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Updated: Dec 20, 2025

Dissection and Culture of Mouse Embryonic Kidney
Published on: May 17, 2017
Mdm4 controls ureteric bud branching via regulation of p53 activity
Sylvia A Hilliard1, Yuwen Li1, Angelina Dixon1
1Tulane University School of Medicine, Department of Pediatrics, Section of Pediatric Nephrology, New Orleans, LA 70112, United States of America.
Abstract:
The antagonism between Mdm2 and its close homolog Mdm4 (also known as MdmX) and p53 is vital for embryogenesis and organogenesis. Previously, we demonstrated that targeted disruption of Mdm2 in the Hoxb7+ ureteric bud (Ub) lineage, which gives rise to the renal collecting system, causes renal hypodysplasia culminating in perinatal lethality. In this study, we examine the unique role of Mdm4 in establishing the collecting duct system of the murine kidney. Hoxb7Cre driven loss of Mdm4 in the Ub lineage (UbMdm4-/-) disrupts branching morphogenesis and triggers UB cell apoptosis. UbMdm4-/- kidneys exhibit abnormally dilated Ub tips while the medulla is hypoplastic. These structural alterations result in secondary depletion of nephron progenitors and nascent nephrons. As a result, newborn UbMdm4-/- mice have hypo-dysplastic kidneys. Transcriptional profiling revealed downregulation of the Ret-tyrosine kinase pathway components, Gdnf, Wnt11, Sox8, Etv4 and Cxcr4 in the UbMdm4-/- mice relative to controls. Moreover, the expression levels of the canonical Wnt signaling members Axin2 and Wnt9b are downregulated. Mdm4 deletion upregulated p53 activity and p53-target gene expression including Cdkn1a (p21), Gdf15, Ccng1, PERP, and Fas. Germline loss of p53 in UbMdm4-/- mice largely rescues kidney development and terminal differentiation of the collecting duct. We conclude that Mdm4 plays a unique and vital role in Ub branching morphogenesis and collecting system development.
Insights
Mdm4 is crucial for kidney development. Its loss in the ureteric bud lineage disrupts branching and causes kidney hypodysplasia, but p53 loss rescues these defects.
Area of Science:
- Developmental Biology
- Molecular Biology
- Genetics
Background:
- Mdm2 and Mdm4 antagonism with p53 is essential for development.
- Mdm2 disruption in the ureteric bud lineage causes renal hypodysplasia.
Purpose of the Study:
- To investigate the specific role of Mdm4 in murine kidney collecting duct system development.
Main Methods:
- Hoxb7Cre-driven Mdm4 deletion in the ureteric bud lineage (UbMdm4-/-).
- Analysis of kidney structure, cell apoptosis, and gene expression.
- Germline p53 loss in UbMdm4-/- mice.
Main Results:
- Mdm4 loss disrupted branching morphogenesis and induced apoptosis.
- UbMdm4-/- kidneys showed dilated tips, hypoplastic medulla, and reduced nephron progenitors.
- Downregulation of Ret and Wnt signaling pathways observed.
- Mdm4 deletion upregulated p53 activity and target genes.
- Germline p53 loss rescued kidney development.
Conclusions:
- Mdm4 plays a critical, unique role in ureteric bud branching morphogenesis.
- Mdm4 is essential for collecting duct system development.
- p53 activation mediates the developmental defects caused by Mdm4 loss.
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