This work was supported by American Heart Association grant FTF 16990086, NIH P30 DK079307, American Society of Nephrology Gottschalk Award, a University of Pittsburgh Medical Center Competitive Medical Research Fund Award, and a University of Pittsburgh Physicians Academic Foundation Award. We thank Gerard Apodaca for his technical suggestions for glomerular preservation for histologic analysis, Mara Sullivan and Ming Sun for assistance with electron microscopy, and Yingjian Li and Youhua Liu for their technical input in this protocol. We also thank Cynthia St. Hilaire for the CD31 antibody.

All methods described here have been approved by the Institutional Animal Care and Use Committee (IACUC) of University of Pittsburgh.
1. Isolation of Rat Glomeruli
<ol>
	<li>To prepare a sterile 1% isolation buffer, add 5 g of bovine serum albumin (BSA) to a 600 mL beaker.
	<ol>
		<li>Add 500 mL of 1x phosphate buffered saline (PBS) to the beaker and stir with a magnetic stirring rod until all BSA is dissolved.</li>
		<li>Sterile filter the 1% BSA/PBS buffer in a cell culture hood. 
		&#8203;NOTE: The sterile 1% BSA/PBS buffer can be kept at 4 &#176;C for up to a week.</li>
	</ol>
	</li>
	<li>Obtain 2 to 4 Sprague-Dawley rats weighing 150 to 200 g each.
	<ol>
		<li>Euthanize rats via carbon dioxide inhalation using a chamber in which 100% carbon dioxide is introduced at a rate of 10-30% of the chamber volume per minute. Observe animals for cessation of respiration and faded eye color before removal from carbon dioxide.</li>
		<li>Prepare the skin over the anterior abdomen with 70% ethanol and utilize hair clippers to remove hair, if desired. Make a midline incision in the skin using surgical scissors or scalpel. Make another midline incision through the muscle layer to expose internal organs. Extend the incision superiorly through the diaphragm and sternum or rib cage as a secondary method of euthanasia.</li>
		<li>Isolate and remove both kidneys and place into a sterile 50 mL plastic conical tube with 30 mL of Hanks&#39; buffered salt solution (HBSS) on ice. 
		NOTE: Several rats can be euthanized in the same chamber and all of the kidneys can be placed in the same conical tube.</li>
	</ol>
	</li>
	<li>Keep the kidneys on ice and transport to a sterile cell culture hood. Transfer the kidneys to a sterile Petri dish containing 5 mL of HBSS, also over ice, and remove and discard perirenal fat with scissors and sharp forceps. If still present, also remove and discard the capsule surrounding the kidney by making a small superficial incision and then use sharp forceps to gently pull it away from the organ. 
	NOTE: Always keep kidney isolates on ice and practice sterile technique throughout. A piece of sterile gauze can be placed in the Petri dish as a textured surface to hold the kidney in place during manipulation.
	<ol>
		<li>Cut kidneys in half lengthwise (midsagittal section) and remove and discard the medulla (which is darker in color) with a scalpel in a second Petri dish with 5 mL of HBSS.</li>
		<li>Transfer the remaining pieces, which are predominantly kidney cortex, into a third Petri dish with 5 mL of HBSS and mince with a sterile razor blade until the pieces are less than 1 mm in size, or until a paste is formed.</li>
	</ol>
	</li>
	<li>Wet the top and bottom of a 180 &#181;m sieve with 1% BSA/PBS over a 500 mL waste beaker. This step is critical as it coats the sieve with protein and reduces adherence of glomeruli, which will improve yield.</li>
	<li>Place the minced cortex on a small edge of the sieve and use the textured plunger flange (the side opposite the rubber seal) of a 10 mL syringe to mush the tissue through the sieve into a bottom pan sitting on ice. Rinse periodically with HBSS but use as little as possible to avoid sample dilution. 
	NOTE: Do not exceed 30 mL of buffer total, so only 25 mL more can be used here. The reason for placing the minced tissue on only one edge of the sieve is to reduce adherence of glomeruli by limiting exposure to part of the sieve rather than the entire sieve surface area.
	<ol>
		<li>To facilitate this, reuse the fluid collecting in the bottom pan to rinse the sieve. Once sieving is complete, carefully wash the bottom of the sieve once more with 1% BSA/PBS buffer from the bottom of the pan to capture any glomeruli that may be loosely adhered.</li>
		<li>Collect all of the fluid in the bottom pan into several 10 mL syringes equipped with 20 G needles and pass it through the needle at least 2 additional times. On the last collection, keep the glomeruli-containing fluid in the syringe until ready to pass it through the 90 &#181;m sieve.</li>
	</ol>
	</li>
	<li>While the fluid is stored in the syringes, wash the bottom pan by flushing with 1% BSA/PBS into waste beaker and wet the top and bottom of a 90 &#181;m sieve with 1% BSA/PBS. Place the sieve on top of the bottom pan on ice.
	<ol>
		<li>Apply the sample in the syringes to one edge of the sieve and mush through the sieve with another syringe flange as describe above. Wash with solution from the bottom pan to collect everything on one edge of the sieve.</li>
		<li>Once sieving is complete, carefully wash the bottom of the sieve as in step 1.5.1. Collect all the fluid in the bottom pan in a 50 mL plastic conical tube.</li>
