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Chrishan S. Samuel
1 Introduction
Fibrosis and sclerosis is the final common pathway in all forms of progressive
renal disease, regardless of etiology (1, 2). The progression of renal fibrosis/
sclerosis is the result of an excess accumulation of connective tissue, primarily
collagen, which is over-expressed by renal vascular smooth muscle cells,
mesangial cells, and interstitial myofibroblasts in response to repeated patho-
logical stimuli and inflammation in the kidney (1, 2). Various collagen sub-types
accumulate in this process, including both so-called interstitial (collagen I, III,
and V) and basement membrane (collagen IV) proteins (3). Measuring changes
2 Materials
1. Liquid nitrogen.
2. Hydrochloric acid 6 M and 0.1 M.
3. Sodium hydroxide.
4. Chloramine T (Sigma, St. Louis, MO, USA) is dissolved in distilled water to
give a final concentration of 7% (w/v) and can be stored for up to 2 weeks at
4°C, in a dark bottle.
5. Acetate/citrate buffer, pH 6.0 (per 100 mL): dissolve 5.7 g sodium acetate.3H2O
(or 3.44 g sodium acetate anhydrous); 3.75 g tri-sodium citrate 2H2O; and 0.55
g citric acid in 38.5 mL of isopropyl alcohol and distilled water. The buffer can
be stored at 4°C up to 6 months.
6. Oxidation buffer is prepared (fresh before each assay) by mixing one part 7%
chloramine T with four parts acetate citrate buffer and should be protected
from light.
7. Ehrlich’s reagent is prepared by dissolving 2.0 g para-dimethylaminobenzalde-
hyde (DMAB; Sigma) in 3.0 mL of 60% (v/v) perchloric acid and can be stored
for up to 2 weeks at 4°C in a dark bottle. For assaying of larger sample num-
bers, multiple amounts of DMAB should be dissolved in the respective multiple
volumes of perchloric acid.
8. Analytical isopropanol reagent is prepared (fresh before each assay) by mixing
3 parts DMAB to 13 parts isopropanol.
9. Hydroxyproline standard is prepared by dissolving cis 4-hydroxy-l-proline
(Sigma) in 0.1 M hydrochloric acid (HCl) to a concentration of 1 mg/mL (w/v),
should be protected from light, and can be stored at –20°C.
10. Kimax™ screw-capped glass tubes (Kimble/Kontes, Vineland, NJ, USA).
11. Disposable cuvettes (Lake Charles Manufacturing, Lake Charles, LA, USA).
12. Lyophilizer.
13. Heating block.
14. Spectrophotometer.
15. Microsoft Excel™ (or equivalent software program for plotting regression line).
3 Methods
1. Isolated kidney tissues should be weighed and can then be either snap-frozen
in liquid nitrogen or stored immediately in dry ice. For analysis of more specific
regions within each kidney tissue (i.e. cortex, medulla, renal pyramids, renal
16 Collagen Content, Concentration, and Sub-types in Kidney Tissue 227
papilla, etc.), these regions should immediately be dissected out in cold phos-
phate-buffered saline (PBS) and weighed before being frozen down.
2. Each whole or regional kidney tissue should then be freeze-dried (lyophilized)
down to dry weight and the dry weight tissue accurately measured.
3. The dried tissues should then be re-hydrated in acetate/citrate buffer for 24 h at
4°C (see Note 1).
4. The rehydrated tissue should then be transferred to Kimax™ screw-capped glass
tubes (Kimble/Kontes) and submerged in 0.5–1.0 mL, 6 M HCl before being
hydrolyzed at 110°C (in a heating block) for at least 18–24 h (see Note 2).
5. The following day, the hydrolyzates should be cooled at 4°C, before being
evaporated to dryness in the presence of a strong base (i.e. sodium hydroxide; to
neutralize the acid) in a lyophilizer (overnight).
6. The dried residues should finally be dissolved in 0.1 M HCl (as was per-
formed for the hydroxyproline standard; approximately 1 mL per 100 mg wet
weight tissue).
1. All assays should be conducted in Kimax™ screw-capped glass tubes, with the
capacity to hold ≥5 mL of assay material.
2. Assay each sample in duplicate or triplicate by adding 10 µL of kidney tissue
hydrolyzate (in 0.1 M HCl) to 90 µL of distilled water (in a separate Kimax™
glass tube per sample and replicate) (see Note 5).
