Research Article

Laboratory Investigation (2004) 84, 63–70, advance online publication, 20 November 2003; doi:10.1038/labinvest.3700012

Age-dependent decrease of polymeric Ig receptor expression and IgA elevation in ddY mice: a possible cause of IgA nephropathy

Takeshi Yanagihara1,2, Yoshihiro Kumagai1, Yoshihiko Norose1, Itaru Moro3, Masanobu Nanno4, Mutsumi Murakami2 and Hidemi Takahashi1

  1. 1Department of Microbiology and Immunology, Nippon Medical School, Tokyo, Japan
  2. 2Department of Pediatrics, Nippon Medical School, Tokyo, Japan
  3. 3Department of Pathology, Nihon University School of Dentistry, Tokyo, Japan
  4. 4Yakult Central Institute for Microbiological Research, Tokyo, Japan

Correspondence: Hidemi Takahashi, Department of Microbiology and Immunology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8602, Japan. E-mail: htkuhkai@nms.ac.jp

Received 24 September 2003; Accepted 2 October 2003; Published online 20 November 2003.

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Abstract

Individual animals in the closed colony population of ddY mice were analyzed to clarify the major cause of age-dependent elevation of serum IgA and the appearance of human IgA nephropathy (IgAN)-like symptoms. Based on the serum IgA levels, the mice were classified into two subgroups. One was a high serum IgA group with some manifestations of IgAN through aging (ddYHigh), and the other was a normal serum IgA group without IgAN (ddYNorm). The ratio of urinary IgA to serum IgA was significantly reduced in ddYHigh mice, suggesting an impaired IgA clearance via secretion through the epithelial barrier. The actual clearance rate of the intravenously injected dimeric IgA in ddYHigh mice was found to be slower than that in ddYNorm mice. Furthermore, we found that the polymeric Ig receptors (pIgRs) that mediate transcytosis of IgA were poorly expressed in the glomeruli as well as in the intestine of ddYHigh mice, whereas the pIgRs were more abundantly expressed in ddYNorm mice. In addition, the comparative study using polymerase chain reaction showed that decreased pIgR expression occurred at the transcriptional level in the ddYHigh population. Taken together, these results suggest that a systemic defect in pIgR expression may result in impaired IgA secretion and accumulation of IgA in the serum of ddYHigh mice. The age-dependent changes of pIgR expression in the dimeric IgA secretion sites of ddYHigh mice suggest a possible cause for the elevation of serum IgA level and the pathogenesis of IgAN-like disease.

Keywords:

IgA nephropathy, pIgR, ddY mice, RT-PCR, mucosal immunity

IgA nephropathy (IgAN) is probably the most common glomerular disease in the world, and is characterized by IgA deposition in the glomeruli, usually with serum IgA elevation.1 The progression of the disease is indicated by proliferation of mesangial cells and expansion of extracellular matrices. The pathological diagnostic finding of IgAN is determined by the intensity of IgA deposit in the mesangial area, which is usually associated with C3, properdin, factor H, and membrane attack complex (C5b-9), but not with C4.2 Thus, the mesangial injury appears to be mediated by IgA-associated activation of complements in an alternate pathway correlating with the elevation of serum IgA, and the fate of IgA-based immune complexes must be a critical factor in the establishment of IgAN.

However, the actual pathogenesis of IgAN remains poorly understood, although a number of clinical and experimental studies have been reported so far. For example, elevated serum IgA has been shown among those who suffered from IgAN with IgA deposition in the glomeruli, and the major type of IgA in the sera and deposited IgA among these patients have been identified as polymeric IgA (pIgA).3, 4 This pIgA should instead have been secreted via mucosal barrier to form a complex with secretory components (SCs) produced by epithelial tissues. SCs are the processed portion of polymeric Ig receptor (pIgR) molecules, which should control the secretion of pIgA.5, 6 Shimada et al7 have recently established pIgR knockout (pIgR-/-) mice and described that these mice had a high serum pIgA concentration due to the interruption of transepithelial transport of pIgA. Therefore, we focused on the defects of IgA secretion, especially by the pIgR-secretion system, as a cause of serum IgA elevation.