	</ol>
	</li>
	<li>Wash the bottom pan with 1% BSA/PBS into a waste beaker and wet the top and bottom of a 75 &#181;m sieve with 1% BSA/PBS. Place the sieve on top of the bottom pan on ice.
	<ol>
		<li>Apply the sample to one edge of the sieve. Liquid should flow through easily. Rinse through the top with at least 20 mL of 1% BSA/PBS into waste beaker. Carefully wash the bottom of the sieve as well. The glomeruli will remain on the top of this 75 &#181;m sieve.</li>
		<li>Use HBSS to collect glomeruli in a Petri dish by rinsing through the sieve upside down. Use as much HBSS as needed here. Collect into one or more 50 mL plastic conical tube(s) on ice.</li>
	</ol>
	</li>
	<li>Centrifuge at 1800 x g for 5 min at 4 &#176;C, remove supernatant carefully with a pipette, and resuspend pellet in 10 mL of cold HBSS. Combine the samples if multiple conical tubes were collected in 1.7.2. Repeat the centrifugation step.</li>
	<li>Resuspend the glomeruli in 5 mL of HBSS until ready to proceed to the next step.</li>
	<li>If desired, take a count of the total glomeruli. For this, take a 10 &#181;L sample with a pipette and place the drop on a glass slide. View under a microscope, count the glomeruli in the field and multiply by 500 to get total yield. 
	NOTE: Purity may be determined by counting the number of tubules seen in the field and dividing by total number of glomeruli and tubule structures. There should be &#62; 95% glomeruli in the visual field.
	<ol>
		<li>If there is significant tubular contamination, repeat steps 1.6.1 onward, and make sure to wash thoroughly when completing step 1.7.1. This is the step in which tubular contamination is most likely to occur.</li>
	</ol>
	</li>
</ol>
2. Injury of Glomeruli
<ol>
	<li>Collect the glomeruli in a 15 mL plastic conical tube and spin down at 200 x g. Resuspend in an appropriate amount of HBSS based on the total yield so that there are approximately 9,000 glomeruli per well. Pipette 450 &#181;L of sample into each well of a 24-well plate, or any plate format that fits the downstream assays required. 
	NOTE: Pipetting up and down to mix glomeruli in buffer ensures a homogeneous solution. The glomeruli are very sticky and heavy and will stick to each other as well as settle at the bottom of a solution quickly and onto the sides of the tube.</li>
	<li>To make 6 mg/mL protamine sulfate (PS) solution, first dissolve 1 g of PS into 10 mL of dH2O heated to 40 &#176;C in a 15 mL plastic conical tube and vortex thoroughly. Take 30 &#181;L of the solution and add to 470 &#181;L of dH2O. 
	NOTE: This will produce a 6 mg/mL solution, and when 50 &#181;L are added to the well as described below, the final concentration is 0.6 mg/mL.
	<ol>
		<li>In duplicate, add 50 &#181;L of protamine sulfate (this is a 1:10 dilution) to each well of one group, while supplying another group 50 &#181;L of HBSS (negative control).</li>
	</ol>
	</li>
	<li>Incubate the plate for 4 h at 37 &#176;C.</li>
	<li>Spin down contents of each well in a microcentrifuge tube (4000 x g, 4 &#176;C, 10 - 15 s) and wash twice with 1 mL of PBS each.</li>
	<li>Aspirate off the final wash and resuspend in 300 &#181;L of PBS. Split into three aliquots to be prepared for protein isolation, transmission electron microscope (TEM) visualization, and immunofluorescence staining (IF).</li>
</ol>
3. Preparing Glomeruli for Analysis
<ol>
	<li>Spin down the contents of the three aliquots (4000 x g, 4 &#176;C, 10 - 15 s) and aspirate off remaining buffer and proceed to sample analysis by TEM, IF, or protein isolation.</li>
	<li>Processing for TEM
	<ol>
		<li>Fix glomerular pellets in 150 &#181;L of cold 2.5% glutaraldehyde in 0.01 M PBS. Remove the fixative carefully from the pellet using a Pasteur pipette, making sure not to disrupt the pellet, then rinsed it with PBS and post-fix it in 1% osmium tetroxide with 1% potassium ferricyanide.</li>
		<li>Dehydrate the sample through a graded series of ethanol (30, 50, 70, 90, 100, 100, 100%) and propylene oxide then embed in epoxy embedding material.</li>
		<li>Cut semi-thin (300 nm) sections on an ultramicrotome. Stain with 0.5% Toluidine Blue in 1% sodium borate and examine them under the light microscope.</li>
		<li>Cut ultrathin sections (65 nm), stain them with uranyl acetate and Reynold&#39;s lead citrate, and examine on a transmission electron microscope.</li>
	</ol>
	</li>
	<li>Processing for IF
	<ol>
		<li>Add 150 &#181;L of a 12% gelatin in PBS solution and immediately place on dry ice to form a pellet. Soak the pellet in 500 &#181;L of 2% paraformaldehyde/1x PBS in a microcentrifuge tube overnight at 4 &#176;C.</li>
		<li>Place the pellet in a base mold and embed by adding optimal cutting temperature (OCT) medium over dry ice. Cut 5-10 &#181;m sections on a cryotome and proceed with immunofluorescence/immunohistochemistry or standard histological stains.</li>
	</ol>
	</li>
	<li>For Protein Isolation
	<ol>
		<li>Add 150 &#181;L of RIPA buffer to centrifuged glomerular pellet with 1.5 &#181;L of protease inhibitor and dounce with tissue homogenizers.</li>
		<li>Proceed to protein quantification and immunoblotting or other protein analysis.</li>
	</ol>
	</li>
</ol>

