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J Am Soc Nephrol 13:649-657, 2002
© 2002 American Society of Nephrology

Macrophage-Stimulating Protein Is Produced by Tubular Cells and Activates Mesangial Cells

Teresa Rampino*, Chiara Collesi{dagger}, Marilena Gregorini*, Milena Maggio*, Grazia Soccio*, Paola Guallini* and Antonio Dal Canton*

*Unit of Nephrology, Dialysis and Transplant, I. R. C. C. S. Policlinico San Matteo and University, Pavia, Italy; and {dagger}Institute for Cancer Research and Treatment, Torino, Italy.

Correspondence to Dr. Antonio Dal Canton, Universita Degli Studi di Pavia, Unit of Nephrology, Policlinico San Matteo, 27100 Pavia, Italy. Phone: 39-0382-422037; Fax: 39-0382-525001; E-mail: dalcanton{at}mbox.medit.it


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ABSTRACT. Until now, hepatocytes have been the only known cell source of macrophage-stimulating protein (MSP), and tissue macrophages have been the cells on which the biologic effects of MSP have been proved. To extend the understanding of the biologic meaning of MSP, it was investigated whether MSP operates in the kidney. MSP protein was evaluated by Western blot in supernatant of cultured human tubular cells (HK2) and human mesangial cells (HMC). MSP mRNA was investigated in HK2 by reverse transcription–polymerase chain reaction (RT-PCR). The expression of the MSP receptor, RON, was evaluated in HMC and HK2 by Western blot. RON mRNA was investigated in HMC by RT-PCR. The expression of MSP and RON in normal human renal tissue was studied by immunohistochemistry. HMC were stimulated with recombinant MSP (rMSP) and HK2 supernatant to study cell growth, migration, and the capacity to invade an artificial collagen matrix and synthesize interleukin-6 (IL-6). HK2 produced MSP and expressed RON in a form that was phosphorylated by rMSP. HMC expressed RON but did not produce MSP. MSP in HK2 supernatant and rMSP induced in HMC phosphorylation of RON, growth, migration, invasion, and IL-6 synthesis. In normal human kidney, tubules expressed MSP and RON. These results indicate a novel field of operation for MSP and suggest a pathogenic role of the MSP/RON system in renal disease. In fact, MSP released by tubular cells may recruit monocytes/macrophages in inflammatory tubulointerstitial disorders. In addition, MSP either circulating or as paracrine product may sustain glomerular mesangioproliferative disease.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Macrophage-stimulating protein (MSP), originally described as a serum factor with chemotactic effect on resident macrophages (13), is an 80- to 95-kD protein that belongs to the family of plasminogen-related growth factors also known as scatter factors (4,5). MSP is produced as a biologically inactive single chain precursor (pro-MSP) that is cleaved by membrane-bound macrophage proteases homologous to coagulation enzymes or by members of the kallikrein family to form a disulfide-linked active heterodimer (6,7).

The receptor for MSP is the product of the RON protooncogene, a tyrosine kinase that belongs to the human growth factor receptor family (8,9), which also includes human MET (10) and chicken SEA (11,12). MSP activates RON, inducing its tyrosine phosphorylation, which results in cell migration (13), shape change (7), and proliferation (14).

Until now, hepatocytes have been the only proved cell source of MSP (4,15), and the expression of RON has been documented in resident peritoneal macrophages (16), granulocytes (14), keratinocytes (17), osteoclasts (18), epithelial tissues (19,20), and cell lines derived from hepatic, gastric, and mammary carcinomas (15,2123). A role of the MSP/RON system in the physiology of the kidney or in renal disease has never been studied. In fact, although hybridization of MSP cDNA to total mRNA extracted from renal tissue has been shown (4), we do not know whether and which renal resident cells produce MSP. Furthermore, RON transcripts have been observed in tubular epithelia during development of the mouse metanephric kidney (20), but the expression of the receptor in mature renal tissue or cultured renal cells has never been explored.

