephritic changes (eg, 2.5-fold increase at 4 months, 3.4-fold at 5 months, and 2.5-fold at 6 months). Thus, this increase in renal TGF-beta mRNA was age-related and occurred in parallel with the development of lupus glomerulonephritis (Moll et al, 1995; Theofilopoulos and Dixon, 1985). The increases in TGF-beta mRNA were relatively specific for the diseased kidney because we were unable to detect significant increases in TGF-beta expression in most other organs examined at any age, including the heart, liver, lung, brain, and spleen (Fig. 2). No specific pathological changes were detected in these tissues at any age except for the infiltration of inflammatory cells with occasional expression of TGF-beta mRNA detected by in situ hybridization (data not shown).

Figure 2.
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Age-related changes in TGF-beta mRNA in tissues from control and lupus-prone mice. The indicated tissues were harvested from lupus-prone (black columns) and control (white columns) mice at various ages. Total RNA was prepared and analyzed for TGF-beta mRNA by quantitative reverse transcription-polymerase chain reaction (RT-PCR) as described in the "Materials and Methods" section. The data are expressed as the mean and sd obtained using five mice in each category. For the TGF-beta mRNA levels in the kidney, p < 0.03 for 3-month-old, p < 0.03 for 4-month-old, p < 0.008 for 5-month-old, and p < 0.02 for 6-month-old control vs lupus-prone mice.

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Significant age-related increases in TNF-alpha mRNA also were detected in the kidney from lupus-prone mice (Fig. 3). However, in contrast to the results with TGF-beta, increased expression of TNF-alpha mRNA was not restricted to the diseased kidney. In fact, marked elevations in TNF-alpha mRNA were detected in the liver, lung, and heart from 4- to 6-month-old lupus-prone mice. No significant differences in TNF-alpha mRNA levels were detected in the brain and spleen from control and diseased mice at any age.

Figure 3.
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Age-related changes in TNF-alpha mRNA in tissues from control and lupus-prone mice. Total RNA was prepared from tissues of control (white columns) and lupus-prone (hatched columns) mice, and analyzed for TNF-alpha mRNA by quantitative RT-PCR as described in the "Materials and Methods" section. The data are expressed as the mean and sd obtained using five mice in each category. The p values for control vs lupus-prone mice at 5 months of age were p < 0.002, kidney; p < 0.001, liver; p < 0.002, lung; p < 0.05, heart.

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Localization of TGF-beta and TNF-alpha mRNAs in Tissues from Lupus-Prone Mice

Regional in situ autoradiography of kidneys from 5-month-old mice showed markedly enhanced accumulation of TGF-beta mRNA in the diseased renal cortex (Fig. 4, compare panels A and B). The distinctive speckled pattern in the cortex suggests a glomerular localization, and this hypothesis is supported by the results shown in Figure 5. For example, high resolution in situ analysis of the kidney failed to detect a specific signal for TGF-beta mRNA in glomeruli or in tubular and perivascular regions in control kidneys (Fig. 5A). However, in kidneys from lupus-prone mice, increased TGF-beta mRNA was apparent in resident glomerular cells (eg, mesangial cells; Fig. 5B) and in infiltrating inflammatory cells (eg, macrophages) in periglomerular regions (Fig. 5C). Mononuclear cells infiltrating peritubular (Fig. 5D) and perivascular (Fig. 5E) regions also expressed abundant TGF-beta mRNA in the lupus nephritis. The blue color characteristic of our hybridization signal using indirect illumination in this system is not always even over the slide. Thus, the white dots in Figure 5 are also specific hybridization signals that have been bleached out in the photograph.

Figure 4.
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Regional localization of TGF-beta and TNF-alpha mRNA in kidney sections from control and lupus-prone mice. Kidney sections from 5-month-old control MRL +/+ (A and C) and diseased MRL lpr/lpr (B and D) mice were analyzed by regional in situ autoradiography as described in the "Materials and Methods" section. The sections were incubated on X-ray film and photographed after 2 weeks' exposure at room temperature. Hybridization signals are indicated by the black grains in the photographs. A and B show the distribution of TGF-beta mRNA, whereas C and D show TNF-alpha mRNA.