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The authors have nothing to disclose.

This is an efficient method for recovering glomeruli from rat kidney using inexpensive, reusable equipment with a simple protocol. As with all procedures, there are limitations to its usefulness. First, although we obtain &#62; 95% purity, because of the sieving nature of the protocol and the starting material it is impossible to exclude all contaminants, and a few red blood cells and the occasional tubular segment will be present in the culture. We do not anticipate these small contaminants to be a problem for the vast majority of applications. Second, the sieving protocol relies on the use of rat kidneys, in which glomeruli are much larger than in mice. If mouse glomeruli are needed, a technique using commercial magnetic beads (e.g., Dynabeads) has been published22. Third, it has been shown that specific mRNAs (plasminogen activator inhibitor-1 and collagen I) in isolated glomeruli derive almost entirely from Bowman&#39;s capsule rather than intraglomerular cells23. This could lead to inappropriate conclusions if mRNA isolation is attempted from these glomeruli. It should be noted that in our hands the majority of glomeruli are decapsulated and should therefore lack significant contributions from Bowman&#39;s capsules. Fourth, cell death begins to occur relatively quickly under culture conditions.
We found that the apoptotic program, as evidenced by appearance of cleaved caspase-3, was activated starting at 2 h of culture. This is in general agreement with previous reports showing that apoptosis, as assessed by DNA fragmentation, TUNEL, and histologic analysis, begins to occur within 1-2 h after isolation24. However, it should also be noted that early observations showed that metabolic activity could be detected from isolated sieved glomeruli when cultured for at least 3 h, suggesting considerable cellular viability at this timepoint16. Nevertheless, based on the results, we believe that it would be prudent to utilize isolated glomeruli immediately in intended experiments for the best results. We recommend that all experiments be performed before 72 h as we have observed that the entire glomerular structure begins to deteriorate beyond that timepoint.
It is much easier to obtain higher yields when starting with 4-8 kidneys as opposed to only 2 because a certain number of glomeruli are lost due to adherence to the various sieves, but once the sieves are maximally coated there is no additional loss. For the same reason, it is important to soak the sieves in the BSA/PBS buffer prior to use as glomeruli are more likely to adhere to a dry sieve, and to limit tissue exposure to one edge of the sieve. We suggest starting with no fewer than 6 kidneys (3 rats) to obtain a reasonable yield.
Some investigators have isolated primary podocyte cultures from isolated glomeruli which tend to grow out of the glomeruli during culture17. We have noted that some isolated glomeruli will adhere to the culture dish plastic and that cells will begin to migrate out of the glomerular structure at late timepoints (72 h after isolation). The study of these cells is beyond the scope of this isolation protocol, and there is some controversy as to whether these cells are podocytes, parietal epithelial cells, or both15,25. Notably, Mundel et al., have reported that cobblestone cells harvested from sieved glomeruli may be induced to differentiate into mature podocytes under specific culturing conditions26. Some of the confusion regarding cell identity may depend on whether the isolated glomeruli are encapsulated (including Bowman&#39;s capsule which is populated by parietal epithelial cells) or decapsulated in the sieving procedure. In our hands, using sequential sieve sizes of 180, 90, and 75 &#181;m led to the majority of glomeruli being decapsulated.
Most forms of proteinuric chronic kidney disease are due to increases in glomerular permeability. Several authors have utilized isolated glomeruli in ex vivo permeability experiments. In one method, the change in glomerular volume after altering the osmotic content of the surrounding media was used to estimate permeability27. Recently, it was established that leakage of a fluorescent probe from isolated glomeruli could be quantified to measure permeability and could be performed in rodents exposed to glomerular disease experimental models28.
We have noted that in the TEM preparation process, we sometimes see the podocyte foot processes lift off the basement membrane. We do not feel this is happening in the culture and is more likely an artifact during TEM sample preparation. Notably, even when this occurs, it is clear whether the foot processes look &#34;normal&#34; or are effaced.
Overall, this protocol provides a method by which one can evaluate morphologic and cellular changes in response to injury. We anticipate that it may be used as a companion technique to isolated podocyte cultures, especially when interactions with extracellular matrix or other native cell types are being considered. It holds promise for increasing understanding of proteinuric CKD, which would improve the ability to develop future therapeutics for this debilitating disease.

The glomerulus is a highly specialized tuft of capillaries responsible for the filtration of circulating plasma. It forms the beginning of the nephron, which is the basic functional unit of the kidney. Glomerular function is defined by a uniquely fenestrated capillary endothelium, the slit diaphragm of podocytes, and an intervening basement membrane. These layers form a semipermeable barrier to allow for the selective excretion of substances into the filtrate. Water, ions, and other small molecules generally pass through, while larger molecules are retained in the plasma. Podocytes are specialized epithelial cells that spread over the basement membrane, surrounding the capillaries with cytoplasmic projections known as foot processes. The foot processes of adjacent podocytes interdigitate and are crossed by slit diaphragms comprised of proteins such as nephrin, podocin, P-cadherin, and ZO-11. In cross section, these foot processes are evenly arranged over the basement membrane. In diseased glomeruli, the foot processes become grossly abnormal or &#34;effaced,&#34; leading to abnormal leak of plasma contents into the filtrate. As such, glomerular damage is generally characterized by the presence of abnormally large amounts of protein (e.g., proteinuria) and/or red blood cells (e.g., hematuria) in the urine. In addition, injured podocytes lose expression of nephrin as well as its regulator Wilms Tumor 1 (WT1), a key protein responsible for maintenance of differentiation2,3. The glomeruli are a primary target of damage in diabetic nephropathy and other glomerulonephritides such as minimal change disease, membranous nephropathy, and focal segmental glomerulosclerosis. These diseases are major causes of progressive kidney failure and the development of end-stage renal disease, a condition in which survival relies upon dialysis or renal transplantation. Therefore, it is important to study glomeruli to better understand chronic kidney disease (CKD) pathology.
A cell culture system is critical to studying glomerular biology. Due to its central role in generating the slit diaphragm, as well as the existence of specific proteinuric diseases due to slit diaphragm protein mutations, much research has understandably utilized the podocyte in isolation. This has led to the generation of primary podocyte cell lines to utilize in vitro. These cells can be cultured under a variety of conditions and can even be grown on permeable supports to assess permeability4. However, the isolation of proliferating cells often selects dedifferentiated cells&#160; that have lost some of their podocyte markers. This has led to the generation of conditionally immortalized podocytes derived from a transgenic mouse strain carrying a temperature-sensitive mutant of the SV40 large T gene (e.g. immortomouse), which could be grown in culture but also be differentiated to express a full array of podocyte markers5. These methods of primary culture have been pivotal in understanding podocyte biology4,6,7.
Nevertheless, cultures containing single cell types lack the intercellular relationships that occur in vivo as well as the support structure and matrices, and monolayers of these cells do not necessarily recapitulate the three-dimensional architecture of glomeruli. The immortalized podocytes can also be cumbersome and challenging to culture8, and require possession of either the immortomouse or a starting aliquot of cells from established investigators to get started. Further, the glomerulus is comprised of not only podocytes, but also capillary endothelial cells and the basement membrane, as well as mesangial cells which provide support for the structure. It is therefore useful to develop an ex vivo approach available to all investigators for the study of intact glomeruli that retain their native architecture as well as all the cells constituting the normal glomerulus.
In 1958, Cook and Pickering described the first isolation of glomeruli from the rabbit kidney. After observations that fat emboli became lodged in glomeruli, they postulated that particles of the same size could be used to specifically isolate these structures. Indeed, the infusion of iron oxide particles into the kidney led to the trapping of these particles in glomeruli. After mechanical dissociation and sieving of the kidney, the glomeruli could be isolated intact and with purity through the use of magnetic separation9. In 1971, Misra showed that the iron oxide infusions could be omitted, and glomerular isolation achieved with sieving of minced human, dog, rabbit or rat kidney tissue10. This technique has been modified since then depending on the goal of the investigators but has essentially resulted in purified preparations that could be further studied or from which primary cell cultures could be established11,12,13,14,15,16,17.
Here we describe a protocol for the isolation of intact viable glomeruli from the rat kidney. The entire protocol takes just a few hours. Although they do not proliferate, experimental plans of any size can be supported by simply increasing the number of kidneys as starting material. While there are published protocols for the magnetic bead separation of glomeruli, they require an intravenous injection of beads, are more expensive, and may alter biology since the beads are either retained by the glomeruli in culture or require glomerular &#34;lysing&#34; and removal by centrifugation19. Compared to mouse glomeruli, the larger size of rat glomeruli (nearly 100 &#181;m in two month old rats18) makes it much easier to separate them from other kidney structures using a simple sieving technique.
As evidence of their usefulness, we have characterized the glomeruli to demonstrate the different cell types. They can also be exposed to agents known to injure glomeruli in vivo, and we demonstrate the adverse effects of protamine sulfate (PS) on these cultures. PS is a polycation that neutralizes the anionic sites along the glomerular capillary wall20. This neutralization has a dramatic effect on the glomerular filtration barrier and therefore increases proteinuria and foot process effacement. These glomeruli can be assessed with immunoblots for key proteins such as nephrin and WT1 to assess overall health. Furthermore, their structure can be evaluated with light, immunofluorescence, and electron microscopy.
Overall, this protocol is accessible to most investigators (one only needs access to the animals and some simple equipment). With morphological features left undamaged, the researcher is able to analyze the glomeruli and see how other important cell types and matrix preservation in the glomeruli affect function and disease progression, a shortcoming of podocyte cultures.