In this study, we have investigated whether renal cells produce MSP or express RON and are the target of MSP. In view of the common epithelial origin of hepatocytes and tubular cells and of the functional similarity between macrophages and mesangial cells, we have hypothesized that tubular cells produce MSP and that mesangial cells express RON and are activated by MSP. The results confirm our hypothesis and suggest that the MSP/RON system may operate in the kidney and play a pathogenic role in tubulointerstitial inflammatory disorders and mesangioproliferative glomerulonephritides.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell Cultures
Primary cultures of human mesangial cells (HMC) were established from normal kidney cortex of patients undergoing unilateral nephrectomy for renal cell carcinoma, as described elsewhere (24). HMC were cultured in RPMI 1640 medium (Sigma-Aldrich Co., St. Louis, MO) supplemented with 20% fetal calf serum (Sigma Aldrich), 2% L-glutamine (2 mM), 1% sodium pyruvate, and 1% penicillin/streptomycin (Life Technologies, Grand Island, NY) and maintained at 37°C in a 5% CO2 humidified atmosphere. For our experiments, HMC were used at passages 4 through 8.

Human renal tubular cell line HK2, human hepatoma cell line HepG2, and human mammary carcinoma cell line T47D were purchased from the American Type Culture Collection (Rockville, MD). HK2, HepG2, and T47D were cultured in RPMI 1640 medium supplemented with 10% fetal calf serum and 1% penicillin/streptomycin and maintained at 37°C in a 5% CO2 humidified atmosphere.

In some experiments, HMC were incubated with HK2 supernatant or with HK2 supernatant preincubated for 2 h with neutralizing goat polyclonal anti-human MSP antibody (Ab; 2 µg/ml) (R&D Systems, Minneapolis, MN) without fresh medium.

MSP Protein Production by HK2 and HMC
The release of MSP in HK2 and HMC cell culture supernatant was evaluated by immunoprecipitation and Western blot, by use of a goat polyclonal anti-MSP Ab (R&D Systems) that recognizes both the monomeric inactive form of MSP (pro-MSP) and the {alpha}-chain of the active dimeric form. A 50 ml volume of supernatant was incubated with 2 µg/ml of anti-MSP antibody (Ab) adsorbed to 20 µl of protein A–sepharose 4B packed beads (Pharmacia, Uppsala, Sweden). The same amount of HepG2 supernatant was used as a positive control. Immunoprecipitates were washed with an ice-cold buffer that contained 20 mM Tris-HCl (pH 7.4), 150 mM NaCl, 5 mM ethylenediaminetetraacetic acid, 10% glycerol, 1% Triton X-100, and inhibitors of proteases (aprotinin 10 µg/ml, pepstatin 10 µg/ml, leupeptin 50 µg/ml, soybean trypsin inhibitor 100 µg/ml, and phenylmethanesulfonyl fluoride 1 mM) (Sigma-Aldrich) and boiled after addition of 2x sample buffer. After 10% sodium dodecyl sulfate–polyacrylamide gel electrophoresis was done (BioRad Laboratories, Richmond, CA), proteins were transferred to a nitrocellulose membrane (Amersham, Amersham, UK), and MSP was detected with the anti-MSP Ab. Mouse anti-goat IgG conjugated with horseradish peroxidase (Sigma-Aldrich) was used as the secondary Ab. Enhanced chemiluminescence was used for visualization of the peroxidase complex (Pierce Chemical Company, Rockford, IL).

