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J Am Soc Nephrol 11:632-639, 2000
© 2000 American Society of Nephrology

Characterization and Localization of the Neonatal Fc Receptor in Adult Human Kidney

JEAN-PHILIPPE HAYMANN*, JEAN-PIERRE LEVRAUD{dagger}, SANDRINE BOUET*, VINCENT KAPPES*, JACQUELINE HAGÈGE*, GENEVIEVE NGUYEN*, YICHUN XU*, ERIC RONDEAU* and JEAN-DANIEL SRAER*

* Service de Néphrologie A, Assistance Publique-Hôpitaux de Paris, Institut National de la Santé et de la Recherche Médicale U489 et Association Claude Bernard, Hôpital Tenon, Paris, France.
{dagger} Institut National de la Santé et de la Recherche Médicale U277, Institut Pasteur, Paris, France.

Correspondence to Dr. Jean-Philippe Haymann, Service de Néphrologie A, Hôpital Tenon, 4 Rue de la Chine, 75020 Paris, France. Phone: +33 1 56 01 65 10; Fax: +33 1 56 01 79 68; E-mail: jean-philippe.haymann{at}tnn.ap-hop-paris.fr


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Abstract. The binding of Fc fragments of Ig on glomerular epithelial cells (GEC) was observed previously, but the receptor could not be identified. In immunofluorescence and immunohistochemical studies using normal adult human kidney sections, the presence of the so-called neonatal Fc receptor (FcRn) was demonstrated on GEC as well as in the brush border of proximal tubular cells. FcRn transcripts were also detected on isolated glomeruli by reverse transcription-PCR. Using an immortalized GEC line, the presence of the FcRn was confirmed by flow cytometry, reverse transcription-PCR, Western blotting, and by the pH dependence of the binding of heat-aggregated IgG. Because it is well established that the FcRn is involved in IgG transcytosis, it is hypothesized that the FcRn in the kidney may play a role in the reabsorption of IgG. Ongoing studies should clarify the role of the FcRn as a potential target for immune complexes on GEC and should assess its relevance in physiology and pathology.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Immune complex deposition is encountered in many glomerulonephritides. In membranous nephropathy, those deposits occur between the glomerular basement membrane and visceral glomerular epithelial cells (GEC). This observation has led investigators to search for a specific IgG receptor on the surface of GEC. It was reported that soluble aggregated IgG (AgIgG) or Fc fragments, but not F(ab')2 fragments, could bind to GEC in culture (1) and in tissue sections (2). However, no receptors responsible for this binding were identified, and subsequent searches for the known Fc{gamma} receptors CD16, CD32, and CD64 on GEC yielded negative results (3,4,5,6).

Another Fc{gamma} receptor, known as the neonatal Fc receptor (FcRn), has been cloned from rodents (7) and human subjects (8). This receptor is an MHC class I-like membrane protein associated with ß2-microglobulin. FcRn is considered to be involved in IgG transport from the blood of the mother to that of the fetus during pregnancy (8,9,10,11,12,13) and from the milk of the mother to the neonate during lactation (14,15,16). The ability of this receptor to bind IgG with higher affinity at the acidic pH encountered in the gut lumen, compared with the neutral plasma pH, is thought to be important in the latter function (16,17,18). However, FcRn function is not restricted to the transfer of IgG from mother to offspring. Indeed, FcRn, which is transcribed in many adult tissues (7,8,19), has been identified as the "IgG protection" receptor hypothesized by Brambell et al. (20) to explain the paradoxically long half-life of IgG, relative to the half-lives of other plasma proteins. This has led to the hypothesis that FcRn is expressed on endothelial cells (21,22,23). To date, the expression of FcRn on extracellular plasma membranes has been reported only for enterocytes and hepatocytes, whereas FcRn appears to be localized exclusively in the cytoplasm, associated with acidified endosomes, in syncytiotrophoblast cells and some endothelial cells (13,23).

