doi:10.1369/jhc.6A7058.2007
Volume 55 (4): 411-421, 2007 Copyright ©The Histochemical Society, Inc. Nestin Expression in Adult and Developing Human Kidney
Department of Pharmacology "Giorgio Segre" (EB,MR,LF), Department of Human Pathology and Oncology, Policlinico Le Scotte (RO,SM,PT), and Department of Evolutionary Biology (LE), University of Siena, Siena, Italy Correspondence to: Eugenio Bertelli, Dept. of Pharmacology "Giorgio Segre", Section of Anatomy, University of Siena, Via Aldo Moro 4, I-53100 Siena, Italy. E-mail: bertelli5{at}unisi.it
Nestin is considered a marker of neurogenic and myogenic precursor cells. Its arrangement is regulated by cyclin-dependent kinase 5 (CDK5), which is expressed in murine podocytes. We investigated nestin expression in human adult and fetal kidney as well as CDK5 presence in adult human podocytes. Confocal microscopy demonstrated that adult glomeruli display nestin immunoreactivity in vimentin-expressing cells with the podocyte morphology and not in cells bearing the endothelial marker CD31. Glomerular nestin-positive cells were CDK5 immunoreactive as well. Western blotting of the intermediate filament-enriched cytoskeletal fraction and coimmunoprecipitation of nestin with anti-CDK5 antibodies confirmed these results. Nestin was also detected in developing glomeruli within immature podocytes and a few other cells. Confocal microscopy of experiments conducted with antibodies against nestin and endothelial markers demonstrated that endothelial cells belonging to capillaries invading the lower cleft of S-shaped bodies and the immature glomeruli were nestin immunoreactive. Similar experiments carried out with antibodies raised against nestin and -smooth muscle actin showed that the first mesangial cells that populate the developing glomeruli expressed nestin. In conclusion, nestin is expressed in the human kidney from the first steps of glomerulogenesis within podocytes, mesangial, and endothelial cells. This expression, restricted to podocytes in mature glomeruli, appears associated with CDK5. (J Histochem Cytochem 55:411421, 2007)
Key Words: nestin podocytes cyclin-dependent kinase 5 CD31
THE RENAL CORPUSCLE consists of a tuft of blood capillaries surrounded by Bowman's capsule, a bowl-shaped double-layered epithelial structure. The two epithelial layers of the capsule, though continuous at the vascular pole of the corpuscle, are separated by an interval, the urinary space, into which the primary urine is ultrafiltrated. The inner layer of the capsule, tightly applied to the blood capillaries, is also referred to as the visceral layer and is formed of highly specialized epithelial cells called podocytes because of their peculiar shape. Along with the basement membrane and the fenestrated endothelial cells, these cells constitute the glomerular filtration barrier, whose integrity is essential for the filtration and proper composition of the primary urine. Several functions have been assigned to podocytes, including key roles in determining the permeability properties of the glomerular filter, in counteracting intraglomerular hydrostatic pressure, and in the synthesis of basement membrane components (Pavenstädt et al. 2003
Antibodies Primary antibodies were purchased as follows: mouse anti-nestin monoclonal antibody (MAb5326) and rabbit anti-nestin polyclonal antibody (Ab5922; Chemicon, Temecula, CA); mouse anti-SMA MAb (clone 1A4; Neomarkers, Fremont, CA); mouse anti-CD31 (clone JC70A) and anti-CD34 MAbs (clone QBEnd-10) from DakoCytomation (Glostrup, Denmark); mouse anti-vimentin MAb (clone V9; Sigma, St Louis, MO); and rabbit anti-CDK5 PAb C-8 and rabbit anti-vimentin (H-84) (Santa Cruz Biotechnology; Santa Cruz, CA). Secondary antibodies were obtained from the following sources: double-labeling-grade tetramethylrhodamine isothiocyanate (TRITC)-conjugated donkey anti-mouse IgG and TRITC-conjugated donkey anti-rabbit IgG from Chemicon; fluorescein isothiocyanate-conjugated (FITC) goat anti-mouse IgG antibody from Sigma; double-labeling-grade horseradish peroxidase (HRP)-conjugated goat anti-rabbit IgG from Zymed (South San Francisco, CA); and rabbit anti-mouse IgG from DakoCytomation.