MSP mRNA Expression in HK2
In these experiments, HepG2 cells known for their constitutive capacity to produce a high amount of MSP (15) were used as controls. MSP mRNA expression was evaluated by reverse transcription followed by PCR (RT-PCR). Total RNA extracted from HK2 and HepG2 with guanidinium thiocyanate as described in Chomczynsky and Sacchi (25) was used for RT. The 20 µl reaction mixture contained 2 µl of 10x reaction buffer (Bethesda Research Laboratories, Bethesda, MD), 1 µg of RNA, 50 U of RNAsin (Promega Biotec, Madison, WI), 2 µg random primers (Bethesda Research Laboratories), 1 mM (each) dNTP, 5 mM of MgCl2 (New England Biolabs), and 25 U of M-MLV reverse transcriptase (Bethesda Research Laboratories). The reaction mixture was incubated at 42°C for 1 h, then the enzyme was denatured for 5 min at 99°C, and the products were kept at -20°C. PCR was carried out on the products of the RT reaction as follows: in a final volume of 50 µl, the reaction mixture contained 5 µl of the products of the RT reaction as the template, 200 µM (each) dNTP, 15 pmol of the 5' PCR primer, 15 pmol of the 3' PCR primer, and 5 µl of Taq polymerase buffer 10x supplemented with 15 mM MgCl2 and 2.5 U of Taq polymerase (New England Biolabs). Then, 40 cycles of denaturation, annealing, and extension were performed by use of a programmable thermal cycler controller. Denaturation was at 94°C for 2 min for the first cycle and 1 min for subsequent cycles. The annealing temperature was 62.5°C for 1 min. The extension temperature was 72°C for 1 min, and the final extension was for 7 min at 72°C. The oligomers used for PCR amplifications were designed on the MSP cDNA sequence as follows: sense oligomer corresponding to nucleotides 886 to 906 (5'-AATACCACCACTGCGGGCGT-3') and antisense oligomer corresponding to nucleotides 1555 to 1576 (5'-TCAGTATCCACTGCTCCTTCA-3'). The glyceraldehyde 3-phosphate dehydrogenase gene (G3PDH) mRNA served as a control. Primers for the G3PDH gene were as follows: sense oligomer (5'-TGGTATCGTGGAAGGACTCATGAC-3') and antisense oligomer (5'-ATGCCAGTGAGCTTCCCGTTCAGC-3'); they amplified a 190-bp product. RT-PCR for MSP and G3PDH were made separately and resolved on 2% and 3% agarose gels (Sigma Aldrich), respectively.

Expression and MSP-Induced Phosphorylation of RON in HMC and HK2
The expression of RON was studied in HMC and HK2 by immunoprecipitation followed by Western blot. Because the activation of RON by MSP is associated with autophosphorylation of tyrosine residue in the receptor, we studied the activation of RON by a tyrosine phosphorylation assay. We used as the control T47D cells, i.e., a mammary carcinoma cell line that constitutively expresses RON and is activated by MSP.

Subconfluent HMC, HK2, and T47D cells were treated with recombinant MSP (rMSP; 50 ng/ml) (R&D Systems) for 10 min at 37°C. Cells were washed twice with cold phosphate-buffered saline (PBS) and lysed with an ice-cold buffer that contained 10 mM PIPES (pH 6.8; Sigma-Aldrich), 100 mM NaCl, 5 mM MgCl2, 300 mM sucrose, 5 mM ethyleneglycos-bis(ß-aminoethyl ether)-N-N'-tetraacetic acid (DIM buffer) (Sigma-Aldrich), 1% Triton X-100, 100 µM sodium orthovanadate, and inhibitors of proteases (see above). The cell lysates were cleared by centrifugation at 15,000 x g for 15 min at 4°C; an equal amount (800 µg) of total protein extracts from each cell line, determined by use of the BCA Protein Assay Reagent Kit (Pierce Chemical Company), was immunoprecipitated by stirring for 2 h at 4°C with the specific anti-RON C-terminal antisera adsorbed to 20 µl of protein A–sepharose 4B packed beads. The immunocomplexes were washed with lysis buffer, and proteins from immunoprecipitates were solubilized in boiling Laemmli buffer in reducing conditions (26). The proteins were separated on 7% sodium dodecyl sulfate–polyacrylamide gel electrophoresis and transferred to nitrocellulose Hybond filters. Filters were probed with mouse anti-phosphotyrosine mAb (U.B.I., Lake Placid, N.Y.) and anti-RON polyclonal Ab (produced in the Institute for Cancer Research and Treatment, Torino, Italy) (14); the specific binding was detected by the enhanced chemiluminescence system ECL-Plus.

RON mRNA Expression in HMC
The expression of RON mRNA in HMC was evaluated by RT-PCR. T47D cells were used as the control. Total RNA was used for RT. The 40 µl reaction mixture contained the enzyme buffer, 2 µg of RNA, 1 U/µl of RNAsin, 50 pmol of the 3' PCR primer (see below), 1 mM (each) dNTP, and 10 U/µl of M-MLV reverse transcriptase. The reaction was incubated at 37°C for 1 h; the enzyme was then denatured for 3 min at 95°C and the products kept at -20°C. PCR was carried out on the products of the RT reaction as follows: in a final volume of 100 µl, the reaction mixture contained 10 µl of the products of the RT reaction as source of the template, 50 mM Tris (pH 8.4), 50 mM KCl, 25 µg/ml bovine serum albumin, 2 µmol (each) dNTP, 35 pmol of the 5' PCR primer, 35 pmol of the 3' PCR primer, and a variable concentration of MgCl2. Then, 5 U of Taq polymerase were added and 100 µl of mineral oil were overlaid on the reaction mixture, and 30 cycles of denaturation, annealing, and extension were then performed by use of a programmable thermal cycler controller. Denaturation was at 92°C for 5 min for the first cycle and for 1 min for subsequent cycles. The annealing temperature was 55°C for 1 min. The extension temperature was 72°C for 2 min. The extension time was calculated under the assumption of a rate of extension of 1000 bases/min, according to the predicted length of the amplified product.