FcRn mRNA has been detected by Northern blot analysis of human kidneys (8), but the precise localization of this receptor on the different structures of the kidney has not been investigated. Therefore, we raised the question of whether the binding of AgIgG or Fc fragments to GEC may be linked to the presence of this receptor. We show here that this receptor is expressed on GEC in vivo and in vitro, as well as on the brush border of proximal tubular cells. These data raise interesting questions regarding the relevance of this receptor in physiologic processes and in some glomerular diseases, such as membranous nephropathy.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Reagents
The rabbit anti-FcRn antibody was a polyclonal antiserum specific for the rat FcRn heavy chain (kindly provided by Dr. Pamela Bjorkman, California Institute of Technology, Pasadena, CA) (18). Recognition of the human FcRn by anti-rat FcRn antibodies was reported previously (13). Normal rabbit serum was used as the negative control. The soluble FcRn was described previously (24) and was also kindly provided by Dr. Pamela Bjorkman. AgIgG was obtained by heating at 63°C for 30 min, as described (1). Anti-CD16, -CD32, and -CD64 antibodies, goat anti-human F(ab')2, and human Fc fragments were purchased from Jackson ImmunoResearch (West Grove, PA). FITC-conjugated anti-rabbit IgG, anti-human F(ab')2, and anti-mouse IgG were obtained from Amersham (Orsay, France).

Cell Culture
Human GEC were isolated from normal tissue obtained from nephrectomies and were characterized as described previously (25). The cells were cultured in RMPI 1640 (Life Technologies) containing 10% heat-inactivated fetal calf serum and 2 mM L-glutamine, and they were used between passages 3 and 4. A stable GEC cell line, E56 10A1 (hereafter referred to as E56), with a phenotype similar to that of primary cultures of GEC and podocytes in vivo (25,26) was used between passages 60 and 80. A human choriocarcinoma cell line (BEWO) was obtained from the European Collection of Animal Cell Cultures (no. 86082803) at passage 196 and was cultured in Ham's F-12 medium (Life Technologies) containing 2 mM glutamine and 10% fetal calf serum.

Immunofluorescence Study
Normal portions of noninvolved poles from three tumor nephrectomy specimens were studied. The tissues were rapidly frozen in liquid nitrogen, and 2-µm-thick cryostat sections were fixed in 4% paraformaldehyde for 10 min and washed in phosphate-buffered saline (PBS). The sections were incubated with the rabbit antiserum to FcRn (at a dilution of 1:40) for 30 min at room temperature, washed extensively with PBS, and incubated with FITC-anti-rabbit IgG for 30 min. Double staining was performed using a monoclonal antibody to CD31 (dilution 1:100; Dako, Glostrup, Denmark), an endothelial cell marker, and a Texas red-labeled anti-mouse IgG (Vector Laboratories, Burlingame, CA) for detection. The slides were then washed and photographs were taken using immunofluorescence microscopy.

Immunohistochemical Study
The rabbit polyclonal anti-FcRn was detected using the biotinavidin-peroxidase-coupled technique. In brief, the tissue sections were blocked with 10% normal human serum before incubation with the specific rabbit polyclonal anti-FcRn antibody (dilution 1:320) for 1 h at room temperature. After being washed with PBS, the sections were incubated with a biotinylated anti-rabbit antibody (Dakopatts, Glostrup, Denmark) and then incubated with avidin coupled to peroxidase (Amersham, Buckinghamshire, United Kingdom), which was detected with 3-amino-9-ethylcarbazole in the presence of H2O2. Sections were then counterstained with hematoxylin. Negative control samples were prepared using nonimmune rabbit antiserum (dilution 1:320).