In the present study, we first quantified serum and urinary IgA concentrations every 4 weeks to identify aged ddY mice showing high serum IgA (HIGA) with relatively low urinary IgA.8 We found that we could classify ddY mice into at least two subgroups. One was a HIGA group that exhibited some symptoms of IgAN through aging (ddYHigh), and the other was a normal serum IgA group without IgAN (ddYNorm). Moreover, taking advantage of dimeric IgA carrying allotypic markers (Igh-2b), we confirmed that the actual clearance rate of the intravenously injected dimeric IgA in ddYHigh mice was slower than that in ddYNorm mice. Then, we compared the pIgR expression in the kidney as well as the small intestine between those two groups by immunofluorescence staining and reverse transcription polymerase chain reaction (RT-PCR), to clarify the relationship between the expression of pIgR in mucosa and the appearance of IgAN in ddY mice.

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Materials and methods

Mice

In all, 10 female BALB/c mice, C57BL/6 and 26 female ddY mice at 11 weeks old were purchased from Japan SLC (Shizuoka, Japan). The female ddY mice were selectively used because of their long-lived nature compared to male mice, and the phenotype of IgA elevation through aging is independent of the sex. The mice were maintained in specific pathogen-free conditions and fed autoclaved food and water. All mice were cared for according to the guidelines of the NIH Guide for the care and use of laboratory animals.

Enzyme-Linked Immunosorbent Assay for Serum, Urinary, and Fecal IgA

Blood, urine, and feces of each mouse were collected at 4-week intervals between 12 and 44 weeks of age. Blood samples were obtained from the tail vein, and the serum was prepared, frozen immediately, and stored at -80°C until the analysis. The urine samples were collected directly to sample tubes by tenderly pushing their abdomen. They were centrifuged at 400 g and the supernatant was stocked at -80°C until the analysis. Four to five fecal pellets from each mouse were collected into preweighed Eppendorf tubes. Fecal weight was calculated by subtracting the preweight values. PBS (1 ml) was added per 100 mg of feces. Samples were vortexed until all materials were dispersed, settled at room temperature for 15 min, and then centrifuged at 13 000 rpm for 15 min. The supernatant was removed and stored at -80°C for analysis. Serum, urinary, and fecal IgA concentrations were measured by modified sandwich Enzyme-linked immunosorbent assay (ELISA), as described previously.9 Briefly, polystyrene microtiter plates (Nunc-Immuno Plate; Nalge Nunc International, Rochester, NY, USA) were coated with goat anti-mouse IgA antibody (Cappel Laboratories, Durham, NC, USA). After washing with 1% BSA-PBS three times, the sera, urine, or fecal samples were added at 1:100, 1:20, or 1:40 dilution. The bound IgA molecules were detected with biotin-conjugated rat anti-mouse IgA antibodies (BD Pharmingen, San Diego, CA, USA), followed by incubation with horseradish peroxidase-conjugated avidin D. The substrate, 2,2'-azino-bis(3-ethylbenzthiazoline-6-sulfonic acid) (Sigma-Aldrich, St Louis, MO, USA), was used for color development, and the absorbance at 415 nm was measured for quantification. The net quantities of IgA were determined using the standard curve obtained from the mouse IgA proteins (MOPC315, Cappel).

Purification and Molecular Analysis of Serum IgA

The composition and qualitative differences of serum IgA molecules were analyzed by reducing and nonreducing sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) on 2/15% gradient polyacrylamide gels (Multigel; Daiichi Pure Chemicals Co., Ltd, Tokyo, Japan). The serum IgA was purified with anti-mouse IgA antibody (Cappel)-conjugated CNBr-activated Sepharose 4B beads and Sephadex G25 column described in affinity chromatography (Amersham Pharmacia Biotech, Uppsala, Sweden). The location of monomeric and dimeric IgA molecules were reconfirmed by Western blotting using biotin-labeled rat anti-IgA antibodies and peroxidase-labeled avidin D. Silver Staining Kit (Amersham Pharmacia Biotech) was used for staining of proteins.

The dimeric IgA molecules of Igh-2b allotype derived from C57Bl/6 mouse sera were prepared from the affinity-purified IgA monomer and dimer mixtures as follows. First, the dimers were separated by nonreducing 2/15% gradient PAGE. Second, the gel regions containing dimeric IgA were cut off and the dimer molecules were electro-eluted and renaturated by dialyzing against PBS at 4°C for 3 days.