The oligomers used for PCR amplifications were designed on the RON cDNA sequence as follows: sense oligomer corresponding to nucleotides 3236 to 3257 (5'-GTCAAGGATGTGCTGATTCCC-3') and antisense oligomer corresponding to nucleotides 4366 to 4389 (5'-TCTGTGGAGTGAGGTACCTAATG-3'). The G3PDH mRNA served as the control. RT-PCR for RON and G3PDH were made separately and resolved on 1% and 3% agarose gels, respectively. The bands were transferred into a nylon membrane Hybond N, and the specific binding was detected by use of a Direct Nucleic Acid Labeling System Kit (Amersham) as instructed by the supplier.

Effects of MSP on HMC
Cell Growth Assay.
HMC (2 x 104 cells/well) were incubated for 24 and 48 h with rMSP at scalar concentrations (0, 10, 30, and 50 ng/ml), HK2 supernatant, and HK2 supernatant preincubated with neutralizing anti-MSP polyclonal Ab. Viable cells were determined by trypan blue assay. Growth was evaluated by use of a Cell Titer 96 assay (Promega Biotec, Madison, WI). The assay is based on a colorimetric method (27) to determine the number of viable cells. Experiments were repeated six times with each dose of rMSP and HK2 surnatant.

Motility and Matrix Invasion Assay.
The motility and matrix invasion assays (28) were performed in Transwell chambers (Costar Corporation, Cambridge, Mass). Cells were seeded on the upper side of a porous polycarbonate membrane (8-µm pore size) coated (cell invasion assay) or not coated (cell migration assay) with an artificial basement membrane that consisted of collagen type IV, laminin, and glycosaminoglycans (Matrigel [12.5 µg per filter], Becton Dickinson, Bedford, MA). Bottom wells were filled with 500 µl of complete medium supplemented either with rMSP (50 ng/ml), with HK2 supernatant, or with HK2 supernatant preincubated with anti-MSP Ab. After 24 (for the migration assay) or 48 (for the invasion assay) h of incubation, the cells that remained on the upper side of the filters were mechanically removed, and the cells that migrated or invaded the Matrigel, passing into the lower side, were counted with a Burker chamber. Experiments were repeated six times with each dose of rMSP and HK2 supernatant.

Interleukin-6 Assay.
Soluble interleukin-6 (IL-6) in HMC supernatants was assayed by use of a commercial enzyme immunotest kit (R&D Systems), according to the manufacturer’s procedure. The sensitivity of the enzyme-linked immunosorbent assay system was 0.7 pg/ml. Experiments were repeated four times.

Effect of MSP on HK2 cell growth
HK2 cells (2 x 104 cells/well) were incubated for 24 and 48 h with rMSP at scalar concentrations (0, 3, 5, 10, 30, and 50 and ng/ml). Cell growth was evaluated by counting cells in a Neu Bauer chamber. Experiments were repeated six times with each dose of rMSP.