<table><tbody><tr><td>Solutions, Chemicals, and Animals</td><td></td><td></td><td></td></tr><tr><td>Sprague-Dawley Rats</td><td>Envigo</td><td>207M</td><td></td></tr><tr><td>Bovine serum albumin</td><td>Fisher</td><td>BP1605100</td><td></td></tr><tr><td>Hank&#039;s Balanced Salt Solution with Ca2+ and Mg2+</td><td>Thermo</td><td>14025092</td><td></td></tr><tr><td>1x Phosphate Buffered Saline</td><td>VWR</td><td>97063-660</td><td></td></tr><tr><td>Protamine sulfate</td><td>MP Bio</td><td>ICN15197105</td><td></td></tr><tr><td>Karnovsky&#039;s Fixative</td><td></td><td></td><td></td></tr><tr><td>Gelatin</td><td></td><td></td><td></td></tr><tr><td>Paraformaldehyde</td><td>EMD</td><td>EM-PX0055-3</td><td></td></tr><tr><td>O.C.T.</td><td>Scigen</td><td>23730571</td><td></td></tr><tr><td>RIPA Buffer</td><td></td><td></td><td></td></tr><tr><td>Halt Protease Inhibitors</td><td>Thermo</td><td>PI78442</td><td></td></tr><tr><td>Nephrin Antibody</td><td>Fitzgerald</td><td>2OR-NP002</td><td></td></tr><tr><td>WT-1 Antibody</td><td>Abcam</td><td>ab89901-10ul</td><td></td></tr><tr><td>PDGFR-&amp;beta; Antibody</td><td>Cell Signaling</td><td>#3169S</td><td></td></tr><tr><td>CD31 Antibody</td><td>LSBio</td><td>LS-C348736</td><td></td></tr><tr><td>Cleaved caspase-3 antibody</td><td>Cell Signaling</td><td>9661S</td><td></td></tr><tr><td>Poly/Bed 812 (Luft) epoxy</td><td>Polysciences</td><td>08792-1</td><td></td></tr><tr><td>Equipment</td><td></td><td></td><td></td></tr><tr><td>Carbon dioxide chamber</td><td></td><td></td><td></td></tr><tr><td>Conical tubes, 15 mL</td><td></td><td></td><td></td></tr><tr><td>Conical tubes, 50 mL</td><td></td><td></td><td></td></tr><tr><td>Surgical scissors</td><td></td><td></td><td></td></tr><tr><td>Surgical forceps</td><td></td><td></td><td></td></tr><tr><td>Sterile gauze</td><td></td><td></td><td></td></tr><tr><td>Petri dishes, 100 mm</td><td></td><td></td><td></td></tr><tr><td>Scalpels</td><td></td><td></td><td></td></tr><tr><td>Razor blades</td><td></td><td></td><td></td></tr><tr><td>Sterile filter apparatus</td><td></td><td></td><td></td></tr><tr><td>Sieve Pan</td><td>Alfa Aesar</td><td>AA39999ON</td><td></td></tr><tr><td>180um Sieve</td><td>Alfa Aesar</td><td>AA39996ON</td><td></td></tr><tr><td>90um Sieve</td><td>Alfa Aesar</td><td>AA39990ON</td><td></td></tr><tr><td>75um Sieve</td><td>Alfa Aesar</td><td>AA39991ON</td><td></td></tr><tr><td>10 mL syringes</td><td></td><td></td><td></td></tr><tr><td>600 mL beakers</td><td></td><td></td><td></td></tr><tr><td>Cell culture incubator</td><td></td><td></td><td></td></tr><tr><td>Picofuge</td><td></td><td></td><td></td></tr><tr><td>Vortex</td><td></td><td></td><td></td></tr><tr><td>Tissue Homogenizers</td><td>Fisher Scientific</td><td>50550226</td><td></td></tr><tr><td>20 G needles</td><td></td><td></td><td></td></tr><tr><td>Leica Reichart Ultracut</td><td></td><td></td><td>ultramicrotome</td></tr></tbody></table>