Tissues Fetal kidneys were obtained from autopsies for spontaneous abortion or induced termination of pregnancy (TP) (n=23; gestational age range, 1637 weeks; median gestational age 22 weeks). Macerated and malformed stillbirths were not included in the study. The cause of spontaneous fetal death was placental in origin and included abruptio placentae, true cord knot, acute massive placenta infarcts, acute chorioamnionitis; and conditions associated with prolonged stress such as fetal growth restriction and other morphological signs of chronic suffering, as well as maternal preeclampsia and eclampsia, were excluded from this study. TP stemmed from either minor malformations unrelated to alterations in the urinary system or maternal (personal) reasons. A complete autopsy was carried out between the second and twelfth hour after fetal expulsion. Selected samples for biochemical analysis were immediately frozen in liquid nitrogen and stored at 80C. Other fresh tissues (only from adult kidneys) were sampled for immunofluorescence histochemistry, cryoprotected with Killik Frozen Medium (Bio Optica; Milan, Italy), and promptly frozen in liquid nitrogen. Ten-µm-thick sections were cut at 25C, air-dried, fixed in acetone at 20C for 10 min, and stored at 80C.
Immunohistochemistry
Confocal Microscopy Frozen sections were incubated 2 hr at room temperature with anti-vimentin MAb (working dilution 1:50) or anti-CD31 MAb (working dilution 1:100) followed by FITC-conjugated anti-mouse IgG for 1 hr at room temperature; the second primary antibody, anti-nestin PAb (working dilution 1:200), was applied overnight at 4C followed for 1 hr at room temperature by the appropriate TRITC-conjugated secondary antibody (working dilution 1:50). Other experiments were carried out incubating sections with anti-nestin MAb (working dilution 1:100) or anti-CD31 MAb (working dilution 1:100) for 2 hr at room temperature, followed for 1 hr by TRITC-conjugated anti-mouse IgG (working dilution 1:50). Rabbit anti-CDK5 was then applied overnight at 4C, followed by HRP-conjugated anti-rabbit IgG for 1 hr at room temperature. Application of fluorescein-labeled tyramide amplification reagent (Perkin-Elmer; Boston, MA) catalyzed a HRP-driven reaction that resulted in the deposition of a fluorescent precipitate. Sections of embryonic kidney were dewaxed, rehydrated, and processed as follows: they were incubated with rabbit anti-nestin PAb for 1 hr at room temperature followed by the ABC system according to manufacturer's instructions (Vector Laboratories); the second primary antibody, anti-CD34 MAb (working dilution 1:100) or anti-SMA MAb (working dilution 1:200), was applied overnight at 4C followed for 1 hr at room temperature by TRITC-conjugated anti-mouse IgG (working dilution 1:50). Final application of fluorescein-labeled tyramide amplification reagent (Perkin-Elmer) catalyzed a HRP-driven reaction that resulted in the deposition of a fluorescent precipitate on nestin antigenic sites.
SDS/PAGE Electrophoresis, Coimmunoprecipitation, and Western Blotting Immunoprecipitation experiments were carried out on total homogenates of adult renal cortex. Pieces of renal cortex were placed in homogenization buffer (50 mM Tris/HCl, 150 mM NaCl, 1 mM EDTA, 0.25% sodium deoxycholate, 1% NP-40, 1 mM PMSF, 2 µg/ml aprotinin, pH 7.4) and homogenized with a Dounce homogenizer. The suspension was centrifuged at 5000 x g for 10 min at 4C, and the protein content was measured with the microBCA protein assay reagent kit (Pierce; Rockford, IL). Samples were stored at 80C until use. Five hundred µl of homogenate was precleared with protein ASepharose (Sigma), centrifuged, and the pellet of Sepharose beads was placed in Laemmli sample buffer. Two µl of anti-CDK5 IgG or 3 µl of anti-vimentin PAb was added to the supernatant and incubated overnight at 4C, followed by 2 hr with the protein ASepharose. Immunocomplexes were washed three times with buffer, and the final pellet was resuspended in Laemmli sample buffer. IFCFs, immunoprecipitates, and proteins released from the Protein ASepharose complexes used for the preclearings were separated by electrophoresis through a 6% polyacrylamide gel and transferred to nitrocellulose in a Bio-Rad Transblot apparatus (BioRad; Segrate, Italy). A 5% (w/v) solution of skim milk in TBS was used to quench nonspecific protein binding. Membranes were incubated overnight at room temperature with 1:2000 anti-nestin MAb in 5% (w/v) solution of skim milk in TBS. Specific bands were detected using an electrochemiluminescense kit (Roche Diagnostics; Milan, Italy).
