Glomerular number and size in Milan hypertensive and normotensive rats: their relationship to susceptibility and resistance to hypertension and renal disease.

OBJECTIVE: Structural analysis, including morphometric computation of glomerular size and number, was applied to analyse the divergence between propensity to hypertension and renal damage, expressed by rats of the Milan hypertensive strain (MHS) and Milan normotensive strain (MNS), respectively.

DESIGN: MHS, MNS rats and progenitor Wistar rats were investigated at age 9 weeks and 9 months. Classical morphometric methods were complemented by the dissector/fractionator technique to count glomeruli.

RESULTS: At 9 weeks, when nephrogenesis was completed and hypertension established, MHS rats exhibited significantly lower kidney weight, cortical volume, glomerular number and volume compared to coeval MNS rats. In Wistar rats, these parameters were similar to those of MNS rats, except for lower glomerular volume. At 9 months, MHS rats showed significantly lower expansion of glomerular volume compared to MNS and Wistar rats. MNS rats had 10% sclerotic glomeruli, which was associated with reduced renal function and heavy proteinuria; conversely, sclerosis was rare in coeval MHS and Wistar rats. Media thickness was higher, whereas lumen diameter was lower, in intrarenal arteries of MHS versus MNS rats at both time points.

CONCLUSIONS: These data indicate that structural changes other than a tubular defect may play a role in the development of hypertension in MHS rats. The lack of significant glomerular hypertrophy and damage in this strain, despite reduced glomerular number, could be related to their (haemodynamic) protection from hypertensive renal disease, possibly due to the hypertrophy of intrarenal arteries. The larger size of glomeruli of MNS rats may be linked to their susceptibility to glomerulosclerosis.