Intraveneous Administration of Dimeric IgA and Analysis of the Clearance by ELISA

A total of 20 mug of purified dimeric IgA of the b allotype (Igh-2b) in 0.5 ml of PBS was intravenously injected into ddYHigh and ddYNorm mice, which do not have the genotype of Igh-2b and whose IgAs do not react to monoclonal anti-Igh-2b antibodies (data not shown). Blood samples of 20–50 mul of blood was collected from the tail vein of each mouse at 1, 6, 12, 24, 36, 48, 60, 72, 84, and 96 h after the intravenous administration of Igh-2b at 44 weeks old of age. The amount of Igh-2b protein was selectively measured by utilizing the specific reactivity of the monoclonal anti-Igh-2b antibody (HIS-M2, BD Pharmingen) to the allotypic determinants of IgA molecules. The details of the measurement have been described in the ELISA section above, except that the purified monoclonal anti-Igh-2b antibodies (10 mug/ml in PBS) were used to coat the plates in the first step. This system allows us to examine the fate of administered IgA (Igh-2b) molecules selectively at high sensitivity without the need for radiolabeled or chemically modified IgA proteins. The statistical significance was scored according to Turkey's Student's t-test. The predetermined upper limit of probability for statistical significance was P<0.01.

Histological and Immunofluorescent Analysis

All mice were killed at 44 weeks of age, and the kidneys and the small intestines were removed and trimmed off the fat and connective tissues. Some of them were treated by standard paraformaldehyde fixation protocol for histological staining, and the others were placed in an embedding compound (TISSUE MOUNT; Chiba Medical, Saitama, Japan), and snap-frozen on dry ice and ethanol for immunofluorescent analysis. Tissue injury was assessed by hematoxylin–eosin (HE) staining and periodic acid–Schiff (PAS) staining. To detect pIgR expression and IgA deposition, each frozen section (6 mm thickness) was fixed with cold acetone for 10 min, incubated with 1% BSA and 10% goat serum at 4°C overnight and with Avidin/Biotin Blocking Kit (Vector Laboratories, Burlingame, CA, USA). Subsequently, the specimens were labeled with rabbit anti-mouse SC IgG7 (5 mug/ml) for the kidney or rabbit anti-mouse SC serum10 (1:150) for the small intestine, or rat anti-mouse IgA antibody (1 mug/ml) (BD Pharmingen) for 1 h at 37°C. Finally, fluorescein isothiocyanate (FITC)-conjugated anti-rabbit Ig (1:200) (BD Pharmingen), or biotin-conjugated anti-rat IgG (1:200) (Cedarlane Laboratories, Hornby, Ontario, Canada) was added for 30 min at 37°C and FITC-conjugated streptavidin (1:2000) (BD Pharmingen) was added for 10 min at room temperature. The staining pattern was analyzed by using Confocal Laser Scope (LSM510; Carl Zeiss, Jena, Germany).

RT-PCR for pIgR mRNA in the Kidney and the Small Intestine

Total RNA was extracted from the renal cortex and the small intestine of ddY mice at 44 weeks old, from mouse pIgR transfectant cell (2S9.1). and from mock transfectant cells (3N.1)10 using the RNeasy Protect Mini Kit (Qiagen, Valencia, CA, USA) according to the manufacturer's instruction. RNA (2 mug) was reverse transcribed with oligo-(dT)18 (Perkin Elmer, Wellesley, USA) priming and Superscript III (Invitrogen, Sandiego, USA) reverse transcriptase in a 20 mul reaction mixture at 50°C for 60 min. A measure of 1 mul (equal to about 200 ng) of the cDNA product was then subjected to 40 cycles of PCR amplification consisting of 1 min at 95°C, 2 min at 55°C, and 2 min at 72°C with a 7 min final extension at 72°C, with a thermocycler (PCR Express; Hybaid, Teddington, Middlesex, UK). The amplification was performed in a reaction volume of 20 mul with LA PCR buffer (Takara, Shiga, Japan), 2.5 mM MgCl2, 0.3 mM each deoxynucleotide triphosphate, 2.5 mM of each primer, and 1 U of LA Taq polymerase (Takara). The following oligonucleotide primers for pIgR and GAPDH are designed from published cDNA sequence:7 pIgR senseprimer (5'-TTCCTGAGTTGCCGAGTGACA-3', the beginning of the exon 4) and antisenseprimer (5'-CTAGGCTTCCTGGGGACCATC-3', the end of the exon 11); GAPDH senseprimer (5'-GCCTCAAGATCATCAGCAATGC-3') and antisenseprimer (5'-ATGCCAGTGAGCTTCCCGTTC-3').

