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Published on: September 1, 2015
Sex-Dependent Effects of Nephron Ift88 Disruption on BP, Renal Function, and Cystogenesis
Chunyan Hu1, Jayalakshmi Lakshmipathi1, Elizabeth Binning2
1Division of Nephrology, University of Utah Health, Salt Lake City, Utah.
Background:
Primary cilia regulation of renal function and BP in health and disease is incompletely understood. This study investigated the effect of nephron ciliary loss on renal physiology, BP, and ensuing cystogenesis.
Methods:
Mice underwent doxycycline (DOX)-inducible nephron-specific knockout (KO) of the Ift88 gene at 2 months of age using a Cre-LoxP strategy. BP, kidney function, and renal pathology were studied 2 and 9 months after DOX (Ift88 KO) or vehicle (control).
Results:
At 2 months post-DOX, male, but not female, Ift88 KO, compared with sex-matched control, mice had reduced BP, enhanced salt-induced natriuresis, increased urinary nitrite and nitrate (NOx) excretion, and increased kidney NOS3 levels, which localized to the outer medulla; the reductions in BP in male mice were prevented by L-NAME. At 9 months post-DOX, male, but not female, Ift88 KO mice had polycystic kidneys, elevated BP, and reduced urinary NOx excretion. No differences were observed in plasma renin concentration, plasma aldosterone, urine vasopressin, or urine PGE2 between Ift88 KO and control mice at 2 or 9 months post-DOX.
Conclusions:
Nephron cilia disruption in male, but not female, mice (1) reduces BP prior to cyst formation, (2) increases NOx production that may account for the lower BP prior to cyst formation, and (3) induces polycystic kidneys that are associated with hypertension and reduced renal NO production.
Insights
Loss of kidney cilia in male mice initially lowers blood pressure (BP) via increased nitric oxide (NO) production, but later causes polycystic kidneys and hypertension.
Area of Science:
- Nephrology
- Renal Physiology
- Cilia Biology
Background:
- The role of primary cilia in regulating kidney function and blood pressure (BP) is not fully understood.
- This study investigates the consequences of losing nephron cilia on renal physiology, BP, and cyst development.
Purpose of the Study:
- To determine the impact of nephron-specific cilia loss on renal function and BP.
- To investigate the relationship between cilia disruption, cystogenesis, and BP regulation.
Main Methods:
- Mice underwent doxycycline-inducible, nephron-specific knockout (KO) of the Ift88 gene.
- Blood pressure, kidney function, and renal pathology were assessed 2 and 9 months post-knockout.
- Measurements included BP, salt-induced natriuresis, urinary nitrite and nitrate (NOx) excretion, and kidney NOS3 levels.
Main Results:
- In male mice, Ift88 KO led to reduced BP and increased urinary NOx excretion at 2 months, which was prevented by L-NAME.
- At 9 months, male Ift88 KO mice developed polycystic kidneys, elevated BP, and reduced urinary NOx excretion.
- No significant differences in BP or renal function were observed in female mice.
Conclusions:
- Nephron cilia disruption in male mice initially lowers BP, potentially due to increased nitric oxide (NO) production.
- Cilia loss ultimately induces polycystic kidneys associated with hypertension and decreased renal NO production in males.
- Sex-specific differences exist in the renal response to cilia disruption.
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