Reverse Transcription-PCR
Explanted isolated glomeruli from three different specimens were obtained by microdissection, as described (27). Total RNA was extracted from microdissected glomeruli and cultured cells by ultracentrifugation on a CsCl cushion (28). cDNA was synthesized from 10 µg of total RNA, using 100 pmol of (dT)17 primer, 25 U of RNasin (Promega, Madison, WI), and 10 U of avian myeloblastosis virus reverse transcriptase (Boehringer, Mannheim, Germany), in the buffer provided. For control samples, reverse transcriptase was omitted. cDNA was diluted with water to a final volume of 100 µl. PCR was performed using the following mixture: 25 U/ml Goldstar Taq DNA polymerase (Eurogentec, Seraing, Belgium) in the buffer provided, 2.5 mM MgCl2, 0.2 mM dNTP, and 0.5 µM levels of each primer. Three microliters of cDNA were used as the template, in a 30-µl final volume. Forty rounds of amplification, each consisting of 30 s at 94°C, 30 s at 60°C, and 30 s at 72°C, were then performed in a 9600 GeneAmp thermocycler (Perkin Elmer, Foster City, CA).

The following oligonucleotides (purchased from Eurogentec) were used, yielding an expected 369-bp product from cDNA: FcRn1, 5'-CAAAGCTTTGGGGGGAAAAG-3' (hybridizing in the {alpha}1 domain); FcRn2, 5'-TGCAGGTAAGCACGGAAAAG-3' (hybridizing in the {alpha}3 domain). Sequencing of the PCR product was performed with the ABI Prism dye terminator reaction kit (Perkin Elmer), using the recommended protocol; the product was analyzed using a 373A automated DNA sequencer (Applied Biosystems, Foster City, CA).

Immunoblot Analysis
Cell membranes from E56 cells and isolated glomeruli (obtained after sieving) were prepared as described previously (29). Briefly, the cells were rapidly washed three times with cold Krebs-Henseleit buffer (118 mM NaCl, 5 mM KCl, 1.1 mM MgSO4, 2.5 mM CaCl2, 1.2 mM KH2PO4, 25 mM NaHCO3, pH 7.4) and scraped into homogenization buffer (5 mM Tris-HCl, pH 7.4, containing 0.25 M sucrose, 500 U/ml Trasylol (Bayer Pharma, Puteaux, France), 1 mM ethylene glycol-bis(ß-aminoethyl ether)-N,N,N',N'-tetra-acetic acid, and 1 mM phenylmethylsulfonyl fluoride). The cells were homogenized at 0°C in a Teflon Potter homogenizer. Two milliliters of the homogenate were loaded on 1 ml of 20 mM Tris-HCl, pH 7.5, containing 1.45 M sucrose. After centrifugation at 35,000 x g for 30 min, the membranes at the interface were collected, pelleted at 40,000 x g for 20 min, and washed in 10 mM Hepes, pH 7.5, containing 0.2 mM CaCl2, 5 mM MgCl2, 250 U/ml Trasylol, and 0.5 mM phenylmethylsulfonyl fluoride. The cell membranes were extracted in 5% sodium dodecyl sulfate. Protein concentrations in the extracts were determined by the method of Peterson (30). The extracts and recombinant rat FcRn were resolved on 12% polyacrylamide denaturing gels and transferred to nylon membranes. The membranes were blocked with 5% nonfat milk in PBS and probed with rabbit antiserum to FcRn (dilution 1:500) or nonimmune control serum (dilution 1:500) overnight at 4°C. Unbound antibodies were removed by washing in PBS with 0.05% (vol/vol) Tween 20. A second antibody, alkaline phosphatase-conjugated goat anti-rabbit IgG, was then applied for 30 min at 37°C, and the unbound antibody was removed by washing as described above. Immunoreactivities were revealed with nitroblue tetrazolium/5-bromo-4-chloro-3-indolyl phosphate substrate (Promega).