In Vivo Expression of MSP and RON in Human Renal Tissue
The expression of MSP and RON in human kidney was evaluated by immunohistochemistry. Normal human renal tissue was obtained from kidney excised for renal cancer. The specimens were fixed in formalin acetate 6% for 24 to 48 h, then embedded in paraffin wax and serially sectioned (3 µm). The sections were dewaxed in xylol, passed in a decreasing series of alcohol, and finally rehydrated with distilled water. Endogenous peroxidase was blocked with H2O2 3.7% vol/vol in H2O for 15 min. After three washings in 150 mM PBS (Sigma-Aldrich), the sections were exposed to anti-MSP monoclonal Ab (R&D Systems, diluted 1:300 in PBS/bovine serum albumin 1% overnight at 4°C) or to anti-RON monoclonal antibody (Transduction Laboratories, Lexington, KY, diluted 1:750 in PBS/bovine serum albumin 1% overnight at 4°C). The secondary Ab and the complex streptavidin-biotin-peroxidase steps were performed according to manufacturers of the LSAB+ Kit (Dako, Glosrup, Danmark). Visualization was in 3,3 diaminobenzidine (Dako). Harris hematoxylin (Dako) was used to counterstain the nuclei lightly. Finally, the sections were dehydrated in increasing alcohol scale (95° to 100°, xylol), and the coverslip was mounted with synthetic nonaqueous mounting media (Dako) for analysis with a ZEISS microscope (10x, 20x, and 40x).

Statistical Analyses
ANOVA and the Tukey Kramer test were used for comparison of the means.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
HK2, but Not HMC, Produce MSP
Figure 1 illustrates the results of the immunoprecipitation and Western blot performed with anti-MSP Ab in supernatant of HK2, HMC, and HepG2 cells. A distinct couple of bands of 85 and 55 kD, corresponding to pro-MSP and the MSP {alpha}-chain, respectively, is apparent both in HK2 and in HepG2 supernatant but is absent in HMC supernatant.



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Figure 1. Western blot performed with anti–macrophage-stimulating protein (MSP) antibody (Ab) in culture supernatant of the human tubular cell line HK2, human mesangial cells (HMC), and the hepatoma cell line HepG2. A 50 ml volume of supernatant was immunoprecipitated with anti-MSP polyclonal Ab adsorbed to protein A–sepharose 4B packed beads. Immunoprecipitates were washed with an ice-cold buffer, boiled after addition of 2x sample buffer, and the proteins were loaded onto 10% sodium dodecyl sulfate–polyacrylamide gel electrophoresis. Proteins were analyzed by Western blot that used a polyclonal anti-MSP Ab. The 85-kD bands represent monomeric MSP (pro-MSP), and the 55-kD bands represent the {alpha}-chain of dimeric (active) MSP. Both HK2 and HepG2 cells (used as controls) release pro-MSP that is cleaved into the dimeric form in the supernatant. No band is visible in the HMC lane.

 
The expression of MSP mRNA in HK2 and HepG2 cells, evaluated by RT-PCR, is shown in Figure 2. The large 669-bp band, corresponding to MSP cDNA in the HepG2 lane, confirms that HepG2 cells are strong producers of MSP. A well-defined band of 669 bp is present also in the HK2 lane, which indicates that these cells also express MSP mRNA.



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Figure 2. Expression of MSP mRNA in HK2 and HepG2 cells, determined by reverse transcription (RT)–PCR that used 1 µg of RNA as the template. The 669-bp band corresponds to MSP cDNA and indicates that MSP is transcribed in HK2 and HepG2 cells. The latter cell line is a known producer of MSP and was used as the control. Glyceraldehyde 3-phosphate dehydrogenase (G3PDH) is the RT-PCR control.

 
MSP Is Expressed in Tubules of Normal Kidney
The results of immunohistochemistry performed with anti-MSP antibody are illustrated in Figure 3. The tubules express MSP with a fine granular cytoplasmatic distribution, whereas glomeruli show negative staining. MSP is expressed in all tubular segments in uniform and diffuse mode.



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Figure 3. Immunohistochemical staining for MSP in normal human renal tissue. The diffuse brown staining of tubules demonstrates tubular localization of MSP. No staining is present in glomeruli. Magnification, x40.

 
RON Is Expressed in HMC as a Functionally Active MSP Receptor
RON mRNA expression was investigated by RT-PCR in HMC and in T47D cells (used as controls). Figure 4 shows, in the T47D lane, the expected 1153-bp band representing RON cDNA. The 1153-bp band present in the HMC lane indicates that these cells also express constitutively the RON transcript.



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Figure 4. RON mRNA expression in HMC and the mammary carcinoma cell line T47D, determined by RT-PCR that used 1 µg of RNA as the template. The 1153-bp band corresponding to RON cDNA indicates transcription of RON by HMC and T47D cells. The latter cell line is known to express constitutively RON mRNA and was used as the control. G3PDH mRNA was the RT-PCR control.

