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Department of Medicine, McGill University Health Center, McGill University, Montreal, Quebec, Canada
| Abstract |
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-tocopherol as
well as with diphenylene iodonium, an inhibitor of the NADPH oxidase,
inhibited complement-induced JNK activation. Conversely,
H2O2 activated JNK, whereas exogenously added
AA stimulated both superoxide production and JNK activity.
Overexpression of a dominant-inhibitory JNK mutant or treatment with
diphenylene iodonium exacerbated complement-dependent GEC injury. Thus,
activation of cPLA2 and release of AA facilitate
complement-induced JNK activation. AA may activate the NADPH oxidase,
leading to production of reactive oxygen species, which in turn mediate
the activation of JNK. The functional role of JNK activation is to
limit or protect GECs from complement attack. | Introduction |
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(cPLA2), which leads to release of arachidonic
acid (AA). In GECs, metabolites of AA are metabolized to prostanoids
via the constitutively expressed cyclooxygenase-1 and the
C5b-9-inducible cyclooxygenase-2. Activation of
cPLA2 and production of prostanoids exacerbate
GEC injury and proteinuria in PHN (13, 14, 15, 16). Other studies
have demonstrated that assembly of C5b-9 in GECs leads to
production of reactive oxygen species (ROS), possibly via the NADPH
oxidase (17, 18). ROS may contribute to glomerular
capillary wall injury and, by analogy to other cells, ROS may play a
potential role in signal transduction (19, 20). The MAPKs are a family of serine/threonine protein kinases that transmit extracellular signals to nuclear or cytoplasmic targets. There are several MAPK pathways, including the JNK pathway, which consists of a cascade of kinases that are activated by diverse stimuli, e.g., proinflammatory cytokines (TNF and IL-1) and "stress" (heat-shock, irradiation, UV light exposure) (21, 22). JNK exists as a family of isoforms with several splice-variants, resulting in at least 12 different JNK polypeptides. Activation of JNK is by dual phosphorylation on threonine and tyrosine by upstream kinases, but the full pathway(s) of activation and the precise roles of the various isoforms and splice-variants are only partially understood. JNK pathway activation may involve small GTPases and multiple kinases, whereas scaffolding proteins may also be involved in regulating amplification and specificity. MAPK activity may be down-regulated by phosphatases, such that inactivation of phosphatases would presumably enhance JNK activity (23). A role for ROS in JNK activation has been proposed (19). After activation, JNK may affect processes including transcription, translation, or cytoskeletal remodelling. For example, JNK may phosphorylate transcription factors c-Jun, elk-1, and activating factor 2. The biological roles of JNK appear to be multiple and probably cell specific; thus, the JNK pathway may induce withdrawal from the cell cycle and may mediate apoptosis or initiation of cell repair (21, 22). In a recent study, we demonstrated that in GECs, C5b-9-mediated induction of cyclooxygenase-2 is, in part, mediated via activation of JNK (12).
The aim of the present study was to investigate the pathways involved in complement-mediated GEC injury, specifically focusing on the activation of JNK and its potential interaction with cPLA2. We demonstrate that complement activates JNK in GECs in culture and in PHN. Assembly of C5b-9 results in activation of cPLA2 and release of AA. The latter stimulates production of ROS (i.e., superoxide), probably via activation of the NADPH oxidase, and production of superoxide stimulates activation of JNK. Finally, activation of JNK reduces complement-mediated GEC injury, implying that JNK confers protection or limits complement attack.
| Materials and Methods |
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Tissue culture reagents were obtained from Life Technologies
(Burlington, Ontario, Canada). C8-deficient human serum, purified C8,
AA, indomethacin, N-acetylcysteine (NAC), glutathione (GSH),
-tocopherol (vitamin E), diphenylene iodonium (DPI), and luciginin
(bis-N-methylacridinium nitrate) were purchased from
Sigma-Aldrich (St. Louis, MO). Rabbit anti-phospho-JNK
Thr183/Tyr185 Ab was
purchased from New England Biolabs (Mississauga, Ontario, Canada). This
Ab is directed against a synthetic
phospho-Thr183/Tyr185
peptide corresponding to the residues around
Thr183/Tyr185 of JNK.
Rabbit anti-JNK Ab was from New England Biolabs. This Ab is
directed at full-length JNK1 and cross-reacts with other JNK isoforms.