an efficient sieving method to isolate intact glomeruli from adult rat kidney

Preservation of glomerular structure and function is pivotal in the prevention of glomerulonephritis, a category of kidney disease characterized by proteinuria which can eventually lead to chronic and end-stage renal disease. The glomerulus is a complex apparatus responsible for the filtration of plasma from the body. In disease, structural integrity is lost and allows for the abnormal leakage of plasma contents into the urine. A method to isolate and examine glomeruli in culture is critical for the study of these diseases. In this protocol, an efficient method of retrieving intact glomeruli from adult rat kidneys while conserving structural and morphological characteristics is described. This process is capable of generating high yields of glomeruli per kidney with minimal contamination from other nephron segments. With these glomeruli, injury conditions can be mimicked by incubating them with a variety of chemical toxins, including protamine sulfate, which causes foot process effacement and proteinuria in animal models. Degree of injury can be assessed using transmission electron microscopy, immunofluorescence staining, and western blotting. Nephrin and Wilms Tumor 1 (WT1) levels can also be assessed from these cultures. Due to the ease and flexibility of this protocol, the isolated glomeruli can be utilized as described or in a way that best suits the needs of the researcher to help better study glomerular health and structure in diseased states.

The protocol from the time of euthanasia to isolation of the glomeruli can be completed in as little as 2 h and has a high throughput and efficiency. With proper utilization of the technique, the yield of glomeruli per rat kidney ranges from 6,000 - 10,000 glomeruli when starting with 8 kidneys. The final suspension is densely packed with glomeruli and has an overall purity &#62; 95%, showing minimal contamination from tubular segments or other cell types (Figure 1A, B). In addition, the OCT-embedded glomeruli can be stained with Hematoxylin and Eosin (H &#38; E) stains to see the morphology (Figure 1C). These glomeruli maintain their structure throughout the whole protocol, even after processing. We demonstrate that isolated glomeruli possess intact and viable podocytes (Figure 2A), mesangial cells (Figure 2B), and endothelial cells (Figure 2C).
Once isolated, the glomeruli can be exposed to well-known chemical injuries to simulate in vivo pathology. In this case, protamine sulfate (PS) was chosen for its ability to disrupt the charge of the glomerular filtration barrier, which eventually leads to foot process effacement. PS-treated glomeruli have a striking reduction in nephrin (red) and a number of nuclei positive for WT1 (green) via immunofluorescence (Figure 3A, B). The glomeruli can also be prepared for transmission electron microscopy (Figure 3C). Control samples have normal podocyte morphology and foot processes whereas the PS-treated glomeruli have foot process effacement (Figure 3D), which is a sign of podocyte dysfunction and is seen in in vivo models using PS21. This also corresponded to a decrease in nephrin detected by immunoblotting (Figure 3E, F).
To determine viability, cleaved caspase-3 was assessed as a marker of apoptosis. Using immunofluorescence, cleaved caspase-3 first appears in a few cells starting 2 h after isolation (Figure 4). The number of cells expressing this protease became more abundant over time, with the highest levels seen at 24 and 48 h. This suggests that apoptosis does occur relatively early in culture and that downstream applications should be performed soon after isolation for best results.
<img alt="Figure 1" class="xfigimg" src="/files/ftp_upload/58162/58162fig1.jpg" /> 
Figure 1. Typical appearance of rat glomerular cultures after isolation. (A) Brightfield image of glomerular culture. Although we chose a field in which there is a single renal tubule in this micrograph (arrowhead), the cultures obtained are generally &#62; 95% pure. Scale bar equals 100 &#181;m. (B) Enlarged image of a single glomerulus. (C) Hematoxylin and eosin stain of a single glomerulus. Scale bars in B and C equal 10 &#181;m. <a href="https://www.jove.com/files/ftp_upload/58162/58162fig1large.jpg" target="_blank">Please click here to view a larger version of this figure.</a>
<img alt="Figure 2" class="xfigimg" src="/files/ftp_upload/58162/58162fig2.jpg" /> 
Figure 2. Constituent cell types are retained in isolated glomeruli. Confocal immunofluorescence microscopy was performed for nephrin (red, podocytes) and cell-specific markers to identify podocytes, mesangial cells, and the endothelium. (A) Costain for nephrin and WT1 (green, podocytes). (B) Costain for nephrin and PDGFR-&#946; (green, mesangial cells, arrow). (C) Costain for nephrin and CD31 (green, endothelial cells, vessels in cross section marked by arrowheads). Scale bar = 25 &#181;m on all panels. <a href="https://www.jove.com/files/ftp_upload/58162/58162fig2large.jpg" target="_blank">Please click here to view a larger version of this figure.</a>
<img alt="Figure 3" class="xfigimg" src="/files/ftp_upload/58162/58162fig3.jpg" /> 
Figure 3. Podocyte injury can be induced in vitro using isolated rat glomeruli. (A) Confocal immunofluorescence microscopy for nephrin and WT1 in an untreated glomerular culture. Note the linear nephrin staining (red) and presence of WT1-positive nuclei (green) which are typically seen when there are healthy podocytes. (B) After protamine sulfate treatment, nephrin expression is decreased and non-linear, and WT1 is absent, indicating podocyte injury. (C) Transmission electron microscpy (TEM) image showing foot processes, basement membrane, and a fenestrated endothelium typical of normal glomerular structure. Bar equals 500 nm. (D) After protamine sulfate, foot processes are elongated or effaced (arrowheads), which indicates podocyte injury. (E) Western blot for nephrin showing decreased nephrin after protamine sulfate treatment. (F) Actin loading control for western blot is shown. <a href="https://www.jove.com/files/ftp_upload/58162/58162fig3large.jpg" target="_blank">Please click here to view a larger version of this figure.</a>
<img alt="Figure 4" class="xfigimg" src="/files/ftp_upload/58162/58162fig4.jpg" /> 
Figure 4. Assessment of cell viability in isolated glomeruli. Confocal immunofluorescence microscopy for cleaved caspase-3 (green) was performed. A nephrin co-stain was performed to easily locate the glomeruli. While there was no cleaved caspase-3 positivity at 0 and 1 h after isolation of glomeruli, fluorescence signal in a few cells was noted at 2 h. Progressively more cells turned positive the longer after isolation they were examined. The greatest number of caspase-3 positive cells were noted at 24 and 48 h. <a href="https://www.jove.com/files/ftp_upload/58162/58162fig4large.jpg" target="_blank">Please click here to view a larger version of this figure.</a>

Watch this Scientific Journal Video about An Efficient Sieving Method to Isolate Intact Glomeruli from Adult Rat Kidney at JoVE.com

An Efficient Sieving Method to Isolate Intact Glomeruli from Adult Rat Kidney

The main focus of this protocol is to efficiently isolate viable primary glomeruli cultures with minimal contaminants for use in a variety of downstream applications. The isolated glomeruli retain structural relationships between component cell types and can be cultured ex vivo for a short time.