3. In separate tubes, also establish a standard curve for each experiment by adding
0 (blank), 2, 4, 6, 8, and 10 µL of the 1 mg/mL hydroxyproline standard (in 0.1
M HCl) in separate Kimax™ glass tubes and adjusting the volume of each tube
to 100 µL with distilled water.
4. To each of the standard curve and sample tubes (100 µL), add 200 µL of isopro-
panol, followed by 100 µL of the oxidation buffer (to give a volume of 400 µL).
Immediately vortex all samples and allow them to stand at room temperature for
4 min (± 30 s).
5. Add 1.3 mL of the analytical isopropanol reagent to each tube and vortex each
sample again (to give a volume of 1.7 mL), before tightly capping each tube. All
samples should then be placed for 25 min in a shaking water bath or oven pre-set
to 60°C (see Note 6).
6. The samples should then be cooled at 4°C for approximately 5–10 min (see Note 7).
7. Isopropanol (3.3 mL) should then be added to the cooled samples (to give a final
volume of 5.0 mL), before the samples are thoroughly vortexed and decanted
into disposable cuvettes (Lake Charles Manufacturing).
8. The absorbance of each standard curve sample/sample of interest should then be
obtained at 558 nm in a spectrophotometer, using the “blank” to calibrate each assay.
9. A standard curve can then be generated using Ab558 nm (y-axis) vs micrograms
of hydroxyproline added (x-axis) (Fig. 16.1). A line of best fit, equation (i.e. micrograms of
hydroxyproline = Ab558 nm/arbitrary constant value), and R2-value can then be
obtained (using Microsoft Excel™ software).
228 C.S. Samuel
y = 0.1916x
R2 = 0.996
2.5
2
Absorbance 558nm
1.5
0.5
0
0 2 4 6 8 10 12
Hydroxyproline (µg)
Fig. 16.1 A typical standard curve for the hydroxyproline assay, which plots Ab558 nm (y-axis)
versus micrograms of hydroxyproline (cis 4-hydroxy-l-proline) added (x-axis). A line of best fit, equa-
tion y = arbitrary constant/x, and R2 value can be obtained using Microsoft Excel software, as shown.
Using the provided equation, the micrograms of hydroxyproline in each sample of interest can then
be determined by dividing the corresponding Ab558 nm value by the arbitrary constant value
10. Based on the Ab558 nm readings, the generated equation (for each assay) should
then be used to determine the amount of hydroxyproline (between 0 and 10 µg)
in each sample (from 10 µL of starting material). The hydroxyproline values in
duplicates or triplicates of the same sample should then be averaged out.
11. The total hydroxyproline content in each sample can be then extrapolated by
multiplying the amount hydroxyproline (from the 10 µL of starting material)
by the total volume of 0.1 M HCl added to the sample hydrolyzates (see Sect.
3.1.6)/10 µL. For example, if the sample hydrolyzates were dissolved in 1.0 mL
(1,000 µL) of 0.1 M HCl, then the total amount of hydroxyproline in each
sample is calculated by multiplying the amount of hydroxyproline from the 10
µL of assay material by 100 (Fig. 16.2a).
100
50
0
Day 0 Day 3 Day 10
a OB UO OB UO
***
###
1200
*
Total collagen content (µg)/
900
kidney tissue
600
300
0
Day 0 Day 3 Day 10
b OB UO OB UO
***
Total collagen concentration (%)/
4
###
3
kidney tissue
2 *
0
Day 0 Day 3 Day 10
c OB UO OB UO
Fig. 16.2 Total hydroxyproline content (a), the corresponding collagen content (b), and collagen
concentration (c) from the kidneys of control wild-type (C57B6Jx129SV) mice (at day 0); and
from the obstructed (OB) and unobstructed (UO)/contralateral kidneys of mice 3 days and 10 days
after unilateral ureteric obstruction. *p< 0.05; ***p< 0.001 versus values from day 0 kidneys;
###p<0.01 versus values from day 10 UO kidneys
230 C.S. Samuel
kidney collagen (which is neutral salt, acetic acid, and pepsin insoluble). The
procedures detailed in Sect. 3.4.10–3.4.15 should be carried out in a fume
cupboard.
10. The lyophilized pepsin-digested pellets should be dissolved in 100 mM ammonium
bicarbonate, pH 8.0 (50 µL) for > 30 min (to inactivate the pepsin).