Rabbit anti-phospho-ERK Tyr204 Ab was from
New England Biolabs. Electrophoresis and immunoblotting reagents were
from Bio-Rad Laboratories (Mississauga, Ontario, Canada). Male Sprague
Dawley rats (150 g) were purchased from Charles River Canada (St.
Constant, Quebec, Canada). Plasmid pcDNA3-Flag-JNK1-APF, which
encodes a kinase-inactive form of JNK1 (24), was kindly
provided by Dr. R. Davis (University of Massachusetts Medical School,
Worcester, MA).
Cell culture and transfection
Rat GEC culture and characterization has been published previously (7, 8). GECs were cultured in K1 medium on plastic substratum. Studies were done with cells between passages 8 and 60. Subclones of GECs that stably overexpress cPLA2 or dominant-negative JNK, as well as neo GECs, were used in this study. Production and characterization of the GECs that stably overexpress cPLA2 were described previously (7, 8). GECs that express dominant-negative JNK were produced by stable transfection of kinase-inactive JNK1 by a method analogous to that for cPLA2.
Incubation of GECs with complement
The standard protocol involved incubation of GECs in monolayer culture with rabbit anti-GEC or sheep anti-Fx1A antiserum (5%, v/v) in modified Krebs-Henseleit buffer containing 145 mM NaCl, 5 mM KCl, 0.5 mM MgSO4, 1 mM Na2HPO4, 0.5 mM CaCl2, 5 mM glucose, and 20 mM HEPES, pH 7.4, for 40 min at 22°C (7, 8). GECs were then incubated with normal human serum (NS; diluted in Krebs-Henseleit buffer) or heat-inactivated (decomplemented) human serum (HIS; 56°C, 30 min) in controls, for the indicated times at 37°C. In some experiments, Ab-sensitized GECs were incubated with C8-deficient human serum or C8-deficient human serum reconstituted with purified C8 (80 µg/ml). As in previous studies, we have generally used heterologous complement to minimize possible signaling via complement-regulatory proteins (7, 8). Except for studies of cytolysis, experiments were conducted at concentrations of complement that induced minimal or no lysis (NS; 2.5%, v/v). Previous studies have shown that in GECs, complement is not activated in the absence of Ab (7).
Induction of PHN in rats
PHN was induced by a single i.v. injection of 0.4 ml of sheep anti-Fx1A antiserum, as described previously (25). Urine was collected on days 1417, and rats were then sacrificed and glomeruli were isolated by differential sieving.
Preparation of cell and glomerular lysates
GECs were scraped from culture dishes into homogenization buffer containing 50 mM HEPES, 0.25 mM sucrose, 1 mM EDTA, 1 mM EGTA, 20 µM leupeptin, 20 µM pepstatin, and 0.1 mM PMSF, pH 7.4 (4°C), and were centrifuged at 1,500 x g for 3 min at 4°C. Cell pellets were solubilized in immunoprecipitation buffer containing 1.0% Triton X-100, 125 mM NaCl, 20 mM Tris, 20 µM leupeptin, 20 µM pepstatin, 0.2 mM PMSF, 25 mM NaF, 2 mM Na3VO4, 5 mM Na4P2O7, 1 mM EDTA, and 1 mM EGTA, pH 7.4 (4°C). The mixture was centrifuged at 14,000 x g for 10 min, and supernatant was then used for immunoblotting.
Glomeruli were isolated from rat kidney cortices by differential sieving (25). Glomeruli were centrifuged, resuspended in homogenization buffer, and homogenized with 25 strokes. The homogenate was centrifuged at 1,300 x g for 5 min to sediment nuclei. The supernatant was removed, and the pellet was homogenized for a second time, as above. After centrifugation, the supernatant of the second homogenization was combined with that of the first and was centrifuged at 15,000 x g for 10 min. The supernatants were then used for immunoblotting.
Immunoblotting
Samples containing equal amounts of proteins were dissolved in Laemmli buffer and were separated by 10% SDS-PAGE under reducing conditions. Proteins were then electrophoretically transferred to a nitrocellulose membrane, blocked for 1 h in TBS with 0.01% (v/v) Tween 20 and 5% BSA, and incubated with rabbit anti-phospho-JNK or JNK Ab in TBS overnight at 4°C and then with HRP-conjugated secondary Ab. The blots were developed using the ECL technique (Amersham Pharmacia Biotech, Piscataway, NJ). Protein content was quantified by scanning densitometry, using NIH Image software. Preliminary studies demonstrated that there was a linear relationship between densitometric measurements and the amounts of protein loaded onto gels.