Preservation of glomerular structure and function is pivotal in the prevention of glomerulonephritis, a category of kidney disease characterized by ...

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Research

JoVE Journal

Medicine

13.5K Views.  University of Pittsburgh. Deze methode kan helpen om belangrijke vragen op het gebied van nierziekte te beantwoorden. In het bijzonder in het begrip van glomerulus in normale en zieke staten. Glomerulaire biologie kan moeilijk te bestuderen zijn vanwege de verscheidenheid aan aanwezige celtypen en hun unieke structuur.Het belangrijkste voordeel van deze techniek is om een direct beschikbare bron van intacte glomeruli met behulp van eenvoudige methoden en apparatuur. Deze techniek heeft implicaties voor ons begr...

Video: An Efficient Sieving Method to Isolate Intact Glomeruli from Adult Rat Kidney

Isolation of Glomeruli and In Vivo Labeling of Glomerular Cell Surface Proteins

Proteinuria results from the disruption of the glomerular filter that is composed of the fenestrated endothelium, glomerular basement membrane, and podocytes with their slit diaphragms. The delicate structure of the glomerular filter, especially the slit diaphragm, relies on the interplay of diverse cell surface proteins. Studying these cell surface proteins has so far been limited to in vitro studies or histologic analysis. Here, we present a murine in vivo biotinylation labeling method, which enables the study of glomerular cell surface proteins under physiologic and pathophysiologic conditions. This protocol contains information on how to perfuse mouse kidneys, isolate glomeruli, and perform endogenous immunoprecipitation of a protein of interest. Semi-quantitation of glomerular cell surface abundance is readily available with this novel method, and all proteins accessible to biotin perfusion and immunoprecipitation can be studied. In addition, isolation of glomeruli with or without biotinylation enables further analysis of glomerular RNA and protein as well as primary glomerular cell culture (i.e., primary podocyte cell culture).

Isolation of Glomeruli and In Vivo Labeling of Glomerular Cell Surface Proteins

Here we present a protocol for murine in vivo labeling of glomerular cell surface proteins with biotin. This protocol contains information on how to perfuse mouse kidneys, isolate glomeruli, and perform endogenous immunoprecipitation of the protein of interest.

Proteinuria results from the disruption of the glomerular filter that is composed of the fenestrated endothelium, glomerular basement membrane, and ...

Biochemistry

Quantifying Glomerular Permeability of Fluorescent Macromolecules Using 2-Photon Microscopy in Munich Wistar Rats

Kidney diseases involving urinary loss of large essential macromolecules, such as serum albumin, have long been thought to be caused by alterations in the permeability barrier comprised of podocytes, vascular endothelial cells, and a basement membrane working in unison. Data from our laboratory using intravital 2-photon microscopy revealed a more permeable glomerular filtration barrier (GFB) than previously thought under physiologic conditions, with retrieval of filtered albumin occurring in an early subset of cells called proximal tubule cells (PTC)1,2,3.
Previous techniques used to study renal filtration and establishing the characteristic of the filtration barrier involved micropuncture of the lumen of these early tubular segments with sampling of the fluid content and analysis4. These studies determined albumin concentration in the luminal fluid to be virtually non-existent; corresponding closely to what is normally detected in the urine. However, characterization of dextran polymers with defined sizes by this technique revealed those of a size similar to serum albumin had higher levels in the tubular lumen and urine; suggesting increased permeability5.
Herein is a detailed outline of the technique used to directly visualize and quantify glomerular fluorescent albumin permeability in vivo. This method allows for detection of filtered albumin across the filtration barrier into Bowman's space (the initial chamber of urinary filtration); and also allows quantification of albumin reabsorption by proximal tubules and visualization of subsequent albumin transcytosis6. The absence of fluorescent albumin along later tubular segments en route to the bladder highlights the efficiency of the retrieval pathway in the earlier proximal tubule segments. Moreover, when this technique was applied to determine permeability of dextrans having a similar size to albumin virtually identical permeability values were reported2. These observations directly support the need to expand the focus of many proteinuric renal diseases to included alterations in proximal tubule cell reclamation.

A technique utilizing high resolution intavital 2-photon microscopy to directly visualize and quantify gloemrular filtration in surface glomeruli. This method allows for direct determination of permeability characteristics of macromolecules in both normal and diseased states.

Kidney  diseases involving urinary loss of large essential macromolecules, such as  serum albumin, have long been thought to be caused by alterations in ...

Assessment of Kidney Function in Mouse Models of Glomerular Disease

The use of murine models to mimic human kidney disease is becoming increasingly common. Our research is focused on the assessment of glomerular function in diabetic nephropathy and podocyte-specific VEGF-A knock-out mice; therefore, this protocol describes the full kidney work-up used in our lab to assess these mouse models of glomerular disease, enabling a vast amount of information regarding kidney and glomerular function to be obtained from a single mouse. In comparison to alternative methods presented in the literature to assess glomerular function, the use of the method outlined in this paper enables the glomerular phenotype to be fully evaluated from multiple aspects. By using this method, the researcher can determine the kidney phenotype of the model and assess the mechanism as to why the phenotype develops. This vital information on the mechanism of disease is required when examining potential therapeutic avenues in these models. The methods allow for detailed functional assessment of the glomerular filtration barrier through measurement of the urinary albumin creatinine ratio and individual glomerular water permeability, as well as both structural and ultra-structural examination using the Periodic Acid Schiff stain and electron microscopy. Furthermore, analysis of the genes dysregulated at the mRNA and protein level enables mechanistic analysis of glomerular function. This protocol outlines the generic but adaptable methods that can be applied to all mouse models of glomerular disease.