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Results

Age-Dependent Changes of Serum and Urinary IgA Levels

We examined the age-dependent changes of serum IgA concentration among ddY and BALB/c mice. Although the serum IgA levels of BALB/c mice did not increase and stayed close to the mean of 13 mug/ml until 44 weeks of age (Figure 1A), the ddY mice population appeared to be segregated into at least two groups based on the serum IgA concentration. One was the ddYHigh mice population that showed serum IgA concentrations two standard deviations (s.d.s) beyond the mean of control BALB/c mice. The other was the ddYNorm mice population with the IgA level within the mean plusminus2 s.d.s of BALB/c mice throughout the whole course of the experiment. This result was consistent with the genetic segregation analysis observed in the closed-colony ddY population carried out by Imai et al.8

Figure 1.
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Serum and urinary IgA. (A) Serum IgA concentrations of BALB/c mice at 44 weeks old. The maximal level of the serum IgA in BALB/c mice was 15.2 mug/ml. We referred the mean (13.0 mug/ml)plusminustwo standard deviations (s.d.s) as the normal level of serum IgA for further experiments. (B) Correlation between urinary and serum IgA level of ddYHigh and ddYNorm mice at 24 weeks old (a and b) and 44 weeks old (c and d), respectively. The slopes of regression curve of ddYNorm mice at 24 and 44 weeks old were almost unchanged as 0.172 and 0.160 (a and c), while those of ddYHigh mice declined as 0.110 and 0.059 (b and d), respectively. Consequently, ddY mice were classified into two populations according to their serum IgA level, and we confirmed that the rate of urinary to serum IgA level of ddYHigh mice decreased through aging compared with that of ddYNorm mice.

Full figure and legend (54K)

Next, we studied the age-dependent changes of urinary IgA concentration in ddY mice. Although we could also observe the elevation of IgA in urine among ddYHigh mice to some extent, the magnitude of age-dependent IgA increase in urine was very low. Thus, we plotted the scatter diagram between urine and serum IgA levels at 24 weeks old (Figure1B; a and b) and 44 weeks old (Figure 1B; c and d) of those two segregated ddY mice. As indicated in Figure 1B, while the slopes of the regression curve in ddYNorm mice at 24 and 44 weeks old were 0.172 and 0.160 (a and c), those in ddYHigh mice at correspondent weeks were 0.110 and 0.059 (b and d), respectively. These results show that the urine/serum IgA ratios in ddYHigh mice are lower than that in ddYNorm mice at 24 weeks of age and that they further decrease through aging. The relatively low level of urine IgA in ddYHigh mice may suggest the decrease in the efficacy of serum IgA transportation to the urinary tracts in an age-dependent manner.

Since the small intestine was known to be one of the major IgA-secreting organs, we also examined the amount of IgA in the feces of ddYHigh mice by plotting the scatter diagram between feces and serum IgA levels. The results were similar to that found in urine (data not shown). These data suggest that ddYHigh mice may have an age-dependent deficiency of systemic IgA secretion through mucosa.

pIgR Expression in the Kidney and the Small Intestine

To gain an insight into the defect of IgA secretion observed in ddYHigh mice, the pIgR expression was compared between ddYHigh and ddYNorm mice. The specimens from ddYHigh and ddYNorm kidneys were stained with FITC-labeled anti-pIgR polyclonal antibodies. Figure 2a and b shows the pIgR expression by FITC, and Figure 2c and d show the localization of the glomeruli in PAS staining. While both the glomeruli and the tubules of ddYNorm mice expressed pIgR (Figure 2a and c), the glomeruli in ddYHigh mice did not express a detectable level of pIgR and only a marginal expression was observed in the tubules (Figure 2b and d). The results suggest that the elevation of serum IgA may correlate with the decrease of pIgR in the kidney.