Flow Cytometric Analysis
E56 cells were detached with 5 mM ethylenediaminetetra-acetic acid, washed three times with PBS, pH 7.4, and incubated for 30 min with either rabbit anti-FcRn, nonimmune rabbit serum (as a negative control), anti-CD16, anti-CD32, or anti-CD64. After washing with PBS, the cells were incubated with FITC-conjugated goat anti-rabbit IgG or anti-mouse IgG for 1 h at room temperature, washed, and analyzed using a flow cytometer (Beckton Dickinson, Mountain View, CA). Data were analyzed with CellQuest software (Beckton Dickinson). Dead cells were excluded on the basis of propidium iodide incorporation.

Labeling of AgIgG and Binding Assays
AgIgG was labeled with Na125I, by the Iodogen method (Pierce, Rockford, IL), to a specific activity of 0.5 Ci/µmol. Primary GEC cultures or E56 cells were grown to confluence in 100-mm-diameter culture plates (Nunc, Roskilde, Denmark). The cells were detached as described previously and resuspended in binding buffer (Hanks' balanced salt solution, with 10 mM Hepes, pH 6.0 or 8.0, containing 0.25% bovine serum albumin). The cells were pelleted, washed, and resuspended in binding buffer at approximately 106 cells/ml. For binding assays, 3 x 105 cells in 400 µl were mixed with 125I-AgIgG (106 cpm), with or without unlabeled AgIgG (to measure nonspecific binding). The cells were allowed to bind AgIgG at 4°C for 24 h with gentle stirring, transferred to Eppendorf tubes, and pelleted at 2000 rpm for 2 min at 4°C. After three washes with Hanks' balanced salt solution, pH 6.0 or pH 8.0, cell-associated radioactivity was counted in a gamma counter. All experiments were performed in triplicate.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Distribution of the FcRn in Kidney Tissue Sections
We investigated whether, under physiologic conditions, FcRn was expressed by GEC in adult kidneys. First, normal human kidney tissues were stained with an antiserum to rat FcRn in immunofluorescence assays (Figure 1A). The assays demonstrated positive staining in the glomeruli, strongly indicating GEC distribution, with no staining of parietal epithelial cells. Unexpectedly strong staining was also observed on proximal tubular cells, associated with the brush border. The specificity of this staining was confirmed by complete inhibition of the staining in the presence of soluble FcRn (Figure 1B). No staining was detected in the interstitium, in the medulla, or in distal tubular cells.



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Figure 1. Localization of the neonatal Fc receptor (FcRn) in a normal adult kidney section by immunofluorescence and immunohistochemical analyses. A normal adult human kidney section was stained. (A) Staining with the FcRn-specific antiserum was detected using FITC-labeled anti-rabbit IgG antibodies. This labeling indicated a podocyte origin in the glomerulus. The brush borders of proximal tubular cells were also labeled. The negative control sample was almost totally dark and therefore is not shown. (B) No labeling was observed when soluble rat FcRn was first incubated with the FcRn-specific antiserum. (C) Double-fluorescence staining using an anti-CD31 antibody (red) and the FcRn antiserum (green) indicated different localizations in the glomerulus. (E) Detection of the FcRn-specific antiserum by a biotin-avidinperoxidase-coupled technique indicated staining of the podocytes at the periphery of the glomerulus (arrows). On the other side of the glomerular basement membrane, endothelial cells in capillaries (labeled C) were not stained. Proximal tubular cells (TCP) were labeled. No staining of parietal glomerular epithelial cells (GEC) (arrowhead) was demonstrated. (D) The negative control is shown. Magnification: x250 in A through D; x600 in E.

 

Although the immunofluorescence patterns exclude staining of mesangial cells, the presence of FcRn on podocytes or endothelial cells is an important matter of debate, because endothelial cells in liver and muscles were shown to express this receptor (23). To carefully address this question, double staining with an endothelium-specific marker (CD31) and immunohistochemical assays were performed. Figure 1C indicates the different distributions of FcRn and CD31 in glomeruli, confirming the podocyte localization of FcRn. The absence of endothelial cell staining was clearly demonstrated in the immunohistochemical analyses (Figure 1E), although very small amounts of FcRn might not have been detected.

