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In This Article

  • Summary
  • Abstract
  • Introduction
  • Protocol
  • Representative Results
  • Discussion
  • Acknowledgements
  • Materials
  • References
  • Reprints and Permissions

Summary

Identifying the cell type responsible for secreting cytokines is necessary to understand the pathobiology of kidney disease. Here, we describe a method to quantitatively stain kidney tissue for cytokines produced by kidney epithelial or interstitial cells using brefeldin A, a secretion inhibitor, and cell-type-specific markers.

Abstract

Chronic kidney disease (CKD) is one of the top ten leading causes of death in the USA. Acute kidney injury (AKI), while often recoverable, predisposes patients to CKD later in life. Kidney epithelial cells have been identified as key signaling nodes in both AKI and CKD, whereby the cells can determine the course of the disease through the secretion of cytokines and other proteins. In CKD especially, several lines of evidence have demonstrated that maladaptively repaired tubular cells drive disease progression through the secretion of transforming growth factor-beta (TGF-β), connective tissue growth factor (CTGF), and other profibrotic cytokines. However, identifying the source and the relative number of secreted proteins from different cell types in vivo remains challenging.

This paper describes a technique using brefeldin A (BFA) to prevent the secretion of cytokines, enabling the staining of cytokines in kidney tissue using standard immunofluorescent techniques. BFA inhibits endoplasmic reticulum (ER)-to-Golgi apparatus transport, which is necessary for the secretion of cytokines and other proteins. Injection of BFA 6 h before sacrifice leads to a build-up of TGF-β, PDGF, and CTGF inside the proximal tubule cells (PTCs) in a mouse cisplatin model of AKI and TGF-β in a mouse aristolochic acid (AA) model of CKD. Analysis revealed that BFA + cisplatin or BFA + AA increased TGF-β-positive signal significantly compared to BFA + saline, cisplatin, or AA alone. These data suggest that BFA can be used to identify the cell type producing specific cytokines and quantify the relative amounts and/or different types of cytokines produced.

Introduction

It is estimated that >10% of the world's population have some form of kidney disease1. Defined by its rapid onset, AKI is largely curable; however, an episode of AKI can predispose patients to develop CKD later in life2,3. Unlike AKI, CKD is marked by progressive fibrosis and worsening kidney function, leading to end-stage renal disease requiring renal replacement therapy. Most injuries to the kidneys target the specialized epithelial cells, such as podocytes or proximal tubule cells, that make up the nephron4,5. Followi....

Protocol

All animal experiments were performed in accordance with the animal use protocol approved by the Institutional Animal Care and User Committee of Vanderbilt University Medical Center.

1. Animals

  1. Use 8-12-week-old BALB/c male mice (body weight: approximately 25 g) for cisplatin- or aristolochic acid-induced nephropathy.
  2. Ensure the mice are healthy and have no obvious signs of distress or wounds from fighting.
    NOTE: Wounds, especially to the tail, cou.......

Representative Results

To examine the role of tubular epithelial cells in cytokine production following cisplatin-induced AKI, cisplatin was injected at a concentration of 20 mg/kg followed by an intravenous injection of 0.25 mg of BFA on day 3 after the cisplatin injection. The kidneys were harvested 6 h later. Paraffin-embedded kidneys were sectioned and stained with TGF-β, PDGF-D, and CTGF, representative cytokines responsible for tissue repair in AKI. As shown in Figure 2A, TGF-β+ vesicles.......

Discussion

Kidney PTCs are known to regulate AKI and CKD through the secretion of TGF-β, TNF-α, CTGF, PDGF, vascular endothelial growth factor, as well as many other proteins20,21,22,23. Similarly, glomeruli, distal tubules, and other kidney epithelial cells, as well as interstitial cells, secrete these and/or other proteins during injury24,25.......

Acknowledgements

American Heart Association (AHA): Kensei Taguchi, 20POST35200221; HHS | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK): Craig Brooks, DK114809-01 DK121101-01.

....