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Figure 5.
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High-resolution in situ hybridization analysis of TGF-beta and TNF-alpha mRNA in kidneys from control and lupus-prone mice. Kidney sections from 5-month-old MRL lpr/lpr (lupus-prone) and MRL +/+ mice (control) were hybridized to the 35S-labeled TGF-beta (Panels A to E) or TNF-alpha (Panels F to I) riboprobe and analyzed as described in the "Materials and Methods" section. Panels A to C, Renal glomeruli (G) from a control mouse (Panel A) and from a lupus-prone mouse (Panels B and C), times400. In Panel B, closed arrowheads denote parietal epithelial cells, open arrowheads indicate resident glomerular cells, and arrows show macrophages inside the glomerulus. Arrows in Panel C indicate clusters of infiltrating inflammatory cells in periglomerular regions. Panel D indicates tubular (T) regions in the renal cortex from a lupus-prone mouse (times400). Open arrowheads in Panel D denote what appear to be inflammatory mononuclear cells infiltrating peritubular regions. Panel E, Renal periarterial regions from a lupus-prone mouse (times400). An arrow indicates a cluster of infiltrating inflammatory cells. (A) Renal artery. Panel F shows glomeruli (G) from a control mouse (times400). Panel G indicates tubular (T) regions in the renal cortex (times400) and Panel H shows the renal periarterial region (times400), both from a lupus-prone mouse. Closed arrowheads in Panel G denote inflammatory cells infiltrating peritubular regions and an arrow in Panel H indicates a cluster of inflammatory cells infiltrating the periarterial region. (A) Renal artery. Panel I indicates glomerular regions from a lupus-prone mouse (times400). Open arrowheads denote cells that appear to be resident glomerular cells and closed arrowheads indicate cells that resemble inflammatory cells infiltrating periglomerular regions. Slides for Panels A to E were exposed for 10 weeks and slides for Panels F to I exposed for 12 weeks at 4° C.

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Regional in situ autoradiography for TNF-alpha mRNA in kidneys from 5-month-old MRL lpr/lpr mice revealed a different pattern than that observed for TGF-beta mRNA. In this case, the increased hybridization signal was not confined to glomerular structures but rather was distributed throughout the kidney (Fig. 4, compare panels C and D). This observation suggests that TNF-alpha mRNA was expressed in inflammatory cells in the nephritic kidney and not in resident glomerular cells. High resolution in situ hybridization analysis of the kidney from lupus-prone mice supports this possibility. For example, although no hybridization signal for TNF-alpha mRNA was detected in the control kidney (Fig. 5F), positive specific signals were localized to clusters of inflammatory cells infiltrating in periglomerular, peritubular, and perivascular regions (Fig. 5, G to I). Resident cells inside glomeruli in the nephritic kidney were, in general, negative (Fig. 5I).

Effects of TGF-beta and TNF-alpha on the Renal Expression of PAI-1 in the Normal Mouse

Because we previously observed the dramatic induction of PAI-1 in renal tissues with fibrin deposition during the development of lupus nephritis in MRL lpr/lpr mice (Yamamoto and Loskutoff, 1997), the contributive effect of TGF-beta or TNF-alpha on the induction of PAI-1 in the normal murine kidney was further examined in this study. Renal tissues of adult CB6 mice were harvested at 3 hours after intraperitoneal injection with TGF-beta, TNF-alpha, or saline alone; total RNA was prepared for quantitative RT-PCR; and tissue sections were prepared for in situ hybridization. Both cytokines dramatically induced PAI-1 mRNA (20-fold by TGF-beta and 15-fold by TNF-alpha) in the kidney (Table 1). Regional in situ autoradiography of renal tissues from mice injected with TGF-beta demonstrated relatively high levels of PAI-1 mRNA in the inner medulla and papilla, with positive signals also distributed to glomerular structures in the cortex (Fig. 6B). No specific signals for PAI-1 mRNA were detected in the control kidney (Fig. 6A). In contrast to these results, TNF-alpha induced PAI-1 mRNA primarily in the glomerular structure in the renal cortex (Fig. 6C). High resolution in situ analysis of renal tissues from control mice again failed to detect a specific signal for PAI-1 mRNA (Fig. 6D). However, in the kidneys of mice injected with TGF-beta, elevated PAI-1 mRNA was detected in glomerular mesangial cells, Bowmann's capsular epithelial cells, vascular smooth muscle cells, inflammatory mononuclear cells (Fig. 6E), and in tubular epithelial cells in collecting tubules and papillary ducts in the medulla (Fig. 6F). PAI-1 mRNA was not detected in endothelial cells. In TNF-alpha-treated mice, increased signals for PAI-1 mRNA were localized to cells that appear to be glomerular and peritubular endothelial cells (Fig. 6G).

