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Updated: Dec 21, 2025

Isolation, Characterization, And High Throughput Extracellular Flux Analysis of Mouse Primary Renal Tubular Epithelial Cells
Published on: June 20, 2018
Developmental loss, but not pharmacological suppression, of renal carbonic anhydrase 2 results in pyelonephritis
John Ketz1, Vijay Saxena2, Samuel Arregui2
1Center for Clinical and Translational Medicine, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Abstract:
Carbonic anhydrase II knockout (Car2-/-) mice have depleted numbers of renal intercalated cells, which are increasingly recognized to be innate immune effectors. We compared pyelonephritis susceptibility following reciprocal renal transplantations between Car2 and wild-type mice. We examined the effect of pharmacological CA suppression using acetazolamide in an experimental murine model of urinary tract infection. Car2 versus wild-type mice were compared for differences in renal innate immunity. In our transplant scheme, mice lacking CA-II in the kidney had increased pyelonephritis risk. Mice treated with acetazolamide had lower kidney bacterial burdens at 6 h postinfection, which appeared to be due to tubular flow from diuresis because comparable results were obtained when furosemide was substituted for acetazolamide. Isolated Car2-/- kidney cells enriched for intercalated cells demonstrated altered intercalated cell innate immune gene expression, notably increased calgizzarin and insulin receptor expression. Intercalated cell number and function along with renal tubular flow are determinants of pyelonephritis risk.
Insights
Mice lacking carbonic anhydrase II (CA-II) showed increased urinary tract infection risk due to fewer renal intercalated cells. CA-II impacts kidney immune cell function and infection susceptibility.
Area of Science:
- Nephrology
- Immunology
- Microbiology
Background:
- Renal intercalated cells are crucial innate immune effectors.
- Carbonic anhydrase II (CA-II) deficiency impacts renal intercalated cell populations.
- Understanding CA-II's role in kidney infection is vital.
Purpose of the Study:
- To investigate the role of CA-II in pyelonephritis susceptibility.
- To compare renal innate immunity in CA-II knockout and wild-type mice.
- To assess the effect of carbonic anhydrase inhibition on urinary tract infection.
Main Methods:
- Reciprocal renal transplantation between CA-II knockout and wild-type mice.
- Pharmacological carbonic anhydrase suppression using acetazolamide.
- Murine model of urinary tract infection with bacterial burden assessment.
Main Results:
- Mice lacking CA-II in the kidney exhibited increased pyelonephritis risk.
- Acetazolamide treatment led to reduced kidney bacterial load, attributed to diuresis-induced tubular flow.
- Isolated CA-II knockout kidney cells showed altered innate immune gene expression in intercalated cells.
Conclusions:
- Intercalated cell number and function are key determinants of pyelonephritis risk.
- CA-II plays a significant role in renal innate immunity and defense against urinary tract infections.
- Targeting tubular flow may offer a therapeutic strategy for managing kidney infections.
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Renal Tubule and Collecting Duct
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...