11. Bubble 98% formic acid with nitrogen (to stop any oxygen from entering the
system; as oxygen will interfere with the CNBr reaction).
12. Weigh CNBr in a pre-weighed plastic tube and cap tightly.
13. Dissolve CNBr at 70 mg/mL in nitrogen-saturated 98% formic acid for 10 min.
Smaller/larger amounts of CNBr and nitrogen-saturated 98% formic acid may
be used as long as the ratio of CNBr:formic acid remains constant.
14. Digest samples at about 1 mL of 70 mg/mL CNBr per 1 mg protein for 4 h with
gentle agitation.
15. This reaction can be terminated by drying samples down in a Speedvac centri-
fuge under vacuum. Alternatively, CNBr and formic acid can be removed under
a stream of nitrogen.
16. Wash CNBr-digested pellets with 0.5 M acetic acid and lyophilize to remove
any residual CNBr.
17. Re-suspend washed CNBr-digested pellets with Tris-HCl, pH 6.8 and sample-
loading buffer for SDS-PAGE analysis, or hydrolyze the pellet with 6 M HCl
(see Sect. 3.1.4) before re-suspending it in 100–200 µL of 0.1 M HCl (see Sect.
3.1.6) for hydroxyproline determination.
5. Heat neutral salt-, acetic acid-, pepsin-, and CNBr-extracted samples in Tris/
sample loading buffer at 60–65°C for 10 min before loading (with equivalent
amounts of total protein) onto gels.
6. Once the gels tanks are filled with the appropriate amount of running buffer,
run gels at a constant 25 mA through the stacking gel and 40 mA through the
separating gel. For CNBr gels, samples should be run until they reach the 11.0-cm
mark from the top of the 12.5% separating gel. For neutral salt/acetic acid/
pepsin gels, samples should be run and treated as described in Sects. 3.5.8–3.5.10
(see Note 14).
7. For neutral salt/acetic acid/pepsin gels: once samples have reached the 2.2-cm
mark from the top of the separating gel, the gel should be stopped and the run-
ning buffer from the top of the gel and sample wells removed.
8. Ten percent (v/v) β-mercaptoethanol (diluted in running buffer) should then be
added to the top of the sample wells of the separating gel for 90–120 min in a
fume cupboard. This step is completed to separate the type I collagen α(α1(I)]-
chains from the type III collagen α(α1(III)]-chains. Under non-reducing condi-
tions, these chains would normally migrate to the same position, making it
difficult to distinguish them apart; however under reducing conditions (with
β-mercaptoethanol), the type III collagen trimers/higher polymers are cleaved
and the released α1(III) monomers migrate slightly more slowly than the α1(I)
chains (see Note 15).
9. After 90–120 min the β-mercaptoethanol should be removed from the sample
wells and replaced with 1× running buffer, so that the samples can be run (at
40 mA) to the 8.0-cm mark from the top of the separating gel.
10. Once all gels have been completed, they should be removed from the gel appa-
ratus and stained overnight (in chilled Coomassie blue-R250; ∼200 mL/large
gel) at 4°C.
11. Gels can then be de-stained (at room temperature) until the background stain is
removed and the type I, III, and V collagen chains are visible (Fig. 16.3) and then
washed in distilled water (to stop the de-stain reaction) (see Notes 16, 17, and 18).
12. For quantitation of the interstitial collagen monomers, dimers, and trimers
(Fig. 16.3), the individual collagen chains can be analyzed by densitometry
(using a Biorad GS710 Calibrated Imaging Densitometer and appropriate
quantitative software; which allows for the quantitation of collagen bands from
wet gels). Alternatively, gels can be soaked in 3% (w/v) glycerol for 30–45 min
before being dried in gel-drying film (Promega, Madison, WI, USA) and then
quantitated by densitometry.
4 Notes
1. After whole/regional kidney tissues are lyophilized for measurement of dry weight and rehy-
drated, they may be de-fatted in a mixture containing 2:1 chloroform:methanol for 24 h at 4°C
before being re-hydrated for 24–48 h (at 4°C) and then hydrolyzed in 6 M HCl (see Sect. 3.1.4).
This step is more suited to organs (such as the skin) that have a high fat content.
