Journal Article

Three-dimensional electron microscopy reveals the evolution of glomerular barrier injury

Mironov, Aleksandr, Kadler, Karl E., Starborg, Tobias, Sellin, Lorenz, Miner, Jeffrey H., Lennon, Rachel, Collinson, Sophie, Königshausen, Eva, Roberts, Ian S. D., Randles, Michael J., Krendel, Mira

2016

Overview

Glomeruli are highly sophisticated filters and glomerular disease is the leading cause of kidney failure. Morphological change in glomerular podocytes and the underlying basement membrane are frequently observed in disease, irrespective of the underlying molecular etiology. Standard electron microscopy techniques have enabled the identification and classification of glomerular diseases based on two-dimensional information, however complex three-dimensional ultrastructural relationships between cells and their extracellular matrix cannot be easily resolved with this approach. We employed serial block face-scanning electron microscopy to investigate Alport syndrome, the commonest monogenic glomerular disease, and compared findings to other genetic mouse models of glomerular disease ( Myo1e− / −, Ptpro− / − ). These analyses revealed the evolution of basement membrane and cellular defects through the progression of glomerular injury. Specifically we identified sub-podocyte expansions of the basement membrane with both cellular and matrix gene defects and found a corresponding reduction in podocyte foot process number. Furthermore, we discovered novel podocyte protrusions invading into the glomerular basement membrane in disease and these occurred frequently in expanded regions of basement membrane. These findings provide new insights into mechanisms of glomerular barrier dysfunction and suggest that common cell-matrix-adhesion pathways are involved in the progression of disease regardless of the primary insult.

• Publisher: Nature Publishing Group UK,Nature Publishing Group
• Subject: 631/80/79/750 / 64/60 / 692/4022/272/1684/1587/2101 / Alport syndrome / Animal models / Animals / Disease / Disease Models, Animal / Electron microscopy / Etiology / Extracellular matrix / Feet / Filters / Gene Knockout Techniques / Glomerular Basement Membrane - diagnostic imaging / Humanities and Social Sciences / Humans / Imaging, Three-Dimensional - methods / Kidney Diseases - diagnostic imaging / Kidney Diseases - genetics / Membranes / Mice / Microscopy, Electron, Scanning - methods / multidisciplinary / Myosins - genetics / Nephritis, Hereditary - diagnostic imaging / Nephritis, Hereditary - etiology / Receptor-Like Protein Tyrosine Phosphatases, Class 3 - genetics / Renal failure / Rodents / Scanning electron microscopy / Science