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Updated: Jul 7, 2026

Use of Ultra-high Field MRI in Small Rodent Models of Polycystic Kidney Disease for In Vivo Phenotyping and Drug Monitoring
Published on: June 23, 2015
Autosomal dominant polycystic kidney disease is associated with an increased prevalence of radiographic
James A Driscoll1, Sanjeev Bhalla, Helen Liapis
1Department of Medicine, Washington University School of Medicine, 660 S. Euclid Ave, St. Louis, MO 63110, USA.
Insights
Autosomal dominant polycystic kidney disease (ADPKD) is linked to a higher prevalence of bronchiectasis, a lung condition. This suggests a potential airway manifestation in ADPKD patients due to primary cilia dysfunction.
Area of Science:
- Pulmonary Medicine
- Nephrology
- Genetics
Background:
- Autosomal dominant polycystic kidney disease (ADPKD) is a common genetic disorder with known extrarenal manifestations but no established pulmonary features.
- The disease is linked to polycystin-1 and polycystin-2 protein dysfunction, affecting primary cilia in renal epithelial cells.
- The role of polycystin-1 in airway epithelial cells and its potential impact on lung structure in ADPKD remained unexplored.
Purpose of the Study:
- To investigate the expression of polycystin-1 in the motile cilia of airway epithelial cells.
- To evaluate lung structure and identify potential pulmonary abnormalities in patients with ADPKD.
Main Methods:
- Immunostaining of airway epithelium from non-ADPKD individuals to detect polycystin-1.
- Histopathological examination of lung tissue from ADPKD patients.
- Retrospective review of CT scans from 95 ADPKD patients and 95 controls to assess bronchiectasis prevalence.
Main Results:
- Polycystin-1 was found in the motile cilia of normal airway epithelial cells.
- Histologic evidence of bronchiectasis was observed in one ADPKD patient's lung tissue.
- ADPKD patients showed a threefold higher prevalence of bronchiectasis on CT scans compared to controls (37% vs. 13%, p=0.002).
Conclusions:
- Radiographic bronchiectasis is a previously unrecognized manifestation of ADPKD.
- The findings suggest a potential increased risk of airway disease in patients with primary cilia-associated disorders like ADPKD.
Background:
Autosomal dominant polycystic kidney disease (ADPKD) is a common disease with several known extrarenal manifestations, although no known pulmonary features. The formation of renal cysts in ADPKD has been attributed to dysfunction of primary cilia and the primary cilia-related proteins polycystin-1 (in 85% of cases) and polycystin-2 in renal epithelial cells. The goals of this study were to characterize the normal expression of polycystin-1 in the motile cilia of airway epithelial cells and to evaluate lung structure in ADPKD patients.
Methods:
Airway epithelium from non-ADPKD patients was immunostained to localize polycystin-1 expression, and lung tissue from ADPKD patients was examined for pathologic changes. CT scans from ADPKD patients (n = 95) and a control group of non-ADPKD chronic kidney disease patients (n = 95) were retrospectively reviewed for the presence of bronchiectasis using defined criteria.
Results:
Immunostaining revealed polycystin-1 expression in the motile cilia of non-ADPKD airway epithelial cells. Lung tissue from one of five available ADPKD patient autopsies revealed histologic changes of bronchiectasis. Review of CT scans revealed a threefold-increased prevalence of bronchiectasis in the ADPKD group compared to the control group (37% vs 13%, p = 0.002).
Conclusions:
ADPKD patients demonstrate an increased prevalence of radiographic bronchiectasis, a previously unrecognized manifestation of the disease. This association suggests that patients with primary cilia-associated diseases may be at risk for airway disease.
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