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The glomerulus is a highly specialized tuft of capillaries responsible for the filtration of circulating plasma. It forms the beginning of the nephron, which is the basic functional unit of the kidney. Glomerular function is defined by a uniquely fenestrated capillary endothelium, the slit diaphragm of podocytes, and an intervening basement membrane. These layers form a semipermeable barrier to allow for the selective excretion of substances into the filtrate. Water, ions, and other small molecules generally pass through, while larger molecules are retained in the plasma. Podocytes are specialized epithelial cells that spread over the basement membrane, surrounding the capillaries with cytoplasmic projections known as foot processes. The foot processes of adjacent podocytes interdigitate and are crossed by slit diaphragms comprised of proteins such as nephrin, podocin, P-cadherin, and ZO-11. In cross section, these foot processes are evenly arranged over the basement membrane. In diseased glomeruli, the foot processes become grossly abnormal or "effaced," leading to abnormal leak of plasma contents into the filtrate. As such, glomerular damage is generally characterized by the presence of abnormally large amounts of protein (e.g., proteinuria) and/or red blood cells (e.g., hematuria) in the urine. In addition, injured podocytes lose expression of nephrin as well as its regulator Wilms Tumor 1 (WT1), a key protein responsible for maintenance of differentiation2,3. The glomeruli are a primary target of damage in diabetic nephropathy and other glomerulonephritides such as minimal change disease, membranous nephropathy, and focal segmental glomerulosclerosis. These diseases are major causes of progressive kidney failure and the development of end-stage renal disease, a condition in which survival relies upon dialysis or renal transplantation. Therefore, it is important to study glomeruli to better understand chronic kidney disease (CKD) pathology.
A cell culture system is critical to studying glomerular biology. Due to its central role in generating the slit diaphragm, as well as the existence of specific proteinuric diseases due to slit diaphragm protein mutations, much research has understandably utilized the podocyte in isolation. This has led to the generation of primary podocyte cell lines to utilize in vitro. These cells can be cultured under a variety of conditions and can even be grown on permeable supports to assess permeability4. However, the isolation of proliferating cells often selects dedifferentiated cells that have lost some of their podocyte markers. This has led to the generation of conditionally immortalized podocytes derived from a transgenic mouse strain carrying a temperature-sensitive mutant of the SV40 large T gene (e.g. immortomouse), which could be grown in culture but also be differentiated to express a full array of podocyte markers5. These methods of primary culture have been pivotal in understanding podocyte biology4,6,7.
Nevertheless, cultures containing single cell types lack the intercellular relationships that occur in vivo as well as the support structure and matrices, and monolayers of these cells do not necessarily recapitulate the three-dimensional architecture of glomeruli. The immortalized podocytes can also be cumbersome and challenging to culture8, and require possession of either the immortomouse or a starting aliquot of cells from established investigators to get started. Further, the glomerulus is comprised of not only podocytes, but also capillary endothelial cells and the basement membrane, as well as mesangial cells which provide support for the structure. It is therefore useful to develop an ex vivo approach available to all investigators for the study of intact glomeruli that retain their native architecture as well as all the cells constituting the normal glomerulus.
In 1958, Cook and Pickering described the first isolation of glomeruli from the rabbit kidney. After observations that fat emboli became lodged in glomeruli, they postulated that particles of the same size could be used to specifically isolate these structures. Indeed, the infusion of iron oxide particles into the kidney led to the trapping of these particles in glomeruli. After mechanical dissociation and sieving of the kidney, the glomeruli could be isolated intact and with purity through the use of magnetic separation9. In 1971, Misra showed that the iron oxide infusions could be omitted, and glomerular isolation achieved with sieving of minced human, dog, rabbit or rat kidney tissue10. This technique has been modified since then depending on the goal of the investigators but has essentially resulted in purified preparations that could be further studied or from which primary cell cultures could be established11,12,13,14,15,16,17.
Here we describe a protocol for the isolation of intact viable glomeruli from the rat kidney. The entire protocol takes just a few hours. Although they do not proliferate, experimental plans of any size can be supported by simply increasing the number of kidneys as starting material. While there are published protocols for the magnetic bead separation of glomeruli, they require an intravenous injection of beads, are more expensive, and may alter biology since the beads are either retained by the glomeruli in culture or require glomerular "lysing" and removal by centrifugation19. Compared to mouse glomeruli, the larger size of rat glomeruli (nearly 100 µm in two month old rats18) makes it much easier to separate them from other kidney structures using a simple sieving technique.
As evidence of their usefulness, we have characterized the glomeruli to demonstrate the different cell types. They can also be exposed to agents known to injure glomeruli in vivo, and we demonstrate the adverse effects of protamine sulfate (PS) on these cultures. PS is a polycation that neutralizes the anionic sites along the glomerular capillary wall20. This neutralization has a dramatic effect on the glomerular filtration barrier and therefore increases proteinuria and foot process effacement. These glomeruli can be assessed with immunoblots for key proteins such as nephrin and WT1 to assess overall health. Furthermore, their structure can be evaluated with light, immunofluorescence, and electron microscopy.
Overall, this protocol is accessible to most investigators (one only needs access to the animals and some simple equipment). With morphological features left undamaged, the researcher is able to analyze the glomeruli and see how other important cell types and matrix preservation in the glomeruli affect function and disease progression, a shortcoming of podocyte cultures.