Data showing that the embryonic day 12 (E12) mouse kidney contains its own pool of endothelial progenitor cells is presented.Mechanisms that regulate metanephric endothelial recruitment and differentiation, including the hypoxia-inducible transcription factors and vascular endothelial growth factor/vascular endothelial growth factor receptor signaling system, are also discussed. Finally, evidence that glomerular endothelial cells contribute importantly to assembly of the glomerular basement membrane (GBM), especially the laminin component, is reviewed. Together, this forum offers insights on blood vessel development in general, and formation of the glomerular capillary in particular, which inarguably is among the most unique vascular structures in the body.
IntroductionDr. Dale Abrahamson, University Distinguished Professor and Chair, Department of Anatomy and Cell Biology, University of Kansas Medical Center: In almost every example of primary glomerular disease (including postinfection glomerulonephritis, immunoglobulin A nephropathy, anti-GBM disease, minimal change nephrotic syndrome, focal segmental glomerulosclerosis, mesangioproliferative disease, hereditary nephritis) and metabolic or hematological diseases affecting the kidney (including diabetes mellitus, lupus, HIV), the normal architecture of the glomerular capillary wall is disrupted. These changes include loss of fenestrae and detachment of endothelial cells, focal or diffuse thickening of the GBM, and effacement and detachment of podocyte foot processes. Despite the critical importance of the glomerulus in filtration, many fundamental questions exist regarding normal glomerular development and maintenance.The GBM has long been considered to be a critical element in establishing the filtration barrier properties of the glomerular capillary. Supporting evidence has come from several decades of work using a variety of experimental physiological, pathobiological and ultrastructural tracer techniques showing that an intact GBM is essential for maintenance of normal glomerular permselective sieving properties. During the past several years, these findings have been confirmed (A) in knockout mice with targeted deficiencies in certain GBM laminin and type IV collagen chains; (B) in integrin deficient mice which lack appropriate basement membrane protein receptors in their plasma membranes; and (C) through the molecular genetic and biochemical definition of human Alport disease. More recently, as constituents of the epithelial slit diaphragm complex have been progressively revealed, a great deal of excitement and emphasis has understandably been placed on the podocyte and its role in the glomerular filtration barrier. Nevertheless, a growing realization has also developed among many investigators that no single layer of the glomerular capillary can, by itself, represent the primary barrier. Indeed, a basic tenet of cell biology is that cells and their associated extracellular matrices form an intimate microenvironment crucial for tissue differentiation and...