Figure 2.
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pIgR expression in the kidney. (a and b) The pIgR expression stained by FITC. (c and d) The localization of the glomeruli in PAS staining. The upper figures show the kidney of ddYNorm mice at 44 weeks, and the bottom figures show those of ddYHigh mice. The magnification is 200 times. We could observe pIgR expression in the glomeruli in ddYNorm mice, but not in ddYHigh mice.

Full figure and legend (286K)

We also investigated pIgR expression in the guts of ddYHigh and ddYNorm mice. Decreased pIgR expression in the intestinal epithelial cells at the tip of the villi was noted in ddYHigh mice (Figure 3b), as compared with ddYNorm mice (Figure 3a). This observation in the gut was parallel to the decreased expression of pIgR in ddYHigh kidney. It was likely that the decrease of pIgR expression in ddYHigh mice occurred systemically.

Figure 3.
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pIgR expression in the small intestine. (a and b) The pIgR expression with FITC and surface IgA positive B cells with Texas-Red. (b) It shows decreased pIgR expression in the intestinal epithelial cells at the tip of the villi in ddYHigh mice compared with ddYNorm mice (a). This observation is consistent with the decreased pIgR expression in the ddYHigh kidney. Thus, the decrease of pIgR expression in ddYHigh mice may be the systemic symptom.

Full figure and legend (225K)

pIgR mRNA Expression in the Kidney

To further support the difference in pIgR protein expression in ddYHigh and in ddYNorm mice, pIgR mRNA transcription was also compared using semiquantitative RT-PCR analysis. The expression of pIgR mRNA in both the kidney and the small intestine of ddYHigh mice were lower than in those of ddYNorm mice (Figure 4a and b) compared with an internal control mRNA (GAPDH). Thus, the pIgR expression was confirmed to decrease in the kidney as well as in the small intestine of ddYHigh mice. These results are consistent with the lower expression assessed by immunofluorescent staining.

Figure 4.
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RT-PCR analysis of pIgR mRNA expression in the kidney (a) and the small intestine (b). The mRNA was prepared and analyzed as described in section Materials and methods. mRNA expression (a) in the kidney and (b) in the small intestine. The lane 2S9.1 represents amplified pIgR mRNA of pIgR-transfected cell as a positive control, and the lane 3N1 shows that of mock-transfected cells as a negative control. The GAPDH product was shown at counter part of each figure as an internal control. The lane ddYHigh and ddYNorm showed the amplified pIgR mRNA of each kidney and small intestine. The pIgR mRNA expression of ddYHigh mice was lower than that of ddYNorm mice compared with the density of GAPDH.

Full figure and legend (65K)

Composition and Qualitative Differences of IgA Molecules in Sera

To examine the qualitative differences of serum IgA molecules between ddYHigh and ddYNorm mice, affinity-purified serum IgA proteins were run on 2/15% gradient SDS-PAGE under nonreducing conditions, followed by silver staining. The apparent molecular differences were not detected in terms of the ratio of monomeric IgA to dimeric IgA in ddYHigh mice at 12 and 44 weeks of age (Figure 5). Also, molecular abnormalities of heavy and light chains of serum IgA molecules in ddYHigh and ddYNorm mice were not detected by SDS-PAGE analysis under reducing conditions (data not shown). These results ruled out the possibility that the structural abnormality of IgAs in the sera of ddYHigh mice influences the efficacy of IgA clearance in mucosa.

Figure 5.
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Qualitative differences of IgA molecules in sera. Affinity-purified serum IgA samples were applied to 2/15% gradient SDS-PAGE under nonreducing conditions, followed by silver staining. Serum IgA of BALB/c, ddYNorm and ddYHigh mice at 12 and 44 weeks old were applied. The apparent molecular and structural differences were not observed in terms of the proportion of monomeric IgA vs dimeric IgA in ddYHigh mice when compared with control murine IgA (MOPC315 clone). Thus, the possibility that the molecular abnormality of IgA in the sera was ruled out.