Total microdissected glomerular RNA extracts from three different specimens were tested for the presence of FcRn mRNA. Reverse transcription (RT)-PCR was performed using primers specific for human FcRn. As shown in Figure 2, a PCR product of the expected size was obtained from all lines. Sequencing of this PCR fragment demonstrated 100% identity with the previously reported sequence of human FcRn (8). To biochemically assess the specificity of the FcRn antiserum, we performed Western blotting of isolated glomerular extracts, which revealed the presence of two bands of approximately 45 kD, consistent with two glycosylated forms of the FcRn heavy chain (Figure 3, lane 1).



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Figure 2. Expression of FcRn mRNA by normal adult human glomeruli. Reverse transcription (RT)-PCR, using specific primers for FcRn, was performed on microdissected glomerular RNA extracts from three different specimens (lanes 2, 3, and 4), and products were analyzed on an ethidium bromide-stained agarose gel. Lane 1, PCR negative control (water as template); lane 0, 100-bp ladder. A PCR product of the expected size (359 bp) can be clearly observed.

 


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Figure 3. Detection of FcRn in membrane extracts of immortalized GEC or isolated glomerular extracts by Western blotting under non-reducing conditions. Protein membrane extracts (40 µg/lane) of E56 cells (lanes 3 and 4), glomerular extracts (40 µg/lane) (lanes 1 and 2), or soluble truncated rat FcRn (0.01 µg/lane) (lanes 5 and 6) were probed with FcRn-specific polyclonal antiserum (lanes 1, 3, and 5) or with control rabbit serum (lanes 2, 4, and 6), using a working dilution of 1:500. The positions of molecular mass markers are indicated on the left. The data clearly indicate a 40- to 45-kD band with several glycosylated products for the recombinant rat FcRn, with the 80-kD band being an FcRn dimer (lane 5). There are probably at least two glycosylated forms for human FcRn in glomerular extracts (lane 1) and E56 cell extracts. The 60-kD band is currently unidentified. The control serum did not react with any band.

 

Characterization of the FcRn on Immortalized GEC
To perform functional assays on this receptor, we took advantage of the generation of an immortalized human GEC line, E56, in our laboratory (25). Before this model could be considered valid, however, we needed to confirm that the expression of Fc receptors mirrored the in vivo situation. Therefore, after having confirmed the binding of AgIgG to E56 cells in flow cytometric assays (data not shown), we analyzed the expression of the Fc receptor candidates, namely CD16, CD32, CD64, and FcRn.

First, we investigated the expression of CD16, CD32, CD64, and FcRn on E56 cells by flow cytometry. As shown in Figure 4, the rabbit antiserum to rat FcRn yielded modest but significant staining of E56 cells, whereas normal rabbit serum did not. In contrast, monoclonal antibodies to the three myeloid Fc{gamma} receptors (CD16, CD32, and CD64) did not stain E56 cells at all.



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Figure 4. Detection of FcRn on the surface of immortalized GEC by flow cytometry. (Top Left) E56 cells were stained with a rat FcRn-specific polyclonal antiserum (solid line) or with normal rabbit serum (dashed line), which was detected with FITC-labeled anti-rabbit IgG antibodies. The other three panels show E56 cells that were stained with monoclonal antibodies specific for either CD16, CD32, or CD64, as indicated, with detection using FITC-labeled anti-mouse IgG antibodies (solid lines). The dashed lines represent fluorescence with the secondary antibodies alone.

 

Total RNA was extracted from either E56 cells, primary cultured GEC, or a trophoblastic cell line chosen as a positive control (BEWO). As shown in Figure 5, a RT-PCR product of the expected size was obtained from all lines. There was no genomic DNA contamination, because PCR performed on GEC total RNA without reverse transcriptase yielded negative results. Furthermore, the two PCR primers used are expected to hybridize with two different exons. No RT-PCR product for CD16, CD32, or CD64 could be detected in GEC using specific primers (data not shown).