 
The expression of RON protein in HMC and its tyrosine phosphorylation in response to stimulation with rMSP are shown in Figure 5: in the lower panel, immunoprecipitation of cell lysate with anti-RON Ab and subsequent Western blot with the same Ab identify a large 150-kD band (p150Ron) that corresponds to RON in T47D cells both treated (+) and not treated (-) with rMSP; although less marked than in T47D, the band that represents RON is also well visible in HMC. In the upper panel, immunoprecipitation with anti-RON Ab and subsequent Western blot with anti-phosphotyrosine Ab identify in T47D and HMC treated with rMSP (+), but not in cells not treated (-), a 150-kD band (p150Ron) overlapping with the RON band in the lower panel. Thus, in HMC the RON kinase is constitutively expressed and is functionally active, because rMSP triggers its tyrosine phosphorylation.



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Figure 5. Expression of RON on HMC as a functionally active receptor. (Lower panel) Immunoprecipitation (Ip) of 800 µg of total protein extracts from HMC and T47D lysate with anti-RON Ab, followed by Western blot (Wb) performed with the same anti-RON Ab (anti-RON), identified a large 150-kD band representing the RON protein (p150Ron) in T47D cells, which were used as controls. The p150Ron band is also visible in HMC. Expression of the RON receptor is independent of pretreatment with recombinant MSP (MSP) (+, treated cells; -, untreated cells). (Upper panel) Ip of 800 µg of total protein extracts from HMC and T47D lysate with anti-RON Ab, followed by Wb performed with anti-phosphotyrosine Ab (anti P-Tyr) identified a band, overlapping with the p150Ron band in the lower panel, representing phosphorylated RON. Phosphorylated RON is present only in T47D and HMC treated (+) with MSP. The 170-kD band (p170Ron) visible in the lower panel is the RON precursor that is recognized by the anti-RON Ab used both for immunoprecipitation and Western blot. The band is not visible in the upper panel because the anti P-Tyr Ab used for Western blot recognizes phosphotyrosine that is present only in the final activated form of RON.

 
RON is Expressed in HK2 as a Functionally Active MSP Receptor
The expression of the RON receptor in HK2 and its phosphorylation induced by rMSP are shown in Figure 6: in the lower panel, immunoprecipitation and subsequent Western blot with the same anti-RON Ab identify the 150-kD band (p150Ron) corresponding to RON in T47D (control) and HK2 cells both treated (+) and not treated (-) with rMSP. In the upper panel, immunoprecipitation with anti-RON Ab and subsequent Western blot with anti-phosphotyrosine Ab identify in T47D and HK2 treated with rMSP (+), but not in cells not treated (-), the 150-kD band (p150Ron) overlapping with the RON band in the lower panel. Thus, in HK2 cells the RON kinase is constitutively expressed and is functionally active.



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Figure 6. Expression of RON on human tubular cell line HK2 as a functionally active receptor. (Lower panel) Ip of 800 µg of total protein extracts from HK2 and T47D lysate with anti-RON antibody, followed by Wb performed with the same anti-RON Ab (anti-RON), identified a large 150-kD band representing RON protein (p150Ron) in T47D cells, which were used as controls. The p150Ron band is also visible in HK2. Expression of the RON receptor is independent of pretreatment with MSP (+, treated cells; -, untreated cells). (Upper panel) Ip of 800 µg of total protein extracts from HMC and T47D lysate with anti-RON Ab, followed by Wb performed with anti P-Tyr identified a band, overlapping with the p150Ron band in the lower panel, representing phosphorylated RON. Phosphorylated RON is present only in T47D and HK2 treated (+) with MSP.

 
MSP Triggers Biologic Responses in HMC and HK2
Figure 7 shows that rMSP stimulates mesangial cells growth in a time- and dose-dependent manner and that HK2 supernatant stimulates HMC growth in a time-dependent manner. The latter effect is blocked by the addition in the HK2 supernatant of anti-MSP Ab.



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Figure 7. Human mesangial cells were conditioned with rMSP at scalar concentrations, with supernatant of tubular cell culture (HK2 sn) and with HK2 sn plus neutralizing anti-MSP Ab (anti-MSP pAb). Columns are means of six experiments (bars, SD). Both rMSP and MSP in supernatant induced a time-dependent and dose-dependent growth of mesangial cells. *P < 0.05 versus fetal calf serum (FCS); #P < 0.01 versus FCS; °P < 0.05 versus HK2sn + anti-MSP pAb; §P < 0.01 versus HK2 sn plus anti-MSP pAb.