Figure 6.
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In situ hybridization analysis of PAI-1 mRNA induced by TGF-beta or TNF-alpha in kidneys. Kidneys were harvested from CB6 mice at 3 hours after injection with either TGF-beta (Panels B, E, and F), TNF-alpha (Panels C and G), or saline alone (Panels A and D). The sections were hybridized to the 35S-labeled PAI-1 riboprobe and analyzed by regional in situ autoradiography (Panels A to C) or by high-resolution in situ hybridization (Panels D to G). Panels D, F, and G show glomerular regions in the renal cortex (times400), and Panel E indicates the tubular region in the renal papilla (times400). G, glomeruli; T, tubules. In Panel F, arrows denote positive parietal epithelial cells, closed arrowheads indicate inflammatory mononuclear cells, and the open arrowhead shows what appears to be a smooth muscle cell in a small artery. In Panel G, the arrow denotes what appears to be a peritubular endothelial cell, whereas arrowheads indicate cells that resemble glomerular endothelial cells. The sections for Panels A to C were incubated on X-ray film for 2 weeks. Slides for Panels D to G were exposed for 8 weeks at 4° C.

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Discussion

In this study, we attempt to relate changes in the pattern of TGF-beta and TNF-alpha gene expression to the progression of lupus nephritis using MRL lpr/lpr mice as models. Because both cytokines have been reported to induce PAI-1 gene expression (Sawdey and Loskutoff, 1991; Sawdey et al, 1989), and because PAI-1 was previously correlated to the progression of lupus nephritis in MRL lpr/lpr mice (Keeton et al, 1995; Yamamoto and Loskutoff, 1997), we also examined the ability of these cytokines to induce renal PAI-1. These studies were initiated because increased renal expression of both cytokines frequently correlates with the disease state. For example, elevated expression of TGF-beta was demonstrated in glomerular cells in experimental glomerulonephritis (Coimbra et al, 1991; Okuda et al, 1990) and in several human glomerular diseases, including diabetic nephropathy (Yamamoto et al, 1993), IgA nephritis, proliferative glomerulonephritis (Yoshioka et al, 1993), crescentic glomerulonephritis, and lupus nephritis (Yamamoto et al, 1996). Moreover, administration of TGF-beta promotes the pathological accumulation of extracellular matrix (Border and Ruoslahti, 1992) and tissue fibrosis in the kidney (Border and Noble, 1994; Roberts et al, 1986) and plays a role in expansion of the mesangial extracellular matrix (Okuda et al, 1990; Tomooka et al, 1992). Administration of a neutralizing antibody to TGF-beta decreases glomerular accumulation of extracellular matrix (Border et al, 1990b). These results suggest that the induction of TGF-beta may be relevant to the progression of glomerular disease. However, despite this strong correlation between TGF-beta and renal disease, the exact distribution of TGF-beta in diseased kidneys remains to be determined. We detected elevated TGF-beta antigen in plasma from aged lupus-prone mice (Fig. 1). Quantitative RT-PCR (Fig. 2) and in situ hybridization experiments (Figs. 4 and 5) suggest that glomerular cells and infiltrating inflammatory cells in the nephritic kidney contribute to the observed increased plasma TGF-beta levels. However, it is also possible that inflammatory cells recruited to other tissues (eg, liver or spleen) secret considerable amounts of TGF-beta in this model (Caver et al, 1996). The observation that the accumulation of TGF-beta mRNA in the lupus-prone mice was localized to the kidneys (Fig. 2) and, more specifically, to the glomerular structures within them, in which the histopathological changes of lupus nephritis were most pronounced (Fig. 4), suggests that this TGF-beta may contribute to the tissue-specific pathology in this model (Kreft et al, 1996).