This protocol describes a full kidney work-up that should be carried out in mouse models of glomerular disease. The methods allow for detailed functional, structural, and mechanistic analysis of glomerular function, which can be applied to all mouse models of glomerular disease.

The use of murine models to mimic human kidney disease is becoming increasingly common. Our research is focused on the assessment of glomerular function ...

Single-channel Analysis and Calcium Imaging in the Podocytes of the Freshly Isolated Glomeruli

Podocytes (renal glomerular epithelial cells) are known to regulate glomerular permeability and maintain glomerular structure; a key role for these cells in the pathogenesis of various renal diseases has been established since podocyte injury leads to proteinuria and foot process effacement. It was previously reported that various endogenous agents may cause a dramatic overload in intracellular Ca2+ concentration in podocytes, presumably leading to albuminuria, and this likely occurs via calcium-conducting ion channels. Therefore, it appeared important to study calcium handling in the podocytes both under normal conditions and in various pathological states. However, available experimental approaches have remained somewhat limited to cultured and transfected cells. Although they represent a good basic model for such studies, they are essentially extracted from the native environment of the glomerulus. Here we describe the methodology of studying podocytes as a part of the freshly isolated whole glomerulus. This preparation retains the functional potential of the podocytes, which are still attached to the capillaries; therefore, podocytes remain in the environment that conserves the major parts of the glomeruli filtration apparatus. The present manuscript elaborates on two experimental approaches that allow 1) real-time detection of calcium concentration changes with the help of ratiometric confocal fluorescence microscopy, and 2) the recording of the single ion channels activity in the podocytes of the freshly isolated glomeruli. These methodologies utilize the advantages of the native environment of the glomerulus that enable researchers to resolve acute changes in the intracellular calcium handling in response to applications of various agents, measure basal concentration of calcium within the cells (for instance, to evaluate disease progression), and assess and manipulate calcium conductance at the level of single ion channels.

Changes in the intracellular calcium levels in the podocytes are one of the most important means to control the filtration function of glomeruli. Here we explain a high-throughput approach that allows detection of real-time calcium handling and single ion channels activity in the podocytes of the freshly isolated glomeruli.

Podocytes (renal glomerular epithelial cells) are known to regulate glomerular permeability and maintain glomerular structure; a key role for these cells ...

Biology

Using 2-Photon Microscopy to Quantify the Effects of Chronic Unilateral Ureteral Obstruction on Glomerular Processes

Applying novel microscopy methods to suitable animal disease models to explore the dynamic physiology of the kidney remains a challenge. Rats with surface glomeruli provide a unique opportunity to investigate physiological and pathophysiological processes using intravital 2-photon microscopy. Quantification of glomerular capillary blood flow and vasoconstriction and dilatation in response to drugs, permeability, and inflammation are just some of the processes that can be studied. In addition, transgenic rats, i.e., podocytes labeled with fluorescent dyes and other molecular biomarker approaches, provide increased resolution to directly monitor and quantify protein-protein interactions and the effects of specific molecular alterations.
In mice, which lack surface glomeruli after four weeks of age, unilateral ureteral obstruction (UUO) for several weeks has been used to induce surface glomeruli. As this induction model does not allow for baseline studies, we quantified the effects of UUO on glomerular processes in the UUO model in Munich Wistar Fr&#246;mter (MWF) rats, which have surface glomeruli under physiologic conditions. The UUO model for five weeks or more induced significant alterations to gross renal morphology, the peritubular and glomerular microvasculature, as well as the structure and function of tubular epithelia. Glomerular and peritubular red blood cell (RBC) flow decreased significantly (p &#60; 0.01), probably due to the significant increase in the adherence of white blood cells (WBCs) within glomerular and peritubular capillaries. The glomerular sieving coefficient of albumin increased from 0.015 &#177; 0.002 in untreated MWFs to 0.045 &#177; 0.05 in 5-week-old UUO MWF rats. Twelve weeks of UUO resulted in further increases in surface glomerular density and glomerular sieving coefficient (GSC) for albumin. Fluorescent albumin filtered across the glomeruli was not reabsorbed by the proximal tubules. These data suggest that using UUO to induce surface glomeruli limits the ability to study and interpret normal glomerular processes and disease alterations.

Here, we present a protocol using 2-photon microscopy in Munich Wistar Fromter rats with surface glomeruli to quantifythe effects of prolonged ureteral obstruction on glomerular dynamics and function.

Applying novel microscopy methods to suitable animal disease models to explore the dynamic physiology of the kidney remains a challenge. Rats with surface ...

Glomerular Outgrowth as an Ex Vivo Assay to Analyze Pathways Involved in Parietal Epithelial Cell Activation

Parietal epithelial cell (PEC) activation is one of the key factors involved in the development and progression of glomerulosclerosis. Inhibition of pathways involved in parietal epithelial cell activation could therefore be a tool to attenuate the progression of glomerular diseases. This article describes a method to culture and analyze parietal epithelial cell outgrowth of encapsulated glomeruli isolated from mouse kidney. After dissecting isolated mouse kidneys, the tissue is minced, and glomeruli are isolated by sieving. Encapsulated glomeruli are collected, and single glomeruli are cultured for 6 days to obtain glomerular outgrowth of parietal epithelial cells. During this period, parietal epithelial cell proliferation and migration can be analyzed by determining the cell number or the surface area of outgrowing cells. This assay can therefore be used as a tool to study the effects of an altered gene expression in transgenic- or knockout-mice or the effects of culture conditions on parietal epithelial cell growth characteristics and signaling. Using this method, important pathways involved in the process of parietal epithelial cell activation and consequently in glomerulosclerosis can be studied.

This article describes a method for culturing and analyzing glomerular parietal epithelial cell outgrowths of encapsulated glomeruli isolated from mouse kidney. This method can be used to study pathways involved in parietal epithelial cell proliferation and migration.