 
Figure 8A shows the chemotactic effect of rMSP and HK2 supernatant on HMC. In fact, all the cells migrate from the upper well where they are seeded into the lower well, which contains rMSP or HK2 supernatant, and cell migration is abrogated by anti-MSP Ab.



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Figure 8. HMC (2 x 104) were seeded in the upper side of Transwell chambers not coated (migration assay, A) or coated (invasion assay, B) with Matrigel. Bottom wells were filled with FCS, rMSP (50 ng/ml), rMSP (50 ng/ml) plus anti-MSP pAb (2 µg/ml), HK2 sn, and HK2 sn plus anti-MSP pAb. Columns are means of six experiments (bars, SD). Black columns represent cells that do not migrate to the lower well and remain in the upper well, and white columns represent cells that migrate into the lower well. rMSP and HK2 supernatant induce in vitro a chemotactic effect and an invasive phenotype in HMC. Neutralizing polyclonal anti-MSP Ab abrogates cell migration and invasion.

 
Figure 8B shows that HMC stimulated with rMSP and HK2 supernatant invade an artificial basement membrane. In fact, all the cells pass through the Matrigel layer and migrate into the lower well that contains rMSP or HK2 supernatant. Again, anti-MSP Ab abrogates the phenomenon.

Figure 9 shows that rMSP stimulates HMC to release IL-6 in a time-dependent manner. Figure 10 shows that rMSP stimulates human tubular cell growth in a time-dependent and dose-dependent manner.



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Figure 9. Effects of MSP on interleukin-6 (IL-6) release by HMC. HMC were stimulated with rMSP (50 ng/ml) for 24 and 48 h. Columns are means of four experiments (bars, SD). rMSP induced a time-dependent IL-6 release by HMC. *P < 0.001 versus FCS; °P < 0.001 versus rMSP at 24 h.

 


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Figure 10. Effect of rMSP on HK2 cells. Columns are means of six experiments (bars, SD). rMSP induced a dose-dependent and time-dependent growth of HK2. *P < 0.005 and °P < 0.001 versus FCS, 24 h; §P < 0.01 and #P < 0.001 versus FCS, 48 h.

 
Ron Is Expressed in Glomeruli and Tubules of Normal Kidney
Figure 11 illustrates the results of immunohistochemistry study performed with anti-RON antibody. In glomeruli, RON is expressed in distinct mesangial cells. In addition, RON is diffusely and uniformly expressed in the tubules.



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Figure 11. Immunohistochemical staining for RON in normal human renal tissue. Distinct mesangial cells stain positive for RON (in brown) in the glomerular tuft. In addition, RON is uniformly expressed in the tubules. Magnification, x40.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
MSP was originally identified as a serum protein that stimulates murine peritoneal resident macrophages to make a chemotactic response to C5a (1,3). MSP also alters the morphology of adherent macrophages, stimulates ingestion of C3bi-coated erythrocytes (3), and inhibits expression of inducible nitric oxide synthase mRNA in endotoxin-stimulated or cytokine-stimulated macrophages (29). Northern blotting of human tissue RNAs showed that liver is the major locus of MSP mRNA (4). MSP circulates in the blood as a single-chain precursor that is cleaved into an active heterodimer by enzymes of the coagulation cascade and by macrophage membrane proteases (6,7). The receptor for MSP is the product of the RON protooncogene, which is expressed in macrophages (16), keratinocytes (17), adherent monocytes (14), and a variety of tumoral cells (15,2123). The biologic significance of the MSP/RON system remains largely unknown. In view of the effects of MSP on macrophages and keratinocytes, it is supposed that MSP produced in the liver and circulating in inactive form is activated in wounds by coagulation factors and membrane-bound macrophage enzymes and plays a role in inflammation and healing (30,31). In addition, its effects on cell replication and migration suggest an oncogenic potential (23,32). Information on sites of MSP production other than the liver is scanty. Northern blot analysis of a human multiple tissue showed MSP mRNA expressed in the kidney (4). However, we ignore which renal cells transcribe the MSP gene and whether the MSP protein is actually produced in the kidney in vivo. Another unexplored point is whether there are renal cells that bear the RON receptor and are the target of MSP.

