Cell proliferation, apoptosis, Bcl-2 and Bax expression in obstructed opossum early metanephroi

H Liapis1, H Yu, G F Steinhardt

  • 1Department of Pathology, Washington University School of Medicine, St. Louis, Missouri 63110, USA.

Abstract

Insights

Complete ureteral obstruction (CUTO) in fetal kidneys causes increased cell death and proliferation. Abnormal cell kinetics, including altered Bcl-2 and Bax gene expression, contribute to kidney disease pathogenesis.

Area of Science:

  • Developmental biology
  • Renal pathophysiology
  • Cellular and molecular mechanisms

Background:

  • Complete ureteral obstruction (CUTO) halts fetal kidney development, causing cysts and fibrosis.
  • Apoptosis is a known mechanism in chronically injured kidneys, but its role in fetal obstruction is unclear.

Purpose of the Study:

  • To investigate the roles of cell proliferation and apoptosis in fetal kidneys with CUTO.
  • To evaluate the expression of apoptosis-regulating genes, Bcl-2 and Bax, in obstructed fetal kidneys.

Main Methods:

  • Utilized opossum pups with early metanephric kidneys subjected to CUTO.
  • Kidneys were analyzed after two weeks for cell proliferation, apoptosis, and Bcl-2/Bax gene expression.

Main Results:

  • Obstructed kidneys showed increased apoptosis in the renal pelvis and tubulointerstitium compared to controls.
  • Apoptosis correlated with increased interstitial cell proliferation and altered Bcl-2/Bax expression in tubules.
  • The nephrogenic zone exhibited increased apoptosis and cell proliferation, with unchanged Bcl-2/Bax levels.

Conclusions:

  • Abnormal cell kinetics, including apoptosis and proliferation patterns, are implicated in the pathogenesis of obstructed fetal kidney disease.
  • Altered expression of apoptosis regulators like Bcl-2 and Bax may play a role in tubular injury.

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