Measurement of superoxide anion production
Superoxide anion production was determined according to published methods with some modifications (26, 27). After incubation with Ab and complement, cells were washed, scraped in homogenization buffer, and pelleted by centrifugation at 200 x g for 5 min at 4°C. The pellet was resuspended in assay buffer containing 130 mM NaCl, 5 mM KCl, 1 mM MgCl2, 35 mM sodium phosphate, and 20 mM HEPES (4°C). Cells were counted in a hemacytometer and were then centrifuged again at 200 x g for 5 min at 4°C and resuspended in assay buffer. The measurement of superoxide generation was conducted in a Berthold-Lumat LB 9507 luminometer (Bad Wildbad, Germany). To start the assay, luciginin (final concentration, 250 µM) was added to 1 x 106 cells in a total volume of 1 ml of assay buffer. Luciginin exhibits chemiluminescence that is reported to be sensitive to the superoxide anion. Photoemission in terms of relative light units (RLU) was measured every 5 s for 200 s. A buffer blank (<5% of the cell signal) was substracted from each reading.
Measurement of complement-dependent cytotoxicity
Complement-mediated cytolysis was determined by measuring release of lactate dehydrogenase (LDH), similar to the method described previously (7). Specific release of LDH was calculated as (NS - HIS)/(100 - HIS), where NS represents the percent of total LDH released into cell supernatants in incubations with NS, and HIS is the percentage of total LDH released into cell supernatants in incubations with HIS.
Statistics
Data are presented as mean ± SEM. The t statistic was used to determine significant differences between two groups. One-way ANOVA was used to determine significant differences among groups. Where significant differences were found, individual comparisons were made between groups using the t statistic and adjusting the critical value according to the Bonferroni method. Two-way ANOVA was used to determine significant differences in multiple measurements among groups.
| Results |
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Sublytic C5b-9 activates phospholipases and protein kinases in
cultured GECs and in PHN (7, 8, 9, 10). By monitoring
phosphorylation of GST-c-Jun, we previously demonstrated that
complement activates JNK in GECs and that JNK activation requires
assembly of C5b-9 (12). JNK activation is dependent on
dual phosphorylation of
Thr183/Tyr185. Thus, in the
present study, JNK activation was monitored by immunoblotting, using an
Ab directed to phospho-JNK
Thr183/Tyr185. GECs were
incubated with anti-Fx1A Ab and complement (NS) at a sublytic
concentration. Compared with control incubations (HIS), activation of
complement produced an increase in JNK
Thr183/Tyr185
phosphorylation (Fig. 1
A).
However, complement did not affect JNK protein expression (Fig. 1
B). It should be noted that JNK proteins of
46 and
54
kDa are expressed and phosphorylated in GECs. Complement increased the
phosphorylation of both JNK proteins to a similar extent, although
basal and stimulated phosphorylation was generally greater in the
46-kDa JNK. UV light (positive control) induced phosphorylation of the
same 46- and 54-kDa JNK proteins (Fig. 1
A). The JNK Ab also
identified a protein between 46 and 54 kDa (Fig. 1
B). This
band may represent another species of JNK that does not undergo
phosphorylation, or it may be a degradation product. In addition, the
phospho-JNK Ab identified an
42-kDa protein in complement-stimulated
GECs (Fig. 1
A). According to the manufacturer, the
phospho-JNK Ab may cross-react with dually phosphorylated (activated)
ERK. Therefore, this band probably represents phospho-ERK, in keeping
with our earlier studies, which have demonstrated complement-induced
ERK phosphorylation directly (9). To address the kinetics
of JNK activation, Ab-sensitized GECs were incubated with complement
for time periods ranging from 10 min to 24 h (Fig. 1
, CE). JNK activation was evident at 40 min and
persisted at 60 min (data not shown). By 4 h, JNK activity
declined toward basal levels.