Full figure and legend (93K)

Clearance of Dimeric IgA Molecules Following the Intravenous Administration to ddYHigh and ddYNorm Mice

A total of 20 mug of purified dimeric IgA of the b allotype (Igh-2b) was injected intravenously into the tail vein of aged ddYHigh and ddYNorm mice having the different genotype of IgA from Igh-2b. After administration, serum Igh-2b concentrations were determined using ELISA at the intervals shown in the horizontal axis (Figure 6). Although the clearance rate of administrated dimeric IgA (Igh-2b) among ddYHigh and ddYNorm did not change at the early phase of clearance, a significant slow clearance rate was observed in ddYHigh compared to ddYNorm (P<0.01) at the later phase (more than 24 h after dimeric Igh-2b IgA administration). The finding that the IgA secretion equilibrium in ddYHigh was shifted to the lower rate suggests the systemic decrease of pIgR expression in the mucosal surface.

Figure 6.
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Clearance of dimeric IgA molecules following the intravenous administration to ddYHigh and ddYNorm mice. A total of 20 mug of purified dimeric IgA of the b allotype (Igh-2b) was intravenously injected into the tail veins of ddYHigh and ddYNorm mice having the different genotype of IgA from Igh-2b. After the administration, the serum Igh-2b concentration was determined using ELISA at the intervals shown in the horizontal axis. The line plotted by dot open circles and by filled circles show the profiles of ddYHigh and ddYNorm mice respectively. The results represent the meanplusminusstandard error of three independent experiments (n=3 at each experiment). The statistical significance was scored according to Turkey's Student's t-test. A significant difference (P<0.01) between ddYHigh and ddYNorm was detected at 24, 60, 72, 84, and 96 h after the administration.

Full figure and legend (23K)

Histological and Immunofluorescent Analysis

The tissue sections of the kidneys from ddYHigh and ddYNorm mice were stained by HE staining (data not shown) and PAS staining (Figure 7a and b). Figure 7a shows a representative PAS staining of one of ddYHigh mice. It shows the diffuse mesangial hypercellularity, mesangial PAS-positive deposits, and matrix proliferation, which were typical appearances for IgAN. In contrast, as shown in Figure 7b, ddYNorm mice showed no apparent abnormality in the kidneys. The HE staining revealed compatible results as detected by PAS staining (data not shown).

Figure 7.
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Pathological changes of the glomeruli of old ddY mice. The glomeruli of ddYHigh (a) and ddYNorm (b) mice with PAS staining are shown. (a) The typical feature of IgAN, diffuse mesangial hypercellularity, mesangial PAS-positive deposits (indicated with arrows), and matrix proliferation, was observed. (b) Unchanged normal feature in the glomeruli of ddYNorm mice was observed.

Full figure and legend (197K)

Figure 8a and b show IgA deposition in the glomeruli of ddYHigh mice and ddYNorm mice, respectively. The IgA deposition pattern in the glomeruli of ddYHigh mice was granular, which is compatible with that of IgAN. On the other hand, the IgA deposition in the glomeruli of ddYNorm mice was not predominant. These histological and immunofluorescent findings show that the decrease of pIgR might be responsible for IgA deposition in the glomeruli of ddYHigh mice.

Figure 8.
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IgA deposition in the glomeruli of old ddY mice. The IgA deposition in the glomeruli of ddYHigh (a) and ddYNorm (b) mice was analyzed by using confocal laser microscope after immunofluorescent staining (FITC) for IgA. (a) The granular pattern of IgA deposition was observed in the glomeruli of ddYHigh mice, which showed a decrease of pIgR expression in the kidney. (b) In contrast, few IgA deposition was detected in the glomeruli of ddYNorm mice, which had the normal expression of pIgR in the kidney.

Full figure and legend (124K)

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Discussion

By measuring the age-dependent changes of serum IgA level and IgA excretion profiles of ddY mice, we could classify the closed-colony population of ddY mice into at least two groups. In the ddYHigh population, the age-dependent elevation of serum IgA and the relatively lower excretion of secretary IgA into urinary fluid and feces were observed. The ddYNorm population exhibited a steady level of serum IgA and relatively higher excretion of secretary IgA into urine and feces. Imai et al8 reported the genetic segregation of the ddY population into two groups with different criteria of IgA elevations. By selective breeding, Miyawaki et al11 established the HIGA mouse strain, which has the HIGA level and the IgAN-like manifestations. The ddYHigh population in this study is thought to have the same phenotype as that of the HIGA. However, the genetic basis that accounts for the elevation of serum IgA is still unknown.