The exact contribution of TNF-alpha to the progression of lupus nephritis is less clear because previous studies of TNF-alpha expression in renal cells under physiological and pathological conditions (Noronha et al, 1993; Tovey et al, 1988) produced conflicting results. For example, a correlation between TNF-alpha expression and the pathogenesis of experimental nephropathy was demonstrated in rats (Gomez-Chiarri et al, 1994) and in the development of human membranous nephropathy (Neale et al, 1995). Similarly, elevated renal expression of TNF-alpha and interleukin-1 correlated with the severity of renal injury in murine lupus nephritis (Brennan et al, 1989). In contrast, peritoneal macrophages from lupus-prone mice (NZB x NZW F1) produced lower levels of TNF-alpha than controls, and injection of TNF-alpha into these mice protected them from developing lupus nephritis (Jacob and McDevitt, 1988). Here we show that the induction of TNF-alpha mRNA during the progression of lupus nephritis is not restricted to the kidney as was the case for TGF-beta (Fig. 2). Instead, TNF-alpha mRNA was elevated in many organs besides the kidney, including the liver, lung, and heart (Fig. 3). Moreover, unlike the increase in TGF-beta mRNA, the increase in TNF-alpha mRNA was not associated with specific glomerular cells, but rather was localized to infiltrating inflammatory cells and distributed throughout the lupus-nephritic kidney (Fig. 4). The widespread induction of TNF-alpha mRNA in tissues that show no signs of disease suggests that TNF-alpha alone is not sufficient to promote the extracellular matrix accumulation and fibrosis associated with this disorder. Our preliminary observation that TNF-alpha is a potent inducer of TGF-beta expression in the kidney in vivo (Yamamoto and Loskutoff, unpublished observation) raises the possibility that TNF-alpha may also contribute to the development of glomerulonephritis through the induction of renal TGF-beta.

TNF-alpha may also mediate the recruitment of mononuclear infiltrates (Matsumoto, 1993) and thus contribute to the vasculitis associated with the formation of thrombi. The observation that TNF-alpha is able to recruit macrophages and alter the hemostatic and/or fibrinolytic properties of cells (Sawdey et al, 1989; Scarpati and Sadler, 1989; Schleef et al, 1988) makes it likely that both TNF-alpha and TGF-beta contribute to lupus nephritis and fibrin deposits observed in this model (Kant et al, 1981). Studies of PAI-1 support this hypothesis. For example, examination of renal tissue from mice with lupus nephritis by in situ hybridization revealed increased PAI-1 mRNA in infiltrating inflammatory cells in the glomeruli, in glomerular mesangial cells, and in endothelial cells (Keeton et al, 1995). PAI-1 mRNA was not detected in glomeruli under normal physiological conditions (Keeton et al, 1993), suggesting that this increase in PAI-1 may be mediated by cytokines locally released by these infiltrating inflammatory cells and/or by activated glomerular cells.

TGF-beta induces the expression of PAI-1 in vitro (Pepper et al, 1991; Sawdey et al, 1989) and in vivo (Sawdey and Loskutoff, 1991; Wilson et al, 1993), and this induction is most pronounced in kidneys and adipose tissues in the mouse (Sawdey and Loskutoff, 1991). Moreover, addition of TGF-beta to cultured rat glomeruli also dramatically increased PAI-1 synthesis and markedly reduced plasminogen activator activity (Tomooka et al, 1992). It is noteworthy that the increased renal expression of TGF-beta mRNA in glomerular cells and infiltrating inflammatory cells occurred in parallel with the induction of PAI-1 mRNA in the lupus-nephritic kidney (Moll et al, 1995). We show that intraperitoneal administration of TGF-beta dramatically induced PAI-1 mRNA in the normal kidney (Table 1), and that the induced PAI-1 mRNA was localized to glomerular cells and tubular epithelial cells in the inner medulla and papilla (Fig. 6). Although TNF-alpha also markedly induced PAI-1 mRNA in glomerular structures in the normal kidney (Table 1, Fig. 6), this increase differed from that mediated by TGF-beta because it was localized primarily to endothelial cells (van Hinsbergh et al, 1988). This specific induction of PAI-1 mRNA in endothelial cells may account for the antifibrinolytic/procoagulant effects of TNF-alpha (Clauss et al, 1992). In any case, it seems likely that both TGF-beta and TNF-alpha contribute to the increased PAI-1 in this model because the combined pattern of PAI-1 mRNA induction by these cytokines (Fig. 6) resembles the pattern in the kidneys of mice with lupus nephritis (Keeton et al, 1995; Yamamoto and Loskutoff, 1997). The increase in PAI-1 will not only inhibit proteolysis and increase the accumulation of extracellular matrix, but it may also lead to increased local procoagulant potential. Such changes are expected to promote glomerulosclerosis and fibrosis.

In conclusion, the observations in this study demonstrate a correlation between the increased renal expression of TGF-beta and TNF-alpha, both of which can induce renal PAI-1 and the development of lupus nephritis. These observations raise the possibility that TGF-beta and PAI-1 may contribute to the renal pathology because both have been reported to stimulate extracellular matrix accumulation (Okuda et al, 1990; Roberts et al, 1986; Vassalli et al, 1991) and promote sclerotic and fibrotic changes (Barnes et al, 1995; Border and Noble, 1994; Eitzman et al, 1996). It is also possible that the increased expression of TNF-alpha in the kidney may influence disease progression in this model (Brennan et al, 1989; Jacob and McDevitt, 1988). However, despite these considerations, the causative role of these molecules in the development of lupus nephritis remains to be demonstrated. To more directly address the role of these molecules in the development of this disorder will require the analysis of the progression of this disease in mice deficient in TGF-beta, TNF-alpha, or PAI-1.