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Figure 5. GEC expression of FcRn mRNA. Total RNA from the human trophoblast cell line BEWO (lane 1), E56 cells (lane 2), and GEC in primary culture (lane 3) were subjected to RT-PCR using specific FcRn primers and were analyzed on an ethidium bromidestained agarose gel. Lane 4, PCR negative control (water as template); lanes 5 and 6, controls for genomic DNA contamination (PCR performed on RNA without reverse transcriptase); lanes 0 and 7, 100-bp ladder.

 

Finally, Western blotting experiments on E56 cell membrane extracts under nonreducing conditions revealed the presence of a wide specific band of 40 to 45 kD (Figure 3, lane 3), which may represent different glycosylated forms of the FcRn heavy chain, similar to the recombinant rat FcRn (Figure 3, lane 5). As shown for recombinant rat FcRn, the 80-kD band indicates an FcRn dimer form (Figure 3, lane 5). Taken together, these data demonstrate that the E56 cell line expresses the FcRn but not the other Fc{gamma} receptors (CD16, CD32, and CD64), similar to GEC expression in vivo.

A characteristic feature of the FcRn is its higher affinity for Fc at pH 6.0 to 6.5, compared with pH 7.5 to 8.0 (8,12,17,19), a property that is thought to be responsible for the trafficking of IgG from the gut lumen to the bloodstream in neonates. Using 125I-AgIgG, we investigated the pH dependence of the binding of AgIgG on E56 cells. The results showed that although 125I-AgIgG could bind to GEC in a specific manner at both pH 6 and pH 8, specific binding levels were much lower under the latter conditions (Figure 6). Similar results were obtained using primary cultured GEC (data not shown).



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Figure 6. pH-dependent binding of aggregated IgG (AgIgG) by E56 cells. E56 cells were incubated for 24 h at 4°C with iodinated AgIgG, at pH 6.0 or 8.0. Assays were performed in the absence (-) or presence (+) of a 1000-fold excess of unlabeled IgG, to assess the specificity of the binding. Cell-associated radioactivity was then measured in a gamma counter after three washes. Values are the mean and SD of triplicate experiments.

 

To further demonstrate the identity of the AgIgG binding site with the FcRn, we performed an inhibition assay with the polyclonal antiserum to rat FcRn. The binding of 125I-AgIgG to GEC at pH 6 was inhibited by 80% in the presence of this specific antiserum, compared with nonimmune serum (Figure 7).



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Figure 7. Blockade of the binding of AgIgG on E56 cells by FcRn-specific antiserum. E56 cells were first incubated either with the polyclonal FcRn-specific antiserum (immune) or with normal rabbit serum (control). After 30 min, 125I-AgIgG was added and binding was measured as for Figure 6. Values are the mean and SD of triplicate experiments.

 

Moreover, we performed an inhibition experiment at pH 6 using increasing concentrations of unlabeled AgIgG, which further demonstrated that the binding of 125I-AgIgG to GEC was specific and saturable. Because AgIgG is heterogeneous in size (31), it is difficult to perform Scatchard analysis of such data. Postulating a molecular mass of AgIgG of approximately 106 D, we estimated the Kd to be approximately 10-6 to 10-7 M, with 2500 binding sites/cell (data not shown).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Our study localizes, for the first time, the FcRn in normal adult human kidneys on podocytes as well as on proximal tubular cells. The presence of this receptor was indicated by immunofluorescence staining and immunohistochemical analysis of human kidney biopsy samples, Western blotting, and RT-PCR assays of microdissected glomeruli. The expression of the FcRn on a GEC cell line was also demonstrated (by flow cytometry, PCR, and Western blotting), and was functional, since pH-dependent binding of AgIgG was demonstrated.

