Glomerular ultrafiltration coefficient, Kf or LpA, is one determinant of glomerular filtration rate. The long term goal of the proposed investigations is to gain understanding of the humoral, metabolic and anatomic mechanisms responsible for controlling Kf. Kf is modulated during altered physiologic states and by the action of humoral mediators. Specifically, Kf is diminished during volume depletion and during infusion of angiotensin II and other vasoactive hormones and may be increased during volume expansion and following infusion of atrial natriuretic peptide. These variations in Kf persist in vitro in non-perfused glomeruli and thus cannot result solely from dynamic changes in filtration area secondary to mesangial cell contraction. Rather, they are most consistent with modulation of capillary hydraulic conductivity, Lp. The proposed studies address the mechanisms responsible for modulation of Kf and Lp as they are observed in the absence of perfusion. Established methods for studying filtration by isolated glomeruli using videomicroscopy will be used. Changes in capillary volume during filtration will be confirmed using differential interference contrast microscopy. The effects of mesangial contraction on glomerular volume and on capillary configuration and area will also be assessed using video, radioisotope and morphometric techniques. Detailed morphometric examination of the paracellular pathway for filtration on the epithelial aspect of the Hypotheses to be tested are: 1. Mesangial contraction changes capillary configuration and does not affect capillary surface area. Mesangial tone is altered by responses to several hormones but varies independently from Lp. 2. Glomerular epithelial cells control Lp. Lp is modulated by humoral responses and increases when intracellular levels of cAMP increase and decreases when levels of cGMP increase. 3. Lp is modulated by changes in the filtration pathway that result from changes in epithelial foot processes and the filtration slit-pore. These changes include retraction or extension of the foot processes and changes in the width of the intercellular pathway immediately adjacent to the basement membrane. The results of these studies will enable us to determine whether modulation of Kf and Lp is a direct correlate of mesangial contraction or whether, as we propose, Lp varies with epithelial cell cyclic nucleotides and is independent of mesangial tone.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK022040-12
Application #
3227198
Study Section
Pathology A Study Section (PTHA)
Project Start
1978-07-01
Project End
1995-01-31
Budget Start
1992-02-01
Budget End
1993-01-31
Support Year
12
Fiscal Year
1992
Total Cost
Indirect Cost
Name
University of Kansas
Department
Type
Schools of Medicine
DUNS #
016060860
City
Kansas City
State
KS
Country
United States
Zip Code
66160
Sharma, R; Sharma, M; Li, J Z et al. (1997) Direct effects of platelet-activating factor on glomerular capillary permeability. Kidney Blood Press Res 20:25-30
Adler, S; Sharma, R; Savin, V J et al. (1996) Alteration of glomerular permeability to macromolecules induced by cross-linking of beta 1 integrin receptors. Am J Pathol 149:987-96
Sharma, R; Savin, V J (1996) Cyclosporine prevents the increase in glomerular albumin permeability caused by serum from patients with focal segmental glomerular sclerosis. Transplantation 61:381-3
Savin, V J; Sharma, R; Sharma, M et al. (1996) Circulating factor associated with increased glomerular permeability to albumin in recurrent focal segmental glomerulosclerosis. N Engl J Med 334:878-83
Savin, V J; Johnson, R J; Couser, W G (1994) C5b-9 increases albumin permeability of isolated glomeruli in vitro. Kidney Int 46:382-7
Savin, V J (1993) Mechanisms of proteinuria in noninflammatory glomerular diseases. Am J Kidney Dis 21:347-62
Dileepan, K N; Sharma, R; Stechschulte, D J et al. (1993) Effect of superoxide exposure on albumin permeability of isolated rat glomeruli. J Lab Clin Med 121:797-804
Wiegmann, T B; Sharma, R; Diederich, D A et al. (1990) In vitro effects of cyclosporine on glomerular function. Am J Med Sci 299:149-52