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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Vitronectin dictates intraglomerular fibrinolysis in immune-mediated glomerulonephritis

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Author(s):
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Mesnard, Laurent [1, 2] ; Rafat, Cedric [1, 2] ; Vandermeersch, Sophie [1] ; Hertig, Alexandre [1, 2] ; Cathelin, Dominique [1] ; Xu-Dubois, Yi-Chun [1] ; Jouanneau, Chantal [1] ; Keller, Alexandre Castro [3, 4] ; Ribeil, Jean-Antoine [4, 5] ; Leite-de-Moraes, Maria C. [4] ; Rondeau, Eric [1, 2]
Total Authors: 11
Affiliation:
[1] Univ Paris 06, INSERM, UMR S702, Hop Tenon, F-75020 Paris - France
[2] Univ Paris 06, Hop Tenon, APHP, F-75020 Paris - France
[3] Univ Fed Sao Paulo, Div Nephrol, Sao Paulo - Brazil
[4] Hop Necker Enfants Malad, CNRS, UMR 8147, Paris - France
[5] Hop Necker Enfants Malad, APHP, Fac Med Rene Descartes, Dept Biotherapie, Paris - France
Total Affiliations: 5
Document type: Journal article
Source: FASEB JOURNAL; v. 25, n. 10, p. 3543-3553, OCT 2011.
Web of Science Citations: 6
Abstract

During human glomerulonephritis, the severity of injuries correlates with glomerular fibrin deposits, which are tightly regulated by the intraglomerular fibrinolytic system. Here, we evaluated the role of vitronectin (VTN; also known as complement S protein), the principal cofactor of the plasminogen activator inhibitor-1 (PAI-1), in a mouse model of acute glomerulonephritis. We found that in mice subjected to nephrotoxic serum, the absence of VTN resulted in a lower glomerular PAI-1 activity and a higher glomerular fibrinolytic activity. Challenged VTN(-/-) mice displayed significantly less fibrin deposits, proteinuria, and renal failure than their wild-type counterparts. Notably, this protective effect afforded by VTN deficiency was still observed after a C3 depletion. Finally, the injection of VTN(+/+) serum in VTN(-/-) mice induced the glomerular deposition of VTN, increased PAI-1 deposition, decreased glomerular fibrinolytic activity, and aggravated glomerular injury. As in mice, abundant glomerular VTN deposits were also observed in patients with severe glomerulonephritis. Here, we show that plasma-exchange therapy, admittedly beneficial in this clinical context, induces a significant depletion in circulating VTN, which might modulate PAI-1 activity locally and accelerate the clearance of fibrin deposits in the glomeruli. Collectively, these results demonstrate that VTN exerts a deleterious role independently from complement, by directing PAI-dependent fibrinolysis in the glomerular compartment.-Mesnard, L., Rafat, C., Vandermeersch, S., Hertig, A., Cathelina, D., Xu-Dubois, Y. -C., Jouanneau, C., Castro Keller, A., Ribeil, J. -A., Leite-de-Moraes, M. C., Rondeau, E. Vitronectin dictates intraglomerular fibrinolysis in immune-mediated glomerulonephritis. FASEB J. 25, 3543-3553 (2011). www.fasebj.org (AU)

FAPESP's process: 07/07120-0 - The role of invariant natural killer T cells in the development of glomerulonephritis: mechanisms and perspectives
Grantee:Alexandre de Castro Keller
Support Opportunities: Research Grants - Young Investigators Grants