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It is important to demonstrate that pathways analogous to those
activated in cultured GECs by complement are also activated in vivo,
specifically in the PHN model of membranous nephropathy, where C5b-9
assembles in GEC plasma membranes and induces sublytic injury and
proteinuria. Studies were conducted in rats with autologous-phase PHN
(day 1417), which is known to be complement mediated
(3). At this time point, rats demonstrated severe
proteinuria (180 mg/24 h; normal, <25 mg/24
h). By analogy to cultured GECs,
46-
and
54-kDa JNK proteins were expressed in rat glomeruli, and whereas
both demonstrated increased phosphorylation in PHN (Fig. 2
, A and C), there were no significant changes in
protein expression (Fig. 2
B). These data are consistent with
earlier results, where it was shown that glomerular lysates of rats
with PHN (but not normal rats) induced phosphorylation of GST-c-Jun
(12). Similarly to cultured GECs, in glomeruli the
anti-JNK Ab identified a band between 46 and 54 kDa, which may
represent another species of JNK that does not undergo phosphorylation
or may be a degradation product (Fig. 2
B).
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In the next series of experiments, we focused on the mechanisms of
complement-induced JNK activation. Previously, we demonstrated that
C5b-9 activates cPLA2 (but not secretory
PLA2 isoforms) in GECs (10). In GECs
that stably overexpress cPLA2, the C5b-9-induced
release of AA is amplified, as compared with neo GECs, which express
cPLA2 at a low level (7, 8, 9, 10) (Fig. 3
). By analogy to AA release, complement
increased JNK phosphorylation
4-fold in GECs that stably overexpress
cPLA2 and
2-fold in neo GECs (Fig. 3
). Thus,
cPLA2 overexpression amplified JNK activation. It
is important to note that the time course of JNK activation was
delayed, as compared with the time course of AA release reported
earlier (8). Thus, complement-induced AA release, which
begins at 10 min and reaches a maximum at 30 min (8),
precedes JNK activation (Fig. 1
E). Together, these data
indicate that complement-induced JNK activation is, at least in part,
dependent on the activation of cPLA2.
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To determine whether the NADPH oxidase may be involved in the
complement-induced activation of JNK, we first assessed whether
complement stimulates superoxide production in cultured GECs (Fig. 5
). Superoxide production was evident
after 10 min of exposure to complement (Fig. 5
B). A similar
amount of superoxide was generated by GECs exposed to complement for 20
min, whereas 40-min exposure increased superoxide production markedly
(Fig. 5
, A and B). The flavoprotein inhibitor DPI
can be used to block ROS production by the NADPH oxidase, which
contains a flavocytochrome enzyme subunit (28). DPI
inhibited complement-induced superoxide production by 100% (Fig. 5
C). Superoxide production in GECs was also induced by the
addition of exogenous AA, and this increase was also inhibited
completely by DPI (Fig. 5
D).
|
-tocopherol (vitamin
E) (Fig. 6
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The potential functional roles of JNK may include modulation of
cell injury. There are presently no specific pharmacological inhibitors
of JNK. To block endogenous JNK activity in GECs, we used stable
transfection to express a dominant-negative (dominant-inhibitory) form
of JNK, JNK1-APF (24). In this mutant, the phosphorylation
site, TPY, is altered to APF, thereby inhibiting phosphorylation and
activation of the kinase, and the mutant is predicted to compete for
binding of upstream MAP kinase kinases (MKKs). Thirty-two clones of
transfected, G418-resistant GECs were screened by immunoblotting with
anti-JNK Ab for JNK protein expression. Fifteen of these clones
demonstrated increased JNK total protein levels, in keeping with
overexpression of dominant-negative JNK. The stable transfection of
JNK1-APF induced expression of
46- and
54-kDa isoforms, similar
to those of endogenous JNK proteins. Other studies have reported
that transfected JNK1-APF may be expressed as either 46- or 54-kDa
proteins, depending on the cell type (24, 29). Three
clones with apparent high levels of dominant-negative JNK expression
(DN12, DN27, and DN217) were selected for further studies (Fig. 7
A). An additional clone of
GECs that expressed only the neo gene (neo35) was used as control, as
well as clone neo16, which had been produced earlier (Fig. 7
A). Basal and complement-mediated phosphorylation of
endogenous JNK were attenuated in dominant-negative JNK-expressing
clones, as compared with neo GECs (Fig. 7
B). However,
complement-induced phosphorylation of ERK was not affected by
dominant-negative JNK expression (Fig. 7
C), implying that
complement activation, C5b-9 assembly, and activation of other pathways
were not altered in dominant-negative JNK-expressing clones. The GECs
that express dominant-negative JNK were indistinguishable
morphologically from neo GECs and proliferated at comparable rates.