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Materials and Methods

Tissue Preparation

Female MRL lpr/lpr and control (MRL +/+) mice, aged 2 to 6 months (Scripps Clinic Rodent Breeding Colony, La Jolla, California), were killed by overdose inhalation anesthesia using metofane. The blood was collected into 20 mM EDTA (final concentration) and centrifuged at 3000 timesg for 5 minutes, and then the plasma was removed and stored at -70° C. Tissues were rapidly removed by standard dissection techniques and either minced and immediately frozen in liquid nitrogen for preparation of total RNA or fixed overnight in chilled 4% paraformaldehyde and then embedded in paraffin for in situ hybridization. In some experiments, 2-month-old male CB6 mice were injected intraperitoneally with recombinant human TGF-beta (2 mug/mouse; Sigma Chemical Company, St. Louis, Missouri) or with recombinant murine TNF-alpha (4 mug/mouse; a kind gift of Dr. Richard Ulevitch, The Scripps Research Institute), each diluted in a final volume of 200 mul of saline (Baxter, Deerfield, Illinois). Control CB6 mice were injected with an equivalent volume of saline alone. Three hours later, tissues were removed and processed as described above.

Determination of TGF-beta Antigen and TNF-alpha Activity in Plasma

Total TGF-beta antigen in plasma (ng/ml) was measured by ELISA using the TGF-beta1 KIT (Genzyme Corporation, Cambridge, Massachusetts), as previously described (Grainger et al, 1995). TNF-alpha activity in plasma (U/ml) was determined by employing the WEHI 164 clone 13 assay as previously described (Espevik and Nissen-Meyer, 1986).

Quantitative RT-PCR

A quantitative RT-PCR approach was employed to determine the concentration of specific mRNAs in murine tissues (Platzer et al, 1992; Yamamoto and Loskutoff, 1996). Competitive RT-PCR was performed using 105 molecules of competitor RNA (cRNA) for TGF-beta, TNF-alpha, and PAI-1, and 107 molecules of cRNA for beta-actin, all in the presence of 1 mug total tissue RNA and 5 times 105 cpm of 32P-labeled oligonucleotide as described (Samad et al, 1996; Yamamoto and Loskutoff, 1996). Aliquots (20 mul) of the PCR products were electrophoresed through 2% to 2.5% agarose gels containing ethidium bromide. The appropriate bands corresponding to the cRNA product and the target mRNA product were excised from the gel, and the incorporated radioactivity was determined using a scintillation counter. A standard curve for the cRNA was constructed and employed to extrapolate the number of molecules of target mRNA per microgram of total tissue RNA. Variations in sample loading were assessed by measuring beta-actin mRNA.

In Situ Hybridization

Procedures for the preparation of all 35S-labeled riboprobes and for in situ hybridization were as described previously (Yamamoto and Loskutoff, 1996). After hybridization, the slides were dehydrated by immersion in a graded alcohol series containing 0.3 M NH4Ac, dried, and either placed directly on XAR-5 film (Eastman Kodak, Rochester, New York) for regional in situ autoradiography, or coated with emulsion for high-resolution analysis. For regional autoradiography, the films were developed and photographed after incubation in the dark at room temperature for 2 weeks. For high-resolution in situ analysis, the slides were coated with NTB2 emulsion (Kodak; 1:2 in water), and exposed in the dark at 4° C for 4 to 8 weeks. The slides were developed for 2 minutes in D19 developer (Kodak), fixed, washed in water, and counterstained with hematoxylin and eosin. In all cases, parallel sections were analyzed using a sense probe as the control for nonspecific hybridization. No specific hybridization signal could be detected in these control hybridizations.

Statistical Analysis

Statistical analysis of all quantitative RT-PCR results was performed by using the Student's two-tailed unpaired t test for comparisons between groups (Statview Software, Abacus Concepts, Berkeley, California). Differences were not considered significant when p > 0.05 (group size, n = 5).

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Acknowledgements

The authors thank T. Thinnes for expert technical assistance and M. McRae for excellent secretarial assistance.

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