AI Article Synopsis

  • Heparanase is an enzyme that plays a significant role in developing proteinuria and kidney damage in experimental diabetic nephropathy and is increased in several proteinuric diseases.
  • In studies using models of glomerulonephritis in mice, it was found that wild-type mice showed elevated heparanase expression, which correlated with reduced levels of a highly sulfated heparan sulfate domain and increased albuminuria.
  • Heparanase-deficient mice exhibited lower albuminuria, better kidney function, preserved heparan sulfate levels, and reduced inflammation, indicating that heparanase facilitates kidney damage and dysfunction by altering glomerular health and immune responses.

Article Abstract

Heparanase, a heparan sulfate (HS)--specific endoglucuronidase, mediates the onset of proteinuria and renal damage during experimental diabetic nephropathy. Glomerular heparanase expression is increased in most proteinuric diseases. Herein, we evaluated the role of heparanase in two models of experimental glomerulonephritis, being anti-glomerular basement membrane and lipopolysaccharide-induced glomerulonephritis, in wild-type and heparanase-deficient mice. Induction of experimental glomerulonephritis led to an increased heparanase expression in wild-type mice, which was associated with a decreased glomerular expression of a highly sulfated HS domain, and albuminuria. Albuminuria was reduced in the heparanase-deficient mice in both models of experimental glomerulonephritis, which was accompanied by a better renal function and less renal damage. Notably, glomerular HS expression was preserved in the heparanase-deficient mice. Glomerular leukocyte and macrophage influx was reduced in the heparanase-deficient mice, which was accompanied by a reduced expression of both types 1 and 2 helper T-cell cytokines. In vitro, tumor necrosis factor-α and lipopolysaccharide directly induced heparanase expression and increased transendothelial albumin passage. Our study shows that heparanase contributes to proteinuria and renal damage in experimental glomerulonephritis by decreasing glomerular HS expression, enhancing renal leukocyte and macrophage influx, and affecting the local cytokine milieu.

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http://dx.doi.org/10.1016/j.ajpath.2015.12.008DOI Listing

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