Materials

NameCompanyCatalog NumberComments
1 mL Insulin syringesBD329654
10 mL SyringeBD302995
2 mL tubeFisher brand05-408-138
20 mL SyringeBD302830
25 G needlesBD305125
28 G needlesBD329424
96-well-plateCorning9017
Aristolochic acid-ISigma-AldrichA9461
α-SMA antibody conjugated with Cy3Sigma-AldrichC6198RRID:AB_476856
Blade for cryostatC.L. Sturkey. IncDT315R50
Bovine serum albumin (BSA) Sigma-AldrichA7906
Brefeldin ASigma-AldrichB6542
CisplatinSigma-AldrichP4394
Citric acidSigma-Aldrich791725
Confocal microscopeZEISS LSM710
Confocal microscopy objectivesZEISS40x / 1.10 LD C-Apochromat WATER
Confocal softwareZEISSZEN
Coplin jarFisher Scientific19-4
Cover glassFisher brand12545F
CryostatLeicaCM1850
CTGF antibodyGenetexGTX124232RRID:AB_11169640
Cy3-AffiniPure Donkey Anti-Rabbit IgG (H+L)Jackson immunoresearch711-165-152RRID: AB_2307443
Cy5-AffiniPure Donkey Anti-Goat IgG (H+L)Jackson immunoresearch705-175-147RRID: AB_2340415
DAPISigma-AldrichD9542
Dimethyl sulfoxide (DMSO)Sigma-AldrichD8418
Disposable base moldsFisher brand22-363-553
donkey serumJackson immunoresearch017-000-121
EthanolDecon Labs, Inc.2701
ForcepsVETUSESD-13
GlycineFisher brand12007-0050
Heating padsKent scientificDCT-20
Heparin sodium saltACROS organics41121-0010100mg/15ml of dH2O
Humidified chamberInvitrogen44040410A plastic box covered in foil can be used as an alternative humidified chamber.
Insulin syringesBD329461
Inverted microscopeNIKONEclipse Ti-E2immunofluorescence
KIM-1 antibodyR & DAF1817RRID: AB_2116446
Lemozole (Histo-clear)National diagnosticsHS-200
lotus tetragonolobus lectinVectorFL-13212
Microscope slideFisher scientific12-550-343
MicrotomeReichertJung 820 II
monochrome CMOS cameraNIKON DS-Qi-2
Mouse surgical kitKent scientificINSMOUSEKIT
NIS ElementsNIKON
ObjectivesNIKONPlan Apo 20x/0.75image acquisition software linked to Eclipse Ti-E2 (invertd microscope)
OCT compoundScigen4586
Pap penVectorH-4000
PBS with calcium and magnesiumCorning21-030-CV
PBS without calcium and magnesium Corning21-031-CV
PDGF-D antibodyThermo-Fisher scientific40-2100
PFAElectron Microscopy Science15710RRID: AB_2533455
Plate readerPromegaGloMax® Discover Microplate Reader4% PFA is diluted from 16% in PBS.
povidone-iodine (Betadine)Avrio Health L.P.NDC 67618-151-17
Pressure cooker Tristar 8Qt. Power Cooker Plus
ProLong Gold Antifade ReagentInvitrogenP36930
Quantichrom Urea (BUN) assay Kit IIBioAssay SystemsDUR2-100
Single-edge razor blade for kidney dissection (.009", 0.23 mm)IDL tools521013
Slide warmerLab Scientific Inc.,XH-2001
SoftwareNIKONNIS elements
SucroseRPIS24060
TGF-b1 anitbodySigma-AldrichSAB4502954
Tris EDTA bufferCorning46-009-CMRRID: AB_10747473
Trisodium citrate dihydrateSigma-AldrichSLBR6660V
Trisodium citrate dihydrateSigma-AldrichSLBR6660V
TritonSigma-Aldrich9002-93-1
Tween 20Sigma-AldrichP1379
White Glass Charged Microscope Slide, 25 x 75 mm Size, Ground Edges, Blue FrostedGlobe Scientific1358D

References

  1. GBD Chronic Kidney Disease Collaboration. Global, regional, and national burden of kidney disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 395 (10225), 709-733 (2020).
  2. Canaud, G., Bonventre, J. V.

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Chronic Kidney DiseaseAcute Kidney InjuryKidney Epithelial CellsCytokine SecretionTransforming Growth Factor betaConnective Tissue Growth FactorBrefeldin AProximal Tubule CellsCisplatinAristolochic Acid

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