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| Discussion |
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In earlier studies, we used multiple approaches to demonstrate that in
GECs, complement releases AA via activation of
cPLA2 (7, 8). Using analogous
approaches, the present study establishes that complement-induced JNK
activation is, at least in part, due to
cPLA2-induced release of AA (Figs. 1
, 3
, and 4
).
The effect of AA on JNK activation appeared to be mediated via the
NADPH oxidase, a multicomponent plasma membrane enzyme consisting of
flavocytochrome b558 (a heterodimeric complex of
gp91phox and p22phox
protein subunits) and p47phox and
p67phox subunits, plus Rac, a GTP-binding protein
(19, 20). Activation of the NADPH oxidase leads to
production of superoxide anion, which can be further metabolized to
H2O2. Although the NADPH
oxidase is best characterized in phagocytic cells (20),
cultured GECs were shown to express mRNAs encoding for components of
the NADPH oxidase (30). In the same study, incubation of
GECs with ATP stimulated superoxide production via the NADPH oxidase
(30), whereas xanthine oxidases did not contribute to
superoxide production significantly. In the present study, complement
or exogenously added AA stimulated production of superoxide in GECs
(Fig. 5
, B and D), and both the complement- and
AA-induced superoxide production were blocked by DPI (Fig. 5
, C and D). Moreover, preincubation of GECs with
DPI or with antioxidants inhibited complement-induced JNK activation
(Fig. 6
), and exogenously added
H2O2 stimulated JNK
significantly. Together, these results imply that complement-induced AA
release leads to production of superoxide via the NADPH oxidase and
that ROS stimulate JNK activity. Generation of ROS by C5b-9 has also
been reported in rat mesangial cells, although the mechanism was not
addressed in detail (31).
The present study demonstrates a link among cPLA2, AA, ROS, and JNK activation. Certain aspects of these interactions have been addressed previously. In rabbit proximal tubular epithelial cells, exogenous AA and linoleic acid (3060 µM) were shown to activate JNK (27). The effect of AA was associated with superoxide production and was blocked by NAC. The authors concluded that the NADPH oxidase was involved. In a human myeloid cell line, incubation with phorbol myristate acetate or opsonized zymosan resulted in the activation of the NADPH oxidase and superoxide production only if the cells expressed cPLA2, but not if cPLA2 expression was abolished by antisense inhibition (32). In the presence of cPLA2, phorbol myristate acetate also increased free AA, and exogenous AA (1025 µM) stimulated superoxide production. Finally, in rat mesangial cells, activation of JNK by IL-1 was associated with AA release and was blocked by the nonspecific PLA2 inhibitor aristocholic acid (33). Exogenous AA also activated JNK independently of AA metabolism, but the potential role of ROS was not addressed.
Classically, production of ROS is believed to be associated with cell
or tissue damage, but in recent years, ROS, particularly at low
concentrations, have been shown to function in signal transduction
(19, 20). For example, sublethal
H2O2 was shown to activate
ERK and JNK, whereas pretreatment of cells with NAC inhibited JNK
activation. At low concentrations, ROS may activate some protein
kinases and inhibit protein phosphatases. Activation of the JNK pathway
is complex (21). JNKs are phosphorylated and activated by
MKK4 and MKK7. These protein kinases are activated by another large
group of kinases, including MAP kinase kinase kinase 14,
mixed-lineage protein kinases, apoptosis signal-regulating
kinases (ASKs), transforming growth factor-
-activated kinase 1,
Tpl2, and others. Of potential relevance to this study is ASK1,
a protein kinase that may be a target for ROS (34, 35).
Under basal conditions, ASK1 is complexed and inhibited by thioredoxin.
Activation of the TNF receptor stimulates ROS production, which leads
to ROS-dependent thioredoxin dissociation from ASK1, recruitment of
ASK1 to the membrane, dimerization, and activation. ASK1 can then
potentially activate MKK4 or MKK7, which in turn can phosphorylate JNK.
