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Published on: September 1, 2015
Activated extracellular signal-regulated kinase correlates with cyst formation and transforming growth factor-beta
1Department of Pediatrics, Keio University School of Medicine, Tokyo, Japan.
Abstract:
Human renal dysplasia is frequently associated with urinary tract obstruction and the abnormal expression of mitogen-activated protein kinase (MAPK). Here, we determined the renal responses and MAPK expression in developing kidneys that were obstructed in fetal lambs. Kidneys were harvested at various times after obstruction (gestation day 60) through normal term (day 145). Dilation of Bowman's capsule and proximal tubules was seen 2 days after obstruction and involved the whole cortex 18 days later, with numerous cysts present throughout the kidney at term. The proliferation marker Ki-67 and transforming growth factor-beta (TGF-beta) were detected 2 days after obstruction and progressively increased in tubules, cysts, and the interstitium. In control kidneys, p38 was expressed in tubules only during the fetal stage, whereas phosphorylated extracellular signal-regulated kinase (P-ERK) was limited to ureteric buds and collecting ducts at all stages examined. However, Jun-N-terminal kinase (JNK) was absent in the fetal kidney but present in tubules at term. In obstructed kidneys, cyst epithelia were positive for p38 and P-ERK but negative for JNK throughout all stages. These studies show that P-ERK correlated spatially and temporally with Ki-67 and TGF-beta expression, which suggests that ERK may contribute to cyst formation and fibrosis in the obstructed fetal kidney.
Insights
Fetal kidney obstruction causes renal dysplasia and abnormal mitogen-activated protein kinase (MAPK) signaling. The extracellular signal-regulated kinase (ERK) pathway appears to drive cyst formation and fibrosis in obstructed fetal kidneys.
Area of Science:
- Developmental biology
- Nephrology
- Molecular signaling
Background:
- Human renal dysplasia is linked to urinary tract obstruction and aberrant mitogen-activated protein kinase (MAPK) signaling.
- Understanding MAPK roles in fetal kidney development under obstruction is crucial.
Purpose of the Study:
- To investigate renal responses and MAPK expression in fetal lamb kidneys with induced obstruction.
- To elucidate the role of specific MAPK pathways, including ERK, in kidney development and disease.
Main Methods:
- Fetal lambs underwent surgical obstruction of the urinary tract at gestation day 60.
- Kidneys were harvested at intervals from 2 days to term (day 145) for analysis.
- Immunohistochemistry was used to assess proliferation (Ki-67), fibrosis (TGF-beta), and MAPK (p38, P-ERK, JNK) expression.
Main Results:
- Obstruction led to progressive dilation, cyst formation, and increased Ki-67 and TGF-beta expression in fetal kidneys.
- p38 MAPK was found in tubules, P-ERK in ureteric buds/collecting ducts, and JNK emerged in tubules at term in control kidneys.
- Obstructed kidneys showed p38 and P-ERK in cyst epithelia, while JNK was absent.
Conclusions:
- ERK signaling correlates with proliferation and fibrosis markers in obstructed fetal kidneys.
- ERK activation may play a significant role in cystogenesis and interstitial fibrosis in obstructive nephropathy.
- MAPK pathway modulation presents a potential therapeutic target for congenital kidney diseases.
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