The absence of IgG background staining on podocytes in immunocytochemical assays, despite the presence of an Fc receptor on those cells, is explained by the low affinity of the receptor. Indeed, this low-affinity receptor (especially at pH 7.2 to 7.4) binds only multimers of IgG, in the same way that CD16 and CD32 (two other low-affinity Fc receptors) bind in vitro only IgG aggregates in solution and no IgG monomers. This finding is fully consistent with our own observations and previous reports, in which only AgIgG (1) or IgG-coated polystyrene latex particles (2) bound to podocytes ex vivo. This finding also provides an explanation for why no human IgG deposits (on podocytes) are detected in normal glomeruli in vivo; IgG must first cross the glomerular basement membrane and then at least dimerize. However, after immune complexes are immobilized in the extracellular matrix, FcRn dimerization, which enhances IgG binding affinity (32,33,34), may be facilitated.

FcRn is considered to play a key role in IgG transcytosis in many organs. In podocytes, a cellular mechanism of transcytosis has already been reported for the C5b-9 membrane attack complex (35). Because endocytosis occurs in clathrin-coated areas after incubation of AgIgG with GEC, as observed in vitro by electron microscopy (1), FcRn-mediated IgG transcytosis in GEC may be proposed. Therefore, this receptor might be involved in the clearance of immune complexes present in pathologic conditions, such as membranous nephropathy.

Another function might be attributed to this receptor in the kidney. Proteins that are filtered through the glomeruli, such as albumin, are reabsorbed primarily in renal proximal tubular cells, where they are catabolized (36). The presence of the FcRn in the brush border suggests reabsorption of IgG or Fc fragments. Indeed, it was demonstrated that infused Fc fragments were reabsorbed in renal proximal tubular cells in rats (37). However, the Fc catabolic degradation process seemed not to be located in normal kidneys, inasmuch as the serum half-life of Fc fragments was not altered by nephrectomy (38). This absence of Fc fragment degradation suggests a recycling process for IgG or Fc fragments at this location mediated by FcRn. This would agree well with the recently established role of FcRn in the protection of plasma IgG from catabolism (21,22,23). Indeed, IgG exhibits a long survival time, relative to other plasma proteins (20); however, in ß2-microglobulin knockout mice, in which the FcRn is not functional, IgG is cleared at the same accelerated rate as albumin (21). It can therefore be hypothesized that some IgG crosses the glomerular basement membrane under physiologic conditions and that FcRn on apical proximal tubular cells allows endocytosis and transport of intact IgG back to the circulation, with the kidney playing a role in this protection of IgG from catabolism. Such a hypothesis is contrary to the widely held view that the glomerular filter is an absolute barrier for IgG, a concept that is supported by the absence of detectable IgG in the ultrafiltrate (37). However, given the large volume of plasma filtered through the kidneys, even a minute leakage of IgG through the barrier might result in significant daily loss from the total IgG pool if those molecules were not recycled, with IgG remaining undetectable in the ultrafiltrate by conventional methods. A testable prediction of this hypothesis would be that in ß2-microglobulin knockout mice, the kidney would be an important site for IgG catabolism. Additional work is required to determine whether this receptor has functional relevance under physiologic conditions and/or in some human glomerulone-phritides, in which subepithelial IgG deposits are found in the glomeruli and IgG is observed in the urine.


    Acknowledgments
 
Acknowledgments

This work was supported by the Delegation de la Recherche Clinique Assistance Publique-Hôpitaux de Paris (Grant CRC97187). Dr. Levraud is the recipient of a fellowship from the Pasteur Institute. We are very grateful to Dr. Pamela Bjorkman for precious reagents. We thank Drs. Marie-Claire Gubler, Gabriel Gachelin, Pierre Verroust, Jean Kanellopoulos, and Philippe Kourilsky for helpful comments and critical reading. We thank Madeleine Delauche, Francoise Delarue, and Latifa Bouzhir for expert technical assistance.


    Footnotes
 
American Society of Nephrology


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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Received for publication February 10, 1998. Accepted for publication September 1, 1999.




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