Other potential targets of ROS are JNK-directed phosphotyrosine
phosphatases, dual-specificity phosphatases, or protein phosphatase 2A
(19, 20, 22, 23). These molecules generally have a
cysteine residue in the active site, which is essential for activity,
and can be regulated in a redox-dependent manner. In resting cells,
where levels of ROS are low, the activity of phosphatases in cells
would predominate, because the specific activity of phosphatases tends
to be higher than the activity of kinases. Stimulation of ROS
production may transiently inactivate phosphatases and permit an
increase in kinase activity. The precise mechanism by which
complement-induced ROS activate JNK in GECs will require further
study.
The biological roles of JNK activation appear to be diverse and may be
dependent on cell type. For example, the JNK pathway may mediate
withdrawal from the cell cycle, induce apoptosis, prevent apoptosis, or
initiate cell repair (21, 22). JNK activation by C5b-9 has
been described in oligodendrocytes, where activated JNK facilitated
progression through the cell cycle (36). In GECs,
induction of cyclooxygenase-2 by C5b-9 is, in part, dependent on JNK
(12). In contrast to previous studies on cytoprotection
that have focused on the role of JNK in mediating apoptosis, the
present study implicates JNK in protecting GECs from cytolysis (Fig. 8
). Measurement of cytolysis is a practical and accurate method to
address complement-mediated injury in a cell culture system, although
GEC injury in PHN is generally sublethal and manifests as proteinuria.
JNK is activated in glomeruli of rats with PHN (12) (Fig. 2
), and based on the mechanisms and functional role in cultured GECs,
it is reasonable to propose that JNK activation may also restrict the
amount of GEC injury in PHN. However, relatively large amounts of ROS
may be generated in glomeruli of rats with PHN, and these ROS may
independently damage glomerular structures and contribute to
proteinuria (18). Thus, the role of ROS and JNK activation
in PHN will require further study. Nevertheless, our observations
provide a rationale for developing nontoxic methods to induce
activation of JNK in vivo, which may eventually have applications to
therapy of glomerular disease. The potential importance of these
results extends beyond complement-induced GEC injury, in that C5b-9 may
be pathogenic in various diseases. Thus, JNK activation and potential
role in cytoprotection could be tested in disease models of systemic
lupus erythematosus, myositis, myocardial infarction, multiple
sclerosis, and others (1, 2). Finally, activation of JNK
before xenotransplantation might be a means of reducing hyperacute
xenograft rejection, which is complement dependent
(37).
"Ectocytosis," or shedding of C5b-9 complexes from plasma membranes of cells (1, 2), or reassembly of cytoskeletal proteins (38) are two other mechanisms that may protect cells from complement attack. The present study shows that the protective effect of JNK in GEC injury may occur acutely (when JNK activation is evident) or may be delayed (when JNK activity has returned to basal levels). The former is in keeping with posttranslational effects, whereas the latter suggests induction of gene transcription. For example, JNK could potentially alter expression or phosphorylation of stress proteins or Bcl-2 family members, which may be ultimately responsible for protection of cells from stress and damage (39, 40). By analogy to the role of JNK2 in protecting renal inner medullary collecting duct cells from hypertonicity-induced injury (29), another possible role of JNK may be to correct the changes induced by ion and fluid fluxes that occur secondary to C5b-9 assembly in the plasma membrane. Further studies to define the subcellular target(s) of JNK in GECs are in progress.
| Footnotes |
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2 Address correspondence and reprint requests to Dr. Andrey V. Cybulsky at the current address: Division of Nephrology, Royal Victoria Hospital, 687 Pine Avenue West, Montreal, Quebec, Canada H3A 1A1. E-mail address: andrey.cybulsky{at}mcgill.ca ![]()
3 Abbreviations used in this paper: PHN, passive Heymann nephritis; GEC, glomerular epithelial cell; MAPK, mitogen-activated protein kinase; ERK, extracellular signal-regulated kinase; JNK, c-Jun N-terminal kinase; cPLA2, cytosolic phospholipase A2-
; AA, arachidonic acid; ROS, reactive oxygen species; NAC, N-acetylcysteine; GSH, glutathione; DPI, diphenylene iodonium; NS, normal human serum; HIS, heat-inactivated human serum; RLU, relative light unit; LDH, lactate dehydrogenase; MKK, MAP kinase kinase; ASK, apoptosis signal-regulating kinase. ![]()
Received for publication April 15, 2002. Accepted for publication June 26, 2002.
| References |
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