In this study, we have investigated the renal expression of the MSP/RON system. In particular, in conceiving the study, we have addressed tubular cells as MSP producers, because they are epithelial cells as the hepatocytes. In addition, we have hypothesized that mesangial cells, i.e., the specialized cells with macrophagic functions resident in glomeruli, express the RON receptor, and respond to MSP.

Our results demonstrate that renal tubular cells produce MSP. In fact, cultured HK2 express MSP mRNA and release MSP protein in their supernatant. The production of MSP by tubular cells is confirmed in vivo by immunohistochemistry that shows positive staining for MSP in tubules of normal renal tissue. The expression of MSP in tubules is uniform and extended to all tubular segments and is specific for tubular cells, because no MSP staining is present in glomeruli or in renal vessels in vivo, and mesangial cells do not release MSP in vitro. Of interest, MSP is present in HK2 supernatant both as precursor and as the active dimeric form. In fact, the supernatant contained the {alpha}-chain of dimeric MSP and induced in target (mesangial) cells biologic responses that were neutralized by anti-MSP Ab. Therefore, we suppose that MSP is secreted by HK2 cells as biologically inactive pro-MSP and is cleaved by proteases present in serum contained in culture medium (6,7). Quite unexpectedly, we found that tubular cells, in addition to being producers of MSP, bear the MSP receptor RON. In fact, RON is uniformly expressed in all tubular segments in vivo and is present in HK2 cells in vitro in a form that is able to work, i.e., that can be phosphorylated by MSP. Any speculation about the physiologic meaning of the coexpression of MSP and its receptor in renal tubules is hampered by the paucity of information on the physiologic role of the MSP/RON system in general. Recent investigations have shown that MSP is a growth factor for keratinocytes that regulates their integrin-dependent adhesion to extracellular matrix and prevents apoptosis of keratinocytes and MDCK cells transfected with RON cDNA (33,34). In this study, we found that MSP stimulates tubular cell growth. These findings suggest that MSP participates as an autocrine factor in the regulation of renal tubular cell growth and survival.

Another original finding of our study is that glomerular mesangial cells express RON both in vivo and in vitro and that the mesangial receptor is functionally active. In fact, rMSP induces the phosphorylation of RON on mesangial cells and causes important biologic effects, i.e., growth, migration, invasion into an artificial collagen matrix, and synthesis of IL-6. The observations that MSP is produced by renal tubules and is active on mesangial cells suggest a role of MSP/RON in renal pathophysiology and offer a new perspective to look at the biologic meaning of the system. In fact, MSP released by tubular cells in the course of tubulointerstitial inflammatory disorders, like interstitial nephritis or renal graft rejection, once activated locally, e.g., by coagulation factors, may stimulate resident macrophages and recruit circulating monocytes, thus amplifying the inflammatory response. Supporting this hypothesis is our preliminary observation that circulating monocytes treated with lipopolysaccharide or inflammatory cytokines express de novo RON (35). In addition, the finding that mesangial cells express RON and, when treated with MSP, proliferate, migrate, become invasive, and synthesize IL-6 suggests a role of MSP/RON in mesangioproliferative and membranoproliferative glomerulonephritides. In fact, in this form of glomerular disease, mesangial cells proliferate and move into the subendothelial space, causing progressive expansion of the mesangium and obliteration of glomerular capillaries. In addition, IL-6 is a growth factor for mesangial cells (36). MSP may reach the mesangial cells in vivo, either from the circulation or as a paracrine factor released by tubular cells, and find locally activating proteases. In fact, glomerular deposition of coagulation products is a current finding in the course of glomerular inflammation (37).

In summary, our study gives evidence that renal tubular cells produce MSP and express RON and that glomerular mesangial cells express RON and are activated by MSP. These novel observations extend the possible field of operation of MSP/RON to the kidney and are the basis of further studies aimed at understanding a possible role of MSP/RON in renal physiology and inflammatory disorders.


    Acknowledgments
 
We thank Dr. P. Malvezzi for his technical assistance.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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Received for publication April 17, 2001. Accepted for publication September 14, 2001.




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