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Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong.
Correspondence to Dr. Kar Neng. Lai, Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Pokfulam, Hong Kong. Phone: 852 285 54251; Fax: 852 281 62863; E-mail: knlai{at}hkucc.hku.hk
IgA nephropathy (IgAN) is characterized by raised serum
IgA and predominant mesangial IgA deposits of polymeric nature. The expression
of IgA receptor molecules in white blood cells and glomerular mesangial cells
has recently attracted much attention in relation to the uptake of IgA by
these cells. This study investigates the expression of IgA Fc receptor
(Fc
R1 or CD89), asialoglycoprotein receptor (ASGPR), and polymeric Ig
receptor (pIgR) in cultured glomerular mesangial cells. Using a sensitive
nested reverse transcription-PCR, mRNA encoding for Fc
R1, pIgR, or the
H2 chain of ASGPR was not demonstrated on human mesangial cells. U937, HepG2,
and HT29 cell lines, used as positive controls, strongly expressed the
Fc
R1, ASGPR, and pIgR mRNA, respectively, under similar experimental
conditions. Flow cytometry also demonstrated the presence of surface proteins
for Fc
R1, ASGPR, and pIgR on the respective control cell lines but not
on human mesangial cells. Expression of Fc
R1 mRNA on cultured U937
cells was upregulated by tumor necrosis factor-
. However, tumor
necrosis factor-
, interleukin-1ß, or transforming growth
factor-ß failed to induce the expression of Fc
R1 on human
mesangial cells. Human serum IgA or secretory IgA bound to human mesangial
cells, HepG2, or the U937 cell line in a dose-dependent manner. The binding of
purified IgA to human mesangial cells was not blocked by preincubation with
human IgG, IgM, orosomucoid, asialoorosomucoid, anti-CD89 antibody (My43), or
anti-secretory component antibody. The present study concluded that there was
an absence of Fc
R1, ASGPR, or pIgR on human mesangial cells. These
findings suggest that the predominant binding of human IgA to human mesangial
cells is mediated by other mechanisms.
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