Quantification and Comparison of Anti-Fibrotic Therapies by Polarized SRM and SHG-Based Morphometry in Rat UUO Model

PLoS One. 2016 Jun 3;11(6):e0156734. doi: 10.1371/journal.pone.0156734. eCollection 2016.

Abstract

Renal interstitial fibrosis (IF) is an important pathologic manifestation of disease progression in a variety of chronic kidney diseases (CKD). However, the quantitative and reproducible analysis of IF remains a challenge, especially in experimental animal models of progressive IF. In this study, we compare traditional polarized Sirius Red morphometry (SRM) to novel Second Harmonic Generation (SHG)-based morphometry of unstained tissues for quantitative analysis of IF in the rat 5 day unilateral ureteral obstruction (UUO) model. To validate the specificity of SHG for detecting fibrillar collagen components in IF, co-localization studies for collagens type I, III, and IV were performed using IHC. In addition, we examined the correlation, dynamic range, sensitivity, and ability of polarized SRM and SHG-based morphometry to detect an anti-fibrotic effect of three different treatment regimens. Comparisons were made across three separate studies in which animals were treated with three mechanistically distinct pharmacologic agents: enalapril (ENA, 15, 30, 60 mg/kg), mycophenolate mofetil (MMF, 2, 20 mg/kg) or the connective tissue growth factor (CTGF) neutralizing antibody, EX75606 (1, 3, 10 mg/kg). Our results demonstrate a strong co-localization of the SHG signal with fibrillar collagens I and III but not non-fibrillar collagen IV. Quantitative IF, calculated as percent cortical area of fibrosis, demonstrated similar response profile for both polarized SRM and SHG-based morphometry. The two methodologies exhibited a strong correlation across all three pharmacology studies (r2 = 0.89-0.96). However, compared with polarized SRM, SHG-based morphometry delivered a greater dynamic range and absolute magnitude of reduction of IF after treatment. In summary, we demonstrate that SHG-based morphometry in unstained kidney tissues is comparable to polarized SRM for quantitation of fibrillar collagens, but with an enhanced sensitivity to detect treatment-induced reductions in IF. Thus, performing SHG-based morphometry on unstained kidney tissue is a reliable alternative to traditional polarized SRM for quantitative analysis of IF.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Antibodies, Monoclonal / therapeutic use
  • Azo Compounds / chemistry
  • Collagen / chemistry
  • Dose-Response Relationship, Drug
  • Enalapril / therapeutic use
  • Fibrosis
  • Kidney Diseases / drug therapy*
  • Kidney Diseases / pathology*
  • Male
  • Mycophenolic Acid / therapeutic use
  • Non-Fibrillar Collagens / chemistry
  • Rats
  • Rats, Sprague-Dawley
  • Reproducibility of Results
  • Ureteral Obstruction / drug therapy*
  • Ureteral Obstruction / pathology*

Substances

  • Antibodies, Monoclonal
  • Azo Compounds
  • Non-Fibrillar Collagens
  • Enalapril
  • Direct Red 81
  • Collagen
  • Mycophenolic Acid