The glomerular filtration barrier (GFB) has three main cellular components: fenestrated endothelial cells; basement membrane; and podocyte foot processes. In health the GFB is highly permeable to water and small solutes but almost entirely impermeable to proteins. Vascular endothelial growth factor A (VEGF-A) is produced by podocytes. Tight regulation of VEGF-A expression is critical for the establishment and maintenance of the GFB1, and glomerular VEGF expression is disrupted in many glomerular diseases2. Differential splicing of the VEGF-A gene forms two families of isoforms: the pro-angiogenic family (VEGF-Axxx), and the anti-angiogenic families (VEGF-Axxxb). VEGF-A165 contributes to the high permeability of glomeruli to water3. We sought to determine the effects of VEGF-A165b on glomerular permeability by examining permeability coefficients in glomeruli harvested from transgenic mice with podocyte specific heterozygosity (+/-) for VEGF-A165b. The water permeability of isolated mouse glomeruli (normalised ultrafiltration co-efficient: LpA/Vi) was assessed using a previously described oncometric technique3. LpA/Vi is calculated from the rate of change of glomerular volume after introduction of an oncotic pressure gradient of known magnitude. VEGF-A165b over-expression reduced glomerular LpA/Vi as compared with wild-type littermate controls (VEGF-A165b+/-: 1.44±0.11, n=18; controls: 1.93± 0.16, n=8; unpaired t-test: p=0.017). We have modified this methodology to estimate the reflection co-efficient to albumin (σalb)4. The volume of a glomerulus incubated in dextran solution, expressed as a fraction of the volume of the same glomerulus when incubated in an iso-oncotic solution of albumin, describes σalb. Compared with wild-type littermate controls, there was no significant difference in the σalb in glomeruli harvested from VEGF-A165b+/- mice (VEGF-A165b+/-: 0.975±0.011, n=9; controls: 0.998± 0.02, n=11; unpaired t-test p=0.32). These results suggest that a higher concentration of podocyte VEGF-A165b does not reduce the ability of the barrier to retain macromolecules. Altering the balance of VEGF-Axxx and VEGF-Axxxb in disease states may be of therapeutic interest.
University of Bristol (2008) Proc Physiol Soc 9, C16
Oral Communications: Podocyte specific over-expression of VEGF-A165b significantly reduced the normalised ultrafiltration coefficient in the absence of any change in reflection coefficient
J. K. Ferguson1, Y. Qiu1, L. M. Sage1, C. R. Neal1, D. O. Bates1, S. J. Harper1, A. H. Salmon1
1. Physiology (MVRL), University of Bristol, Bristol, United Kingdom.
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