As shown in Figure 5, we could not observe any qualitative differences in the structural properties of serum IgA between old ddYHigh and ddYNorm populations. Also, molecular abnormalities of heavy and light chains of serum IgA molecules from ddYHigh and ddYNorm mice were not detected. Thus, the molecular alterations of IgA in the sera of ddYHigh mice would not affect IgA clearance in mucosa. However, as demonstrated in Figure 6, the clearance rate of dimeric IgA in the serum was found to be slower in ddYHigh than ddYNorm mice. Moreover, both histological immunofluorescence analysis and semiquantitative RT-PCR examination revealed a decrease of pIgR expression in the epithelial cells of the kidney and the intestine in ddYHigh, but not ddYNorm, mice. Therefore, the age-dependent changes in the pIgR expression but not in the IgA structure seem to be a possible cause for the elevation of serum IgA.

The reason for the decrease of pIgR expression in the epithelial cells in mucosa of ddYHigh is still unknown. In rabbits, two forms of the SC (a high molecular weight form and a low molecular weight form) were reported to arise from differential RNA splicing.12 It is still unclear whether this type of mRNA splicing variation is one of the causes of decreased expression in mucosa of ddYHigh mice. Nonetheless, it is likely that the age-dependent decrease of pIgR in mucosa and the anti-parallel increase of serum IgA in ddYHigh mice may be associated directly with IgA deposition and with IgAN-like manifestations in ddYHigh mice.

Kaetzel et al13 have reported on active transport of immune complexes containing pIgA (pIgA-IC) across the epithelial cells by the same pIgR-dependent mechanism that normally applies to free pIgA. Several investigators14, 15, 16, 17, 18 have emphasized the importance of the pIgR-dependent system for transport of pIgA-IC, rather than the mononuclear phagocyte system, which mediates a major clearance pathway of immune complexes in circulation. Thus, the decreased pIgR expression observed in ddYHigh mice may potentially not only result in serum pIgA elevation but also serum pIgA-IC accumulation. Moreover, the fact that IgA accumulation in lamina propria of the intestinal mucosa has been shown in pIgR-/- mice indicates that the impaired clearance of pIgA-IC and IgA deposition may occur in the pIgR-deficient glomeruli, as observed in ddYHigh mice.

In the case of human IgAN, the defective clearance of dimeric IgA and/or IgA-IC has been demonstrated.19, 20, 21 In addition, Yasumori22 has represented the cases of decreased pIgR expression in the duodenum and impaired secretory-IgA-secretion in extra fluid in two of the 10 IgAN patients after duodenal biopsy. Therefore, decreased pIgR expression should also be found in some IgAN patients like ddYHigh mice.

Taken together, the experiments in the present study suggest that systemic defects in pIgR expression may be a critical cause of inducing an accumulation of pIgA in the serum, followed by IgAN-like manifestation in ddYHigh mice. Identification and segregation of a highly disease-associated population in phenotypically heterogeneous ddY mice will allow us to carry out precise investigation for the pathogenesis of IgAN in mice and perhaps determine the mechanism of high concentration of serum pIgA in IgAN patients.

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Acknowledgements

We are grateful to Dr T Iwase (Nihon University School of Dentistry) and Dr M Asano (Nihon University School of Dentistry) for providing pIgR cDNA-transfected cells and for valuable discussions, to Dr S Shimada (Yakult Central Institute) and Ms N Nagaoka (Yakult Central Institute) for providing anti-SC IgG and for competent technical assistance, and to Dr M Ishizaki (Nippon Medical School) and Dr M Hayashida (Nippon Medical School) for assistance in pathological techniques. We also thank Dr M Sugita (Nippon Medical School) for helpful suggestions and reading of the manuscript. This work was supported in part by grants from the Ministry of Education, Science, Sport, and Culture, from the Ministry of Health and Labor and Welfare, Japan, and from the Japanese Health Sciences Foundation.

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