Parietal epithelial cell (PEC) activation is one of the key factors involved in the development and progression of glomerulosclerosis. Inhibition of ...

Isolation of Conditionally Immortalized Mouse Glomerular Endothelial Cells with Fluorescent Mitochondria

Glomerular endothelial cell (GEC) dysfunction can initiate and contribute to glomerular filtration barrier breakdown. Increased mitochondrial oxidative stress has been suggested as a mechanism resulting in GEC dysfunction in the pathogenesis of some glomerular diseases. Historically the isolation of GECs from in vivo models has been notoriously challenging due to difficulties in isolating pure cultures from glomeruli. GECs have complex growth requirements in vitro and a very limited lifespan. Here, we describe the procedure for isolating and culturing conditionally immortalized GECs with fluorescent mitochondria, enabling the tracking of mitochondrial fission and fusion events. GECs were isolated from the kidneys of a double transgenic mouse expressing the thermolabile SV40 TAg (from the Immortomouse), conditionally promoting proliferation and suppressing cell differentiation, and a photo-convertible fluorescent protein (Dendra2) in all mitochondria (from the photo-activatable mitochondria [PhAMexcised] mouse). The stable cell line generated allows for cell differentiation after inactivation of the immortalizing SV40 TAg gene and photo-activation of a subset of mitochondria causing a switch in fluorescence from green to red. The use of mitoDendra2-GECs allows for live imaging of fluorescent mitochondria&#39;s distribution, fusion, and fission events without staining the cells.

The article describes the method for isolating conditionally immortalized glomerular endothelial cells from the kidneys of transgenic mice expressing the thermolabile simian virus 40 and photo-activatable mitochondria, PhAMexcised. We describe the procedure for glomeruli isolation from whole kidneys using beads, digestion steps, seeding, and culturing of GECs-CD31 positive.

Glomerular endothelial cell (GEC) dysfunction can initiate and contribute to glomerular filtration barrier breakdown. Increased mitochondrial oxidative ...

Fluorescent Labeling of Glomeruli in Cleared Mouse Kidneys for Microscopy

An Efficient and Fast Method for Labeling and Analyzing Mouse Glomeruli

The glomeruli are fundamental units in the kidney; hence, studying the glomeruli is pivotal for understanding renal function and pathology. Biological imaging provides intuitive information; thus, it is of great significance to label and observe the glomeruli. However, the glomeruli observation methods currently in use require complicated operations, and the results may lose label details or three-dimensional (3D) information. The clear, unobstructed brain imaging cocktails and computational analysis (CUBIC) tissue clearing technology has been widely used in renal research, allowing for more accurate detection and deeper detection depth. We found that mouse glomeruli can be rapidly and effectively labeled by tail vein injection of medium molecular weight FITC-Dextran followed by the CUBIC clearing method. The cleared mouse kidney could be scanned by a light-sheet microscope (or a confocal microscope when sliced) to obtain three-dimensional image stacks of all the glomeruli in the entire kidney. Processed with appropriate software, the glomeruli signals could be easily digitized and further analyzed to measure the number, volume, and frequency of the glomeruli.

Author Spotlight: Aiding Research in Kidney Biology by Labeling Glomeruli in Cleared Tissues 

This study presents an easy-to-use, complete, and simple set of methods to label and analyze glomeruli from CUBIC-cleared mouse kidneys. Data such as glomerulus number and volume can be obtained easily and reliably using fluorescein isothiocyanate (FITC)-Dextran, light sheet fluorescence microscopy (LSFM), or common confocal microscopy and software such as Imaris.

The glomeruli are fundamental units in the kidney; hence, studying the glomeruli is pivotal for understanding renal function and pathology. Biological ...

Optimizing Isolation and Purification of Murine Glomerular Mesangial Cells

Mesangial cells (MCs) are stromal cells located in the middle space of the glomerulus, with pivotal functions in glomerular homeostasis. Methods for isolating, purifying, and culturing glomerular MCs have been developed and optimized since the 1980s for use in biomedical research, particularly in the field of nephrology. Mice are the most frequently used experimental animal models in research on renal diseases. In this study, we developed an optimized protocol for murine MCs isolation and ex vivo cell culture. These cells can be passaged multiple times, frozen, revived, and cultured without compromising cell growth or protein expression. This optimized approach significantly reduces the study duration for researchers and enables long-term cell preservation. The necessary equipment for the procedures is easily accessible in a basic biomedical laboratory, and the procedural steps are straightforward. The acquisition of target cells requires only 2-3 weeks, a reduction of at least 1 week compared to existing methods.

This study developed an optimized protocol for the isolation of murine mesangial cells (MCs) and their ex vivo cell culture. These cells can be passaged multiple times, frozen, revived, and cultured without compromising cell growth or protein expression.

Mesangial cells (MCs) are stromal cells located in the middle space of the glomerulus, with pivotal functions in glomerular homeostasis. Methods for ...

Extracting Intact Kidney from Mouse: A Technique to Obtain Kidney Without Renal Capsule from Murine Models

Using internal tissue forceps and internal dissection scissors, pinch the intestines and lift them away from the abdominal wall. Simultaneously, cut the underside of the intestines free from the body at the proximal duodenum and distal colon to gain access to the retroperitoneal space containing the kidneys.
Gently pinch and lift the distal end of the ureter with tissue forceps. Using the dissection scissors, cut underneath the pinched ureter towards the kidney until it has become liberated from the surrounding connective tissue. Once the kidneys are exposed, extract them individually.
Fill a silicon elastomer-coated dish with ice-cold KRB solution. Transfer the kidney to the dissection dish and ensure that it is completely submerged. Use fine spring scissors and internal forceps to remove adipose tissue from the base of the kidney to expose the distal renal pelvis or RP and proximal ureter.
Remove the proximal ureter and a portion of the distal RP from the base using fine spring scissors and forceps. Pierce the outer renal capsule with fine-tip forceps, angling the tips away from the kidney body. Using forceps with each hand, pinch the loose ends of the capsule and peel them apart until the remaining renal capsule membrane is removed entirely.

An Efficient Sieving Method to Isolate Intact Glomeruli from Adult Rat Kidney

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