16 Collagen Content, Concentration, and Sub-types in Kidney Tissue 233
β11
β12
α1(III)
α1(V)
α2(V)
α2(I)
α1(I)
Fig. 16.3 The pepsin-digested (mature cross-linked) interstitial collagens from the obstructed
kidney of a wild-type (C57B6J) mouse, 10 days after unilateral ureteric obstruction. Shown are
the type I collagen monomers, identified by the α1(I) and α2(I) subunits/chains; type III collagen
monomers, identified by the α1(III) chains; and type V collagen monomers, identified by the
α1(V) and α2(V) subunits/chains. Also shown are type I collagen dimers, β11: dimers of two
α1(I) subunits; β12: dimers of α1(I) and α2(I) monomers; and trimers (γ)
2. During the hydrolysis step with 6 M HCl, it should be ensured that the Kimax glass tubes fit
into the heating block (with no gaps between the external surface of the glass tube and the
heating block; as this will affect the rate of hydrolysis).
3. The amount of hydroxyproline in collagen may vary between species and organs studied and
should be checked before any calculations on collagen content and concentration are per-
formed (see refs. (6, 7) as a guide).
4. Since the measurement of collagen content and concentration is extrapolated from the absolute
hydroxyproline values of kidney tissues, other measures of collagen content and/or subtypes
(by Western blotting, immunostaining, or SDS-PAGE analysis of interstitial collagen chains)
are also recommended to confirm the findings of the hydroxyproline assay.
5. Ten to 20 µL of sample (hydrolyzate) is recommended for this assay as using larger amounts
(up to 100 µL) does not provide a linear outcome (author’s unpublished observations).
6. While optimal yields of hydroxyproline (color reaction) will be obtained when samples are
heated at 60°C for 25 min, these optimal yields will be lost if samples are heated for longer
periods.
7. Samples need to be cooled down to stop the color reaction.
234 C.S. Samuel
8. If whole kidney tissues are used for analysis, then either collagen content or collagen concen-
tration can be used as appropriate measures and comparisons between treatment groups.
However, if only regional kidney tissues are used, then only collagen concentration should be
used for comparisons between groups, as this measure corrects for the dry weight of the par-
ticular region of tissue used. It should be noted that collagen concentration is best calculated
from the dry weight tissue (which represents the extracellular matrix material, primarily col-
lagen); whereas deriving collagen concentration from the wet weight tissue is not as accurate,
due to the fact that the water content of tissues may vary between organs and diseased
conditions.
9. As with Note 1, whole/regional kidney tissues may be de-fatted in a 2:1 mixture of chloro-
form:methanol for 24 h at 4°C before being subjected to extraction with the neutral salt
buffer.
10. Kidney tissues can be diced finely/powdered with a mortar and pestle or tissue chopper.
11. The pepsin solution should always be prepared fresh and dissolved in 0.5 M acetic acid, 1 h
before use. If required, a second extraction of the mature insoluble collagen chains by pepsin
can be performed, before CNBr treatment of pepsin-digested pellets.
12. All extractions, particularly with pepsin, should be carried out with gentle agitation, as more
vigorous agitation may lead to the autolytic cleavage of the pepsin itself and hence, decreased
efficiency of the pepsin in digesting the mature insoluble collagens.
13. SDS-PAGE analysis of the interstitial collagen chains can be achieved with Biorad mini-gels,
but will result in poorer separation between the individual collagen -chains (see Fig. 16.3).
14. Due to the longer time required to run these larger SDS-PAGE gels, the gel running buffer
should be chilled at 4°C overnight before use and the gel tanks cooled in ice or connected to
a gel cooling system or the gels themselves run at 4°C to ensure a linear migration of all col-
lagen bands. Once gels are heated, the outer samples (that are closer to the electrodes) will
migrate at a slower rate compared with samples loaded in the middle of each gel.
15. Differences in the migration rate of the type III collagen a1(III) chains, under reducing condi-
tions with b-mercaptoethanol, may be observed between species, with greater differences,
between the a1(III) and a1(I) chains, being observed in the rat, mouse, calf, and rabbit than
in humans (11).
16. Templates for CNBr-cleaved peptides from type I, II, III, and V collagen can be found in refs.
(12–14).
17. As stated above, hydroxyproline assays can be used to quantitate the amounts of soluble and
insoluble (cross-linked) collagens from the neutral salt-, acetic acid-, pepsin-, and CNBr-
digested extracts/pellets, once they are lyophilized and re-suspended in 0.1 M HCl.
18. A limitation of this technique is that it cannot be used to identify collagen IV chains by peptide
digestion. Thus, other techniques such as immunohistochemistry or Western blotting may be
required for the detection of collagen IV.
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