Adult Kidney In adult kidney, nestin staining was restricted to glomeruli, smooth muscle cells of the arterioles, and some endothelial cells (Figures 1A 1C). The highest intensity of staining was referred to podocytes where nestin immunoreactivity was consistent (Figures 1A1C) and to the tunica media of some arterioles. Even though with a variable degree of intensity, endothelial cells of arterioles and of some blood capillaries were nestin labeled as well (Figure 1A).
Glomerular nestin-expressing cells resembled podocytes as to their location and morphology. However, to confirm immunohistochemical data obtained on formalin-fixed, paraffin-embedded material, a series of double-immunofluorescence experiments were performed on frozen sections and analyzed with the confocal microscope. A well-known marker of podocytes, vimentin, was used along with nestin in double-labeling experiments. In the glomerulus, vimentin is expressed at high levels only within podocytes, mesangial, and endothelial cells being reported as showing possibly only a much weaker labeling (Bachmann et al. 1983
Because it has been reported that CDK5 is expressed in murine podocytes (Griffin et al. 2004
To confirm that the antibodies used in this study recognized actual nestin, we carried out Western blot analysis with anti-nestin MAb on renal IFCF of adult individuals from total homogenates of adult kidneys. Depending on samples, one or two nestin-immunoreactive bands could be unveiled in the IFCF migrating at 240 and 280 kDa (Figure 3A ), the lower band being constant. Moreover, to confirm that CDK5/nestin and nestin/vimentin colocalizations were due to their actual association, additional Western blotting experiments with anti-nestin MAb were carried out on CDK5 and vimentin immunoprecipitates. The presence of a double-nestin-immunoreactive band of the appropriate molecular mass (240 and 280 kDa) in the immunoprecipitates demonstrated that nestin coimmunoprecipitated with vimentin and CDK5, confirming on the one hand that nestin and vimentin coassemble together even in podocytes and suggesting on the other hand that the association of nestin and CDK5 observed in C2C12 myoblasts and ST15A neuronal precursors (Sahlgren et al. 2003
Fetal Kidney Development of human metanephric kidney begins at gestational week 45 and is said to terminate after the 35th week of gestation (Nagata et al. 1993
Confocal microscopy analysis of double-labeling experiments was carried out to identify nestin+ cells in the early stages of nephrogenesis. As a mesangial marker, we chose -smooth muscle actin ( -SMA), which has been reported to be expressed in activated and fetal mesangial cells (Alpers et al. 1992 -SMA was constantly expressed in the S (Figure 5B
), C (Figure 5E), and M (Figures 5H and 5K) stages. Nestin/SMA double-labeled cells were visible at the S (Figures 5A5C) and C (Figures 5D5F) stages and within the smaller glomeruli (Figures 5G5I) at the M stage. Mid-sized glomeruli did not show any overlapping between SMA and nestin stainings, whereas smooth muscle cells of the afferent and efferent arterioles expressed both antigens (Figures 5J5L).
CD34 appeared early in the developing glomeruli at the S stage. It is believed that as soon as the lower cleft of the S-shaped body is formed, blood capillaries invade it or differentiate in loco from mesenchymal precursors (Naruse et al. 2000
Nestin, a high molecular mass intermediate filament (IF), was first described as expressed in central nervous system stem cells (Lendahl et al. 1990
Nestin has been functionally linked to CDK5. CDK5 seems to play a fundamental role in triggering the exit of neurons from the cell cycle and in inducing differentiation (Cicero and Herrup 2005
Nestin, however, is not capable of forming IFs on its own, as it must copolymerize with other type III IF proteins (Sjoberg et al. 1994
The present investigation shows that nestin IF is expressed in human podocytes starting from the very beginning of their differentiation. The pattern of nestin expression during human glomerulogenesis shares some resemblances with that which has been observed in rat and mouse (Chen et al. 2006
In Western blotting, nestin is usually reported as migrating as a double-immunoreactive band at 220 and 240 kDa (Sultana et al. 1998 In conclusion, the present investigation has shown, for the first time, that human podocytes express nestin and that this is associated in vivo with CDK5, which is also located within the foot processes where nestin is not detectable. Moreover, we have demonstrated that, during glomerulogenesis, nestin is expressed in differentiating and mature podocytes, in some endothelial cells and, for the first time, in mesangial precursors.
This work was supported by PAR2004 (quota servizi) (to EB) and PRIN2004 (to PT).
Received for publication July 13, 2006; accepted December 20, 2006
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